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目的研究吸烟对钙拮抗剂致牙龈增生的牙周非手术治疗的影响。方法对18例因钙拮抗剂致牙龈增生患者进行牙周非手术治疗,分别选取吸烟组(58个位点)与非吸烟组(46个位点)患者的多个位点观察菌斑指数(PLI)、龈沟出血指数(SBI)、牙龈增生指数(GO)、附着丧失(AL)和探诊深度(probing depth,PD),分析吸烟对治疗效果的影响。结果治疗前,吸烟组SBI明显小于非吸烟组(P<0.05),PD、PLI、GO、AL的差异无统计学意义;治疗后,吸烟组与非吸烟组PLI、PD、SBI较治疗前均有减少,且差异有统计学意义(P<0.05);未吸烟组的改变量明显高于吸烟组,且差异有统计学意义(P<0.05)。结论非吸烟组钙拮抗剂致牙龈增生患者的牙周非手术治疗效果好于吸烟组。
Objective To investigate the effects of smoking on periodontal non-surgical treatment of GAG induced by calcium antagonists. Methods Eighteen patients with gingival hyperplasia induced by calcium antagonists were treated with periodontal non-surgical treatment. The plaque index (n = 18) was observed at multiple sites in smoking group (58 sites) and non-smoking group (46 sites) PLI, SBI, GO, attachment loss (AL) and probing depth (PD) were analyzed. The effect of smoking on the treatment effect was analyzed. Results Before treatment, the SBI of smoking group was significantly lower than that of non-smoking group (P <0.05), while the differences of PD, PLI, GO and AL were not statistically significant. After treatment, the PLI, PD and SBI of smoking group and non- (P <0.05). The change in non-smoker group was significantly higher than that in smoker group, and the difference was statistically significant (P <0.05). Conclusion Non-smoking group calcium-antagonist gingival hyperplasia periodontal non-surgical treatment is better than smoking group.