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題 名 | Ultrasonic Scaling Therapy in Advanced Periodontitis Ⅳ.A Long-Term Study Over Six Years=重症牙周炎的超音波洗牙療法(4)--6年長期追蹤之研究 |
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作 者 | 侯桂林; 蔡吉政; | 書刊名 | The Kaohsiung Journal of Medical Sciences |
卷 期 | 13:2 1997.02[民86.02] |
頁 次 | 頁103-116 |
分類號 | 416.946 |
關鍵詞 | 重症牙周炎; 超音波洗牙療法; Ultrasonic scaling therapy; Periodontitis; Long-term study; |
語 文 | 英文(English) |
中文摘要 | 本研究之目的在評估由牙周病專科醫師應用超音波潔牙治療牙周病長期臨床效果。總數由51位 (男性27位及女性24位) 年齡從21歲到61歲罹患中度到重度牙周帶患者為研究對象。患者就診時之牙周檢查之基本數據包括牙齦指數、牙菌斑指數、牙周袋深度及牙周附著午平為評估之參考。患者接受牙周特別病歷資料之記錄及口腔衛生指導後,即由牙周醫師以超音波潔牙進行牙周病之治療。以Student’s paired-test比較治前後之差異。結果顯示6年的治期間,平均牙齦及牙菌斑指數與base-line比較,具有非常明顯的改善效果,而且有統計學上之意義 (<0.01);此外,牙周袋原始深度是4-6毫米 (中度) 及≧7毫米 (重度) 的牙周炎區域,經6年期間的治療,結果其平均牙周袋深度明顯降低及平均牙周附著水平的增加,呈現明顯的改善效果,且具有統計學上之意義 (p<0.001)。但原始牙周袋深度介於1-3毫米之區域,其效果不明顯,且有輕微之牙周袋深度之加深及牙周附著之喪失。結果也顯示牙齒頰面與舌面之牙周炎治療的改善效果比近心面及遠心面明顯。 |
英文摘要 | The objective of the present study was to evaluate the long-term effectiveness of clinical trials of ultrasonic scaling performed solely by a periodontist. A total of 51 individuals (27 males and 24 females) ranging in age from 21to 61 years with moderate to advanced periodontitis were investigated following baseline assessments included gingival index (GI), plaque index (PII), probing pocket depths (PPDs), and probing attachment levels (PALs). The individuals were subjected to active supraand subgingival ultrasonic scaling by a periodontist alone following meticulous oral hygiene instruction. The results revealed a significant (p<0.001) reduction of mean GI and PII scores. In addition, a significant and sustained reduction of mean PPDs(P<0.001) as well as significant sustained gain of mean PALs (P<0.001) with initial PPDs of 4-6 mm and ≧7 were greater than those sites with initial PPDs of 1-3 mm at each time interval. Basically, there exists a greater reduction of mean PPDs and greater gain of mean PALs on the buccal and lingual sites than those on the mesial and distal sites at each time interval. |
本系統中英文摘要資訊取自各篇刊載內容。