CAJ | 학술논문

目的：探讨基础牙周治疗配合口腔卫生指导对儿童牙周炎的短、长期效果，为儿童口腔卫生促进提供依据。方法2012~2013年因牙周炎初次入院就诊的12~18岁青少年，基础牙周治疗后按性别、年龄匹配分为对照组和研究组，研究组对患儿、家长和校医进行口腔卫生指导，观察两组的短、长期效果。结果基础牙周治疗1个月后，患儿牙周袋探测深度、出血指数、口臭度均显著下降(P<0.05)，短期总有效率93.8％(45/48)，性别间无显著差异；6、12个月时研究组牙周袋探测深度、出血指数和口臭度指标低于对照组(P<0.05)，对照组长期效果无显著改善，牙齿松动度各组、各时间点均无显著变化。结论基础牙周治疗能改善青少年牙周炎症状，口腔卫生指导能在中长期巩固对牙周炎的治疗效果。
목적：탐토기출아주치료배합구강위생지도대인동아주염적단、장기효과，위인동구강위생촉진제공의거。방법2012~2013년인아주염초차입원취진적12~18세청소년，기출아주치료후안성별、년령필배분위대조조화연구조，연구조대환인、가장화교의진행구강위생지도，관찰량조적단、장기효과。결과기출아주치료1개월후，환인아주대탐측심도、출혈지수、구취도균현저하강(P<0.05)，단기총유효솔93.8％(45/48)，성별간무현저차이；6、12개월시연구조아주대탐측심도、출혈지수화구취도지표저우대조조(P<0.05)，대조조장기효과무현저개선，아치송동도각조、각시간점균무현저변화。결론기출아주치료능개선청소년아주염증상，구강위생지도능재중장기공고대아주염적치료효과。
Objective To study short and long term effectiveness of initial periodontal therapy and oral hygiene in-struction for teenagers periodontitis patients, and support promotion of teenagers’ oral health. Method Teenagers periodontitis patient aged 12~18 from 2012~2013 were divided into study group and control group which matched by age and sex. All participants were received initial periodontal therapy, and patients, patriarch and school doctors of study group received oral hygiene instruction. Short and long term effectiveness was observed. Result After initial periodontal therapy, probing depth(PD), bleeding index (BI), ozostomia dropped significantly(P<0. 05), and to-tal effective rate was 93. 8%(45/48) without difference between genders. After 6 and 12 months, PD, BI and ozos-tomia was lower than control group(P<0. 05). PD, BI and ozostomia of control group was not improved after 6 and 12 months. Tooth mobility had no significant change at any time. Conclusion Initial periodontal therapy could im-prove children periodontitis. Oral hygiene instruction could consolidate long-term therapeutic effect.