摘要： 目的: 探討種植修復(fù)對(duì)慢性牙周炎患者的臨床療效。方法: 選取本院收治的96例進(jìn)行種植修復(fù)患者作為研究對(duì)象,其中48例牙周健康患者為對(duì)照組,48例慢性牙周炎患者為研究組,兩組患者均實(shí)施牙種植修復(fù),對(duì)比兩組患者3、6、12個(gè)月的PD(探診深度)、mPLI(改良菌斑指數(shù))、mSBI(改良齦溝出血指數(shù)),兩組的種植修復(fù)情況和3年、5年的牙槽骨吸收量。結(jié)果: 種植修復(fù)后隨時(shí)間增加,PD、mPLI、mSBI明顯升高,且研究組PD顯著高于對(duì)照組(P< 0.05);兩組mPLI無(wú)顯著差異(P> 0.05);兩組3月的mSBI無(wú)顯著差異(P> 0.05),6、12月研究組顯著高于對(duì)照組(P< 0.05)。對(duì)照組種植修復(fù)情況均高于研究組,兩組半年、1年的種植修復(fù)情況有差異但不明顯(P> 0.05),對(duì)照組3年和5年的種植修復(fù)情況顯著高于研究組(P< 0.05)。研究組3年、5年的牙槽骨吸收量均顯著高于對(duì)照組(P< 0.05)。結(jié)論: 種植修復(fù)對(duì)慢性牙周炎患者的短期療效較好,因炎癥反應(yīng),長(zhǎng)期效果明顯低于牙周健康患者。

關(guān)鍵詞: 種植修復(fù), 慢性牙周炎, 臨床療效

Abstract: Objective: To investigate the clinical effect of Planting restorationin chronic periodontitis patients. Methods: 96 cases of Planting restorationpatients who were treated in our hospital were selected as the research object, including 48 healthy periodontal patients as the control group and 48 patients with chronic periodontitis as the study group. Both groups were treated with dental implantation. PD(probing depth), mPLI(modified plaque index), mSBI(modified gum crevicular bleeding index) was compared of the two groups after treatment for 3 months, 6 months and 12 months, and Implantation restoration and alveolar bone resorption in 3 years and 5 years in the two groups. Results: Increase with time after planting and restoration, the level of PD, mPLI, mSB were increased, the PD in the study group was significantly higher than the control group (P<0.05), there was no significantly different of mPLI in the two groups(P>0.05), the mSBI in 3 months of the two groups was not significantly different(P>0.05), and the mSBI in the study group was significantly higher than the control group at 6 and 12 months (P<0.05). The implantation restoration in the control group was higher than the study group, but there was no significant difference between the two groups in half a year and one year(P>0.05). The implantation restoration in the control group was significantly higher than the study group at 3 and 5 years (P<0.05). The alveolar bone resorption in the study group for 3 years and 5 years was significantly higher than the control group(P<0.05). Conclusion: The short-term effect of implantation repair on chronic periodontitis patients is better, the long-term effect is significantly lower than the healthy periodontal patients due to inflammatory reaction.

Key words: implant repair, chronic periodontitis, clinical effect

中圖分類號(hào): 

R781.4

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