Department of Periodontology, National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Key Laboratory of Digital Stomatology, Peking University School and Hospital of Stomatology, Beijing, China.
Information Center, National Engineering Laboratory for Digital and Material Technology of Stomatology, Beijing Key Laboratory of Digital Stomatology, Peking University School and Hospital of Stomatology, Beijing, China.
J Clin Periodontol. 2018 Oct;45(10):1184-1197. doi: 10.1111/jcpe.12981. Epub 2018 Aug 21.
This study aimed to evaluate clinical performance of non-surgical periodontal treatment (NSPT) and its influential factors in a large Chinese population with generalized aggressive periodontitis (GAgP).
Longitudinal periodontal examination data of 1,004 GAgP patients (numbers of patients with observation periods 6 weeks, 3 months, 6 months, 1 year, 3 years~ and >5 years were 203, 310, 193, 205, 70 and 23, respectively) were extracted from a hospital-based electronic periodontal charting record system and analysed by multilevel analysis.
Mean probing depth (PD) and attachment loss (AL) reductions at patient level were 1.17 mm and 1.07 mm, respectively. Multilevel analysis demonstrated PD reductions after maintenance were mainly influenced by frequency of supportive periodontal treatment (FSPT), gender, adjunctive systemic use of antibiotics, baseline mobility, tooth type and baseline PD and bleeding index reductions were mainly influenced by FSPT, adjunctive systemic use of antibiotics, baseline AL, baseline mobility, tooth type and baseline PD.
The clinical performance of NSPT on patients with GAgP was proved in the large Chinese population. Outcomes of NSPT were mainly influenced by FSPT, adjunctive systemic use of antibiotics, baseline mobility, tooth type and baseline PD.
本研究旨在评估非手术牙周治疗(NSPT)在患有广泛性侵袭性牙周炎(GAgP)的中国大样本人群中的临床疗效及其影响因素。
从医院电子牙周图表记录系统中提取了 1004 例 GAgP 患者的纵向牙周检查数据(观察期为 6 周、3 个月、6 个月、1 年、3 年~和>5 年的患者人数分别为 203、310、193、205、70 和 23),并通过多水平分析进行分析。
患者水平的平均探诊深度(PD)和附着丧失(AL)减少分别为 1.17mm 和 1.07mm。多水平分析表明,维持治疗后的 PD 减少主要受辅助牙周治疗频率(FSPT)、性别、辅助全身使用抗生素、基线松动、牙位和基线 PD 的影响,而 AL 和出血指数的减少主要受 FSPT、辅助全身使用抗生素、基线 AL、基线松动、牙位和基线 PD 的影响。
在中国人群中,NSPT 对 GAgP 患者的临床疗效得到了证实。NSPT 的结果主要受 FSPT、辅助全身使用抗生素、基线松动、牙位和基线 PD 的影响。