塑料刮治器与甘氨酸龈下喷砂辅助引导组织再生术对合并牙槽骨吸收种植体周围炎患者疗效及安全性影响  

Effects of plastic curette and glycine subgingival sandblast guided tissue regeneration on the efficacy and safety of patients with alveolar bone resorption peri-implant inflammation

作　　者：王川宁[1] 张力平[1] 刘维贤[1] 贾立辉 WANG Chuan-ning;ZHANG Li-ping;LIU Wei-xian;JIA Li-hui(Department of Stomatology,Shengjing Hospital of China Medical University,Shenyang 110004,China;Medical Support Center of the General Hospital of Northern Theater Command,Shenyang 110016,China)

机构地区：[1]中国医科大学附属盛京医院口腔科,辽宁沈阳110004 [2]北部战区总医院医疗保障中心,辽宁沈阳110016

出　　处：《临床军医杂志》2020年第7期768-771,共4页Clinical Journal of Medical Officers

摘　　要：目的探讨塑料刮治器与甘氨酸龈下喷砂辅助引导组织再生术(GTR)对合并牙槽骨吸收种植体周围炎患者疗效及安全性的影响。方法回顾性分析自2016年1月至2019年8月中国医科大学附属盛京医院收治的74例合并牙槽骨吸收种植体周围炎患者的临床资料。将采用塑料刮治器行种植体表面清创的40例患者设为常规组,将采用甘氨酸龈下喷砂行种植体表面清创的34例患者设为观察组。比较两组患者手术前后的菌斑指数(PLI)、出血指数(BI)、探诊深度(PD)、临床附着水平(CAL)、影像学垂直骨增量水平及术后不良反应发生情况。结果两组术后3、6、12个月的BI、PLI、PD及CAL水平均显著优于术前,差异有统计学意义(P<0.05)。观察组术后3个月的BI、PLI、PD及CAL水平均显著优于常规组,两组比较,差异有统计学意义(P<0.05)。观察组术后6、12个月的PD、CAL水平显著优于常规组,两组比较,差异有统计学意义(P<0.05)。观察组术后3、6、12个月的影像学垂直骨增量均显著多于常规组,两组比较,差异有统计学意义(P<0.05)。结论甘氨酸龈下喷砂行种植体表面清创用于合并牙槽骨吸收种植体周围炎的患者,可有效减轻种植体周围炎症水平,加快牙槽骨再生,价值优于塑料刮治器。Objective To investigate the effects of plastic curette and glycine subgingival sandblast guided tissue regeneration(GTR)on the efficacy and safety of patients with alveolar bone resorption peri-implant inflammation.Methods A retrospective study was performed on 74 cases of patients with peri-implant inflammation combined with alveolar bone resorption who were admitted from January 2016 to August 2019.A total of 40 patients who underwent surface debridement with plastic curette were assigned to the conventional group,and 34 patients who underwent surface debridement with subgingival sandblasting with glycine were assigned to the observation group.The plaque index(PLI),bleeding index(BI),probing depth(PD),clinical attachment level(CAL),imaging vertical bone increment level and postoperative adverse reactions were compared between the two groups of patients before and after surgery.Results BI,PLI,PD and CAL levels of the two groups at 3,6 and 12 months after surgery were significantly better than those before surgery,and the difference was statistically significant(P<0.05).The BI,PLI,PD and CAL levels of the observation group were significantly better than those of the conventional group 3 months after surgery(P<0.05).The PD and CAL levels of the observation group at 6 and 12 months after surgery were significantly better than those of the conventional group(P<0.05).The imaging vertical bone increment of the observation group at 3,6 and 12 months after surgery was significantly higher than that of the conventional group(P<0.05).Conclusion Glycine subgingival sand blasting implant surface debridement for patients with alveolar bone resorption peri-implant inflammation can effectively reduce the level of peri-implant inflammation and accelerate alveolar bone regeneration,which is more valuable than plastic curettor.

关 键 词：塑料刮治器 甘氨酸 引导组织再生术 种植体 牙槽骨 种植体周围炎 

分 类 号：R783.6[医药卫生—口腔医学]