徐 睿,朱 倩

目的：评估牙周内窥镜在种植体周围炎治疗中的疗效。方法：选取医院收治的60例种植体周围炎患者，根据种植体周围炎病情程度评估，将患者分为轻度、中度和重度三类，每类20人；再将每类20人随机平均分配到实验组（内窥镜治疗组）和对照组（传统方法治疗组）；实验组采用牙周内窥镜辅助进行机械清创，随后用0.2% 洗必泰溶液在牙周袋内灌注 3 min，龈下上药0.5g 牙周康软膏；对照组视患病程度选择采用碳纤维刮治器或牙周翻瓣术进行清创，随后用0.2% 洗必泰溶液在牙周袋内灌注 3 min，龈下上药0.5g 牙周康软膏；分析比较治疗前（基线）和治疗后6个月，分别用佛罗里达探针牙周评价系统记录每个患病种植体的牙周临床指标，检查指标包括牙齿表面菌斑积聚程度的菌斑指数（PLI）、牙龈炎症状况的牙龈指数（GI）以及牙周探测深度的指标（PD），对所得的数据应用SPSS 26.0软件进行统计。结果：治疗6个月后，实验组和对照组的PLI、GI及牙周PD均有所改善。PLI、GI和牙周PD的3项数据均显示内窥镜辅助组对种植体周围炎的治疗效果显著优于传统方法组，两组比较差异有统计学意义。结论：对于种植体周围炎的非手术治疗，使用牙周内窥镜辅助可提升其疗效。

种植体周围炎；牙周病；牙周内窥镜；口腔种植

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