牙周炎患者牙周系统治疗后即刻和延时应用组合式种植体的对比研究
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摘要
目的:比较牙周炎患者牙周系统治疗后即刻和延时应用组合式种植体的效果。方法:选取本院2015年2月～2017年11月收治的74例(患牙128颗)牙周炎患者。按随机数表法分为即刻组(37例,患牙62颗)与延时组(37例,患牙66颗)。2组均接受牙周系统治疗,即刻组于拔除患牙后立即植入柱状组合式种植体,延时组拔除患牙后行位点保存术,术后6～8个月再植入柱状组合式种植体。比较2组修复后即刻、修复后3个月的探诊深度(PD)、改良龈沟出血指数(m SBI)、改良菌斑指数(m PLI)、修复后3个月、6个月、12个月的红色美学评分(PES)、修复后3个月的种植体稳定性与修复后1年内的种植体留存率。结果:2组修复即刻与修复后3个月的PD、m SBI、m PLI的差异均无统计学意义(P>0.05)。即刻组修复后3个月的PES评分显著高于延时组(P<0.05)。2组修复后6个月、12个月的PES评分的差异无统计学意义(P>0.05)。2组种植体稳定性、修复后1年内的种植体留存率差异无统计学意义(P>0.05)。结论:即刻种植与延时种植应用于重度牙周炎的修复效果相当,其中前者由于节约患者就诊时间,缩短治疗流程,值得推广。
Objective: To compare the effect of columnar combined implants immediately after treatment of periodontal system in patients with periodontitis. Methods: Total of 74 patients(128 teeth) with periodontitis admitted to our hospital from February 2015 to November 2017 were selected. According to the random number table method, it was divided into immediate group(37 cases, 62 teeth) and delayed group(37 cases, 66 teeth). Both groups received periodontal system treatment. Immediately, the columnshaped combined implant was implanted immediately after the tooth was removed. The delayed group was removed after the tooth was removed. The columnar combination was implanted 6 to 8 months after operation. Implants. The depth of probing(PD), modified sulcus bleeding index(m SBI), modified plaque index(m PLI), and 3 months, 6 months, and 12 months after repair were compared immediately after repair in 2 groups. The red aesthetic score(PES) for the month, the stability of the implant 3 months after repair, and the implant retention rate within 1 year after repair. Results: There were no significant differences in the PD, m SBI and m PLI between the 2 groups immediately after repair and 3 months after repair(P>0.05). The PES scores at 3 months after immediate group repair were significantly higher than those in the delayed group(P<0.05). There was no significant difference in PES scores between the two groups at 6 months and 12 months after repair(P>0.05). There was no significant difference in the stability of implants between the two groups and the retention rate of implants within one year after repair(P>0.05). Conclusion: Immediate planting and delayed planting are equally effective in the treatment of severe periodontitis. The former is better for save patients' visiting time and shorten treatment process. It is worth promoting.
Objective: To compare the effect of columnar combined implants immediately after treatment of periodontal system in patients with periodontitis. Methods: Total of 74 patients(128 teeth) with periodontitis admitted to our hospital from February 2015 to November 2017 were selected. According to the random number table method, it was divided into immediate group(37 cases, 62 teeth) and delayed group(37 cases, 66 teeth). Both groups received periodontal system treatment. Immediately, the columnshaped combined implant was implanted immediately after the tooth was removed. The delayed group was removed after the tooth was removed. The columnar combination was implanted 6 to 8 months after operation. Implants. The depth of probing(PD), modified sulcus bleeding index(m SBI), modified plaque index(m PLI), and 3 months, 6 months, and 12 months after repair were compared immediately after repair in 2 groups. The red aesthetic score(PES) for the month, the stability of the implant 3 months after repair, and the implant retention rate within 1 year after repair. Results: There were no significant differences in the PD, m SBI and m PLI between the 2 groups immediately after repair and 3 months after repair(P>0.05). The PES scores at 3 months after immediate group repair were significantly higher than those in the delayed group(P<0.05). There was no significant difference in PES scores between the two groups at 6 months and 12 months after repair(P>0.05). There was no significant difference in the stability of implants between the two groups and the retention rate of implants within one year after repair(P>0.05). Conclusion: Immediate planting and delayed planting are equally effective in the treatment of severe periodontitis. The former is better for save patients' visiting time and shorten treatment process. It is worth promoting.
