Journal of Prevention and Treatment for Stomatological Diseases ›› 2021, Vol. 29 ›› Issue (3): 171-177.DOI: 10.12016/j.issn.2096-1456.2021.03.005
• Clinical Study • Previous Articles Next Articles
XIA Jiaojiao1,2(),LI Houxuan1(
)
Received:
2019-11-28
Revised:
2020-08-16
Online:
2021-03-20
Published:
2021-01-12
Contact:
Houxuan LI
Supported by:
通讯作者:
李厚轩
作者简介:
夏娇娇,住院医师,硕士研究生在读,Emai:基金资助:
CLC Number:
XIA Jiaojiao,LI Houxuan. Clinical efficacy evaluation of minimally invasive periodontal therapy assisted by endoscopy[J]. Journal of Prevention and Treatment for Stomatological Diseases, 2021, 29(3): 171-177.
夏娇娇,李厚轩. 内窥镜辅助下微创牙周基础治疗的临床疗效评价[J]. 口腔疾病防治, 2021, 29(3): 171-177.
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Group | Age(x ± s,years) | Gender | Teeth | Research sites | ||
---|---|---|---|---|---|---|
Male | Female | 4 mm≤PD<6 mm | PD≥6 mm | |||
Endoscopic | 33.22 ± 4.09 | 5 | 4 | 112 | 248 | 208 |
Control | 29.00 ± 4.90 | 5 | 5 | 123 | 292 | 188 |
t/χ2 | t = 2.027 | χ2 = 0.229 | χ2 = 3.72 | |||
P | 0.059 | 0.821 | 0.053 |
Table 1 General information of included patients
Group | Age(x ± s,years) | Gender | Teeth | Research sites | ||
---|---|---|---|---|---|---|
Male | Female | 4 mm≤PD<6 mm | PD≥6 mm | |||
Endoscopic | 33.22 ± 4.09 | 5 | 4 | 112 | 248 | 208 |
Control | 29.00 ± 4.90 | 5 | 5 | 123 | 292 | 188 |
t/χ2 | t = 2.027 | χ2 = 0.229 | χ2 = 3.72 | |||
P | 0.059 | 0.821 | 0.053 |
Group | Number of sites | 4 < PD ≤6 mm | Number of sites | PD>6 mm | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | 3 months | 6 months | Pa | Pb | Pc | Baseline | 3 months | 6 months | Pa | Pb | Pc | ||||
Endoscopic | 248 | 5.05 ± 0.60 | 3.11 ± 1.25 | 3.17 ± 1.19 | < 0.001 | <0.001 | 0.404 | 208 | 7.96 ± 1.40 | 3.79 ± 1.36 | 3.37 ± 1.30 | < 0.001 | < 0.001 | < 0.001 | |
Control | 292 | 5.13 ± 0.59 | 3.34 ± 1.31 | 3.26 ± 1.31 | < 0.001 | <0.001 | 0.402 | 188 | 7.71 ± 1.55 | 4.44 ± 1.80 | 4.24 ± 1.65 | < 0.001 | < 0.001 | 0.092 | |
t | 1.833 | 4.633 | 0.707 | 6.14 | 11.741 | 31.492 | |||||||||
P | 0.175 | 0.031 | 0.4 | 0.013 | <0.001 | <0.001 |
Table 2 Alteration of probing depth during treatment
Group | Number of sites | 4 < PD ≤6 mm | Number of sites | PD>6 mm | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | 3 months | 6 months | Pa | Pb | Pc | Baseline | 3 months | 6 months | Pa | Pb | Pc | ||||
Endoscopic | 248 | 5.05 ± 0.60 | 3.11 ± 1.25 | 3.17 ± 1.19 | < 0.001 | <0.001 | 0.404 | 208 | 7.96 ± 1.40 | 3.79 ± 1.36 | 3.37 ± 1.30 | < 0.001 | < 0.001 | < 0.001 | |
Control | 292 | 5.13 ± 0.59 | 3.34 ± 1.31 | 3.26 ± 1.31 | < 0.001 | <0.001 | 0.402 | 188 | 7.71 ± 1.55 | 4.44 ± 1.80 | 4.24 ± 1.65 | < 0.001 | < 0.001 | 0.092 | |
