牙周内窥镜辅助龈下刮治与根面平整术对慢性牙周炎患者残余深牙周袋的治疗效果分析OA
Analysis on the Therapeutic Effect of Periodontal Endoscope-Assisted Scaling and Root Planing on Residual Deep Periodontal Pockets in Patients with Chronic Periodontitis
目的 探讨牙周内窥镜辅助龈下刮治与根面平整术(SRP)对慢性牙周炎患者残余深牙周袋的治疗效果.方法 选取2024年1月至2025年12月厦门医学院附属口腔医院牙周病科接诊的80例慢性牙周炎患者(残余深牙周袋患牙146颗),按随机数字表法将其分为常规组(40例,患牙72颗)和观察组(40例,患牙74颗).常规组采用传统SRP治疗,观察组采用牙周内窥镜辅助SRP治疗.对比两组的牙周指标、治疗时间、牙科治疗恐惧及疼痛程度.结果 重复测量方差分析显示,探诊深度(PD)、临床附着水平(CAL)、牙龈出血指数(BI)、牙菌斑指数(PLI)的时间效应均有统计学差异(P＜0.001);PD、CAL的时间×组间交互效应有统计学差异(P＜0.05);BI、PLI的时间×组间交互效应及所有指标的组间主效应均无统计学差异(P＞0.05).组内比较,两组治疗后6周和3个月的PD、CAL、BI、PLI均显著低于治疗前(P＜0.05);组间比较,观察组治疗后6周和3个月的PD、CAL均显著低于常规组(P＜0.05),两组的BI、PLI比较,差异无统计学意义(P＞0.05).观察组的治疗时间为(16.52±5.21)min,长于常规组的(10.02±2.93)min(P＜0.05).组内比较,两组治疗后3个月的Stouthard牙科恐惧量表(DAI)、视觉模拟量表(VAS)评分均显著低于治疗前(P＜0.05);组间比较,观察组治疗后3个月的VAS评分显著低于常规组(P＜0.05),两组的DAI评分比较,差异无统计学意义(P＞0.05).结论 牙周内窥镜辅助SRP治疗慢性牙周炎患者残余深牙周袋虽治疗时间有所延长,但能更有效地改善PD和CAL,减轻患者术后疼痛,且不增加牙科治疗恐惧,是一种安全有效的治疗方法.
Objective To investigate the therapeutic effect of periodontal endoscope-assisted scaling and root planing(SRP)on residual deep periodontal pockets in patients with chronic periodontitis.Methods A total of 80 patients with chronic periodontitis(146 teeth with residual deep periodontal pockets)admitted to the Department of Periodontology,Affiliated Stomatological Hospital of Xiamen Medical College from January 2024 to December 2025 were enrolled.They were divided into the conventional group(40 cases,72 teeth)and the observation group(40 cases,74 teeth)by the random number table method.The conventional group received traditional SRP treatment,while the observation group received periodontal endoscope-assisted SRP treatment.The periodontal indicators,treatment time,dental treatment anxiety and pain degree were compared between the two groups.Results Repeated measures analysis of variance showed that the time effects of probing depth(PD),clinical attachment loss(CAL),bleeding index(BI)and plaque index(PLI)were statistically significant(P＜0.001).The time × group interaction effects of PD and CAL were statistically significant(P＜0.05).There were no statistically significant differences in the time × group interaction effects of BI and PLI,nor in the main effects of all indicators between groups(P＞0.05).Intra-group comparison showed that PD,CAL,BI and PLI at 6 weeks and 3 months after treatment were significantly lower than those before treatment in both groups(P＜0.05).Inter-group comparison showed that PD and CAL at 6 weeks and 3 months after treatment in the observation group were significantly lower than those in the conventional group(P＜0.05),while there were no statistically significant differences in BI and PLI between the two groups(P＞0.05).The treatment time of the observation group was(16.52±5.21)min,which was significantly longer than(10.02±2.93)min of the conventional group(P＜0.05).Intra-group comparison showed that the Stouthard Dental Anxiety Index(DAI)and Visual Analogue Scale(VAS)scores at 3 months after treatment were significantly lower than those before treatment in both groups(P＜0.05).Inter-group comparison showed that the VAS score at 3 months after treatment in the observation group was significantly lower than that in the conventional group(P＜0.05),while there was no statistically significant difference in DAI score between the two groups(P＞0.05).Conclusions Although periodontal endoscope-assisted SRP for residual deep periodontal pockets in patients with chronic periodontitis prolongs the treatment time,it can more effectively improve PD and CAL,reduce postoperative pain,and does not increase dental treatment anxiety.It is a safe and effective treatment method.
刘朕哲;李飞来
厦门医学院附属口腔医院,福建厦门 361006厦门医学院附属口腔医院,福建厦门 361006
医药卫生
慢性牙周炎残余深牙周袋牙周内窥镜龈下刮治与根面平整术
Chronic periodontitisResidual deep periodontal pocketPeriodontal endoscopeScaling and root planing
《临床医学工程》 2026 (7)
785-789,5
厦门市自然科学基金青年创新项目(3502Z202372108)
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