引文
1金晓华,冯剑颖,张剑,等.慢性牙周炎及吸烟对后牙局部种植义齿修复患者种植体周围炎发生的影响[J].中华医院感染学杂志,2018,28(9):1398-1400
2王林虎,施斌,叶明福,等.慢性牙周炎与种植牙相关性的Meta分析[J].中华口腔医学研究杂志(电子版),2014,8(1):28-32
3张海东,孟焕新.牙周状况及牙周治疗对口腔种植修复长期效果的影响[J].中华口腔医学杂志,2013,48(4):229-232
4张宇,林野,刘洋,等.牙周炎晚期伴上颌牙槽骨前突畸形患者即刻种植全牙列固定修复的侧貌变化初探[J].中华口腔医学杂志,2017,52(10):625-630
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6黄振,施捷,陈贵,等.牙周-正畸-种植-修复联合治疗重度慢性牙周炎五年随访一例[J].中华口腔医学杂志,2017,52(2):81-85
7章锦才.重度牙周炎患牙行种植修复时的治疗选择[J].中华口腔医学杂志,2014,49(6):324-327
8谢也斯,乔敏,徐宝华,等.牙周炎病史和维护情况对种植修复预后的影响[J].中华老年口腔医学杂志,2017,15(4):253-256
9 Shearer DM,Thomson WM,Cameron CM,et al.Periodontitis and multiple markers of cardiometabolic risk in the fourth decade:A cohort study[J].Community dentistry and oral epidemiology,2018,46(6):615-623
10谢也斯,孟焕新,韩劼,等.牙周炎患者种植修复体机械并发症及菌斑控制的相关性分析[J].中华口腔医学杂志,2016,51(2):69-75
11 Ricardo LH,do Prado RF,Carvalho YR,et al.Cyclosporine A-Induced gingival overgrowth and proliferating cell nuclear antigen expression in experimental periodontitis[J].Journal of oral biology and craniofacial research,2019,9(1):86-90
12 Romano F,Meoni G,Manavella V,et al.Analysis of salivary phenotypes of generalized aggressive and chronic periodontitis through nuclear magnetic resonance-based metabolomics[J].Journal of periodontology,2018,89(12):1452-1460
13 Passos-Soares JS,Santos LPS,Cruz SSD,et al.The impact of caries in combination with periodontitis on oral health-related quality of life in Bahia,Brazil[J].Journal of periodontology,2018,89(12):1407-1417
14 Casarin M,Pazinatto J,Santos RCV,et al.Melaleuca alternifolia and its application against dental plaque and periodontal diseases:A systematic review[J].Phytotherapy research:PTR,2018,32(2):230-242
15 Tabenski L,Moder D,Cieplik F,et al.Antimicrobial photodynamic therapy vs.local minocycline in addition to non-surgical therapy of deep periodontal pockets:a controlled randomized clinical trial[J].Clinical oral investigations,2017,21(7):2253-2264
16马婧,曾融生.慢性牙周炎患者与牙周健康患者种植修复疗效的对比与分析[J].中华口腔医学研究杂志(电子版),2018,12(5):42-47
17 Pimentel SP,Fontes M,Ribeiro FV,et al.Smoking habit modulates peri-implant microbiome:A casecontrol study[J].J Periodontal Res,2018,53(6):983-991
18 Wu YH,Kuraji R,Taya Y,et al.Effects of theaflavins on tissue inflammation and bone resorption on experimental periodontitis in rats[J].Journal of periodontal research,2018,53(6):1009-1019
19 Kurgan S,Onder C,Balc N,et al.Gingival crevicular fluid tissue/blood vessel-type plasminogen activator and plasminogen activator inhibitor-2 levels in patients with rheumatoid arthritis:effects of nonsurgical periodontal therapy[J].Journal of periodontal research,2017,52(3):574-581
20 Ozdogan AI,llarslan YD,Kosemehmetoglu K,et al.In vivo evaluation of chitosan based local delivery systems for atorvastatin in treatment of periodontitis[J].International journal of pharmaceutics,2018,550(1):470-476
