在治疗慢性牙周炎中比较传统和显微外科入路皮瓣术:随机对照试验

IF 0.9 Q3 DENTISTRY, ORAL SURGERY & MEDICINE
Contemporary Clinical Dentistry Pub Date : 2024-04-01 Epub Date: 2024-07-10 DOI:10.4103/ccd.ccd_151_23
A B Archana, Roshni Ramesh, Jacob Varghese, S Anoop
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引用次数: 0

摘要

目的:该研究旨在评估和比较使用传统和显微外科手术入路翻瓣术治疗牙周炎患者的牙周治疗效果:将 50 名慢性牙周炎患者随机分配到传统(I 组)和显微外科(II 组)开放式翻瓣清创术中。测量参数包括探诊袋深度、临床附着丧失(CAL)、牙龈退缩(GR)、探诊出血(BOP)、伤口愈合和术后疼痛。PD、CAL、GR和BOP分别在治疗前(基线)和术后3个月进行评估。伤口愈合情况采用 Landrey 等人的愈合指数在术后第 7 天和 3 个月进行评估,术后疼痛情况采用术后 7 天内服用镇痛药的次数进行评估:结果:愈合指数为 4 分(愈合非常好)的占第一组的 40%,占第二组的 95%。术后 3 个月,各组间的 PD、CAL、GR 和 BOP 均无明显下降:结论:在开放性皮瓣清创术中,与传统的大切口方法相比,显微外科方法可大大改善早期愈合,并减轻术后疼痛。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of Conventional and Microsurgical Access Flap Procedure in Managing Chronic Periodontitis: A Randomized Controlled Trial.

Aim: The aim of the study was to evaluate and compare the periodontal treatment outcomes in patients with periodontitis treated using conventional and microsurgical access flap procedure.

Materials and methods: Fifty chronic periodontitis patients were randomly assigned to conventional (Group I) and microsurgical (Group II) open flap debridement procedure. The parameters measured were probing pocket depth, clinical attachment loss (CAL), gingival recession (GR), bleeding on probing (BOP), wound healing, and postoperative pain. PD, CAL, GR, and BOP were assessed at pretreatment (baseline) and 3 months postoperatively. Wound healing was assessed using Landrey et al. healing index at 7th day and 3 months postoperatively and postoperative pain was assessed using number of analgesics taken for 7 days following surgery.

Results: Healing Index score of 4 (very good healing) was found in 40% of sites of Group I and 95% of sites of Group II. Comparison of number of analgesics taken between groups on day 7 showed a statistically significant difference (P < 0.01), indicating that pain was significantly reduced in Group II compared to Group I. At 3 months postoperatively, there was no significant reduction in PD, CAL, GR, and BOP between the groups.

Conclusions: In open flap debridement procedure, a microsurgical approach can substantially improve the early healing and induce less postoperative pain when compared to a conventional macroscopic approach.

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来源期刊
Contemporary Clinical Dentistry
Contemporary Clinical Dentistry DENTISTRY, ORAL SURGERY & MEDICINE-
CiteScore
1.50
自引率
0.00%
发文量
52
审稿时长
23 weeks
期刊介绍: The journal Contemporary Clinical Dentistry (CCD) (Print ISSN: 0976-237X, E-ISSN:0976- 2361) is peer-reviewed journal published on behalf of Maharishi Markandeshwar University and issues are published quarterly in the last week of March, June, September and December. The Journal publishes Original research papers, clinical studies, case series strictly of clinical interest. Manuscripts are invited from all specialties of Dentistry i.e. Conservative dentistry and Endodontics, Dentofacial orthopedics and Orthodontics, Oral medicine and Radiology, Oral pathology, Oral surgery, Orodental diseases, Pediatric Dentistry, Periodontics, Clinical aspects of Public Health dentistry and Prosthodontics. Review articles are not accepted. Review, if published, will only be by invitation from eminent scholars and academicians of National and International repute in the field of Medical/Dental education.
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