t | 1.833 | 4.633 | 0.707 | 6.14 | 11.741 | 31.492 | |||||||||
P | 0.175 | 0.031 | 0.4 | 0.013 | <0.001 | <0.001 |
Group | Number of sites | 4 < PD ≤ 6 mm | Number of sites | PD>6 mm | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | 3 months | 6 months | Pa | Pb | Pc | Baseline | 3 months | 6 months | Pa | Pb | Pc | ||||
Endoscopic | 248 | 43.96% | 20.97% | 14.52% | < 0.001 | <0.001 | 0.06 | 208 | 66.35% | 15.87% | 25% | <0.001 | <0.001 | 0.021 | |
Control | 292 | 42.47% | 23.29% | 13.36% | < 0.001 | <0.001 | 0.002 | 188 | 51.06% | 11.70% | 18.09% | <0.001 | <0.001 | 0.082 | |
χ2 | 0.121 | 0.418 | 0.151 | 9.54 | 1.431 | 2.777 | |||||||||
P | 0.728 | 0.518 | 0.698 | 0.002 | 0.232 | 0.096 |
Table 3 Alteration of bleeding on probing during treatment
Group | Number of sites | 4 < PD ≤ 6 mm | Number of sites | PD>6 mm | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | 3 months | 6 months | Pa | Pb | Pc | Baseline | 3 months | 6 months | Pa | Pb | Pc | ||||
Endoscopic | 248 | 43.96% | 20.97% | 14.52% | < 0.001 | <0.001 | 0.06 | 208 | 66.35% | 15.87% | 25% | <0.001 | <0.001 | 0.021 | |
Control | 292 | 42.47% | 23.29% | 13.36% | < 0.001 | <0.001 | 0.002 | 188 | 51.06% | 11.70% | 18.09% | <0.001 | <0.001 | 0.082 | |
χ2 | 0.121 | 0.418 | 0.151 | 9.54 | 1.431 | 2.777 | |||||||||
P | 0.728 | 0.518 | 0.698 | 0.002 | 0.232 | 0.096 |
Group | Number of sites | 4 < PD ≤ 6 mm | Number of sites | PD>6 mm | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | 3 months | 6 months | Pa | Pb | Pc | Baseline | 3 months | 6 months | Pb | Pc | |||
Endoscopic | 248 | 5.71 ± 1.23 | 4.36 ± 1.55 | 4.30 ± 1.55 | <0.001 | <0.001 | 0.533 | 208 | 8.35±1.35 | 5.10±1.41 | 5.50±1.71 | <0.001 | 0.005 |
Control | 292 | 5.76 ± 1.08 | 4.32 ± 1.58 | 4.37 ± 1.73 | <0.001 | <0.001 | 0.796 | 188 | 7.92±1.15 | 5.20±1.78 | 5.40±1.61 | <0.001 | 0.154 |
t | 0.919 | 0.204 | 0.221 | 9.36 | 0.096 | 0.409 | |||||||
P | 0.337 | 0.651 | 0.638 | 0.002 | 0.756 | 0.522 |
Table 4 Alteration of attachment loss during treatment
Group | Number of sites | 4 < PD ≤ 6 mm | Number of sites | PD>6 mm | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Baseline | 3 months | 6 months | Pa | Pb | Pc | Baseline | 3 months | 6 months | Pb | Pc | |||
Endoscopic | 248 | 5.71 ± 1.23 | 4.36 ± 1.55 | 4.30 ± 1.55 | <0.001 | <0.001 | 0.533 | 208 | 8.35±1.35 | 5.10±1.41 | 5.50±1.71 | <0.001 | 0.005 |
Control | 292 | 5.76 ± 1.08 | 4.32 ± 1.58 | 4.37 ± 1.73 | <0.001 | <0.001 | 0.796 | 188 | 7.92±1.15 | 5.20±1.78 | 5.40±1.61 | <0.001 | 0.154 |
t | 0.919 | 0.204 | 0.221 | 9.36 | 0.096 | 0.409 | |||||||
P | 0.337 | 0.651 | 0.638 | 0.002 | 0.756 | 0.522 |
