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含米诺环素微球的控释装置对慢性牙周炎的治疗效果:一项对比研究。

Effect of a controlled release device containing minocycline microspheres on the treatment of chronic periodontitis: A comparative study.

作者信息

Gopinath V, Ramakrishnan T, Emmadi Pamela, Ambalavanan N, Mammen Biju

机构信息

Senior Lecturer, Department of Periodontics, Saveetha Dental College and Hospital, Poonamalee High Road, Velapanchavadi, Chennai - 77, India.

出版信息

J Indian Soc Periodontol. 2009 May;13(2):79-84. doi: 10.4103/0972-124X.55844.

Abstract

INTRODUCTION

Adjunctive therapy with locally delivered antimicrobials has resulted in improved clinical outcomes. The aim of this study was to evaluate the efficacy and safety of locally administered minocycline microspheres (Arestin) in the treatment of chronic periodontitis.

MATERIALS AND METHODS

A total of 60 sites from 15 patients in the age group of 35-50 years, who had periodontal pockets measuring 5-8 mm and had been diagnosed with chronic periodontitis, were selected for the study. The selected groups were randomly assigned to either the control group (group A) or the treatment/test group (group B). Only scaling and root planing were done at the base line visit for the control sites followed by local application of Arestin (1 mg). Clinical parameters such as plaque index, gingival index, and gingival bleeding index were recorded at baseline, day 30, day 90, and day 180 in the selected sites of both the groups. Probing pocket depth also was recorded at baseline, day 90, and day 180 for both the groups.

RESULTS

A statistically significant reduction was observed in both groups. Group B showed better results than Group A and these differences were statistically significant.

CONCLUSION

The results of this study clearly indicate that treatment with scaling and root planing plus minocycline microspheres (Arestin) is more effective and safer than scaling and root planing alone in reducing the signs of chronic periodontitis.

摘要

引言

局部应用抗菌药物的辅助治疗已使临床疗效得到改善。本研究的目的是评估局部应用米诺环素微球(Arestin)治疗慢性牙周炎的疗效和安全性。

材料与方法

从15名年龄在35至50岁之间、牙周袋深度为5至8毫米且被诊断为慢性牙周炎的患者中选取60个部位进行研究。将选定的组随机分为对照组(A组)或治疗/试验组(B组)。对照组部位在基线访视时仅进行龈下刮治和根面平整,随后局部应用Arestin(1毫克)。在两组选定部位的基线、第30天、第90天和第180天记录菌斑指数、牙龈指数和牙龈出血指数等临床参数。两组在基线、第90天和第180天也记录探诊深度。

结果

两组均观察到有统计学意义的降低。B组的结果优于A组,且这些差异具有统计学意义。

结论

本研究结果清楚地表明,龈下刮治和根面平整联合米诺环素微球(Arestin)治疗在减轻慢性牙周炎症状方面比单纯龈下刮治和根面平整更有效、更安全。

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