2王林虎,施斌,叶明福,等.慢性牙周炎与种植牙相关性的Meta分析[J].中华口腔医学研究杂志(电子版),2014,8(1):28-32
3张海东,孟焕新.牙周状况及牙周治疗对口腔种植修复长期效果的影响[J].中华口腔医学杂志,2013,48(4):229-232
4张宇,林野,刘洋,等.牙周炎晚期伴上颌牙槽骨前突畸形患者即刻种植全牙列固定修复的侧貌变化初探[J].中华口腔医学杂志,2017,52(10):625-630
5孙力,吉凯,陈明,等.激光治疗种植体周围炎的应用及研究进展[J].中华老年口腔医学杂志,2018,16(3):186-190
6黄振,施捷,陈贵,等.牙周-正畸-种植-修复联合治疗重度慢性牙周炎五年随访一例[J].中华口腔医学杂志,2017,52(2):81-85
7章锦才.重度牙周炎患牙行种植修复时的治疗选择[J].中华口腔医学杂志,2014,49(6):324-327
8谢也斯,乔敏,徐宝华,等.牙周炎病史和维护情况对种植修复预后的影响[J].中华老年口腔医学杂志,2017,15(4):253-256
9 Shearer DM,Thomson WM,Cameron CM,et al.Periodontitis and multiple markers of cardiometabolic risk in the fourth decade:A cohort study[J].Community dentistry and oral epidemiology,2018,46(6):615-623
10谢也斯,孟焕新,韩劼,等.牙周炎患者种植修复体机械并发症及菌斑控制的相关性分析[J].中华口腔医学杂志,2016,51(2):69-75
11 Ricardo LH,do Prado RF,Carvalho YR,et al.Cyclosporine A-Induced gingival overgrowth and proliferating cell nuclear antigen expression in experimental periodontitis[J].Journal of oral biology and craniofacial research,2019,9(1):86-90
12 Romano F,Meoni G,Manavella V,et al.Analysis of salivary phenotypes of generalized aggressive and chronic periodontitis through nuclear magnetic resonance-based metabolomics[J].Journal of periodontology,2018,89(12):1452-1460
13 Passos-Soares JS,Santos LPS,Cruz SSD,et al.The impact of caries in combination with periodontitis on oral health-related quality of life in Bahia,Brazil[J].Journal of periodontology,2018,89(12):1407-1417
14 Casarin M,Pazinatto J,Santos RCV,et al.Melaleuca alternifolia and its application against dental plaque and periodontal diseases:A systematic review[J].Phytotherapy research:PTR,2018,32(2):230-242
15 Tabenski L,Moder D,Cieplik F,et al.Antimicrobial photodynamic therapy vs.local minocycline in addition to non-surgical therapy of deep periodontal pockets:a controlled randomized clinical trial[J].Clinical oral investigations,2017,21(7):2253-2264
16马婧,曾融生.慢性牙周炎患者与牙周健康患者种植修复疗效的对比与分析[J].中华口腔医学研究杂志(电子版),2018,12(5):42-47
17 Pimentel SP,Fontes M,Ribeiro FV,et al.Smoking habit modulates peri-implant microbiome:A casecontrol study[J].J Periodontal Res,2018,53(6):983-991
18 Wu YH,Kuraji R,Taya Y,et al.Effects of theaflavins on tissue inflammation and bone resorption on experimental periodontitis in rats[J].Journal of periodontal research,2018,53(6):1009-1019
19 Kurgan S,Onder C,Balc N,et al.Gingival crevicular fluid tissue/blood vessel-type plasminogen activator and plasminogen activator inhibitor-2 levels in patients with rheumatoid arthritis:effects of nonsurgical periodontal therapy[J].Journal of periodontal research,2017,52(3):574-581
20 Ozdogan AI,llarslan YD,Kosemehmetoglu K,et al.In vivo evaluation of chitosan based local delivery systems for atorvastatin in treatment of periodontitis[J].International journal of pharmaceutics,2018,550(1):470-476