PDF(Pubmed)
Abstract：
UNASSIGNED: Aggressive periodontitis is a severe form of periodontal disease characterized by rapid tissue destruction and tooth loss. The optimal treatment approach for managing this condition remains a topic of debate.
UNASSIGNED: A retrospective cohort study was conducted, involving patients diagnosed with aggressive periodontitis who received either surgical or non-surgical treatment between 2010 and 2020. Clinical and radiographic data were collected at baseline and regular intervals over a 5-year follow-up period. Surgical interventions included flap surgery, guided tissue regeneration, and bone grafting, while non-surgical treatments comprised scaling and root planning with or without adjunctive antibiotics. The primary outcomes assessed included changes in probing depth, clinical attachment level, tooth loss, and patient-reported quality of life measures.
UNASSIGNED: A total of 120 patients were included in the study, with 60 patients in each treatment group. The surgical group demonstrated significantly greater reductions in probing depth and gains in clinical attachment level compared to the non-surgical group (P < 0.05). Tooth loss was significantly lower in the surgical group over the 5 years (P < 0.01). Patient-reported outcomes also favored the surgical group, with improved oral health-related quality of life. However, the surgical group had a higher incidence of postoperative complications.
UNASSIGNED: This study suggests that periodontal surgery yields superior long-term outcomes in the management of aggressive periodontitis compared to non-surgical treatment.
UNASSIGNED: A retrospective cohort study was conducted, involving patients diagnosed with aggressive periodontitis who received either surgical or non-surgical treatment between 2010 and 2020. Clinical and radiographic data were collected at baseline and regular intervals over a 5-year follow-up period. Surgical interventions included flap surgery, guided tissue regeneration, and bone grafting, while non-surgical treatments comprised scaling and root planning with or without adjunctive antibiotics. The primary outcomes assessed included changes in probing depth, clinical attachment level, tooth loss, and patient-reported quality of life measures.
UNASSIGNED: A total of 120 patients were included in the study, with 60 patients in each treatment group. The surgical group demonstrated significantly greater reductions in probing depth and gains in clinical attachment level compared to the non-surgical group (P < 0.05). Tooth loss was significantly lower in the surgical group over the 5 years (P < 0.01). Patient-reported outcomes also favored the surgical group, with improved oral health-related quality of life. However, the surgical group had a higher incidence of postoperative complications.
UNASSIGNED: This study suggests that periodontal surgery yields superior long-term outcomes in the management of aggressive periodontitis compared to non-surgical treatment.
摘要：
侵袭性牙周炎是一种严重的牙周病，其特征是快速的组织破坏和牙齿脱落。控制这种情况的最佳治疗方法仍然是一个争论的话题。
■进行了一项回顾性队列研究，纳入2010年至2020年间接受手术或非手术治疗的被诊断为侵袭性牙周炎的患者。在5年的随访期内，以基线和定期间隔收集临床和影像学数据。手术干预包括皮瓣手术，引导组织再生，和骨移植，而非手术治疗包括使用或不使用辅助抗生素的缩放和根部规划。评估的主要结果包括探测深度的变化，临床依恋水平，牙齿脱落,和患者报告的生活质量测量。
■共有120名患者被纳入研究，每个治疗组60例。与非手术组相比，手术组显着降低了探查深度和临床依恋水平的增加（P<0.05）。手术组5年牙齿脱落率明显低于对照组(P<0.01)。患者报告的结果也有利于手术组，改善与口腔健康相关的生活质量。然而,手术组术后并发症发生率较高。
■这项研究表明，与非手术治疗相比，牙周手术在治疗侵袭性牙周炎方面的长期效果更好。
■进行了一项回顾性队列研究，纳入2010年至2020年间接受手术或非手术治疗的被诊断为侵袭性牙周炎的患者。在5年的随访期内，以基线和定期间隔收集临床和影像学数据。手术干预包括皮瓣手术，引导组织再生，和骨移植，而非手术治疗包括使用或不使用辅助抗生素的缩放和根部规划。评估的主要结果包括探测深度的变化，临床依恋水平，牙齿脱落,和患者报告的生活质量测量。
■共有120名患者被纳入研究，每个治疗组60例。与非手术组相比，手术组显着降低了探查深度和临床依恋水平的增加（P<0.05）。手术组5年牙齿脱落率明显低于对照组(P<0.01)。患者报告的结果也有利于手术组，改善与口腔健康相关的生活质量。然而,手术组术后并发症发生率较高。
■这项研究表明，与非手术治疗相比，牙周手术在治疗侵袭性牙周炎方面的长期效果更好。
