Moser Peter, Hammerle Christoph H F, Lang Niklaus P, Schlegel-Bregenzer Bettina, Persson Rutger
Department of Periodontology and Fixed Prosthodontics, University of Berne, Switzerland.
J Clin Periodontol. 2002 Jun;29(6):531-9. doi: 10.1034/j.1600-051x.2002.290610.x.
OBJECTIVES: The present retrospective analysis was performed to evaluate the long-term results of initial periodontal and fixed prosthodontic treatment in patients with gingivitis or moderate chronic periodontitis during post-therapeutic irregular maintenance of 5-17 years. MATERIAL AND METHODS: Thirty-four patients participated in the study. Baseline data were taken from the patients' records when the periodontal and the prosthetic treatment was finished. A follow-up examination was performed in conjunction with the radiographic examination including assessment of plaque, bleeding on probing, probing pocket depth, recession and probing attachment loss. Information regarding the oral hygiene habits of the subjects as well as the amount of dental and initial therapy received between the observation time was obtained from the patients' records. RESULTS: The results from the clinical trial revealed that during the mean examination period of 11 years only 31 teeth were lost. The remaining restored and non-restored teeth did not show any significant differences in attachment loss (from 2.9 mm to 3.0 mm) in spite of a higher plaque value at the follow-up examination (from 42% to 48%). The BoP remained stable in the same time period and scored 31% to 28%. CONCLUSIONS: The periodontal attachment levels were maintained during a prolonged period despite irregular maintenance care. This indicates that in a population of obviously decreased susceptibility to chronic periodontitis, it is possible that fixed reconstructions will not - even under suboptimal supportive care - jeopardize the periodontal status.
目的:本回顾性分析旨在评估牙龈炎或中度慢性牙周炎患者在接受牙周和固定义齿初始治疗后,进行5 - 17年不定期维护治疗的长期效果。 材料与方法:34名患者参与了本研究。牙周和修复治疗完成时,从患者记录中获取基线数据。随访检查结合影像学检查进行,包括评估菌斑、探诊出血、探诊袋深度、牙龈退缩和探诊附着丧失。从患者记录中获取有关受试者口腔卫生习惯以及观察期间接受的牙科治疗和初始治疗量的信息。 结果:临床试验结果显示,在平均11年的检查期内,仅31颗牙齿脱落。其余修复和未修复的牙齿在附着丧失方面(从2.9毫米至3.0毫米)未显示出任何显著差异,尽管随访检查时菌斑值较高(从42%至48%)。同期探诊出血保持稳定,评分为31%至28%。 结论:尽管维护护理不规律,但牙周附着水平在较长时间内得以维持。这表明,在对慢性牙周炎易感性明显降低的人群中,即使在支持性护理欠佳的情况下,固定修复也不太可能危及牙周状况。
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