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南阳市口腔医院口腔内科
纸质出版日期:2018,
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[1]冯强,司玲,牛东岳.Vector超声治疗仪治疗慢性牙周炎的临床疗效观察[J].保健医学研究与实践,2018,15(01):63-67.
Feng Qiang, Si Ling, Niu Dongyue. Clinical efficacy of vector ultrasonic system in the treatment of chronic periodontitis[J]. Health Medicine Research and Practice, 2018,15(1):63-67.
目的比较分析传统超声牙周治疗仪与Vector超声治疗仪治疗慢性牙周炎的临床疗效。方法选取2014年3月-2015年4月南阳市某医院收治的86例慢性牙周炎患者为研究对象
采用随机数字表法将患者分为观察组和对照组
每组43例。对照组患者采用传统超声牙周治疗仪刮除龈下牙结石;观察组患者采用Vector超声治疗仪刮除龈下牙结石。采用视觉模拟评分法(VAS)评估2组患者治疗前、治疗中及治疗1周时的疼痛程度。于治疗前及治疗3周时比较2组患者的牙周袋探诊深度(PD)、探诊出血指数(BOP)及菌斑指数(PLI)等临床指标。比较2组患者治疗后所在诊室空气中的带菌气溶胶污染程度。结果治疗前
2组患者VAS评分比较
差异无统计学意义(P>0.05);治疗中及治疗1周时
2组患者VAS评分均高于治疗前
而观察组患者VAS评分低于对照组
差异均有统计学意义(P<0.05)。治疗1周时
对照组患者中有21例患者感觉牙齿敏感度增加
而观察组患者均无特殊不适感。治疗前
2组患者PD
BOP及PLI比较
差异无统计学意义(P>0.05);治疗3周时
2组患者PD均小于治疗前
且观察组患者PD小于对照组
差异均有统计学意义(P<0.05);治疗3周时
2组患者BOP及PLI均低于治疗前
且观察组患者BOP及PLI均低于对照组
差异均有统计学意义(P<0.05)。观察组患者所在诊室细菌菌落计数为(53.98±25.28)cfu/m3
少于对照组的(135.18±30.88)cfu/m3
差异有统计学意义(P<0.05)。结论 Vector超声治疗仪在慢性牙周炎的治疗中有显著的临床疗效
其可减轻患者的疼痛程度
有助于提高患者复诊的依从性。此外
还可有效降低治疗后所在诊室空气中的带菌气溶胶污染程度及医务人员与其他患者交叉感染的可能性
值得临床推广应用。
Objective To analyze the clinical efficacy of Vector ultrasonic system versus traditional ultrasonic device in the treatment of chronic periodontitis.Methods A total of 86 patients with chronic periodontitis treated at a Nanyang hospital from March 2014 to April 2015 were included in our study.These patients were randomly allocated into the trial group(Vector ultrasonic system)or the control group(traditional ultrasonic device)by using a random number table(n=43 for each group).The Visual Analogue Scale(VAS)was used to assess the pain intensity before
during and one week after subgingival scaling treatment.Other clinical parameters including periodontal depth(PD)
bleeding on probing(BOP)and plaque index(PLI)were assessed before and 3 weeks after treatment.The degree of bioaerosol contamination in the dental clinic was compared between the two groups after treatment.Results Before treatment
the VAS score was comparable between the two groups(P>0.05);during and one week after treatment
the VAS score was increased in both groups compared with that before treatment
with significantly greater reduction in the trial group(P<0.05).At one week after treatment
21 patients in the control group reported increased tooth sensitivity
but such a complaint was not observed in the trial group.Before treatment
the PD
BOP and PLI were generally similar between the two groups(P>0.05);at 3 weeks after treatment
the PD
BOP and PLI were reduced in both groups compared with those before treatment
with significantly greater reductions in the trial group(all P<0.05).The bacterial colony count in the dental clinic in the trial group was 53.98±25.28 cfu/m3
which was significantly lower than that in the control group(135.18±30.88 cfu/m3)(P<0.05).Conclusion Vector ultrasonic system is highly effective in treating chronic periodontitis
which is associated with less pain and better patient compliance with return visits.Besides
it can also decrease bioaerosol contamination in the dental clinic and reduce the risk of doctor-patient cross-infection
and thus it is worthy of widespread clinical application.
慢性牙周炎Vector超声治疗仪临床效果
Chronic periodontitisVector ultrasonic systemClinical efficacy
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