改良粘接固位对口腔种植修复患者牙菌斑、牙周袋指数及龈沟液炎症因子水平的影响  

Effects of modified adhesion retention on dental plaques, periodontal pocket index and levels of inflammatory factors in gingival crevicular fluid of patients undergoing dental implant repair

作　　者：陈冲[1] 张悦 热依拉·艾克兰木 古力巴哈·买买提力 CHEN Chong;ZHANG Yue;Reyla Akram;Guli Baha Maimai Tili(Department of Stomatology,the Fifth Affiliated Hospital of Xinjiang Medical University,Xinjiang Urumqi 830011,China;The Second Affiliated Hospital of Xinjiang Medical University,Xinjiang Urumqi 830011,China)

机构地区：[1]新疆医科大学第五附属医院口腔科,新疆乌鲁木齐830011 [2]新疆医科大学第二附属医院,新疆乌鲁木齐830011

出　　处：《临床口腔医学杂志》2021年第9期560-563,共4页Journal of Clinical Stomatology

基　　金：新疆维吾尔自治区自然科学基金项目(2012211A030)。

摘　　要：目的:分析改良粘接固位对口腔种植修复患者牙菌斑、牙周袋指数及龈沟液炎症因子水平的影响。方法:2014年1月~2018年9月本院接受口腔种植体植入3~6个月待修复的患者83例,随机数字表法分观察组与对照组;观察组(n=41)采用改良粘接固位,对照组(n=42)采用粘接固位。比较两组骨吸收量、牙菌斑、牙周袋指数、龈沟液炎症因子水平,并评价患者满意度。结果:两组近中骨吸收量、远中骨吸收量、骨吸收量均值比较差异无统计学意义(P>0.05)。两组修复完成后1年牙菌斑指数(PLI)、牙龈出血指数(SBI)、牙周袋探诊深度(PD)较治疗前显著下降,但观察组PLI、SBI、PD显著低于对照组(P<0.05)。两组修复完成后1年肿瘤坏死因子-α(TNF-α)、白介素-6(IL-6)、基质金属蛋白酶8(MMP-8)较治疗前均显著下降(P<0.05),但观察组TNF-α、IL-6、MMP-8显著低于对照组(P<0.05)。两组修复完成后1年咀嚼功能、语言功能、固位功能、美观满意度差异无统计学意义,但观察组舒适满意度显著优于对照组(P<0.05)。结论:改良粘接固位较粘接固位更利于牙周组织健康,降低种植体周围炎风险,且患者舒适度更高。Objective:To analyze the effects of modified adhesion retention on dental plaques, periodontal pocket index(PPI)and levels of inflammatory factors in gingival crevicular fluid(GCF)of patients undergoing dental implant repair.Methods:During the period from January 2014 to September 2018,83 patients with 3~6 months repair who underwent oral implant implantation were divided into observation group(n=41)and control group(n=42).The observation group was treated with modified adhesion retention, while control group was treated with adhesion retention.The bone absorption volume, dental plaques, PPI and levels of inflammation factors in GCF were compared between the two groups.The patients’ satisfaction was evaluated.Results:There was no significant difference in the mean value of proximal bone resorption, distal bone resorption and bone resorption between the two groups(P>0.05).After one-year treatment, dental plaque index(PLI),sulcus bleeding index(SBI)and probing depth(PD)of periodontal pocket in both groups were significantly decreased, which were significantly lower in observation group than control group(P<0.05).After one-year treatment, tumors necrosis factor-α(TNF-α),interleukin-6(IL-6)and matrix metalloproteinase-8(MMP-8)in both groups were significantly decreased(P<0.05),which were significantly lower in observation group than control group(P<0.05).There was no significant difference in the satisfaction with chewing function, language function, retention function and aesthetics degree between the two groups(P>0.05).The satisfaction with comfort degree in observation group was significantly higher than that in control group(P<0.05).Results:Compared with adhesion retention, modified adhesion retention is more beneficial to periodontal tissue health, which can reduce inflammation risks around the implants, with higher patients comfort.

关 键 词：改良粘接固位 口腔种植修复 牙菌斑 牙周袋指数 龈沟液炎症因子 

分 类 号：R782.1[医药卫生—口腔医学]