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      Evaluation of the subgingival air polishing in the treatment of moderate to severe chronic periodontitis

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          Abstract

          Objective The periodontitis, with a morbidity of 70%-85%, seriously endangers oral health. It is urgent to explore a new effective periodontal treatment method. Subgingival air polishing has the characteristics of high comfort, safety and high efficiency in periodontal treatment. The purpose of this study is to evaluate the clinical effect of subgingival air polishing technology for moderate and severe chronic periodontitis.

          Methods Thirty-six patients with moderate to severe chronic periodontitis were selected from August 2016 to March 2018 in the Department of Periodontal Mucosa, Affiliated Stomatological Hospital of Anhui Medical University. The data of periodontal exploration one week after supragin- gival air scaling were taken as baseline data. The principle of oral control design was adopted. One side of the same patients teeth was randomly designed as experimental group, subgingival air polishing was performed, and the other side as control group, ultrasonic subgingival scaling was performed. After three months, the clinical indicators were reviewed by periodontal exploration. VAS pain score was used to assess the pain level of the two groups.

          Results The difference in plaque index (PLI), bleeding index (BI), probing depth (PD) and attachment loss (AL) between the two groups in baseline was not significant. Three months after treatment, the above indexes were improved as compared with the data in baseline, but the difference was not significant between the two groups ( P > 0.05). The pain score of VAS immediately after the treatment in the experimental group was lower than that in the control group ( P < 0.05).

          Conclusion During the three-month follow-up period, subgingival air polishing achieved the same effect as ultrasonic subgingival scaling for moderate and severe chronic periodontitis patients, and could reduce patients’ discomfort.

          Abstract

          摘要:目的 牙周炎作为发病率高达70%~85%的疾病, 严重危害口腔健康, 探索有效的牙周治疗新方法迫在眉 睫。龈下喷砂治疗具有患者舒适度高、安全、高效等特点, 本研究旨在观察龈下喷砂治疗中重度慢性牙周炎患者 的疗效。 方法 选择2016年8月一2018年3月于安黴医科大学附属口腔医院牙周黏膜科就诊的中重度慢性牙 周炎患者36例, 患者在龈上洁治术后1周行牙周专科检查, 以专科检查的各项数据作为基线, 采用口腔左右对照 设计原则, 随机选择患者一侧牙为试验组, 行龈下喷砂治疗, 另一侧对照组采用超声工作尖行龈下刮治。3个月 后通过牙周探诊复查各组菌斑指数、出血指数、探诊深度及附着丧失等临床指标, 评价治疗效果。采用VAS疼痛 评分法评估2组治疗时的疼痛程度。 结果 试验组与对照组的菌斑指数、出血指数、探诊深度、附着丧失等临床 指标在基线水平差异无统计学意义, 3个月复查时, 各临床指标与基线相比较均有明显改善, 但组间差异无统计 学意义 ( P > 0.05)。 试验组治疗后即刻VAS疼痛评分低于对照组 ( P < 0.05)。 结论 在3个月的复查期内, 对 中重度慢性牙周炎的治疗, 龈下喷砂可与超声龈下刮治取得同样的效果, 并能降低患者不适感。

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          Author and article information

          Journal
          CJGP
          Chinese Journal of General Practice
          Chinese Journal of General Practice (China )
          1674-4152
          01 April 2019
          01 December 2021
          : 17
          : 4
          : 554-556
          Affiliations
          [1] 1Stomatological Hospital Affiliated to Anhui Medical University, Hefei, Anhui 230032, China
          Author notes
          *Corresponding author: ZHANG Lei, E-mail: zhanglei6551@ 123456126.com
          Article
          j.cnki.issn.1674-4152.000732
          10.16766/j.cnki.issn.1674-4152.000732
          2ea442fc-22c2-4eac-8ea2-2684118bee97
          © 2019 Chinese Journal of General Practice

          This is an open-access article distributed under the terms of the Creative Commons Attribution 4.0 Unported License (CC BY-NC 4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. See https://creativecommons.org/licenses/by-nc/4.0/.

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          Categories
          Journal Article

          General medicine,Pediatrics,Surgery,Obstetrics & Gynecology,Internal medicine,Physiotherapy
          Subgingival ultrasonic scaling,Subgingival air polishing,Moderate to severe chronic periodontitis

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