椅旁个性化口腔卫生指导降低牙周炎患者种植体周病发生率的初步调查研究  

Preliminary Study on Reducing Incidence of Peri-implant Disease in Patients with Periodontitis Using Chairside Personalized Oral Hygiene Instruction.

作　　者：刘建[1] 杨杰[1] 韩子瑶 孙菲 胡文杰[1] LIU Jian;YANG Jie;HAN Ziyao;SUN Fei;HU Wenjie(Department of Periodontology,Peking University School and Hospital of Stomatology&National Center of Stomatology&National Clinical Research Center for Oral Diseases&National Engineering Laboratory for Digital and Material Technology of Stomatology&NHC Research Center of Engineering and Technology for Computerized Dentistry,Beijing 100081,China)

机构地区：[1]北京大学口腔医学院·口腔医院牙周科、国家口腔医学中心、国家口腔疾病临床医学研究中心、口腔数字化医疗技术和材料国家工程实验室、国家卫生健康委员会口腔医学计算机应用工程技术研究中心,口腔数字医学北京市重点实验室,北京100081

出　　处：《口腔医学研究》2023年第3期272-277,共6页Journal of Oral Science Research

基　　金：北京大学临床科学家计划专项(编号:BMU2019LCKXJ010)北京市自然科学基金(编号:7214273)。

摘　　要：目的:回顾性调查分析牙周炎患者接受种植治疗后的就诊规律和诊疗期间曾接受口腔卫生宣教(oral hygiene instruction,OHI)的状况与种植体周病患病情况的相关性,为有效预防和治疗种植体周病提供临床指导。方法:纳入128例患者共157颗种植体,根据既往接受口腔卫生宣教方式分为既往接受椅旁个性化OHI组(62例,75颗种植体)与接受一般OHI组(66例,82颗种植体),通过临床检查判断患者种植体周状况,并通过问卷调查了解其种植修复后就诊规律,对比两组患者定期维护频率与种植体周病患病情况。结果:既往接受椅旁个性化OHI组患者在完成种植修复后做到定期(≤6个月)接受牙周和种植体周维护的比例达到74.2%(46/62),明显高于一般OHI组的13.6%(9/66)。在种植体水平,接受椅旁个性化OHI组健康种植体的数目占73.3%(55/75),高于一般OHI组的13.4%(11/82),种植体周改良菌斑指数、改良出血指数、探诊深度均显著低于一般OHI组的种植体(P<0.001)。结论:口腔医护工作者进行椅旁个性化OHI可使接受种植治疗的牙周炎患者养成良好的口腔卫生维护习惯,有助于种植体周病的预防。Objective:To analyze the association between the methods of oral hygiene instructions(OHI)and the prevalence of peri-implant diseases in patients with periodontitis.Methods:One hundred and twenty-eight patients with 157 implants were included and divided into the chairside personalized OHI group(62 patients,75 implants)and the traditional OHI group(66 patients,82 implants)according to the previous OHI methods received.The peri-implant status was defined by clinical examinations,and the patients were investigated by questionnaires for their frequencies of recalls after loading.The frequency of receiving maintenance treatment and the incidence of peri-implant disease were compared between two groups.Results:The proportion of patients who received regular(≤6 months)periodontal and peri-implant maintenance after loading was 74.2%(46/62)in the chairside personalized OHI group,which was significantly higher than 13.6%(9/66)in the traditional OHI group.At the implant level,the number of healthy implants in the chairside personalized OHI group accounted for 73.3%(55/75),which was higher than 13.4%(11/82)in the traditional OHI group.The modified plaque index(mPLI),modified bleeding index(mBI),and peri-implant probing depth(PPD)of implants in the chairside personalized OHI group were significantly lower than those in the traditional OHI group(P<0.001).Conclusion:Chairside personalized OHI by dentists and oral nurses can help patients who had periodontitis and received implant treatment develop good oral hygiene maintenance habit,which is helpful to prevent peri-implant diseases.

关 键 词：个性化 口腔卫生指导 牙周炎 种植体周病 发生率 

分 类 号：R781.42[医药卫生—口腔医学]