Journal of Periodontal and Implant Science
- Volume 28 Issue 4
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- Pages.645-660
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- 1998
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- 2093-2278(pISSN)
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- 2093-2286(eISSN)
Decision Making on the Non surgical, Surgical Treatment on Chronic Adult Periodontitis
만성 성인성 치주염 치료시 비외과적, 외과적 방법에 대한 의사결정
- Song, Si-Eun (Department of Periodontolog, College of Dentistry, Yonsei University) ;
- Li, Seung-Won (Department of Periodontolog, College of Dentistry, Yonsei University) ;
- Cho, Kyoo-Sung (Department of Periodontolog, College of Dentistry, Yonsei University) ;
- Chai, Jung-Kiu (Department of Periodontolog, College of Dentistry, Yonsei University) ;
- Kim, Chong-Kwan (Department of Periodontolog, College of Dentistry, Yonsei University)
- 송시은 (연세대학교 치과대학 치주과학교실) ;
- 이승원 (연세대학교 치과대학 치주과학교실) ;
- 조규성 (연세대학교 치과대학 치주과학교실) ;
- 채중규 (연세대학교 치과대학 치주과학교실) ;
- 김종관 (연세대학교 치과대학 치주과학교실)
- Published : 1998.12.31
Abstract
The purpose of this study was to make and ascertain a decision making process on the base of patient-oriented utilitarianism in the treatment of patients of chronic adult periodontitis. Fifty subjects were chosen in Yonsei Dental hospital and the other fifty were chosen in Severance dental hospital according to the selection criteria. Fifty four patients agreed in this study. NS group(N=32) was treated with scaling and root planing without any surgical intervention, the other S group(N=22) done with flap operation. During the active treatment and healing time, all patients of both groups were educated about the importance of oral hygiene and controlled every visit to the hospital. When periodontal treatment needed according to the diagnostic results, some patients were subjected to professional tooth cleaning and scaling once every 3 months according to an individually designed oral hygienic protocol. Probing depth was recorded on baseline and 18 months after treatments. A questionnaire composed of 6 kinds(hygienic easiness, hypersensitivity, post treatment comfort, complication, functional comfort, compliance) of questions was delivered to each patient to obtain the subjective evaluation regarding the results of therapy. The decision tree for the treatment of adult periodontal disease was made on the result of 2 kinds of periodontal treatment and patient's ubjective evaluation. The optimal path was calculated by using the success rate of the results as the probability and utility according to relative value and the economic value in the insurance system. The success rate to achieve the diagnostic goal of periodontal treatment as the remaining pocket depth less than 3mm and without BOP was