国际口腔医学杂志 ›› 2021, Vol. 48 ›› Issue (1): 29-34.doi: 10.7518/gjkq.2021012

• 牙周专栏 • 上一篇    下一篇

龈下清创术与根面平整术

闫乐,侯建霞()   

  1. 北京大学口腔医学院·口腔医院牙周科 国家口腔疾病临床医学研究中心 口腔数字化医疗技术和材料国家工程实验室 口腔数字医学北京市重点实验室 北京 100081
  • 收稿日期:2020-03-28 修回日期:2020-09-19 出版日期:2021-01-01 发布日期:2021-01-20
  • 通讯作者: 侯建霞
  • 作者简介:闫乐,博士,Email: yanyue2012kq@126.com

Subgingival debridement and root planing

Yan Yue,Hou Jianxia()   

  1. Dept. of Periodontology, Peking University School and Hospital of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China
  • Received:2020-03-28 Revised:2020-09-19 Online:2021-01-01 Published:2021-01-20
  • Contact: Jianxia Hou

摘要:

自20世纪70年代起,为了清除“病变牙骨质”,需专用手工器械完成的根面平整术成为牙周炎非手术治疗的核心内容。随后部分有关根面内毒素的研究认为没有必要使用根面平整术过度去除牙骨质,主张“龈下清创术”。目前规范化牙周治疗的主流观点仍强调在龈下清创后使用手工器械处理牙根表面作为去除病因的重要程序,从而使根面具有生物相容性。既往有关根面平整术的研究主要是对比单纯超声龈下清创术和单纯手工龈下刮治及根面平整术,缺乏超声龈下清创术与超声龈下清创联合手工根面平整术的对比研究。本文综述以往关于龈下清创术和根面平整术的相关研究,为临床医生治疗方案选择提供指导,同时也为将来开展相关的临床研究提供参考。

关键词: 龈下刮治术, 根面平整术, 龈下清创术

Abstract:

Since the 1970s, root planing has become the core of non-surgical treatment of periodontitis to eliminate “infected cementum”. Subsequent studies on root endotoxin have concluded that excessive removal of the cementum by root planing is unnecessary, which also prompt the concept of “subgingival debridement”. At present, the mainstream view of standardized periodontal treatment still emphasizes the use of manual instruments to make the root surface biocompatible as an important procedure for removing the pathogens after subgingival debridement. Previous studies on root planing mainly focused on the comparison of ultrasonic subgingival debridement with manual subgingival scaling and root planing. Ultrasonic subgingival debridement has yet to be compared with ultrasonic subgingival debridement combined with manual root planing. This article reviews previous studies on subgingival debridement and root planing to provide guidance of decision-making for clinicians and references for future clinical research.

Key words: subgingival scaling, root planing, subgingival debridement

中图分类号: 

  • R781.4 +2
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