Victor Babes University of Medicine and Pharmacy, Timisoara, Romania.
Int J Dent Hyg. 2010 Feb;8(1):35-40. doi: 10.1111/j.1601-5037.2009.00390.x.
Scaling and root planing are the causal procedure in the treatment of periodontitis. Many attempts have been made to improve the outcome. The aim of this study was to verify the influence of the extended use of chlorhexidine after one-stage full-mouth (FM) SRP in patients with chronic periodontitis on the clinical outcome after 3 months.
Eighty-one patients with pockets > or =5 mm were treated by FM. All patients rinsed additionally with 0.2% chlorhexidine (CHX) twice daily over 3 months. Plaque index, bleeding on probing, probing depth (PD) and clinical attachment level (CAL) were recorded at baseline and after 1 and 3 months.
In the test group, all variables were significantly improved after 1 and 3 months. Mean reduction of PD and CAL gain was 2.25 +/- 1.08 and 1.67 +/- 1.08 after 1 and 2.99 +/- 1.11 and 2.33 +/- 1.31 after 3 months respectively.
Over 3 months of extended use of CHX mouth rinse after SRP showed slightly but statistically significant better results.
刮治和根面平整是治疗牙周炎的根本方法。人们尝试了很多方法来提高治疗效果。本研究旨在观察牙周炎患者在接受一次全口龈下刮治和根面平整术（SRP）后，延长使用洗必泰漱口液对治疗后 3 个月临床效果的影响。
81 例牙周袋深度≥5mm 的患者接受全口龈下刮治和根面平整术。所有患者在 3 个月内每天使用 0.2%洗必泰漱口液漱口 2 次。在基线、治疗后 1 个月和 3 个月时记录菌斑指数、探诊出血、探诊深度（PD）和临床附着丧失（CAL）。
治疗后 1 个月和 3 个月时，试验组的各项指标均显著改善。PD 的平均减少量和 CAL 的获得量分别为：治疗后 1 个月时 2.25±1.08mm 和 1.67±1.08mm，治疗后 3 个月时 2.99±1.11mm 和 2.33±1.31mm。
在接受龈下刮治和根面平整术治疗后，延长使用洗必泰漱口液 3 个月可使临床效果略有但具有统计学意义的改善。
