After patient selection, 100 cases of acute
periodontal abscess were randomly divided into two groups. The experimental group was treated by supra- and
subgingival scaling, while the control group was treated by incision and drainage. A clinical examination was carried out to record the following variables: subjective clinical variables including
pain,
edema, redness and swelling; objective clinical variables including gingival index(GI),
bleeding index(BI), probing depth(PD),
suppuration,
lymphadenopathy and
tooth mobility. The data was analyzed with SPSS 19.0 software package. RESULES: Subjective clinical variables demonstrated statistically significant improvements with both methods from the first day
after treatment and lasted for at least 30 days(P<0.05), but the results of experimental group showed much better than the control group 1 day and 7 days
after treatment. 30 days
after treatment, there was no significant difference between the two groups in
pain and swelling improvement(P>0.05), but the experimental group showed more improvement in
edema and redness than the control group(P<0.05).On improving objective variables, the experimental group showed significant improvement in GI,BI,PD and
suppuration 1 day
after treatment(P<0.05).After 7 days, all objective clinical variables in the experimental group improved significantly(P<0.05) in the control group, there were significant improvements in GI,
suppuration,
lymphadenopathy and
tooth mobility(P<0.05) but the four variables of the experimental group showed more improvement than the control group(P<0.05).After 30 days, all objective clinical variables improved significantly in both groups as compared to baseline, but in the experimental group, improvements were more significant regarding to GI,BI,PD,
suppuration and
tooth mobility(P<0.05).
CONCLUSION: