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牙周治疗的目的主要为:消除探诊出血和致病性微生物。实现这两个目的的牙周治疗方法很多,牙周外科手术即是其中之一。我将讲述与此有关的问题。但是,首先我要强调的是:①消除牙周袋不是牙周治疗的目的②牙周手术不是治疗牙周病的常规方法。在大多数病例,外科手术并非是必须的。一、牙周手术与预后我曾讲过Hirschefeld等的研究。该研究证明:牙周治疗效果的维持主要与牙周活动性破坏是否发生有关。但遗憾的是,这一研究未详细说明给予了何种治疗方法,及其对预后的影响。Mac Fall在1982年发表了另一个研究报告。研究除了包括Hirschefeld研究的项目外,还详细记录了治疗类型。该研究观察了100个病人,时间10年,结果见表1.根据治疗类型,MacFall又将病人分成
The main purpose of periodontal treatment is: to eliminate probing bleeding and pathogenic microorganisms. Periodontal treatment to achieve these two purposes are many and periodontal surgery is one of them. I will describe the issues related to this. However, the first thing I want to emphasize is: ① eliminate the periodontal pocket is not the purpose of periodontal treatment ② periodontal surgery is not a routine method of treatment of periodontal disease. In most cases, surgery is not necessary. First, periodontal surgery and prognosis I have talked about Hirschefeld and other research. The study shows that: the maintenance of periodontal treatment is mainly related to the occurrence of periodontal active destruction. Unfortunately, however, this study did not specify what treatment was given and its effect on prognosis. Mac Fall published another study in 1982. The study included details of the type of treatment in addition to the Hirschefeld study. The study looked at 100 patients for a period of 10 years and the results are shown in Table 1. According to the type of treatment, MacFall in turn divided the patients into