Wallace J A, Bissada N F
Graduate Endodontics Program, School of Dentistry, Case Western Reserve University, Cleveland, OH 44106.
Oral Surg Oral Med Oral Pathol. 1990 Jun;69(6):743-7. doi: 10.1016/0030-4220(90)90360-5.
The purpose of this clinical investigation was to determine if periodontal treatment consisting of scaling, root planing, and periodontal surgery produced any change in pulpal or root sensitivity. Ten patients were tested, with a total of 84 observations. There were 42 periodontally treated teeth, with 42 contralateral teeth serving as control specimens. The teeth were evaluated with stimuli from an electric pulp tester, cold, and air. The electric pulp tester was found to be reliable in assessing the pulpal sensitivity. Neither the amount of periodontal destruction nor the extent of periodontal treatment had any effect on the pulp. Scaling and root planing had no significant effect on root sensitivity. Periodontal surgery was directly related to root sensitivity in terms of the extent of root surface exposure. An association was observed clinically between plaque accumulation after periodontal surgery and root sensitivity.
本临床研究的目的是确定由龈上洁治、根面平整和牙周手术组成的牙周治疗是否会对牙髓或牙根敏感性产生任何变化。对10名患者进行了测试,共进行了84次观察。有42颗接受牙周治疗的牙齿,42颗对侧牙齿作为对照样本。使用牙髓电活力测试仪、冷刺激和空气刺激对牙齿进行评估。发现牙髓电活力测试仪在评估牙髓敏感性方面是可靠的。牙周破坏的程度和牙周治疗的范围均对牙髓无任何影响。龈上洁治和根面平整对牙根敏感性无显著影响。就牙根表面暴露程度而言,牙周手术与牙根敏感性直接相关。临床上观察到牙周手术后菌斑堆积与牙根敏感性之间存在关联。