标题：牙周牙髓联合治疗与单纯牙周治疗重度牙周炎的疗效比较

      作者：杨佩怡，黄海，胡颖文，蔡春丽    暨南大学附属口腔医院(佛山市顺德区大良医院)口腔科，广东 佛山 528300

      卷次： 2019年30卷22期

      【摘要】 目的 比较重度牙周炎采用牙周牙髓联合治疗与单纯牙周治疗的疗效。方法 选择佛山市顺德区大良医院口腔科 2015年3月至2018年4月期间收治的86例(102颗患牙)重度牙周炎患者为研究对象，根据随机数表法将患者分为对照组和观察组，每组43例51颗患牙。对照组患牙接受单纯牙周治疗，观察组患牙则接受牙周牙髓联合治疗。比较两组患者治疗前、治疗后3个月、12个月的龈沟出血指数(SBI)、探诊深度(PD)、附着水平(AL)等指标，治疗12个月后比较两组患者的临床疗效。结果 治疗后3个月，观察组与对照组患者的SBI、PD、AL分别为(1.38±0.42)、(3.61±0.94) mm、(5.93±1.12) mm和(1.41±0.39)、(3.75±0.91) mm、(6.18±1.37) mm，明显低于同组治疗前的(2.80±0.65)、(5.99±1.27) mm、(8.03±1.94) mm和(2.76±0.83)、(6.06±2.08) mm、(8.11±2.08) mm，差异均有统计学意义(P<0.05)，但是两组间比较差异均无统计学意义(P>0.05)；治疗后 12个月，观察组患者的 SBI、PD、AL分别为(0.82±0.22)、(2.87±0.52) mm、(5.08±0.67) mm，明显低于对照组的(1.09±0.34)、(3.32±0.68) mm、(5.43±0.83) mm，差异均有统计学意义(P<0.05)；观察组患者的治疗总有效率为 93.02%，明显高于对照组的 81.40%，差异有统计学意义(P<0.05)。结论 与单纯牙周治疗比较，牙周牙髓联合治疗重度牙周炎可以显著提高临床疗效，具有较高的临床应用价值。
      【关键词】 牙周炎；牙髓；联合治疗；牙周组织；疗效
      【中图分类号】 R781.4+2 【文献标识码】 A 【文章编号】 1003—6350（2019）22—2944—03

A comparative study of combined periodontal and pulpal therapy versus simple periodontal therapy for severeperiodontitis.
YANG Pei-yi, HUANG Hai, HU Ying-wen, CAI Chun-li. Department of Stomatology, Dental HospitalAffiliated to Jinan University (Daliang Hospital, Shunde District, Foshan City), Foshan 528300, Guangdong, CHINA
【Abstract】 Objective To compare the efficacy of combined periodontal and pulpal therapy and simple peri-odontal therapy for severe periodontitis. Methods Eighty-six patients with severe periodontitis (102 teeth in total) treat-ed in Department of Stomatology, Daliang Hospital, Shunde District from March 2015 to April 2018 were selected as theresearch objects. According to the random number table method, the patients were divided into two groups, with 43 pa-tients (51 teeth) in each group. Patients in the control group received simple periodontal treatment, while patients in theobservation group received combined periodontal and pulpal treatment. The gingival sulcus hemorrhage index (SBI),depth of exploration (PD), and attachment level (AL) were compared between the two groups before treatment, 3 monthsand 12 months after treatment. The therapeutic effect was compared 12 months after treatment. Results Three monthsafter treatment, the SBI, PD, and AL were 1.38±0.42, (3.61±0.94) mm, (5.93±1.12) mm in the observation group and1.41±0.39, (3.75±0.91) mm, (6.18±1.37) mm in the control group, significantly lower than corresponding 2.80±0.65,(5.99±1.27) mm, (8.03±1.94) mm and 2.76±0.83, (6.06±2.08) mm, (8.11±2.08) mm before treatment (P<0.05), but therewas no significant difference between the two groups (P>0.05). Twelve months after treatment, the SBI, PD and AL of ob-servation group were 0.82±0.22, (2.87±0.52) mm, (5.08±0.67) mm, significantly lower than 1.09±0.34, (3.32±0.68) mm,(5.43±0.83) mm in the control group (P<0.05). The total effective rate of observation group was 93.02%, significantlyhigher than 81.40% of the control group (P<0.05). Conclusion Compared with simple periodontal treatment, periodon-tal and pulpal therapy can significantly improve the clinical efficacy of severe periodontitis and has better clinical appli-cation value.
      【Key words】 Periodontitis; Pulpal; Combined therapy; Periodontal tissue; Therapeutic effect