| 丁 钰,张 莹,惠宏斌,付建军,王 莉.慢性牙周炎对牙种植修复的疗效影响[J].,2017,17(27):5344-5347 |
| 慢性牙周炎对牙种植修复的疗效影响 |
| Influence of Chronic Periodontitis on the Clinic Effect of Implant Restoration |
| 投稿时间：2016-10-24 修订日期：2016-11-21 |
| DOI：10.13241/j.cnki.pmb.2017.27.037 |
| 中文关键词: 炎症因子 慢性牙周炎 种植修复 种植体周围炎 |
| 英文关键词: Inflammatory cytokines Chronic periodontitis Implant restoration Peri-implantitis |
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| 中文摘要: |
| 摘要 目的：分析慢性牙周对种植义齿修复疗效的影响。方法：选择2013年7月至2015年6月在宝鸡市中医医院接受牙种植修复治疗的慢性牙周炎患者52例(70枚)作为观察组及同期接受牙种植的牙周健康患者49例(69枚)，作为对照组。观察分析两组患者种植修复1、3、6、12个月的边缘骨吸收量(MBL)、改良菌斑指数(mPLI)、改良龈沟出血指数(mSBI)、探测深度(PD)以及种植体龈沟液IL-1、IL-6水平的变化情况。结果：种植1年后，对照组的种植成功率为97.10 %(67/69)，观察组的种植成功率为91.42 %(64/70)，两组比较差异无统计学意义(P>0.05)。种植1个月及3个月后，两组的mPLI、mSBI、PD以及MBL比较无明显差异(P>0.05)；种植6个月后，观察组的mSBI、PD以及MBL显著高于对照组(P<0.05)，mPLI仍无明显变化。此外，种植1个月、3个月时，对照组的IL-1β未检出；6个月后，观察组的IL-1β显著高于对照组(P<0.05)；种植3个月后，观察组的IL-6显著高于对照组(P<0.05)。结论：慢性牙周炎可降低牙种植修复治疗的疗效，可能与种植体周围炎的发生有关。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the influence of chronic periodontitis on the clinic effect of implant restoration. Methods: Fifty-two cases of chronic periodontitis patients with 70 implants and forty-nine cases of periodontally healthy patients with 69 implants admitted into our hospital from July 2013 to June 2016 were named as observation group and control group respectively. The implants survival rates, marginal bone loss (MBL), modified plaque index (mPLI), modified sulcus bleeding index (mSBI), and peri-implant prob- ing pocket depth (PD) as well as IL-1, IL-6 in peri-implant sulcular fluid of the two groups were detected and analyzed after loading of 1, 3, 6, 12 months. Results: After 12 months of loading, no obvious difference was found in the implants survival rate between two groups(P>0.05). After 1, 3 months of loading, no remarkable change was found in mPLI, mSBI, PD, and MBL between two groups(P>0.05), while mSBI, PD, and MBL in observation group were significantly higher than those of control group except of mPLI after 6 months of loading(P<0.05). Additionally, after 1, 3 months of loading, IL-β in control group was not detected, while IL-β in observation group was conspicuously higher than those of control group after 6 months of loading and IL-6 in observation group was significantly higher than that of control group after 3 months of loading (P<0.05). Conclusion: Chronic periodontitis could decrease the clinical effect of im- plant restoration, which was probably due to the occurrence of peri-implantitis. |
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