CAJ | 학술논문

目的：比较洁、刮治术、牙龈切除术及切开引流三种方法治疗急性牙周脓肿的临床效果。方法选择急性牙周脓肿患者90例，按照随机双盲法分为洁、刮治组（A 组）、切龈组（B组）、切开引流组（C组），每组30例。分别于治疗前（T0），治疗后第1、3天（T1、T3）观察并记录自发痛和咬合痛、牙周溢脓、脓肿范围、牙周袋探诊深度（PD）、出血指数（BI）、叩痛和松动度。结果治疗后第1、3天，三组患者的自发痛、咬合痛、叩痛与治疗前相比均明显好转（P＜0.05）；治疗后第1天，A组患者的牙周溢脓、脓肿范围、BI较治疗前明显好转（P＜0.05），B组的牙周溢脓、脓肿范围、PD较治疗前明显好转（P＜0.05），C组仅脓肿范围有所改善（P＜0.05）；治疗后第3天，A、B组所有症状和检查指标均好转（P＜0.05）；C组的牙周溢脓、松动度有所改善（P＜0.05），而PD、BI无显著变化（P＞0.05）；治疗后第3天，A、B组各项指标间差异不显著（P＞0.05），但明显优于 C 组，差异有统计学意义（P＜0.05）。结论洁、刮治术和牙龈切除术治疗急性牙周脓肿，能明显改善临床症状，消除牙周炎症。
목적：비교길、괄치술、아간절제술급절개인류삼충방법치료급성아주농종적림상효과。방법선택급성아주농종환자90례，안조수궤쌍맹법분위길、괄치조（A 조）、절간조（B조）、절개인류조（C조），매조30례。분별우치료전（T0），치료후제1、3천（T1、T3）관찰병기록자발통화교합통、아주일농、농종범위、아주대탐진심도（PD）、출혈지수（BI）、고통화송동도。결과치료후제1、3천，삼조환자적자발통、교합통、고통여치료전상비균명현호전（P＜0.05）；치료후제1천，A조환자적아주일농、농종범위、BI교치료전명현호전（P＜0.05），B조적아주일농、농종범위、PD교치료전명현호전（P＜0.05），C조부농종범위유소개선（P＜0.05）；치료후제3천，A、B조소유증상화검사지표균호전（P＜0.05）；C조적아주일농、송동도유소개선（P＜0.05），이PD、BI무현저변화（P＞0.05）；치료후제3천，A、B조각항지표간차이불현저（P＞0.05），단명현우우 C 조，차이유통계학의의（P＜0.05）。결론길、괄치술화아간절제술치료급성아주농종，능명현개선림상증상，소제아주염증。
ObjectiveThe aim of this short-term study was to compare the clinical efficacy of 3 different methods to treat acute periodontal abscesses.MethodsIn the randomized, double-blind trial, 90 cases of acute periodontal abscess were divided into 3 groups. Each group contains 30 patients. A clinical examination was carried out to record the following variables:spontaneous pain, occlusal pain, suppuration, abscess area, probing, depth(PD), bleeding index(BI), percussion, mobility.Results On the first day and in third days after treatment, three groups showed significant improments in spontaneous pain and occlusal pain(P<0.05). On the first day after treatment, the indexes of percussion, suppuration, abscess area in group A and group B were improved, the BI was significant improved in group A, and the PD was significant improved in group B; After 3 days, all objective clinical variables in group A and B were improved significantly(P<0.05). In group C, spontaneous pain, occlusal pain, percussion and abscess area were significantly improved on the first day after treatment; The suppuration and mobility were improved in third days after treatment(P<0.05), but the PD and BI showed no improvement(P>0.05). The difference between group A and group B was not statistically significant in third days after treatment(P>0.05), but the results in group A and group B showed much better than group C(P<0.05).Conlusion It was effective and rapid to treat acute periodontal abscess by supra-and subgingival scaling and “U”shape gingivectomy.