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牙根覆盖对口腔健康影响概况(g49)的影响:一项试点研究。

Effect of root coverage on oral health impact profile (g49): a pilot study.

作者信息

Hansmeier Ulrich, Eickholz Peter

机构信息

Private Practice, 44287 Dortmund, Germany.

出版信息

Int J Dent. 2010;2010:252303. doi: 10.1155/2010/252303. Epub 2010 Jun 15.

Abstract

Purpose. The aim of this prospective longitudinal clinical pilot study was the evaluation of the effect on the Oral Health Impact Profile (OHIP) and patient-centered results of the envelope technique for Connective Tissue Graft (CTG). Methods. Sixteen patients (11 females) 24 to 71 years of age (42.6 +/- 11.1) received CTG that had been harvested from the palate and grafted using the envelope technique. Prior to and 3 months after surgery, all patients were examined clinically, completed the OHIP-G49 questionnaire, and were asked to judge the results of surgery. Results. Mean baseline recession depth of 2.5 +/- 0.8 mm was reduced by 1.2 +/- 0.9 mm (P < .001). Root coverage amounted to 48 +/- 39%. In 5 of 16 defects complete root coverage was achieved. Pain at the donor site was more pronounced than at recipient site regarding prevalence (8/6; P = .007), intensity (2.1 +/- 2.3/1.1 +/- 1.9 [visual analogue scale]; P = .016), and duration (1.4 +/- 2.3/0.8 +/- 1.4 days; P = .042). Baseline OHIP (15.7 +/- 12.1) was decreased by 3.6 +/- 8.5 three months after surgery (P = .139). Thirteen patients (81%) would undergo CTG surgery for similar reasons again. Conclusions. Root coverage using CTG according to the envelope technique provided improvement of OHIP as early as 3 months after surgery. Over all, patients were reasonably satisfied with the surgical technique and its results.

摘要

目的。这项前瞻性纵向临床试点研究的目的是评估结缔组织移植(CTG)包膜技术对口腔健康影响量表(OHIP)以及以患者为中心的结果的影响。方法。16名年龄在24至71岁(42.6±11.1)的患者(11名女性)接受了从腭部采集并使用包膜技术移植的CTG。在手术前和手术后3个月,对所有患者进行临床检查,完成OHIP - G49问卷,并要求他们对手术结果进行评判。结果。平均基线退缩深度2.5±0.8毫米减少了1.2±0.9毫米(P <.001)。牙根覆盖率达到48±39%。在16个缺损中有5个实现了完全牙根覆盖。在供体部位的疼痛在患病率(8/6;P =.007)、强度(2.1±2.3/1.1±1.9[视觉模拟量表];P =.016)和持续时间(1.4±2.3/0.8±1.4天;P =.042)方面比受体部位更明显。基线OHIP(15.7±12.1)在手术后3个月下降了3.6±8.5(P =.139)。13名患者(81%)会因类似原因再次接受CTG手术。结论。根据包膜技术使用CTG进行牙根覆盖在手术后3个月就使OHIP得到改善。总体而言,患者对手术技术及其结果相当满意。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/79a1/2901613/313a5afd80c8/IJD2010-252303.001.jpg

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