CAJ | 학술논문

目的：研究评价超声洁治联合盐酸米诺环素软膏治疗与翻瓣刮治联合引导骨再生术（GBR）两种方法对于治疗种植体周围炎的临床效果。方法选择19例种植体周围炎病例，分为超声洁治联合药物治疗组、翻瓣刮治联合GBR手术组，通过对比治疗前、后龈沟出血指数（SBI）、菌斑指数（PLI）、探诊深度（PD）、X线片等临床指标变化，进行统计学分析。结果两组治疗后SBI、PLI、PD指数均明显下降，术后6个月，翻瓣刮治联合GBR手术组种植体周牙槽嵴高度明显高于术前。结论超声洁治联合盐酸米诺环素软膏药物治疗和翻瓣刮治联合GBR手术对治疗种植体周围炎均可达到很好的治疗目的，但GBR手术更好的促进种植体－骨结合。
목적：연구평개초성길치연합염산미낙배소연고치료여번판괄치연합인도골재생술（GBR）량충방법대우치료충식체주위염적림상효과。방법선택19례충식체주위염병례，분위초성길치연합약물치료조、번판괄치연합GBR수술조，통과대비치료전、후간구출혈지수（SBI）、균반지수（PLI）、탐진심도（PD）、X선편등림상지표변화，진행통계학분석。결과량조치료후SBI、PLI、PD지수균명현하강，술후6개월，번판괄치연합GBR수술조충식체주아조척고도명현고우술전。결론초성길치연합염산미낙배소연고약물치료화번판괄치연합GBR수술대치료충식체주위염균가체도흔호적치료목적，단GBR수술경호적촉진충식체－골결합。
Objective To compare the clinical treatment effects of ultrasonic scaling combined with local application of mino- cycline hydrochloride ointments between guided bone regeneration (GBR) surgical therapy on peri-implantitis .Methods 19 pa- tients with 19 dental implants suffering from peri-implantitis were chosen and randomly assigned to receive ultrasonic scaling combined with application of minocycline hydrochloride ointments and GBR surgical therapy .Parameters including plaque index (PLI) ,sulcular bleeding index (SBI) and probing depth (PD) of pockets were measured at baseline ,1 months ,3 months and 6 months after treatment .Results The treatments significantly decreased PLI ,SBI and PD ,after 6 months ,the heights of alveolar ridge in the group of flap curettage combined with GBR were higher than before surgery .Conclusion Both the two treatments were effective for peri-implantitis ,the GBR surgical treatment can get re-osseointegrate of implant .