【摘要】：背景:牙周病是口腔中較為常見的疾病。它是一種主要由牙周致病菌所引起,導(dǎo)致牙齒支持組織發(fā)生炎癥和進(jìn)行性破壞的感染性疾病。菌斑生物膜是牙周病的始動(dòng)因子。破壞齦上和(或)齦下菌斑生物膜的結(jié)構(gòu),并將其與牙面和(或)根面的牙結(jié)石徹底去除,是牙周病基礎(chǔ)治療的主要目標(biāo)。目前,牙周基礎(chǔ)治療是臨床上應(yīng)用最廣和最為有效的治療牙周病的方法。為了提高牙周基礎(chǔ)治療的臨床療效,減少傳統(tǒng)牙周非手術(shù)治療的臨床局限性及缺點(diǎn),避免某些重度牙周炎患者對(duì)牙周手術(shù)治療干預(yù)的需要,近些年來,各種新的行之有效的治療策略被提出。方法:通過對(duì)牙周病非手術(shù)治療的相關(guān)內(nèi)容進(jìn)行廣泛性的文獻(xiàn)回顧(包含綜述、系統(tǒng)評(píng)價(jià)和隨機(jī)對(duì)照試驗(yàn)等),介紹了傳統(tǒng)牙周病非手術(shù)治療的現(xiàn)狀,并從傳統(tǒng)牙周治療器械的改良、牙周病治療新技術(shù)的開展和牙周病新治療方案的應(yīng)用等方面,對(duì)其研究進(jìn)展進(jìn)行相應(yīng)描述和評(píng)價(jià)。結(jié)果:傳統(tǒng)的牙周非手術(shù)治療存在著一定的局限性。藥物治療可作為牙周基礎(chǔ)治療的補(bǔ)充。傳統(tǒng)牙周治療器械和治療方式的改良,不單使牙周基礎(chǔ)治療取得更好的療效,而且患者能夠獲得更好的治療體驗(yàn)。牙周基礎(chǔ)治療輔以牙周內(nèi)鏡、激光和光動(dòng)力等新技術(shù)治療牙周病,其效果優(yōu)于傳統(tǒng)的治療方法。甘氨酸齦下噴砂可作為牙周維護(hù)期去除齦下菌斑和牙石的另一種有效治療手段。結(jié)論:不論在牙周非手術(shù)治療中使用何種治療器械或者采用何種治療方案,牙周非手術(shù)治療都是治療牙周疾病的有效治療方法。雖然先進(jìn)的治療技術(shù)和設(shè)備等在不斷發(fā)展更新,但是牙周非手術(shù)治療仍然是治療牙周病的金標(biāo)準(zhǔn)。
[Abstract]:Background: periodontal disease is a common disease in the oral cavity. It is an infectious disease mainly caused by periodontal pathogenic bacteria, which causes inflammation and progressive destruction of dental supporting tissue. Plaque biofilm is the initiator of periodontal disease. Destroying the structure of the supragingival and / or subgingival plaque biofilm and removing the calculus from the tooth surface and / or root surface is the main goal of the basic treatment of periodontitis. At present, periodontal basic therapy is the most widely used and most effective method in the treatment of periodontal disease. In order to improve the clinical effect of periodontal basic treatment, reduce the clinical limitations and shortcomings of traditional periodontal non-surgical treatment, and avoid the need of some severe periodontitis patients to intervene in periodontal surgery, in recent years, Various new and effective treatment strategies have been proposed. Methods: the current situation of non-operative treatment of periodontal disease was reviewed by reviewing the literature (including review, systematic evaluation and randomized controlled trial). The research progress was described and evaluated from the aspects of the improvement of traditional periodontal treatment instruments, the development of new techniques for periodontal disease treatment and the application of new treatment schemes for periodontal diseases. Results: the traditional periodontal non-operative treatment has some limitations. Drug therapy can be used as a supplement to basic periodontal therapy. The improvement of the traditional periodontal treatment instruments and treatment methods not only makes periodontal basic treatment obtain better curative effect, but also the patients can get better treatment experience. Periodontal basic therapy combined with periodontal endoscopy, laser and photodynamic therapy is more effective than traditional methods. Glycine subgingival blasting can be used as another effective treatment for removal of subgingival plaque and odontolith during periodontal maintenance. Conclusion: periodontal non-surgical treatment is an effective treatment for periodontal diseases, no matter what instruments or treatments are used in periodontal non-surgical treatment. Although advanced treatment technology and equipment are developing, periodontal non-surgical treatment is still the gold standard for periodontal disease.
【學(xué)位授予單位】：南昌大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2017
【分類號(hào)】：R781.4

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