口腔医学研究

口腔医学研究 ›› 2015, Vol. 31 ›› Issue (1): 57-59.

• 临床研究论著 • 上一篇    下一篇

Duraphat对慢性牙周炎患者基础治疗疗效观察和疼痛感受评价

罗铁柱,刘明海*   

  1. 荆门市第二人民医院口腔医院口腔科 湖北 荆门 448000
  • 收稿日期:2014-10-08 出版日期:2015-01-28 发布日期:2016-04-29
  • 通讯作者: 刘明海,电话:0724—2361619
  • 作者简介:罗铁柱(1982~ ),男,湖北荆门人,主治医师,学士,主要从事临床牙周方面。

Clinical Application and Pain Perception of Duraphat for Patients with Chronic Periodontitis During Periodontal Initial Treatment.

LUO Tie-zhu, LIU Ming-hai   

  1. The Second People's Hospital of Jingmen Oral Dental Hospital, Jingmen 448000
  • Received:2014-10-08 Online:2015-01-28 Published:2016-04-29

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摘要： 目的:观察Duraphat对慢性牙周炎患者基础治疗疗效观察和疼痛感受评价。方法:选择80例慢性牙周炎维护期的患者,其全口4个象限每个象限至少各有2颗牙齿, 其邻面至少有1位点探诊深度>4 mm,有探诊出血, 根据随机表将4个象限随机分常规牙周基础治疗A组和基础治疗结合DuraphatB组两组。根据牙周探诊深度分为PD≥4 mm和PD>6 mm。常规牙周基础治疗组42例, 基础治疗结合Duraphat组38例。记录基线和治疗后1个月和3个月时,入选位点的牙周探诊深度、临床附着丧失、出血指数及刮治当时的疼痛程度VAS值。比较治疗后与治疗前的差值。结果:牙周探诊深度、临床附着丧失和出血指数在治疗后各组都有明显改善,同时患者在治疗中的疼痛程度涂布Duraphat组较常规组VAS值明显降低。结论:Duraphat可以对不同程度的慢性牙周炎患者基础治疗辅助使用,并可以明显降低病人的疼痛感受。

关键词: 慢性牙周炎, 牙周刮治, 多乐氟, VAS

Abstract: Objective: To investigate the effect of duraphat to treat hypersensitivity after subgingival scaling. Methods: 80 patients with chronic periodontitis were randomly divided into subgingival debridement(Group A) and subgingival debridement with Duraphat(Group B). Each patient had to have at least two sites with probing depths of >4mm in each quadrant. Compare PD, BOP, CAL changes and the degree of treatment discomfort with VAS values of groups A and B at baseline, 1 month and 3 months after treatment. According to the periodontal probing depth (PD), patients are also randomly divided into two subgroups: subgroup A with PD >4mm and subgroup B with PD more than 6mm. Duraphat and ordinary toothpaste without desensitization ingredients are used separately after scaling. The indexes of VAS were recorded immediately, 1 month and 3 months later to evaluate the degree of tooth sensitivity. Results: Probing pocket depth, clinica attachment level and bleeding index improved both groups, but the patients perceived less pain with Duraphat during therapy. Conclusion: The duraphat has ideal effect in treating chronic periodontitis and can reduce teeth hypersensitivity after subgingival scaling.

Key words: Chronic periodontitis , Subgingival scaling , Duraphat, VAS

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