Bouclin R, D'Aoust P, Landry R G
Faculté de médecine dentaire, Université Laval, Ste-Foy, Québec.
J Can Dent Assoc. 1996 Apr;62(4):358-62.
Bacteria are the principal causal factor for gingivitis and adult periodontitis. This article is a review of the pertinent literature regarding subgingival irrigation with antimicrobial agents. Furthermore, the clinical significance of this technique is evaluated. In order for the antimicrobial agent to reach the base of the periodontal pocket, the canula must be placed at least 3.0 mm subgingivally. Subgingival irrigation offers no added antimicrobial effect over root scaling alone, but may extend the therapeutic effect of scaling. The effect of subgingival irrigation is none the less temporary. Subgingival irrigation must be regarded as an alternative treatment for gingivitis and adult periodontitis when root scaling alone is not sufficient.
细菌是牙龈炎和成人牙周炎的主要致病因素。本文是关于用抗菌剂进行龈下冲洗的相关文献综述。此外，还评估了该技术的临床意义。为使抗菌剂到达牙周袋底部，插管必须放置在龈下至少3.0毫米处。龈下冲洗相对于单纯的根面刮治并没有额外的抗菌效果，但可能会延长刮治的治疗效果。然而，龈下冲洗的效果是暂时的。当单纯的根面刮治不足时，龈下冲洗可被视为牙龈炎和成人牙周炎的一种替代治疗方法。
