Clinical comparative study on the efficacy of periodontal endodontic therapy and periodontal treatment alone for advanced periodontitis.
- VernacularTitle:牙周牙髓联合治疗与单纯牙周治疗对重度牙周炎疗效的临床对比研究
- Author:
Baochun TAN
1
;
Jianping XIAO
2
Author Information
- Publication Type:Journal Article
- Keywords: advanced periodontitis; combined treatment of periodontal-endodontic; pulp vitality; root canal treatment
- MeSH: Dental Pulp; Dental Pulp Necrosis; Humans; Periodontitis; Tooth Root
- From: West China Journal of Stomatology 2016;34(6):600-605
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVEThis study aimed to explore the period of endodontic treatment and the effects of periodontal-endodontic treatment for advanced periodontitis.
METHODSA total of 180 patients with advanced periodontitis participated in this clinical multicenter study. The respondents were randomly divided into an endodontic combined treatment (experimental) group and a periodontal treatment alone (control) group; each group consisted of 90 teeth. The control group received periodontal therapy only. The experimental group received periodontal therapy and root-canal treatment, and then pulp status was recorded. The cases were followed up at 1, 3, 6, and 12 months after treatment.
RESULTSOut of 90 teeth in the test group, 22 teeth had completely necrotic pulps, 45 teeth had partial necrosis (coronal pulp necrosis or root pulp necrosis), and 23 had vital pulp. Differences between clinical parameters in the control and experimental groups were not significant (P>0.05) before treatment but were significant after three months (P<0.05).
CONCLUSIONSPulp treatment for teeth with advanced periodontitis and dull pulp vitality can control the development of inflammation and thus benefit the healing of periodontal tissue.
