Clinical analysis and study of periodontal endodontic combined treatment for severe periodontitis
牙周牙髓联合治疗重度牙周炎临床效果分析研究

摘要

目的 将牙周牙髓联合治疗用于重度牙周炎患者中，对其临床效果进行观察。方法 选取2024年1月~2025年3月本院收治的88例重度牙周炎患者，随机分组，对照组44例行单纯牙周治疗，观察组44例行牙周牙髓联合治疗，对两组治疗结果进行比较。结果 两组总有效比较，观察组95.45%更高（P<0.05）；治疗前，两组临床指标（PD、AL、SBI、GI）比较，不具显著差异（P>0.05），治疗后，观察组各指标水平更低（P<0.05）；治疗前，两组CRP、IL-6水平比较，不具显著差异（P>0.05），治疗后，观察组各指标水平更低（P<0.05）；两组术后并发症发生率比较，观察组2.27%更低（P<0.05）。结论 对重度牙周炎患者来说，实施牙周牙髓联合治疗可获得更理想治疗效果，并能改善临床指标，提高牙周健康状况，减轻牙周炎症程度，且术后并发症较少，具有较高应用价值。

Abstract

Objective To observe the clinical efficacy of periodontal pulp combination therapy in patients with severe periodontitis.
Methods 88 patients with severe periodontitis admitted to our hospital from January 2024 to March 2025 were randomly divided into two groups. The control group (44 cases) received simple periodontal treatment, while the observation group (44 cases) received combined periodontal and pulp treatment. The treatment results of the two groups were compared. The total effective rate of the two groups was compared, and the observation group had a higher rate of 95.45% (P<0.05); Before treatment, there was no significant difference in clinical indicators (PD, AL, SBI, GI) between the two groups (P>0.05). After treatment, the levels of each indicator in the observation group were lower (P<0.05); Before treatment, there was no significant difference in the levels of CRP and IL-6 between the two groups (P>0.05). After treatment, the levels of various indicators in the observation group were lower (P<0.05); The incidence of postoperative complications was lower in the observation group (2.27%) compared to the control group (P<0.05).
Conclusion   For patients with severe periodontitis, the implementation of periodontal pulp combined therapy can achieve more ideal treatment effects, improve clinical indicators, enhance periodontal health, reduce the degree of periodontal inflammation, and have fewer postoperative complications, which has high application value.