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非手术牙周治疗中不同技术的比较研究

A comparative study between different techniques in non-surgical periodontal treatment.

作者信息

Forabosco A, Spinato S, Grandi T, Prini M

机构信息

Department of Periodontology, University of Modena and Reggio Emilia, Modena, Italy.

出版信息

Minerva Stomatol. 2006 May;55(5):289-96.

Abstract

AIM

This study was carried out to compare a conventional manual instrumentation with an ultrasonic technique (Odontoson M) in scaling and root planing periodontal treatment. The effects of subgingival irrigation with 10% iodised solution in association with Odontoson M were studied.

METHODS

Sixty patients were selected: they were suffering from adult periodontitis, aged between 35 and 65 and non-smokers. They were randomly divided into 3 groups (Gs1, Gs2, Gs3). Gs1 was treated with curettage using Gracey curettes, Gs2 was treated with scaling and root planing using Odontoson M, while in Gs3 scaling and root planing with Odontoson M irrigated with a 10% iodised solution were performed. Clinical parameters (probing depth, bleeding on probing, dental mobility, loss of attachment level) were measured before treatment (T0), after 30 days (T1), after 90 days (T2) and after 120 days (T3).

RESULTS

No statistical significant differences between Gs1 and Gs2 were observed. The improvement of clinical parameters in Gs3 was greater and statistical significant differences with other groups treated were recorded.

CONCLUSIONS

There are no significant differences between the effectiveness of scaling and root planing with manual instruments and with Odontoson M. The 10% iodised solution used such as topic antiseptic carries out greater effects in not surgical periodontal treatments.

摘要

目的

本研究旨在比较传统手工器械刮治术与超声技术(Odontoson M)在牙周刮治及根面平整治疗中的效果。研究了10%碘化溶液联合Odontoson M进行龈下冲洗的效果。

方法

选取60例患者,均患有成人牙周炎,年龄在35至65岁之间且不吸烟。他们被随机分为3组(Gs1、Gs2、Gs3)。Gs1组采用Gracey刮治器进行刮治,Gs2组使用Odontoson M进行刮治及根面平整,而Gs3组使用Odontoson M进行刮治及根面平整,并同时用10%碘化溶液进行冲洗。在治疗前(T0)、30天后(T1)、90天后(T2)和120天后(T3)测量临床参数(探诊深度、探诊出血、牙齿松动度、附着丧失水平)。

结果

未观察到Gs1组和Gs2组之间有统计学显著差异。Gs3组临床参数的改善更大,与其他治疗组相比有统计学显著差异。

结论

手工器械刮治及根面平整与Odontoson M刮治及根面平整的效果无显著差异。10%碘化溶液作为局部防腐剂在非手术牙周治疗中效果更佳。

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