Plaque Control Level after Periodontal Initial Therapy

牙周病基本治療後的牙菌斑清潔程度

鍾文宸(Wen-Chen Chung) ； 呂炫堃(Hsein-Kun Lu)

《臺灣牙周病醫學會雜誌》 19卷2期 (2014/06) Pp. 90-97

https://doi.org/10.6121/TAP.2014.19.2.02

摘要

目的：探討牙周炎病患在經過牙周病基本治療後，自我牙菌斑清潔控制的程度。方法：從一般牙科診所取得完成牙周病基本治療的病患病歷，分析基本治療前和治療後至少一個月的再評估檢查的牙菌斑指數（A Modification of O’Leary Plaque Control Record）和牙周探測深度。結果：共納入104位病患的病歷資料進行分析，牙周探測深度≧4毫米的位置及平均牙菌斑數量在治療前後有顯著的減少（p ＜ .05）。但多達90%以上的病患在治療前以及治療後再評估檢查都無法執行良好的口腔衛生清潔。在治療後一個月的再評估檢查，只有1.9%的病患可以達到理想的牙菌斑清潔程度（plaque score ≦ 10%），並且只有7.7%的病患可以維持牙菌斑指數在11%~20%之間。結論：牙醫師在安排牙周病手術之前必須要持續性的對病患進行口腔衛生教育和牙菌斑控制；並且在全民健康保險的制度下，牙周病維護性治療也必須定期的提醒和教導病患牙菌斑的控制。

關鍵字

口腔衛生 ； 牙菌斑控制 ； 基本治療 ； 再評估

並列摘要

Objective: The aim of present retrospective study was to investigate the level of plaque control among patients who had completed periodontal initial therapy under the surveillance of National Health Insurance of Taiwan government (NHIT) program at a private clinic.Materials and Methods: The histories of patients who had completed periodontal initial therapy and had then undergone a re-evaluation examination at the private clinic were reviewed. A modification of the O’Leary Plaque Control Record was used for the baseline and re-evaluation examinations. The plaque scores and periodontal probing depths were then analyzed by paired t-test.Results: Total of 104 patients was included. Periodontal probing depths of ≥ 4mm sites were significantly reduced from baseline to re-evaluation (p ＜ .05). The mean plaque score was also found to be significant difference between baseline and re-evaluation (p ＜ .05). More than 90% of patients did not have good plaque control at baseline nor on the re-evaluation visit. During the re-evaluation examinations, only 1.9% of patients were found to have ideal plaque control (plaque score ≦ 10%) and only 7.7% of patients were able to maintain their plaque score at between 11% and 20%.Conclusion: Continuous oral hygiene reinforcement is necessary, not only before initiating periodontal surgery, but also during long-term recall and follow-up as part of periodontal maintenance.

並列關鍵字

oral hygiene ； plaque control ； initial therapy ； re-evaluation