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xp574088 · Wysłany: Sob 1:20, 19 Mar 2011

Two root planing compared the efficacy of

Root smooth pocket periodontal surgery Xiaoling Zhou Fan is a common disease of dentistry, and root planing in periodontal therapy has an important significance. Because the presence of periodontal pockets,[link widoczny dla zalogowanych], so that root can not look straight, and the operation of equipment have certain restrictions, and thus the effect of root planing. When combined with flap surgery, although can maximize the effect of root planing, but the injury is too painful and more easily accepted by patients. Our department in 1998 after the use of short-term expansion of periodontal pockets and root planing technology to complete the treatment of 30 teeth, and achieved good results,[link widoczny dla zalogowanych], the report is as follows. 1 Materials and Methods The clinical data of 30 cases 1.1 periodontal disease clinic patients, 9 males and 21 females, aged 26 - 50 years, mean 37.5 years, and the operator sets the following conditions. (T) 6 months did not receive scaling and root planing treatment. (2) attachment loss and probing depth greater than or equal to 6mm. (3) tooth mobility is equal to II degrees Wu. (4) in the last 6 months without line antibiotics. Different from the same individuals were randomly divided into experimental and control teeth groups (two groups were 30 teeth). Two sets of teeth of the disease to the same extent. 1.2 Short-term expansion of surgical periodontal pocket after root planing is provided by an adrenaline soaked 1 ‰ of the gingival recession 0.5mm diameter wire,[link widoczny dla zalogowanych], packing subgingival periodontal pockets, 1 minute, remove, then immediately scaling and root planing. Expansion of the control group without periodontal pockets of epinephrine, only the conventional scaling and root planing. To observe the long-term effects of the technology,[link widoczny dla zalogowanych], before surgery and 6 months after surgery to collect the following clinical data: probing depth, attachment loss, tooth mobility (the data were local supragingival scaling and 1 with 2% iodine glycerin weeks to obtain.) 1.3 statistical methods and the group using a paired t test and the test compared cyberspace. 2 Results 2.1 after 6 months of observations indicated. Experimental group than in the control group,[link widoczny dla zalogowanych], probing depth, attachment loss were decreased (all P <0.01), Table 1. Significant improvement in tooth mobility, no mobility experimental group or the I degree of mobility in 22 cases (73.3%, 22/30), the control group was no mobility or degree of mobility for the l2 I (40% , 12/30), a significant difference between the two groups (= 6.79, P <0.01). 2.2 In the course of treatment in the experimental group and control group response to each one down after the larger, the performance of gingival swelling, pain, be orderly antibiotics, hormone therapy ease. I (2000.05-24 Received 20130.09-04 Revised) does not appear other adverse reactions, infections and delayed lonely voice: Table 1, two groups of patients before and after surgery probing depth, attachment loss comparison 'P <0.0I3 Short-term expansion of the discussion after periodontal surgery and root planing in recent years some scholars have proposed for the treatment of deep periodontal pockets one way, the technology has been reported in foreign ... and domestic use less. The mechanism is the use of epinephrine on the mucosal blood vessels strong contraction, so that a temporary expansion of periodontal pockets, subgingival calculus can look to improve the clearance rate of root surface plaque. Clinical results show, 1 ‰ adrenaline can line expansion pocket gingival recession, periodontal pocket so that the temporary expansion of subgingival calculus can look to improve the clearance rate of root surface plaque, compared with the traditional blind scraping effect increased. The technology is the key, in the teeth with deep periodontal pockets treatment, expansion of the periodontal pocket can increase the clearance rate of subgingival plaque and improve the effect of root planing to promote the healing of periodontal tissues, but not on periodontal tissue healing after an adverse effect. Therefore, we believe that over the short period of time after the expansion of periodontal pockets and root planing, can increase the clearance rate of conventional root surface calculus, and promote the healing of periodontal tissues. Short-term expansion of periodontal root planing bag without special equipment, simple, less damage, less pain, the clinical effect is obvious, especially can improve efficacy, as far as possible to preserve the teeth and easy to be patients, especially for promoting the use of primary hospital:
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