The clinical and histological response of periodontal pockets to root planing and oral hygiene.
The clinical and histological response of periodontal pockets to root planing and oral hygiene.
复制标题
牙周袋对根面平整和口腔卫生的临床和组织学反应。
DOI：
10.1902/jop.1975.46.9.527
复制
发表时间：
1975
影响因子：
4.3
通讯作者：
A. El‐Kafrawy
中科院分区：
文献类型：
--
作者：
David L. Tagge;Timothy J. O'Leary;A. El‐Kafrawy
本研究通过临床和显微镜观察，评估了牙根刨平和口腔卫生或单独采取口腔卫生措施治疗的颌上牙周袋的软组织反应。参与者是22名开始接受炎症性牙周病治疗的成年人。对于每位患者，对三个临床相似的唇袋或舌袋进行牙龈炎症、袋深、菌斑和牙石的程度评分。每个患者有一个口袋作为对照，并进行牙龈活检以确定炎症的预处理水平。第二袋采用牙根刨平和患者口腔卫生措施治疗。第三个口袋仅通过患者的日常口腔卫生措施进行治疗。56 ~ 63天后，对治疗部位进行临床重新评估，并进行活检。两种治疗方法均能降低牙龈炎的发生率和严重程度；然而，牙根刨平与口腔卫生措施相结合，在统计上比单独采取口腔卫生措施效果更好。
The study evaluated, clinically and microscopically, the soft tissue response of suprabony periodontal pockets treated by root planing and oral hygiene or by oral hygiene measures alone. The participants were 22 adults beginning treatment for inflammatory periodontal disease. For each patient, three clinically similar labial or lingual pockets were scored for gingival inflammation, pocket depth, and the extent of plaque and calculus. One pocket in each patient served as a control, and a gingival biopsy was obtained to determine the pretreatment level of inflammation. The second pocket was treated by root planing and by the patient's oral hygiene measures. The third pocket was treated only by the patient's daily oral hygiene measures. Fifty-six to 63 days later, treated areas were reevaluated clinically, and biopsies were secured. Each type of therapy reduced the mean pocket depth and the incidence and severity of gingivitis; however, root planing accompanied by oral hygiene measures resulted in a statistically greater improvement than did oral hygiene measures alone.