THE SIGNIFICANCE OF MAINTENANCE CARE IN THE TREATMENT OF PERIODONTAL-DISEASE
THE SIGNIFICANCE OF MAINTENANCE CARE IN THE TREATMENT OF PERIODONTAL-DISEASE
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DOI：
10.1111/j.1600-051x.1981.tb02039.x
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发表时间：
1981-01-01
影响因子：
6.7
通讯作者：
LINDHE, J
中科院分区：
文献类型：
--
作者：
AXELSSON, P;LINDHE, J
在接受晚期牙周炎治疗的患者中，评估了维持护理计划预防疾病复发的效果。监测一组患者的牙周状况，在积极治疗结束后，被转回全科医生进行维持护理。材料包括90名患者谁在1972年被转介到专科治疗晚期牙周病。患者首先接受初步检查，包括口腔卫生、牙龈炎、探牙深度和附着水平的评估。他们进行了病例介绍，并在个人基础上指导如何正确地清洁牙齿，他们的牙齿被刮平，最后使用改进的Widman技术治疗牙周袋。术后头2个月，患者每2周被召回一次进行专业的牙齿清洁。手术治疗结束后2个月，对患者进行复查以提供基线数据。此后，每3名患者中就有1名被转回普通牙医处接受维持护理。3名患者中有2名在大学诊所进行了精心设计和控制的维持护理计划。该计划包括每2-3个月一次的召回，包括口腔卫生的指导和实践，细致的洗牙和专业的牙齿清洁。患者在基线检查后3年和6年再次检查。在患有破坏性牙周炎的患者中，一项包括口腔卫生指导、刮除、牙根刨平和改良的威德曼皮瓣手术的治疗方案最终建立了临床健康的牙龈和浅袋。经过精心设计的召回计划的患者，在6年的时间里，能够保持良好的口腔卫生标准和不变的依恋水平。相比之下，在积极治疗之后，没有在监督计划中维持的患者在随访检查中表现出明显的复发性牙周炎迹象。
The efficacy of a maintenance care program to prevent recurrence of disease was assessed in patients subjected to treatment of advanced periodontitis. The periodontal status was monitored of a group of patients who, following the end of active treatment, were referred back to general practitioners for maintenance care. The material consisted of 90 patients who in 1972 were referred for specialist treatment of advanced periodontal disease. The patients were first subjected to an initial examination including assessment of oral hygiene, gingivitis, probing depths and attachment levels. They were given case presentation, on an individual basis instructed how to practice proper proper tooth-cleaning methods, their teeth were scaled and eventually the periodontal pockets were treated using the modified Widman technique. During the 1st 2 mo. following surgery the patients were recalled once every 2 wk for professional tooth cleaning. Two mo. after the end of surgical treatment, the patients were reexamined to provide baseline data. Every 3rd patient was thereafter referred back to the general dentist for maintenance care. Two out of 3 patients were maintained in a carefully designed and controlled maintenance care program at the university clinic. This program involved recalls once every 2-3 mo. and included instruction and practice in oral hygiene, meticulous scaling and professional tooth cleaning. The patients were reexamined 3 and 6 yr after the baseline examination. In patients suffering from destructive periodontitis, a treatment program that involved oral hygiene instruction, scaling, root planing and modified Widman flap procedures resulted in the establishment of clinically healthy gingiva and shallow pockets. Patients who were placed on a carefully designed recall program were, over a 6-yr period, able to maintain excellent oral hygiene standards and unaltered attachment levels. In contrast, patients who, subsequent to active treatment, were not maintained in a supervised program showed obvious signs of recurrent periodontitis at the follow-up examinations.