中华老年医学杂志
中華老年醫學雜誌
중화노년의학잡지
Chinese Journal of Geriatrics
2008年
10期
756-758
,共3页
牙周病学%引导组织再生,牙周
牙週病學%引導組織再生,牙週
아주병학%인도조직재생,아주
Periodontics%Guided tissue regeneration,periodontal
目的 比较骨引导组织再生术联合骨粉应用和单纯翻瓣术对老年牙周病患者骨内缺损的治疗效果. 方法 选择老年牙周病患者30名,随机分为两组,对照组接受普通翻瓣手术,实验组接受骨引导组织再生术和骨粉的联合应用.两组分别于手术开始前和治疗后6个月检查牙周探诊深度(PD),附着水平(AL).并分别拍摄X线片,用计算机辅助骨密度定量测定(CADIA),分析每组患者治疗前后的骨量变化值. 结果 实验组PD、CADIA值改变分别为(3.8±1.7)mm、(20.3±11.1)g/mm2,对照组改变为(2.5±1.1)mm、(9.38±8.64)g/mm2,两组间比较差异有统计学意义(P＜0.05).实验组AL改变为(3.5±1.6)mm,对照组改变为(2.3±1.7)mm,两组比较差异有统计学意义(P＜0.01). 结论 老年牙周病患者的骨内缺损,应用骨引导组织再生术联合骨粉的治疗效果优于单纯翻瓣术.
目的 比較骨引導組織再生術聯閤骨粉應用和單純翻瓣術對老年牙週病患者骨內缺損的治療效果. 方法 選擇老年牙週病患者30名,隨機分為兩組,對照組接受普通翻瓣手術,實驗組接受骨引導組織再生術和骨粉的聯閤應用.兩組分彆于手術開始前和治療後6箇月檢查牙週探診深度(PD),附著水平(AL).併分彆拍攝X線片,用計算機輔助骨密度定量測定(CADIA),分析每組患者治療前後的骨量變化值. 結果 實驗組PD、CADIA值改變分彆為(3.8±1.7)mm、(20.3±11.1)g/mm2,對照組改變為(2.5±1.1)mm、(9.38±8.64)g/mm2,兩組間比較差異有統計學意義(P＜0.05).實驗組AL改變為(3.5±1.6)mm,對照組改變為(2.3±1.7)mm,兩組比較差異有統計學意義(P＜0.01). 結論 老年牙週病患者的骨內缺損,應用骨引導組織再生術聯閤骨粉的治療效果優于單純翻瓣術.
목적 비교골인도조직재생술연합골분응용화단순번판술대노년아주병환자골내결손적치료효과. 방법 선택노년아주병환자30명,수궤분위량조,대조조접수보통번판수술,실험조접수골인도조직재생술화골분적연합응용.량조분별우수술개시전화치료후6개월검사아주탐진심도(PD),부착수평(AL).병분별박섭X선편,용계산궤보조골밀도정량측정(CADIA),분석매조환자치료전후적골량변화치. 결과 실험조PD、CADIA치개변분별위(3.8±1.7)mm、(20.3±11.1)g/mm2,대조조개변위(2.5±1.1)mm、(9.38±8.64)g/mm2,량조간비교차이유통계학의의(P＜0.05).실험조AL개변위(3.5±1.6)mm,대조조개변위(2.3±1.7)mm,량조비교차이유통계학의의(P＜0.01). 결론 노년아주병환자적골내결손,응용골인도조직재생술연합골분적치료효과우우단순번판술.
Objective To compare therapeutic effects of the bone-guided tissue regeneration in combination with a composite bovine-derived xenograft versus flap surgery only on intra-bony defects in elderly patients with periodontal disease. Methods Thirty elderly patients with periodontal disease were randomly divided into two groups. One group was treated by the bone-guided tissue regeneration in combination with a composite bovine-derived xenograft (experimental group). The other group was treated by flap surgery only (control group). Probing depth (PD)and clinical attachment level (AL) were determined before surgery and six months after treatment in two groups. The change of bone amount was also determined before surgery and six months after treatment through computer-assisted densitometric image analysis(CADIA). Results The changes of PD and CADIA were (3.8+1.7)mm, (20. 3+11.1)g/mm2 in experimental group and were (2.5+1.1)mm, (9.4+8. 6)g/mm2 in control group. The differences between two groups were significant (P.＜0. 05). The change of AL was (3.5+ 1.6)mm in experimental group, compared with control group(2. 3 1.7)mm, which showed more obvious regeneration of alveolar bone (P＜ 0. 01). Conclusions Guided tissue regeneration in combination with a composite bovine-derived xenograft appears to be more effective than flap surgery only for intra-bony defects in elderly patients with periodontal disease.
