口腔黏膜下纤维化患者牙周状况分析  

Periodontal status in patients with oral submucous fibrosis

作　　者：许春姣[1] 赵晶[2] 李全[2] 李芬莲[2] 李娟[2] 张雷[2] 郭峰[1] 高清平[1] 吴颖芳[1] 

机构地区：[1]中南大学湘雅医院口腔科,长沙410008 [2]中南大学口腔医学院牙周黏膜病学教研室,长沙410078

出　　处：《中南大学学报（医学版）》2009年第9期914-918,共5页Journal of Central South University ：Medical Science

基　　金：湖南省自然科学基金(06JJ4016)~~

摘　　要：目的:研究口腔黏膜下纤维化(oral submucous fibrosis,OSF)患者的临床牙周状况,为OSF患者及嚼食槟榔者的口腔疾病预防及治疗提供依据。方法:OSF组选择临床和病理确诊为OSF的患者50名,对照组选择与OSF组年龄匹配、吸烟情况及生活环境相当且不嚼食槟榔的健康志愿者50名。采集并分析其菌斑指数、探诊深度、临床附着丧失、牙龈指数、探诊出血牙数5个临床牙周指标。结果:OSF组和对照组菌斑指数分别为2.14±0.64和1.7±0.89,两组差异有统计学意义(P<0.01);OSF组和对照组牙周探诊深度分别为(5.57±2.39)mm和(1.98±0.70)mm,两组差异有统计学意义(P<0.01);临床附着丧失、牙龈指数、探诊出血牙数在两组间比较,差异均无统计学意义(P>0.05)。结论:OSF患者牙齿易于菌斑堆积,加重牙周炎症。Objective To investigate the periodontal status in patients with oral submucous fibrosis （OSF） , and to provide reference for the treatment and prophylaxis in patients with OSF and betel chewers. Methods Fifty samples clinically and pathologically diagnosed as OSF patients were selected as the OSF group, another 5 0 age-matched healthy volunteers in the similar living condition were compared with the OSF patients and non-betel nut chewers were classified as the control group. The 5 periodontal clinical parameters were collected and recorded, including plaque index, periodontal probing depth, clinical attachment loss, gingival index, and tooth count of bleeding of probing. Results There was a significant difference in plaque index （PLI） between the OSF group （2. 14 ± 0.64） and the control group （1.7 ±0.89） （P 〈0.01）. Periodontal probing depth （PD） was （1.98 ±0. 70） mm in the control group, and （5. 57 ±2. 39） mm in the OSF group, with significant difference in PD （P 〈 0.01 ）. There was no significant difference in clinical attachment loss, gingival index, and tooth count of bleeding on probing between the 2 groups （ P 〉 0.05 ）. Conclusion OSF patients tend to accumulate plaque, and have deep periodontal pocket, periodontal inflammation or severe periodontal damage.

关 键 词：嚼食槟榔 口腔黏膜下纤维化 牙周病 

分 类 号：R781.5[医药卫生—口腔医学]