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传统与显微外科入路瓣手术治疗慢性牙周炎的比较：一项随机对照试验

Comparison of Conventional and Microsurgical Access Flap Procedure in Managing Chronic Periodontitis: A Randomized Controlled Trial.

作者信息

Archana A B, Ramesh Roshni, Varghese Jacob, Anoop S

机构信息

Department of Periodontics, Government Dental College, Thiruvananthapuram, Kerala, India.

出版信息

Contemp Clin Dent. 2024 Apr-Jun;15(2):118-123. doi: 10.4103/ccd.ccd_151_23. Epub 2024 Jul 10.

DOI:10.4103/ccd.ccd_151_23
PMID:39206244
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11349071/
Abstract

AIM

The aim of the study was to evaluate and compare the periodontal treatment outcomes in patients with periodontitis treated using conventional and microsurgical access flap procedure.

MATERIALS AND METHODS

Fifty chronic periodontitis patients were randomly assigned to conventional (Group I) and microsurgical (Group II) open flap debridement procedure. The parameters measured were probing pocket depth, clinical attachment loss (CAL), gingival recession (GR), bleeding on probing (BOP), wound healing, and postoperative pain. PD, CAL, GR, and BOP were assessed at pretreatment (baseline) and 3 months postoperatively. Wound healing was assessed using Landrey et al. healing index at 7th day and 3 months postoperatively and postoperative pain was assessed using number of analgesics taken for 7 days following surgery.

RESULTS

Healing Index score of 4 (very good healing) was found in 40% of sites of Group I and 95% of sites of Group II. Comparison of number of analgesics taken between groups on day 7 showed a statistically significant difference ( < 0.01), indicating that pain was significantly reduced in Group II compared to Group I. At 3 months postoperatively, there was no significant reduction in PD, CAL, GR, and BOP between the groups.

CONCLUSIONS

In open flap debridement procedure, a microsurgical approach can substantially improve the early healing and induce less postoperative pain when compared to a conventional macroscopic approach.

摘要

目的

本研究旨在评估和比较采用传统方法和显微手术入路翻瓣术治疗的牙周炎患者的牙周治疗效果。

材料与方法

50例慢性牙周炎患者被随机分为传统治疗组（I组）和显微手术治疗组（II组），接受开放性翻瓣清创术。测量的参数包括探诊深度、临床附着丧失（CAL）、牙龈退缩（GR）、探诊出血（BOP）、伤口愈合情况及术后疼痛。在治疗前（基线）和术后3个月评估探诊深度、临床附着丧失、牙龈退缩和探诊出血情况。术后第7天和3个月使用Landrey等人的愈合指数评估伤口愈合情况，术后疼痛通过术后7天服用的镇痛药数量进行评估。

结果

I组40%的位点和II组95%的位点愈合指数评分为4（愈合非常好）。两组在第7天服用镇痛药数量的比较显示出统计学上的显著差异（<0.01），表明与I组相比，II组的疼痛明显减轻。术后3个月，两组之间的探诊深度、临床附着丧失、牙龈退缩和探诊出血均无显著降低。

结论

在开放性翻瓣清创术中，与传统的宏观方法相比，显微手术方法可显著改善早期愈合并减轻术后疼痛。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd2d/11349071/c8e2d78e33f7/CCD-15-118-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd2d/11349071/951da2a2c7cc/CCD-15-118-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd2d/11349071/fbadfb22ebef/CCD-15-118-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd2d/11349071/c8e2d78e33f7/CCD-15-118-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd2d/11349071/951da2a2c7cc/CCD-15-118-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd2d/11349071/fbadfb22ebef/CCD-15-118-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bd2d/11349071/c8e2d78e33f7/CCD-15-118-g003.jpg

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