两种牙周术式对龈下残根桩核冠修复的疗效分析-中华临床医师杂志.PDFVIP

·3808 · 中华临床医师杂志( 电子版)2014 年 11 月第 8 卷第 21 期 Chin J Clinicians(Electronic Edition),November 1,2014,Vol.8,No.21 ·临床论著· 两种牙周术式对龈下残根桩核冠修复的 疗效分析 邓霞 何陨 【摘要】 目的 比较牙龈切除术与牙冠延长术应用于龈下残根的修复效果。方法 选择龈下 残根患牙 32 颗，分别采用牙龈切除术与牙冠延长术完全暴露断面，再行常规桩冠修复，通过术前、 术后 2 周、6 周及 3 个月复查观察患牙牙周探诊深度、出血指数、牙齿松动度，比较两组的临床疗 效。结果 术后 2 周牙冠延长术组患牙断缘均有效暴露，牙龈切除术组有 4 颗患牙因牙龈增生而排 除，其余患牙术后 2 周、6 周及 3 个月复查时龈袋深度、出血指数均比术前明显减少，牙冠延长术 组的牙周指数均明显低于牙龈切除术组。结论 在严格的适应证范围内，牙龈切除术与牙冠延长术 应用于龈下残根均能暴露断缘，冠修复后效果后者的临床疗效优于前者。 【关键词】 牙龈切除术； 牙冠伸长术； 牙周指数； 龈下残根； 生物学宽度； 桩核 冠 Restorative effects of gingivectomy and surgical crown lengthening on subgingival residual roots * * Deng Xia , He Yun. Department of Stomatology, Nuclear of Industry 416 Hospital, Chengdu 610 051, China Corresponding author: He Yun, Email: 7657929@ 【Abstract 】 Objective The effects of gingivectomy and surgical crown lengthening methods were compared on deep-seated subgingival residual roots. Methods Thirty-two teeth were selected and divided into A group (surgical crown lengthening group) and B group (gingivectomy group). Regular restoration of post-core crowns were performed after the teeth cross-section were completely exposed. The clinic effects were compared by measuring probing depth (PD), bleeding index (BI) and tooth mobility (TM) at the time of pre-operation, 2 weeks, 6 weeks and 3months after surgery. Results The cross-sections of the subgingival residual roots could be exposed effectively in both groups after periodontal surgery immediately. However, there were 4 residual roots be excluded because of the gum hyperplasia aft