치주병환자의 계속구강건강관리결과

Abstract

With the increasing rate of the average life span, tooth loss caused by periodontal disease was increasing. The purpose of this study was to evaluate the effectiveness of maintenance care in the periodontal patients. The study included 99 patients(53 men and 46 women). The mean age was 52.6±12.1 years old. All patients had been treated with non-surgical periodontal therapy and regularly received maintenance care for 2, 3, 4, 5 years, respectively. After initial periodontal treatment, perio-related variables such as O'Leary Plaque Index, periodontal probing depth, bleeding on probing, tooth mobility, and the number of tooth loss or average tooth loss of patients were analysed. This results were as follows ; 1. The 2 years maintenance care showed significant reduction of O'Leary Plaque Index comparing with the baseline on which periodontal treatment was accomplished(p＜0.01). 2. The 2 years maintenance care showed significant reduction of bleeding on probing comparing with the baseline on which periodontal treatment was accomplished(p＜0.001). 3. Physiologic tooth mobility rate was increased at the 2, 3, 4 and 5 year maintenance care group, respectively(p＜0.01). 4. 2 and 3 year maintenance care group showed significant increase of below 3 mm pocket depth rate at maintenance care(p＜0.01). 5. Average tooth loss of patients was 0.1, 0.08, 0.08, 0.08 for 2 or 3, 4, 5 years, respectively. In conclusion, periodontal maintenance care is the most effective treatment method for improving periodontal health to the patients who have chronic adult periodontal disease. More studies on periodontal maintenance care will be needed to identify that periodontal maintenance care could be the first choice of treatment for the patient suffering from chronic periodontal disease.