口腔种植修复治疗牙列缺损伴牙周炎对牙周指数的影响  

Effect of dental implant repair on periodontal index in the treatment of dentition defect with periodontitis

作　　者：朱琳 唐庭[1] ZHU Lin;TANG Ting(Department of implantationaceae,Hefei Stomatology Hospital,Anhui Province,Hefei230000,China)

机构地区：[1]合肥市口腔医院种植科,安徽合肥230000

出　　处：《中国当代医药》2024年第27期104-107,共4页China Modern Medicine

摘　　要：目的观察口腔种植修复治疗牙列缺损伴牙周炎的效果并分析对牙周指数的影响。方法回顾性分析2022年1月至2024年1月合肥市口腔医院收治的120例牙列缺损伴牙周炎患者的临床资料,按照患者采取的不同治疗方法将其分为研究组(60例)与对照组(60例)。对照组患者采用传统修复治疗方法,研究组患者采用口腔种植修复治疗方法。比较两组患者治疗前后的牙周指数、炎症因子水平、边缘骨吸收量、基质金属蛋白酶(MMP)水平、种植体存留率。结果研究组种植体存留率高于对照组,差异有统计学意义(P<0.05)。研究组治疗后菌斑指数(PLI)、牙袋深度(PD)、龈沟出血指数(SBI)、MMPs水平、C反应蛋白(CRP)、白介素-1β(IL-1β)、白介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)高于对照组,差异有统计学意义(P<0.05);两组的边缘骨吸收量(MBL)比较,差异无统计学意义(P>0.05)。结论口腔种植修复治疗牙列缺损效果较为显著,种植体留存率较高,且不会增加牙槽骨吸收,但会刺激机体,引发炎症反应,对牙周炎也无明显改善效果。Objective To observe the effect of dental implant repair in the treatment of dental implant defect with periodontitis and analyze the effect on periodontal index.Methods The clinical data of 120 patients with dentition defect with periodontitis admitted to Hefei Stomatological Hospital from January 2022 to January 2024 were retrospectively analyzed.According to different treatment methods,the patients were divided into study group(60 cases)and control group(60 cases).The control group was treated with traditional repair therapy,and the study group was treated with oral implant repair therapy.Periodontal index,inflammatory factor levels,marginal bone uptake,matrix metalloproteinase(MMP)levels,implant retention ratewere compared between the two groups before and after treatment.Results The implant retention rate of study group was higher than that of control group,and the difference was statistically significant(P<0.05).After treatment,the plaque index(PLI),pocket depth(PD),sulcus bleeding index(SBI),MMPs level,C-reactive protein(CRP),interleukin-1β(IL-1β),interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)of the study group were higher than those of the control group,and the differences were statistically significant(P<0.05).There was no significant difference in marginal bone absorption(MBL)between the two groups(P>0.05).Conclusion Oral implant repair has a significant effect on dentition defects,with a high retention rate of implants,and will not increase alveolar bone absorption,but will stimulate the body and cause inflammation,and has no obvious improvement effect on periodontitis.

关 键 词：口腔种植 修复治疗 牙列缺损 牙周炎 牙周指数 影响 

分 类 号：R781.4[医药卫生—口腔医学]