文章摘要
钕激光辅助牙周基础治疗对Ⅲ期C级牙周炎患者牙周指标、龈下菌群结构及龈沟液ALP、IL-1β、PGE2水平的影响
Effects of Neodymium Laser-Assisted Periodontal Basic Treatment on Periodontal Indexes, Subgingival Flora Structure and Levels of ALP, IL-1β and PGE2 in Gingival Crevicular Fluid of Patients With Stage III-C Periodontitis
投稿时间:2024-06-05  修订日期:2024-06-05
DOI:
中文关键词: 钕激光  牙周基础治疗  牙周炎  牙周指标  龈下菌群结构  碱性磷酸酶  白细胞介素-1β  前列腺素E2
英文关键词: Neodymium laser  Periodontal basic treatment  Periodontitis  Periodontal indexes  Subgingival flora structure  Alkaline phosphatase  Interleukin-1β  Prostaglandin E2
基金项目:张家口市2021年市级科技计划自筹经费项目(2121089D);河北北方学院2023年度校级科研项目(H2023405017);2021年度河北省医学科学研究课题计划(20211453)
作者单位邮编
刘振丽* 河北北方学院附属第一医院 075000
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中文摘要:
      目的:观察Ⅲ期C级牙周炎患者采用钕激光辅助牙周基础治疗后,患者龈下菌群结构、牙周指标、龈沟液碱性磷酸酶(ALP)、白细胞介素-1β(IL-1β)、前列腺素E2(PGE2)水平的变化情况。方法:按照随机数字表法将我院2021年11月-2022年5月期间收治的76例Ⅲ期C级牙周炎患者分为对照组(n=38,牙周基础治疗)和研究组(n=38,牙周基础治疗联合钕激光)。检测并对比两组牙周指标、龈下菌群结构及龈沟液ALP、IL-1β及PGE2水平变化。结果:与对照组相比,研究组治疗后临床附着丧失(CAL)、探诊深度(PD)、龈沟出血指数(SBI)、菌斑指数(PLI)、齿垢密螺旋体、福赛坦纳菌、牙龈卟啉单胞菌比例、龈沟液ALP、IL-1β及PGE2水平更低(P<0.05)。结论:钕激光辅助牙周基础治疗Ⅲ期C级牙周炎患者,可有效改善患者牙周指标、龈下菌群结构,调节龈沟液ALP、IL-1β、PGE2水平。
英文摘要:
      Objective: To observe the effect of neodymium laser-assisted periodontal basic treatment on patients with stage III-C periodontitis, the changes in subgingival flora structure, periodontal markers,gingival fluid alkaline phosphatase (ALP), interleukin-1β (IL-1β), and prostaglandin E2 (PGE 2) levels in patients. Methods: According to the random number table method, 76 patients with stage III-C periodontitis admitted to our hospital from November 2021 to May 2022 were divided into control group (n=38, periodontal basic treatment) and study group (n =38, periodontal basic treatment combined with neodymium laser). The periodontal indexes, subgingival flora structure and levels of ALP, IL-1β and PGE2 in gingival crevicular fluid were detected and compared between two groups. Results: Compared with control group, study group had lower clinical attachment loss (CAL), probing depth (PD), sulcus bleeding index (SBI), plaque index (PLI), treponema denticola, tannerella forsythia, proportion of porphyromonas gingivalis, ALP, IL-1β and PGE2 levels in gingival crevicular fluid after treatment (P<0.05).Conclusion:Neodymium laser-assisted periodontal basic treatment for patients with stage III-C periodontitis, which can effectively improve the periodontal index and subgingival flora structure, and regulate the levels of ALP, IL-1β and PGE2 in gingival crevicular fluid.
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