现代口腔医学杂志
現代口腔醫學雜誌
현대구강의학잡지
JOURNAL OF MODERN STOMATOLOGY
2010年
2期
86-89
,共4页
牙周炎维护期%刮治%疼痛%Vector%VAS
牙週炎維護期%颳治%疼痛%Vector%VAS
아주염유호기%괄치%동통%Vector%VAS
Periodontal disease%Instrumentation%Pain%Vector%VAS
目的 本研究应用Vector超声系统、手工刮治和常规超声系统对慢性牙周炎患者维护期的牙周袋进行治疗,以比较不同治疗方法的临床疗效和患者的疼痛程度.方法 选择26例慢性牙周炎维护期的患者,其全口四个象限每个象限至少各有2颗牙齿,其邻面至少有一位点探诊深度≥4mm,有探诊出血,根据随机表将四个象限随机分入手工刮治组、传统超声治疗组(赛特力组)、Vector摩擦剂组和Vector抛光剂组进行龈下刮治.记录基线和治疗后3个月时,入选位点的菌斑指数、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.结果 对于牙周炎维护期患者, Vector摩擦剂组、Vector抛光剂组的治疗效果和手工刮治组、赛特力组相同,牙周探诊深度、临床附着丧失和出血指数在治疗后都有明显改善,同时患者在治疗中的疼痛程度明显小于常规的手工刮治和超声刮治.结论 Vector超声系统为牙周炎维护期患者的复查复治提供了一个新的有效手段,有利于增加患者的依从性.
目的 本研究應用Vector超聲繫統、手工颳治和常規超聲繫統對慢性牙週炎患者維護期的牙週袋進行治療,以比較不同治療方法的臨床療效和患者的疼痛程度.方法 選擇26例慢性牙週炎維護期的患者,其全口四箇象限每箇象限至少各有2顆牙齒,其鄰麵至少有一位點探診深度≥4mm,有探診齣血,根據隨機錶將四箇象限隨機分入手工颳治組、傳統超聲治療組(賽特力組)、Vector摩抆劑組和Vector拋光劑組進行齦下颳治.記錄基線和治療後3箇月時,入選位點的菌斑指數、牙週探診深度、臨床附著喪失、齣血指數及颳治噹時的疼痛程度VAS值.結果 對于牙週炎維護期患者, Vector摩抆劑組、Vector拋光劑組的治療效果和手工颳治組、賽特力組相同,牙週探診深度、臨床附著喪失和齣血指數在治療後都有明顯改善,同時患者在治療中的疼痛程度明顯小于常規的手工颳治和超聲颳治.結論 Vector超聲繫統為牙週炎維護期患者的複查複治提供瞭一箇新的有效手段,有利于增加患者的依從性.
목적 본연구응용Vector초성계통、수공괄치화상규초성계통대만성아주염환자유호기적아주대진행치료,이비교불동치료방법적림상료효화환자적동통정도.방법 선택26례만성아주염유호기적환자,기전구사개상한매개상한지소각유2과아치,기린면지소유일위점탐진심도≥4mm,유탐진출혈,근거수궤표장사개상한수궤분입수공괄치조、전통초성치료조(새특력조)、Vector마찰제조화Vector포광제조진행간하괄치.기록기선화치료후3개월시,입선위점적균반지수、아주탐진심도、림상부착상실、출혈지수급괄치당시적동통정도VAS치.결과 대우아주염유호기환자, Vector마찰제조、Vector포광제조적치료효과화수공괄치조、새특력조상동,아주탐진심도、림상부착상실화출혈지수재치료후도유명현개선,동시환자재치료중적동통정도명현소우상규적수공괄치화초성괄치.결론 Vector초성계통위아주염유호기환자적복사복치제공료일개신적유효수단,유리우증가환자적의종성.
Objective To investigate whether the Vector devices have the comparable efficacy with conventional instrumentation in maintenance patients and the Vector device is less painful than conventional system.Methods Twenty six maintenance patients with moderate periodontal disease took part in this prospective, randomized controlled clinical study. Each patient had to have at least two sites with probing depths of ≥4mm in each quadrant. Each quadrant was randomizedly treated with hand instruments, Satelec scaler, Vector+ abrasive fluid, Vector+ polish fluid. The observation period was 3 months. Plaque index,probing pocket depth, clinical attachment loss, and bleeding index were assessed at enrolled sites. Patients were asked to report perceived pain during instrumentation with a visual analog scale immediately after treatment.Results Probing pocket depth, clinical attachment level, and bleeding index improved in 4 instrumentation groups from baseline to month 3; however, there was no difference between the 4 instrumentation modalities. The patients perceived less pain with Vector system during therapy.Conclusion In maintenance therapy, clinical efficacy of the Vector device is comparable with that of conventional instrumentation, and patient feel less pain during Vector therapy.
