慢性牙周炎患者洁刮治术后牙周微生物变化及意义  

Microbiology Changes and Significance of Patients with Chronic Periodontitis after Clean Shave

作　　者：王珺[1,2] 欧龙[1] 谢潇[1,3] 刘琳 张丽洁 

机构地区：[1]解放军总医院口腔科,北京100853 [2]海军机关门诊部口腔科,北京100841 [3]空军司令部门诊部口腔科,北京100843 [4]北京军区京西医院,北京100041 [5]海军北京丰台干休所卫生所,北京100071

出　　处：《现代生物医学进展》2015年第17期3228-3231,共4页Progress in Modern Biomedicine

基　　金：国家自然科学基金项目(30901795)

摘　　要：目的:研究洁刮治术后慢性牙周炎可疑致病微生物检出量与临床疗效的关系。方法:随机选取我院2012年1月至2014年5月慢性牙周炎患者36例,均采用洁刮治术治疗。分别于治疗前后检测患者牙周膜附着丧失量、牙周探诊深度、出血率以及微生物数量。结果:治疗前后比较,患者牙周探诊深度与探诊出血率差异具有统计学意义(P<0.05),临床附着丧失量无统计学差异(P>0.05);A组治疗后中间普氏菌数量显著高于治疗前(P<0.05);牙龈卟啉单胞菌、齿垢密螺旋体和福赛氏类杆菌显著低于治疗前(P<0.05);B组治疗前后细菌数量无统计学差异(P>0.05);牙龈卟啉单胞菌C组牙周探诊深度变化显著高于D组(P<0.05);齿垢密螺旋体C组探诊出血率变化显著低于D组(P<0.05);福赛氏类杆菌C组牙周探诊深度和出血率与D组存在显著性差异(P<0.05)。结论:牙龈卟啉单胞菌、齿垢密螺旋体和福赛氏类杆菌数量与洁刮治术后疗效密切相关,可作为微生物指标。Objective： To research the relationship between the pathogenic microorganism suspicious of patients with chronic periodontitis and the clinical effects of clean shave. Methods： 36 cases with chronic periodontitis who were treated in our hospital from January 2012 to May 2014 were selected. And the attachment loss, periodontal probing depth and bleeding rate and microbial quantity of patients were detected and compared before and after the treatment. Results： Compared with before, the periodontal probing depth of diagnosis and the clinical hemorrhage were different after the treatment（P〈0.05）, and there was no statistically significant difference about the clinical attachment loss after the treatment（P〉0.05）. After treatment, group A was significantly higher than before（P〈0.05）;Porphyrin gums, teeth tartar bacterium treponema and f saybolt coli was significantly lower than before（P〉0.05）; there was no statistically significant difference in group B before and after the treatment（P〈0.05）; Gum porphyrin group C bacterium of periodontal probing diagnosis depth changes significantly higher than that of group D（P〈0.05）; Group C teeth tartar treponema explore clinical hemorrhage rate changes significantly lower than that of group D（P〈0.05）; While saybolt kind of coli group C periodontal probing depth of diagnosis and clinical hemorrhage rate changes had significant difference with group D（P〈0.05）. Conclusion： Porphyrin gums, teeth tartar bacterium treponema and class f saybolt coli are closely related to the clean shave and the postoperative curative effect which can be used as microbial indicators

关 键 词：慢性牙周炎 洁刮治术 微生物数量 

分 类 号：R781[医药卫生—口腔医学]