牙龈切除术联合根向复位瓣术治疗慢性牙周炎并根分叉病变(Ⅲ度)的疗效观察
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寇丽娟(1984.11-),女,陕西吴起县人,本科,主治医师,主要从事口腔疾病的临床诊治工作

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R782.1


Effect of Gingivectomy Combined with Apically Reposition Flap Surgery in the Treatment of Chronic Periodontitis Complicated with Ⅲ Degree Furcation Involvement
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    摘要:

    目的 分析牙龈切除术整合根向复位瓣术对慢性牙周炎(CP)并根分叉病变(Ⅲ度)的治疗效果。 方法 选取2019年1月-2021年1月我院76例CP并根分叉病变(Ⅲ度)患者,随机分为A组和B组,各38例。A组予以牙龈切除术整合根向复位瓣术治疗,B组以常规手术治疗,比较两组总有效率、牙周指标及并发症发生情况结果 A组总有效率高于B组(P<0.05);A组角化龈宽度(WKG)、垂直探诊深度(VPD)、临床附着水平(CAL)、牙龈出血指数(SBI)及菌斑指数(PLI)均优于B组(P<0.05);A组并发症发生率低于B 组(P<0.05)结论 牙龈切除术整合根向复位瓣术可以改善患者的牙周指标,减少术后并发症,疗效较为理想,值得应用。

    Abstract:

    Objective To analyze the therapeutic effect of gingivectomy combined with apically reposition flap surgery in the treatment of chronic periodontitis (CP) complicated with Ⅲ degree furcation involvement. Methods A total of 76 patients with CP and furcation involvement (Ⅲ degree) in our hospital from January 2019 to January 2021 were selected and randomly divided into group A and group B, with 38 cases in each group. Group A was treated with gingivectomy combined with apically reposition flap surgery, and group B was treated with conventional surgery. The total effective rate, periodontal index and complications of the two groups were compared. Results The total effective rate of group A was higher than that of group B (P<0.05); the keratinized gingival width (WKG), vertical probing depth (VPD), clinical attachment level (CAL), gingival bleeding index (SBI) and plaque index (PLI) in group A were better than those in group B (P<0.05); the incidence of complications in group A was lower than that in group B (P<0.05). Conclusion Gingival combined with apically reposition flap surgery can improve periodontal index and reduce postoperative complications. The curative effect is ideal and worthy of application.

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寇丽娟.牙龈切除术联合根向复位瓣术治疗慢性牙周炎并根分叉病变(Ⅲ度)的疗效观察[J].医学美学美容,2022,31(1):90-92.

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  • 在线发布日期: 2022-08-06