广泛性牙周炎局部治疗期间牙周组织状态随时间的变化分析

Olena Sluchevska, Oleksiy Pavlenko, Iurii Mochalov, Nazariy Heley
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All patients obtained the control of the maximum depth of periodontal pockets, the level of the indices of PMA, CPITN and Green–Vermilion (OHI-S) on at the start of treatment, after 6 months and one year later during follow-up. Results. Periodical observation and clinical examination showed a partial restoration of the marginal periodontium (gingival) attachment among patients – that was observed by periodontal pocket depth decrease from 9.60 ± 2.07 (M = 10.00) mm to 7.23 ± 1.40 (M = 7.00) mm after 6 months, and to 4.98 ± 0, 88 (M = 5.00) mm a year after the start of treatment. The reduction of the indicator was 4.63 ± 1.43 (M = 4.50) mm. Amnog males recovery took place more intensively which was statistically significant. Initially, PMA index level was 66.38 ± 13.71 (M = 67.50)%, six months later – 32.63 ± 7.48 (M = 32.50)%. A year later – 28.90 ± 8.10 (M = 28.00)%. The reduction of the PMA index was 37.48 ± 9.05 (M = 37.00)%. 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引用次数: 0

摘要

本研究的目的是评价广泛性牙周炎患者在局部治疗过程中牙周组织损伤的特殊指标的变化。材料和方法。在牙周专科私立医疗机构,对30例广泛性牙周炎患者(男15例,女15例,年龄40.23±8.76岁(M = 39.00))按标准治疗方案进行治疗。方案包括超声去除牙垢和其他牙齿沉积物,龈下节段除垢,空气磨料抛光和提供口腔卫生保健建议。所有患者在治疗开始时、治疗6个月后和1年后随访时获得最大牙周袋深度、PMA、CPITN和Green-Vermilion (OHI-S)指数水平的控制。结果。定期观察和临床检查显示,患者牙周膜边缘(牙龈)附着部分恢复,牙周袋深度6个月后从9.60±2.07 (M = 10.00) mm下降到7.23±1.40 (M = 7.00) mm,治疗1年后下降到4.98±0.88 (M = 5.00) mm。该指标下降幅度为4.63±1.43 (M = 4.50) mm,男性恢复更为强烈,差异有统计学意义。初始PMA指数为66.38±13.71 (M = 67.50)%, 6个月后为32.63±7.48 (M = 32.50)%。一年后- 28.90±8.10 (M = 28.00)%。PMA指数降低37.48±9.05 (M = 37.00)%。观察结束时,男性患者牙周组织炎症水平的降低程度是女性患者的1.2倍,差异有统计学意义。观察开始时,CPITN指数为5.21±0.95 (M = 5.00),范围为3.30 ~ 6.90。6个月后- 2.63±0.69 (M = 2.40), 1年后- 2.63±0.71 (M = 2.55)。CPITN指数降低2.59±0.48 (M = 2.50),无性别差异。观察开始时,OHI-S水平为4.40±0.54 (M = 4.45),范围为3.00 ~ 5.60。6个月后- 1.80±0.40 (M = 1.80), 1年后- 1.79±0.41 (M = 1.80)。指数降低2.62±0.48 (M = 2.45),不同性别患者间无差异。结论。获得的数据表明,局部治疗广泛性牙周炎的效果参差不齐,包括对疾病发展的局部因素的影响。结果表明,男性患者的边缘牙周组织附着恢复更快,炎症强度降低,可能存在更高的牙周组织修复生理储备。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
ANALYSIS OF PERIODONTAL TISSUE STATUS OVER TIME DURING THE LOCAL TREATMENT OF PATIENTS WITH GENERALIZED PERIODONTITIS
The objectives of the study was to evaluate the changes in the special indicators of periodontal tissue damage during the local treatment among patients with generalized periodontitis. Materials and methods. At private medical institution specialized in periodontal treatment, 30 patients (15 men and 15 women, aged 40.23 ± 8.76 years (M = 39.00)) with generalized periodontitis were treated according to the standard treatment protocol. Protocol included ultrasonic removal of tartar and other dental sediments, segmental subgingival scaling, air-abrasive polishing and giving recommendations on hygienic care of the oral cavity. All patients obtained the control of the maximum depth of periodontal pockets, the level of the indices of PMA, CPITN and Green–Vermilion (OHI-S) on at the start of treatment, after 6 months and one year later during follow-up. Results. Periodical observation and clinical examination showed a partial restoration of the marginal periodontium (gingival) attachment among patients – that was observed by periodontal pocket depth decrease from 9.60 ± 2.07 (M = 10.00) mm to 7.23 ± 1.40 (M = 7.00) mm after 6 months, and to 4.98 ± 0, 88 (M = 5.00) mm a year after the start of treatment. The reduction of the indicator was 4.63 ± 1.43 (M = 4.50) mm. Amnog males recovery took place more intensively which was statistically significant. Initially, PMA index level was 66.38 ± 13.71 (M = 67.50)%, six months later – 32.63 ± 7.48 (M = 32.50)%. A year later – 28.90 ± 8.10 (M = 28.00)%. The reduction of the PMA index was 37.48 ± 9.05 (M = 37.00)%. At the end of the observation period, the reduction in the level of periodontal tissue inflammation among males was 1.2 times more intense than among females which was statistically significant to. At the beginning of observation, the CPITN index was 5.21 ± 0.95 (M = 5.00) with a range of 3.30 to 6.90. After six months – 2.63 ± 0.69 (M = 2.40), after a year – 2.63 ± 0.71 (M = 2.55). Reduction of the CPITN index was 2.59 ± 0.48 (M = 2.50), no gender difference was found. At the beginning of the observation, the OHI-S level was 4.40 ± 0.54 (M = 4.45) and the range was from 3.00 to 5.60. Six months later – 1.80 ± 0.40 (M = 1.80), one year later – 1.79 ± 0.41 (M = 1.80). The index reduction was 2.62 ± 0.48 (M = 2.45), no differences were found among patients of different sexes. Conclusions. The obtained data indicate uneven effectiveness of local treatment of generalized periodontitis, which includes influence on local factors of disease development. The results suggest a faster recovery of the attachment of the marginal periodontium and a decrease in the intensity of inflammation among male patients and the probable presence of higher physiological reserves of periodontal tissue repair.
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