种植修复后慢性牙周炎患者种植体的松动度、SBI及PIS指数的变化水平

发布时间：2018-05-20 07:03

本文选题：种植修复 + 牙周炎　；参考：《重庆医学》2015年28期

【摘要】：目的探讨种植修复对慢性牙周炎患者的近期疗效。方法 60例牙列缺损慢性牙周炎患者共植入75枚种植体,另选择50例植入67枚种植体牙周健康牙列缺损患者作为对照组。比较两组改良龈沟出血指数(mSBI)、牙龈乳头指数(PIS)、改良菌斑指数(mPLI)、牙周探诊深度(PD);并检测两组种植体周围龈沟液白细胞介素(IL)-2、IL-8水平。结果研究组75枚种植体中有2枚自行脱落,种植体松动度0,种植体存留率为97.3%;对照组无种植体脱落,种植体松动度0,种植体存留率为100%,两组种植体存留率比较差异无统计学意义(χ2=2.737,P=0.098)。术后6个月研究组mSBI、PIS、mPLI、PD与对照组相比差异无统计学意义(P0.05);手术前后研究组龈沟IL-2、IL-8水平均显著高于对照组(P0.05)。结论慢性牙周炎患者进行种植修复能够获得满意的近期疗效,且未增加种植体周围炎的风险,但其远期疗效尚待证实。
[Abstract]:Objective to investigate the short-term effect of implant repair on chronic periodontitis. Methods A total of 75 implants were implanted in 60 patients with chronic periodontitis and 50 patients with 67 healthy dental implants as control group. The modified gingival crevicular bleeding index (MSBIN), gingival papilla index (PISI), modified plaque index (MPLI) and periodontal probing depth (PD) were compared between the two groups, and the levels of IL-8 in the gingival crevicular fluid around the implants were measured. Results two of the 75 implants in the study group were self-abscission, the implant mobility was 0, and the implant survival rate was 97.3.The control group had no implant exfoliation. The implant mobility was 0 and the implant retention rate was 100. There was no significant difference between the two groups (蠂 ~ 2 / 2.737). Six months after operation, there was no significant difference between the study group and the control group in the level of IL-8 in gingival sulcus, and the level of IL-8 in the study group was significantly higher than that in the control group before and after operation (P 0.05). Conclusion Implant repair in patients with chronic periodontitis can obtain satisfactory short-term curative effect and does not increase the risk of periimplant inflammation, but the long-term effect remains to be confirmed.
【作者单位】：泸州医学院附属口腔医院修复种植科;泸州医学院口颌面修复重建和再生实验室;重庆医科大学附属口腔医院牙周科;四川大学华西口腔医院牙周科;
【基金】：国家自然科学基金资助项目(30973323)
【分类号】：R781.4;R783.6

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