富血小板纤维蛋白联合冠向复位瓣术治疗牙龈退缩患者的效果.pdf
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1、69 2023 年 8 月中国民康医学Aug.,2023第35卷 半月刊 第15期摇 摇 摇 摇 摇 Medical Journal of Chinese Peoples Health Vol.35 Semimonthly No.15揖临床研究铱富血小板纤维蛋白联合冠向复位瓣术治疗牙龈退缩患者的效果周 文,齐 罡(信阳市中心医院口腔科,河南 信阳 464000)【摘要】目的:观察富血小板纤维蛋白(PRF)联合冠向复位瓣术(CAF)治疗牙龈退缩患者的效果。方法:回顾性分析 2019 年 1月至 2022 年 6 月该院收治的 68 例牙龈退缩患者的临床资料,按照治疗方法不同将其分为观察组与对照组
2、各 34 例。对照组行 CAF 治疗,观察组在对照组基础上联合 PRF 治疗,比较两组牙周探诊深度(PD)、角化龈宽度(WKG)、牙龈退缩深度(GRD)、根面覆盖率、红色美学指数(PES)评分和治疗满意度。结果:治疗后 6 个月,两组 PD 水平均低于治疗前,差异有统计学意义(P0.05);两组 WKG 水平、PES 评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P0.05);两组GRD 水平均低于治疗前,且观察组低于对照组,差异有统计学意义(P0.05)。观察组根面覆盖率为 88.24%,高于对照组的 64.71%,差异有统计学意义(P0.05)。观察组治疗满意度为 67.65%,
3、明显高于对照组的 32.35%,差异有统计学意义(P0.05)。结论:PRF 联合CAF 治疗牙龈退缩患者可提高 WKG 水平、PES 评分、根面覆盖率和治疗满意度,降低 GRD 水平,效果优于单纯 CAF 治疗。【关键词】牙龈退缩;冠向复位瓣术;富血小板纤维蛋白;探诊深度;根面覆盖率;红色美学指数;满意度doi:10.3969/j.issn.1672-0369.2023.15.021中图分类号:R781.4 文献标识码:B 文章编号:1672-0369(2023)15-0069-03Effects of platelet-rich fibrin combined with coronally
4、 advanced flap in the treatment of patients with gingival recessionZHOU Wen,QI Gang(Department of Stomatology of Xinyang Central Hospital,Xinyang 464000 Henan,China)【Abstract】Objective:To observe effects of platelet-rich fibrin(PRF)combined with coronally advanced flap(CAF)in treatment of patients w
5、ith gingival recession.Methods:The clinical data of 68 patients with gingival recession admitted to the hospital from January 2019 to June 2022 were retrospectively analyzed.According to different treatment methods,they were divided into observation group and control group,34 cases in each group.The
6、 control group was treated with CAF,while the observation group was treated with PRF on the basis of that of the control group.The periodontal probing depth(PD),the keratinized gingival width(WKG),the gingival recession depth(GRD),the root coverage rate,the pink aesthetic index(PES)score,and the tre
7、atment satisfaction were compared between the two groups.Results:6 months after the treatment,the PD levels of the two groups were lower than those before the treatment,and the difference was statistically significant(P0.05).The WKG levels and PES scores of the two groups were higher than those befo
8、re the treatment,those in the observation group were higher than those in the control group,and the differences were statistically significant(P0.05).The GRD levels of the two groups were lower than those before the treatment,that in the observation group was lower than that in the control group,and
9、 the differences were statistically significant(P0.05).The root coverage rate of the observation group was 88.24%,which was higher than that of the control group(64.71%),and the difference was statistically significant(P0.05).Further,the treatment satisfaction of the observation group was 67.65%,whi
10、ch was significantly higher than 32.35%of the control group,and the difference was statistically significant(P0.05),有可比性。1.2 方法 对照组行 CAF 治疗。常规消毒,患者局部麻醉。于患者牙龈退缩区两侧切口,采用骨膜分离器分离并翻起组织瓣,直至膜龈联合界。松解组织瓣,并使牙根面处于裸露状态。去除牙龈退缩区附近牙龈乳头的上皮,半厚全厚半厚瓣在无张力状态正常冠向复位至釉牙骨质界上 1mm。缝合软组织瓣切口,并敷牙周塞治剂 博纳格科技(天津)有限公司,规格型号:PD-2(2g/支
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- 血小板 纤维蛋白 联合 复位 治疗 牙龈 退缩 患者 效果