4 MODALITIES OF PERIODONTAL TREATMENT COMPARED OVER 5 YEARS
4 MODALITIES OF PERIODONTAL TREATMENT COMPARED OVER 5 YEARS
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DOI：
10.1111/j.1600-051x.1987.tb02249.x
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发表时间：
1987-09-01
影响因子：
6.7
通讯作者：
STULTS, DL
中科院分区：
文献类型：
--
作者：
RAMFJORD, SP;CAFFESSE, RG;STULTS, DL
本研究的目的是在一项为期5年的临床试验中评估4种不同牙周治疗方式（牙周袋消除或缩小手术、改良Widman皮瓣手术、龈下刮除术、刮治和根面平整术）的结果。90名患者接受了治疗。治疗方法随机应用于牙列的4个象限。患者每3个月接受一次专业的牙齿清洁和口腔卫生指导。每年对囊袋深度和附着水平进行一次评分。72例患者完成了5年的观察。囊袋深度和附着水平的患者平均值以及附着丧失部位的%分布≥。2 mm且≥3 mm进行比较。对于1-3 mm的探查深度，刮治和根面平整以及龈下刮治导致的附着丧失显著低于囊袋消除和改良Widman瓣手术。对于4-6 mm的囊袋，刮治、根面平整和刮除术比囊袋消除术具有更好的附着结果。对于7-12 mm囊袋，不同手术后的结果之间无统计学显著差异。
The purpose of the present study was to assess in a clinical trial over 5 years the results following 4 different modalities of periodontal therapy (pocket elimination or reduction surgery, modified Widman flap surgery, subgingival curettage, and scaling and root planing). 90 patients were treated. The treatment methods were applied on a random basis to each of the 4 quadrants of the dentition. The patients were given professional tooth cleaning and oral hygiene instructions every 3 months. Pocket depth and attachment levels were scored once a year. 72 patients completed the 5 years of observation. Both patient means for pocket depth and attachment level as well as % distribution of sites with loss of attachment .gtoreq. 2 mm and .gtoreq. 3 mm were compared. For 1-3 mm probing depth, scaling and root planing, as well as subgingival curettage led to significantly less attachment loss than pocket elimination and modified Widman flap surgery. For 4-6 mm pockets, scaling and root planing and curettage had better attachment results than pocket elimination surgery. For the 7-12 mm pockets, there was no statistically significant difference among the results following the various procedures.