牙周牙髓联合治疗与单纯牙周治疗对重度牙周炎疗效的临床对比研究

doi:10.7518/hxkq.2016.06.010

华西口腔医学杂志 ›› 2016, Vol. 34 ›› Issue (6): 600-605.doi: 10.7518/hxkq.2016.06.010

牙周牙髓联合治疗与单纯牙周治疗对重度牙周炎疗效的临床对比研究

谭葆春¹,肖健平¹,闫福华¹,宦泓²

1.南京大学医学院附属口腔医院·南京市口腔医院牙周科，南京 210008；2.南通市口腔医院牙周科，南通 226000

收稿日期:2016-03-15 修回日期:2016-07-02 出版日期:2016-12-01 发布日期:2016-12-01
通讯作者: 闫福华，教授，博士，E-mail：fhyan2005@126.com
作者简介:谭葆春，副主任医师，硕士，E-mail：tanbaochun2002@sina.com
基金资助:
江苏省临床医学科技专项基金（BL2013002）；江苏省双创计划引进人才基金[苏人才办（2014）27号]；江苏省特聘医学专家资助项目[苏卫人（2014）49号]

Clinical comparative study on the efficacy of periodontal endodontic therapy and periodontal treatment alone for advanced periodontitis

Tan Baochun¹, Xiao Jianping¹, Yan Fuhua¹, Huan Hong²

1. Dept. of Periodontology, Nanjing Stomatological Hospital, Medical School of Nanjing University, Nanjing 210008, China; 2. Dept. of Periodontology, Nantong Stomatological Hospital, Nantong 226000, China) Supported by: Special Fund of Clinical Medicine Science and Technology in Jiangsu Province (BL2013002); Double Gen Plans Fund to Introduce Talents in Jiangsu Province [(2014)27]; Distinguished Medical Experts Funded Projects in Jiangsu Province[(2014)49]. Correspondence: Yan Fuhua, E-mail: fhyan2005@126.com.

Received:2016-03-15 Revised:2016-07-02 Online:2016-12-01 Published:2016-12-01

摘要/Abstract

摘要： 目的探索重度牙周炎牙齿的牙髓治疗时机及牙周牙髓联合治疗对重度牙周炎的疗效。方法采用多中心研究方法，选择重度牙周炎患牙180颗，随机分为牙周牙髓联合治疗组（试验组）和单纯牙周治疗组（对照组），各90颗患牙。对照组仅进行牙周治疗；试验组记录牙髓状态，行根管治疗及牙周治疗；两组分别在治疗前和治疗后1、3、6及12个月进行检查，记录临床指标。结果试验组90颗患牙中，22颗牙髓完全坏死，45颗部分坏死（冠髓坏死或根髓部分坏死），23颗为活髓。治疗前，对照组和试验组各项临床指标的差异均无统计学意义（P>0.05）；治疗后3个月，试验组和对照组的临床指标开始出现差异（P<0.05）。结论牙髓活力迟钝的重度牙周炎患牙及时进行完善的牙髓治疗，可控制炎症的发展，有利于牙周组织的愈合。

关键词: 重度牙周炎, 牙周牙髓联合治疗, 牙髓活力, 根管治疗

Abstract: Objective This study aimed to explore the period of endodontic treatment and the effects of periodontal-endodontic treatment for advanced periodontitis. Methods A total of 180 patients with advanced periodontitis participated in this clinical multicenter study. The respondents were randomly divided into an endodontic combined treatment (experimental) group and a periodontal treatment alone (control) group; each group consisted of 90 teeth. The control group received periodontal therapy only. The experimental group received periodontal therapy and root-canal treatment, and then pulp status was recorded. The cases were followed up at 1, 3, 6, and 12 months after treatment. Results Out of 90 teeth in the test group, 22 teeth had completely necrotic pulps, 45 teeth had partial necrosis (coronal pulp necrosis or root pulp necrosis), and 23 had vital pulp. Differences between clinical parameters in the control and experimental groups were not significant (P>0.05) before treatment but were significant after three months (P<0.05). Conclusion Pulp treatment for teeth with advanced periodontitis and dull pulp vitality can control the development of inflammation and thus benefit the healing of periodontal tissue.

Key words: advanced periodontitis, combined treatment of periodontal-endodontic, pulp vitality, root canal treatment

中图分类号:

R 781.4

谭葆春,肖健平,闫福华,宦泓. 牙周牙髓联合治疗与单纯牙周治疗对重度牙周炎疗效的临床对比研究[J]. 华西口腔医学杂志, 2016, 34(6): 600-605.

Tan Baochun, Xiao Jianping, Yan Fuhua, Huan Hong. Clinical comparative study on the efficacy of periodontal endodontic therapy and periodontal treatment alone for advanced periodontitis[J]. West China Journal of Stomatology, 2016, 34(6): 600-605.

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牙周牙髓联合治疗与单纯牙周治疗对重度牙周炎疗效的临床对比研究

Clinical comparative study on the efficacy of periodontal endodontic therapy and periodontal treatment alone for advanced periodontitis

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