OBJECTIVETo evaluate the effect of non-surgical treatment with Florida probe.

METHODS100 patients with periodontitis were chosen in the study, who accepted periodontal non-surgical treatment. Pocket depth (PD) and attachment loss (AL) of all patients were recorded with Florida probe before and at the first month after periodontal non-surgical treatment. The detecting sites were mesialbuccal, buccal, distalbuccal and lingual. All teeth were divided into four groups: Anterior teeth group, premolar group, molar group and all teeth group. The therapeutic efficacy of PD and AL of groups, sites and different pocket depths was compared.

RESULTSIn all four groups, PD, AL before and after one month periodontal non-surgical treatment demonstrated significant differences (P < 0.05). It was found that the short-term effect of periodontal non-surgical treatment resulted in significant resolution of gingival inflammation and pronounced reduction in pocket depth and gain of attachment loss in all patients. Anterior teeth had better therapeutic efficacy than premolar and molar. The PD pronounced reduction and gained a significant difference between PD < 5 mm and PD > or = 5 mm (P < 0.05), but not with AL (P > 0.05). Sites had no significant difference (P > 0.05).

CONCLUSIONFlorida probe evaluates periodontal conditions accurately and objectively. Periodontal non-surgical treatment allowed for favourable treatment response on periodontitis, anterior teeth had a good therapeutic efficacy, different sites had the equal therapeutic efficacy.

Adult ; Female ; Humans ; Male ; Middle Aged ; Periodontal Index ; Periodontitis

OBJECTIVETo evaluate the clinical outcome of periodontal initial therapy on the patients with aggressive periodontitis.

METHODSA total of 48 patients with aggressive periodontitis, including 20 patients with localized aggressive periodontitis (LAgP) and 28 patients with generalized aggressive periodontitis (GAgP), were chosen for the study from the patients referred to the Department of Periodontology of the School of Stomatology of China Medical University from September 2006 to December 2008. All subjects were performed periodontal initial therapy. Probing depth (PD), clinical attachment loss (CAL), bleeding index (BI) and tooth mobility were recorded at baseline and 1, 3 and 6 months after initial treatment.

RESULTSAt 1, 3 and 6 months after periodontal initial therapy, there were significant improvements in PD, CAL, BI and tooth mobility of patients with LAgP and GAgP than those in the baseline (P < 0.05). In patients with LAgP, statistical differences were detected in PD and CAL between 1 and 3 months after periodontal initial therapy (P < 0.05). And in patients with GAgP, statistical differences were detected in PD and CAL between 3 and 6 months after therapy (P < 0.05). At 1, 3, and 6 months after therapy, first molars of all patients showed more significant therapeutic effects than central incisors (P < 0.05).

CONCLUSIONPeriodontal initial therapy showed effectiveness in treatment of aggressive periodontitis. In the mid-term, there were differences in therapeutic effect between patients with LAgP and GAgP.

Adult ; Aggressive Periodontitis ; China ; Female ; Humans ; Male ; Periodontitis

Patients with severe trauma require an extremely timely treatment and transfusion plays an irreplaceable role in the emergency treatment of such patients. An increasing number of evidence-based medicinal evidences and clinical practices suggest that patients with severe traumatic bleeding benefit from early transfusion of low-titer group O whole blood or hemostatic resuscitation with red blood cells, plasma and platelet of a balanced ratio. However, the current domestic mode of blood supply cannot fully meet the requirements of timely and effective blood transfusion for emergency treatment of patients with severe trauma in clinical practice. In order to solve the key problems in blood supply and blood transfusion strategies for emergency treatment of severe trauma, Branch of Clinical Transfusion Medicine of Chinese Medical Association, Group for Trauma Emergency Care and Multiple Injuries of Trauma Branch of Chinese Medical Association, Young Scholar Group of Disaster Medicine Branch of Chinese Medical Association organized domestic experts of blood transfusion medicine and trauma treatment to jointly formulate Chinese expert consensus on blood support mode and blood transfusion strategies for emergency treatment of severe trauma patients ( version 2024). Based on the evidence-based medical evidence and Delphi method of expert consultation and voting, 10 recommendations were put forward from two aspects of blood support mode and transfusion strategies, aiming to provide a reference for transfusion resuscitation in the emergency treatment of severe trauma and further improve the success rate of treatment of patients with severe trauma.