Group | Number of sites | 4<PD ≤ 6 mm | Number of sites | PD>6 mm | ||||
---|---|---|---|---|---|---|---|---|
3 monthsa | 6 monthsa | 6 monthsb | 3 monthsa | 6 monthsa | 6 monthsb | |||
Endoscopic | 248 | -1.35 ± 1.64 | -1.41 ± 1.63 | -0.056 ± 1.39 | 208 | -3.25 ± 1.62 | -2.85 ± 1.84 | 0.39 ± 1.41 |
Control | 292 | -1.45 ± 1.46 | -1.40 ± 1.58 | 0.051 ± 1.45 | 188 | -2.72 ± 1.76 | -2.52 ± 1.57 | 0.21 ± 1.67 |
t | 0.196 | 0.671 | 0.580 | 9.923 | 3.586 | 1.165 | ||
P | 0.657 | 0.412 | 0.446 | 0.001 | 0.058 | 0.280 |
Table 5 Comparison of alteration of attachment loss during treatment
Group | Number of sites | 4<PD ≤ 6 mm | Number of sites | PD>6 mm | ||||
---|---|---|---|---|---|---|---|---|
3 monthsa | 6 monthsa | 6 monthsb | 3 monthsa | 6 monthsa | 6 monthsb | |||
Endoscopic | 248 | -1.35 ± 1.64 | -1.41 ± 1.63 | -0.056 ± 1.39 | 208 | -3.25 ± 1.62 | -2.85 ± 1.84 | 0.39 ± 1.41 |
Control | 292 | -1.45 ± 1.46 | -1.40 ± 1.58 | 0.051 ± 1.45 | 188 | -2.72 ± 1.76 | -2.52 ± 1.57 | 0.21 ± 1.67 |
t | 0.196 | 0.671 | 0.580 | 9.923 | 3.586 | 1.165 | ||
P | 0.657 | 0.412 | 0.446 | 0.001 | 0.058 | 0.280 |
Figure 1 Clinical data of typical case of minimally invasive periodontal therapy assisted by endoscope at initial diagnosis a: intraoral photographs show that the oral hygiene of the whole mouth is poor, gingival withdrawal with enamel bone exposure, a large number of dark brown subgingival calculus exposure, a small amount of pigmentation in the crown, the gingival color is dark and red, the gingival margin and gingival papilla are congested and swollen, some sites have spontaneous bleeding; b: rotational panoramic radiograph shows that total alveolar bone level resorption reached 1/3 of root tip, most sites alveolar bone resorption reached root tip; c: diagram of Florida probing shows that the looseness degrees of 34, 36, 32, 31, 41, 44 and 46 are grade Ⅲ, 26, 37, 16 and 42 are above grade Ⅱ, 37, 25 and 45 are grade Ⅱ, 17 and 15 are above grade Ⅰ, and 22, 33, 43 and 47 are degree Ⅰ
Figure 2 Periodontal condition of case at 6 months after minimally invasive periodontal therapy assisted by endoscope a: intraoral photographs at 6 months after treatment show that periodontal stability is better; b: rotational panoramic radiograph at 6 months after treatment shows that the alveolar bone white line is formed in the whole mouth, and the alveolar bone absorbed about 1/2 to 1/3 of the root tip; c: diagram of Florida probing at 6 months after treatment shows that the looseness degrees of 46 is grade Ⅱ, the looseness degrees of 11, 12, 14, 15, 16, 17, 21, 22, 23, 24, 25, 26, 34, 35, 36, 37 and 45 are gradeⅠ
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