患者依从性对慢性牙周炎临床疗效影响的观察

摘要

Objective: To observe the influence of clinical effect on different dependence to chronic periodontitis. Method: Choose patients who was in periodendal maintenance treatment, after 2 years tracing follow.clinical examination and re-treatment, analyze the difference between groups. Result: Completely dependent group periodontal depth obvionsly descent than the basal line in the 1st and 2nd year, have statistical significance, semi-dependent group periodontal depth obvionsly increase than the basal line in the 1st and 2nd year, have statistical significance. Conclusion: Completely dependent group have a better clinical effect, while the semi-dependent group have a worse clinical effect.%目的：观察不同依从性的慢性牙周炎患者的临床治疗效果。方法：选择经牙周基础治疗4周后进入牙周维护治疗的广泛性中度慢性牙周炎患者150例作为研究对象，通过2年追踪随访、临床检查及再治疗，分析完全依从性与不完全依从性牙周炎患者的第1年、第2年临床指标(PD、AL、BOP)改变。结果：完全依从性组的牙周探诊深度、探诊后出血率在第1、第2年均较基线明显下降，差异有统计学意义(P＜0.001)，附着丧失均值有所下降，差异有统计学意义(P＜0.001)：不完全依从性组牙周探诊深度、探诊后出血率、附着丧失在第1、第2年均值较基线明显增高，达到初诊水平，差异有统计学意义(P＜0.001)；在第1、第2年AL≥1 mm位点百分比及活动性进展率较基线均有提高，差异有统计学意义(P＜0.001)。结论：完全依从性慢性牙周炎患者疗效稳定持久；不完全依从性慢性牙周炎患者疗效较差，活动性发生率较高。