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下颌第三磨牙拔除后下颌第二磨牙手动刮治与超声刮治对牙周袋深度和附着水平的影响:一项随机对照试验

Effect on pocket depth and attachment level of manual versus ultrasonic scaling of lower second molars following lower third molar extraction: a randomized controlled trial.

作者信息

Pons-Vicente Olivia, Valmaseda-Castellón Eduard, Berini-Aytés Leonardo, Gay-Escoda Cosme

机构信息

School of Dentistry, University of Barcelona, Spain.

出版信息

Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 2009 Mar;107(3):e11-9. doi: 10.1016/j.tripleo.2008.12.001.

Abstract

OBJECTIVE

The objective of this study was to compare the effect on periodontal health of ultrasonic versus manual scaling of the lower second molar (L2M) root surface following surgical extraction of mesioangular lower third molars (L3M).

STUDY DESIGN

Randomized single-blind clinical trial to compare the effectiveness of ultrasonic scaling of the L2M (experimental group) and manual scaling and root planing (control group) after surgical extraction of the corresponding L3M.

RESULTS

Forty-three subjects were enrolled, 69.8% completing the study. The postoperative bony defect on the distal surface of the L2M was significantly reduced for both treatment groups (P = .001). Despite a higher reduction of intrabony defect being observed in the ultrasonic group, the difference was not significant (P = .17) at 6 months. Furthermore, there was also no statistically significant correlation (P > .05) between the postoperative pocket depth and the treatment group (ultrasonic or manual).

CONCLUSIONS

Pocket depth and depth of the intrabony defect were similar in both experimental and control groups.

摘要

目的

本研究的目的是比较在近中低位下颌第三磨牙(L3M)手术拔除后,超声洁治与手动刮治下颌第二磨牙(L2M)根面,对牙周健康的影响。

研究设计

随机单盲临床试验,比较在相应L3M手术拔除后,L2M超声洁治(试验组)与手动刮治及根面平整(对照组)的效果。

结果

共纳入43名受试者,69.8%完成研究。两个治疗组L2M远中面的术后骨缺损均显著减少(P = 0.001)。尽管超声组骨内缺损减少更多,但6个月时差异无统计学意义(P = 0.17)。此外,术后袋深与治疗组(超声或手动)之间也无统计学显著相关性(P > 0.05)。

结论

试验组和对照组的袋深及骨内缺损深度相似。

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