Kara C, Demir T, Tezel A
Department of Periodontology, Faculty of Dentistry, Atatürk University, Erzurum, Turkey.
Int J Dent Hyg. 2007 Nov;5(4):211-7. doi: 10.1111/j.1601-5037.2007.00252.x.
The aim of the present study was to compare oral improvement achieved by different periodontal therapies (surgical and non-surgical) for different aetiological factors induced gingival overgrowth in 60 subjects (mean age +/- SD = 12.33 +/- 1.05 years; age range = 12-15 years).
Subjects received oral hygiene instructions, scaling, surgical treatment (if necessary) and periodontal maintenance therapy. Clinical parameters were taken at baseline, after initial treatment and after periodontal surgery.
The decrease in the clinical index values after all treatments compared to the initial values is found to be statistically significant (P < 0.05). Although there was a statistically significant difference in all aspects of the clinical index values of the study groups after initial treatments, for drug-induced gingival overgrowth subjects full improvement was seen only after periodontal surgery.
Attention to plaque control and removal of local irritants is very important for the gingival health of the patients in puberty. In puberty, plaque-induced gingival overgrowth can be treated with plaque removal. However, these approaches alone do not prevent drug-induced gingival overgrowth and surgical therapy often becomes the treatment of choice.
本研究旨在比较不同牙周治疗方法(手术治疗和非手术治疗)对60名受试者(平均年龄±标准差=12.33±1.05岁;年龄范围=12 - 15岁)因不同病因导致的牙龈增生的口腔改善情况。
受试者接受口腔卫生指导、洁治、手术治疗(如有必要)和牙周维护治疗。在基线、初始治疗后和牙周手术后记录临床参数。
与初始值相比,所有治疗后临床指标值的下降具有统计学意义(P < 0.05)。尽管初始治疗后研究组临床指标值的各个方面存在统计学差异,但对于药物性牙龈增生受试者,仅在牙周手术后才出现完全改善。
对于青春期患者的牙龈健康,注意菌斑控制和清除局部刺激物非常重要。在青春期,菌斑性牙龈增生可通过清除菌斑进行治疗。然而,仅这些方法不能预防药物性牙龈增生,手术治疗通常成为首选治疗方法。