种植体周围炎龈沟液内牙龈卟啉单胞菌和血链球菌的变化与临床指标的关系

发布时间：2018-04-21 15:04

本文选题：种植体周围炎 + 龈沟液　；参考：《中华医院感染学杂志》2017年10期

【摘要】：目的观察种植体周围炎龈沟液内牙龈卟啉单胞菌和血链球菌的变化情况及与种植体周袋探诊深度、改良菌斑指数、改良龈沟出血指数、骨丧失指标的关系。方法选取永康市第一人民医院口腔科2013年6月-2015年12月种植修复1年以上种植体周围炎患者30例为种植体周围炎组,健康种植体患者30例为健康种植体组,采用电化学测菌法测定各组患者龈沟液内牙龈卟啉单胞菌和血链球菌含量。结果种植体周围炎组种植体龈沟液内牙龈卟啉单胞菌检出量高于健康对照牙(P0.05);种植体周围炎组种植体龈沟液内牙龈卟啉单胞菌检出量高于健康种植体组(P0.05);种植体周围炎组种植体龈沟液内血链球菌检出量低于健康对照牙(P0.05);种植体周围炎组种植体龈沟液内血链球菌检出量低于健康种植体组(P0.05);种植体周围炎组种植体周袋探诊深度、改良菌斑指数、改良龈沟出血指数、骨丧失均高于健康种植体组(P0.05);种植体龈沟液内牙龈卟啉单胞菌与种植体周袋探诊深度、改良菌斑指数、改良龈沟出血指数、骨丧失均呈正相关(P0.05);种植体龈沟液内血链球菌与种植体周袋探诊深度、改良菌斑指数、改良龈沟出血指数、骨丧失均呈负相关(P0.05)。结论种植体周围炎龈沟液内牙龈卟啉单胞菌含量增加,血链球菌含量降低,种植体周围炎龈沟液内牙龈卟啉单胞菌和临床指标呈正相关,血链球菌和临床指标呈负相关。
[Abstract]:Objective to observe the changes of Porphyromonas gingivalis and Streptococcus sanguis in peri-implant gingival crevicular fluid and their relationship with the probing depth of periimplant bag, the modified plaque index, the modified gingival sulcus bleeding index and the index of bone loss. Methods from June 2013 to December 2015, 30 patients with peri-implant inflammation and 30 healthy implants were selected from Department of Stomatology, the first people's Hospital of Yongkang City, from June 2013 to December 2015. The contents of porphyromonas gingivalis and streptococcus sanguis in gingival crevicular fluid were measured by electrochemical bacteria assay. Results the detectable amount of porphyromonas in gingival crevicular fluid in implant group was higher than that in healthy control group (P 0.05), and the detection amount of porphyromonas in gingival crevicular fluid in implant group was higher than that in healthy implant group (P 0.05). The detectable amount of streptococcus sanguis in implant gingival crevicular fluid was lower in the peri-implant group than that in the healthy control group (P 0.05); the detection rate of streptococcus sanguis in the implant gingival crevicular fluid in the implant group was lower than that in the healthy implant group; the detection depth of the periimplant bag in the periimplant group was lower than that in the control group. The improved plaque index, modified gingival sulcus bleeding index and bone loss were higher than those of the healthy implant group (P 0.05), and the probing depth of porphyromonas gingivalis in the gingival crevicular fluid, the improved plaque index, the modified gingival sulcus bleeding index, the depth of detection of porphyromonas gingivalis in the implant gingival crevicular fluid, There was a positive correlation between bone loss and the depth of probing in implant gingival crevicular fluid, improved plaque index, modified gingival sulcus bleeding index, and a negative correlation of bone loss between Streptococcus sanguis and peri-implant bag probing depth, improved plaque index, modified gingival sulcus bleeding index and bone loss. Conclusion the content of Porphyromonas gingivalis in periimplant gingival crevicular fluid increased and Streptococcus sanguis decreased. There was a positive correlation between porphyromonas gingivalis in gingivitis crevicular fluid and clinical indexes, and a negative correlation between Streptococcus sanguis and clinical indexes.
【作者单位】：永康市第一人民医院口腔科;浙江大学医学院附属口腔医院口腔修复科;
【基金】：浙江省医药卫生一般研究计划基金资助项目(2015KYB227)
【分类号】：R783.6

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