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辅助使用干燥剂治疗III期牙周炎的效果(随机对照临床试验)

The effects of adjunctive use of a desiccant agent in the treatment of stage III periodontitis (Randomized controlled clinical trial).

作者信息

Khalil Belal, Abou Sulaiman Ali, Al Hajjar Batoul

机构信息

Department of Periodontology, Faculty of Dentistry, Damascus University, Damascus, Syria.

Department of Cosmetic Dentistry, Faculty of Dentistry, Damascus University, Damascus, Syria.

出版信息

Saudi Dent J. 2023 Feb;35(2):172-177. doi: 10.1016/j.sdentj.2023.01.001. Epub 2023 Jan 5.

Abstract

INTRODUCTION

Several bacterial species inhabiting the dental plaque biofilms are associated with periodontitis.

OBJECTIVE

The main objective of this study was to compare the efficacy of the desiccant agent HYBENX (HBX) as an adjunct to scaling and root planning (SRPX) versus scaling and root planning (SRP) alone in the treatment of periodontitis.

MATERIALS AND METHODS

The study sample comprised 25 patients with periodontitis stage Ш (grades A and B). Each maxillary quadrant was randomly allocated to two groups: SRPX group, including 25 quadrants treated with SRP plus HYBENX, and SRP group, including 25 quadrants treated with SRP alone. The following clinical periodontal parameters were recorded at baseline (immediately after treatment, T0), and 1 month (T1), 3 months (T3), and 6 months (T6) after treatment: probing pocket depth (PPD), relative attachment level (RAL), plaque index (PLI), gingival index (GI), gingival height (GH), and bleeding on probing index (BOP).

RESULTS

Comparisons within each study group showed that all clinical parameters significantly improved at all follow-up intervals. In contrast, a statistically significant difference was observed in RAL, PPD, BOP, and GI indices at all follow-up intervals between the SRPX and SRP groups. In contrast, no significant differences were found in GH and PLI between the study groups.

CONCLUSION

Both treatment groups showed improved periodontal parameters. However, applying desiccant gel as an adjunct to SRP was significantly effective in the treatment of stage III periodontitis.

摘要

引言

几种存在于牙菌斑生物膜中的细菌与牙周炎有关。

目的

本研究的主要目的是比较干燥剂HYBENX(HBX)作为龈下刮治术和根面平整术(SRPX)辅助手段与单纯龈下刮治术和根面平整术(SRP)在治疗牙周炎方面的疗效。

材料与方法

研究样本包括25例III期牙周炎患者(A、B级)。每个上颌象限随机分为两组:SRPX组,包括25个接受SRP加HYBENX治疗的象限;SRP组,包括25个仅接受SRP治疗的象限。在基线(治疗后立即,T0)以及治疗后1个月(T1)、3个月(T3)和6个月(T6)记录以下临床牙周参数:探诊深度(PPD)、相对附着水平(RAL)、菌斑指数(PLI)、牙龈指数(GI)、牙龈高度(GH)和探诊出血指数(BOP)。

结果

各研究组内比较显示,所有临床参数在所有随访间隔均有显著改善。相比之下,SRPX组和SRP组在所有随访间隔的RAL、PPD、BOP和GI指数存在统计学显著差异。相比之下,研究组之间的GH和PLI无显著差异。

结论

两个治疗组的牙周参数均有改善。然而,将干燥剂凝胶作为SRP的辅助手段在治疗III期牙周炎方面显著有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3488/10024107/1f77ed6eb410/gr1.jpg

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