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目的研究老年人牙周牙髓联合病变的临床特点及治疗体会,提高临床治愈率。方法对本院口腔门诊176例老年人牙周牙髓联合病变的患者分组治疗,试验组105例采用牙周基础治疗加常规根管治疗;对照组71例只采用牙周系统治疗,1年后评价疗效。结果牙周基础治疗加常规根管治疗对老年人牙周牙髓联合病变疗效明显,1年后复查疗效差异有统计学意义(P<0.01)。结论老年人牙周牙髓联合病变临床表现复杂,诊断明确后,牙周基础治疗加常规根管治疗预后良好,很多老年人患牙能够得以保留。
Objective To study the clinical characteristics and treatment experience of periodontal and pulp combined with elderly patients and to improve the clinical cure rate. Methods One hundred and sixty-six patients with periodontal disease and dental pulp combined disease in our hospital were divided into groups. 105 cases in the experimental group were treated with periodontal basic therapy and conventional root canal therapy. In the control group, 71 cases were treated with periodontal system only. One year later Evaluation of efficacy. Results The basic periodontal treatment plus conventional root canal therapy had significant effect on the combined periodontal and endodontic lesions in the elderly. The difference was significant after one year (P <0.01). Conclusion The clinical manifestations of periodontal and endodontic joint diseases in the elderly are complex. After the diagnosis is clear, the basic periodontal treatment plus conventional root canal therapy has a good prognosis, and many elderly patients can retain their teeth.