Clinical efficacy of periodontal endoscopy-assisted subgingival scaling and root planning and its effect on psy-chology and quality of life in patients with periodontitis
10.12016/j.issn.2096-1456.2024.01.008
- VernacularTitle:牙周内窥镜辅助龈下刮治和根面平整术的临床疗效及对牙周炎患者心理与生活质量的影响
- Author:
Qiubao SU
1
;
Ningxiang WANG
;
Mei ZHANG
;
Juan WU
Author Information
1. 南京大学医学院附属口腔医院·南京市口腔医院牙周病科,江苏 南京(210008)
- Keywords:
periodontitis;
periodontal pockets;
periodontal endoscopy;
subgingival scaling;
oral health-relat-ed quality of life;
dental fear;
oral health impact profile;
questionnaire survey
- From:
Journal of Prevention and Treatment for Stomatological Diseases
2024;32(1):50-56
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the clinical efficacy and effects of periodontal endoscope(PE)-assisted subgin-gival scaling and root planning(SRP)and traditional SRP on the psychological and quality of life of patients with peri-odontitis.Methods This study was reviewed and approved by the Ethics Committee,and informed consent was ob-tained from the patients.Patients with periodontitis who were treated in the Department of Periodontology,Nanjing Sto-matological Hospital,Medical School of Nanjing University from April 2018 to December 2022 with residual periodontal pockets(PD≥5 mm)6 weeks after traditional SRP treatment were enrolled,and the residual periodontal pockets were further treated with PE-assisted SRP(PE+SRP).After 6 weeks of traditional SRP treatment and 3 months of PE+SRP treatment,clinical indicators,including plaque index(PLI),probing depth(PD),clinical attachment loss(CAL)and bleeding on probing(BOP),were measured,and periodontal tissue self-awareness scale scores,oral health impact profile-14(OHIP-14)score and dental fear scale(DFS)score were collected.Moreover,visual analog scale(VAS)scores were col-lected after traditional SRP and PE-assisted SRP treatments.Results Twenty-three patients with periodontitis,includ-ing 832 sites of 486 affected teeth,were included in the clinical study.Three months after PE+SRP treatment,all clini-cal periodontal indicators,PLI(t = 9.254,P＜0.001),PD(t = 50.724,P＜0.001),CAL(t = 22.407,P＜0.001)and BOP(t = 9.217,P＜0.001),were significantly improved.Compared with traditional SRP(VAS:2.48±1.70),the pain caused by PE+SRP(VAS:2.57±1.80)was not significantly different(t = 0,192,P = 0.850).There was no significant dif-ference in the scores of the periodontal tissue self-awareness scale between the two groups(t = 1.485,P = 0.152).The OHIP-14(SRP:12.13±7.63;PE+SRP:10.26±5.25,t =-1.589,P = 0.126)and DFS(SRP:40.70±12.63;SRP+PE:41.57±12.61,t = 0.404,P = 0.690)scores were not significantly different.Conclusion All clinical periodontal indi-cators were significantly improved after PE-assisted SRP treatment of residual periodontal pockets,and compared with traditional SRP,PE-assisted SRP had no negative impact on the quality of life or psychological status of patients with periodontitis.Therefore,PE+SRP can be promoted in clinical practice.
- Full text:牙周内窥镜辅助龈下刮治和根面平整术的临床疗效及对牙周炎患者心理与生活质量的影响.pdf
