J Clin Periodontol:自我菌斑控制频率对有牙周炎病史的受试者牙龈健康的影响

2020-06-25 MedSci原创 MedSci原创

预防牙龈炎的主要策略是建立有效的口腔卫生常规,包括通过使用牙刷和其他自我进行的机械性菌斑控制法定期破坏牙菌斑。 然而,没有证据表明这一措施是否足以维持牙龈健康。

预防牙龈炎的主要策略是建立有效的口腔卫生常规,包括通过使用牙刷和其他自我进行的机械性菌斑控制法定期破坏牙菌斑。 然而,没有证据表明这一措施是否足以维持牙龈健康。 该随机临床试验评价了自我机械性菌斑控制(SPC)的频率对有牙周炎病史的受试者牙龈健康的影响。

研究共纳入42名参加常规牙周维护计划的受试者,随机分为三组,分别间隔122448小时进行SPC。在基线、第15天、第30天和第90天评估牙菌斑指数(PlI)和牙龈指数(GI)。在基线、第30天和第90天评检测探诊深度、临床附着水平和探查出血情况。采用混合线性模型分析和比较。

结果发现,在12小时组,整个研究过程中(90天)平均GI保持不变(0.7±0.10.8±0.1P <.05)。在研究结束时,48小时组的平均GI1224小时组显著增加。当GI=2为标准时,只有48小时组未能在整个研究期间保持牙龈健康(18.8%)。

因此,有牙周炎病史的受试者中,以1224小时的频率进行SPC似乎足以控制牙龈炎症,而48小时的频率则不能维持牙周健康。

原文出处:

Juliana MaierEffect of self‐performed mechanical plaque control frequency on gingival health in subjects with a history of periodontitis: A Randomized Clinical Trial. Journal of clinical Periodontology, 2020 June, doi: 10.1111/jcpe.13297

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    2021-04-13 wrj0131
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    2021-04-01 feather89
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