| 张晓茜,王燕.畸形根面沟伴发牙体牙髓牙周疾病的临床治疗效果观察[J].口腔材料器械杂志,2024,33(4):253-256. |
| 畸形根面沟伴发牙体牙髓牙周疾病的临床治疗效果观察 |
| Clinical observation in treating palatogingival groove with endodontic periodontal disease |
| 投稿时间：2024-01-07 修订日期：2024-06-11 |
| DOI：10.11752/j.kqcl.2024.04.11 |
| 中文关键词: 畸形根面沟 牙体牙髓牙周疾病 个性化治疗 临床效果 |
| 英文关键词:Palatogingival groove Endodontic periodontal disease Individualized treatment Clinical effect |
| 基金项目:浦东新区科技发展基金（PKJ2021-Y95），浦东新区卫生健康委员会临床特色学科建设（PWYts2021-20） |
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| 中文摘要: |
| 目的 通过对比伴发不同临床症状的畸形根面沟病例在治疗前后的临床检查指标及影像学资料，评估其治疗效果。方法 选取2021年至2023年期间就诊的畸形根面沟的病例7例，年龄在9~49周岁，经CBCT诊断并分型，根据不同临床症状采取对症的牙髓治疗、牙周治疗以及根面沟的处理，记录术前、术后3个月、6个月和12个月的龈沟出血指数（sulcus bleeding index,SBI)、菌斑指数（plaque index,PLI)、牙周探诊深度（probing depth,PD)和牙齿松动度（tooth mobility,TM）等临床检查指标，并通过临床检查指标和X线片来观察临床治疗效果。结果 术后3个月、6个月、12个月较术前相比，SBI、PLI、PD和TM均有降低（P＜0.05)；其中术后12个月与术后3个月相比其SBI、PLI、PD和TM均有明显降低（P＜0.05)；而术后6个月较术后3个月以及术后12个月较术后6个月相比，各项指标虽有降低但无统计学意义（P＞0.05)；术后3个月、6个月和12个月的根尖周病损愈合成功率分别为71.43%、85.71%和85.71%。结论 针对伴发不同临床症状的畸形根面沟疾病，试行个性化的治疗方案有一定治疗效果。 |
| 英文摘要: |
| Objective To evaluate the therapeutic effect by comparing the clinical examination indicators and imaging data before and after treatment in cases of palatogingival groove with different clinical symptoms. Methods Seven cases of palatogingival groove treated between 2021 and 2023 with ages ranging from 9 to 49 were selected. The cases were diagnosed and classified using CBCT. The corresponding endodontic treatment, periodontal treatment, and root groove treatment were performed according to the different clinical symptoms. Clinical examination indicators such as sulcus bleeding index (SBI), plaque index (PLI), periodontal probing depth (PD), and tooth mobility (TM) were recorded before and 3, 6, and 12 months after surgery, and the clinical treatment effect was observed by clinical examination indicators and X-rays. Results Compared with the preoperative period, SBI, PLI, PD and TM were all reduced at 3, 6 and 12 months after surgery (P<0.05). SBI, PLI, PD, and TM were significantly reduced at 12 months after surgery compared with 3 months after surgery (P<0.05). In contrast, the indicators at 6 months after surgery were lower than those at 3 months after surgery, and those at 12 months after surgery were lower than those at 6 months after surgery, but the differences were not statistically significant (P＞0.05). The success rates of periapical lesion healing at 3, 6, and 12 months after surgery were 71.43%, 85.71%, and 85.71%, respectively. Conclusion Individualized treatment plan for different clinical symptoms has certain effect on the treatment of palatogingival groove disease. |
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