种植体周围炎龈沟液内牙龈卟啉单胞菌和血链球菌的变化与临床指标的关系

Changes of Porphyromonas gingivalis and Streptococcus sanguinis in gingival crevicular fluid of patients with peri-implantitis and their relationship with clinical indexes

  • 摘要: 目的 观察种植体周围炎龈沟液内牙龈卟啉单胞菌和血链球菌的变化情况及与种植体周袋探诊深度、改良菌斑指数、改良龈沟出血指数、骨丧失指标的关系。方法 选取永康市第一人民医院口腔科2013年6月-2015年12月种植修复1年以上种植体周围炎患者30例为种植体周围炎组,健康种植体患者30例为健康种植体组,采用电化学测菌法测定各组患者龈沟液内牙龈卟啉单胞菌和血链球菌含量。结果 种植体周围炎组种植体龈沟液内牙龈卟啉单胞菌检出量高于健康对照牙(P<0.05); 种植体周围炎组种植体龈沟液内牙龈卟啉单胞菌检出量高于健康种植体组(P<0.05); 种植体周围炎组种植体龈沟液内血链球菌检出量低于健康对照牙(P<0.05); 种植体周围炎组种植体龈沟液内血链球菌检出量低于健康种植体组(P<0.05); 种植体周围炎组种植体周袋探诊深度、改良菌斑指数、改良龈沟出血指数、骨丧失均高于健康种植体组(P<0.05); 种植体龈沟液内牙龈卟啉单胞菌与种植体周袋探诊深度、改良菌斑指数、改良龈沟出血指数、骨丧失均呈正相关(P<0.05); 种植体龈沟液内血链球菌与种植体周袋探诊深度、改良菌斑指数、改良龈沟出血指数、骨丧失均呈负相关(P<0.05)。结论 种植体周围炎龈沟液内牙龈卟啉单胞菌含量增加,血链球菌含量降低,种植体周围炎龈沟液内牙龈卟啉单胞菌和临床指标呈正相关,血链球菌和临床指标呈负相关。

     

    Abstract: OBJECTIVE To observe the changes of Porphyromonas gingivalis and Streptococcus sanguinis in gingival crevicular fluid of patients with peri-implantitis and analyze their relationship with probing depth of implant periodontal pocket, modified plaque index, modified sulcus bleeding index and bone loss index.METHODS Totally 30 patients with peri-implantitis who received the implant restoration for more than one year in department of stomatology of the First People 's Hospital of Yongkang from Jun 2013 to Dec 2015 were chosen as the peri-implantitis group, and 30 patients who had healthy implants were set as the healthy implant group.The contents of P.ingivalis and S.anguinis in gingival crevicular fluid were determined by using electrochemical method.RESULTS The content of the isolated P.ingivalis in gingival crevicular fluid was significantly higher in the peri-implantitis group than in the healthy implant teeth (P<0.05); the content of the isolated P.ingivalis in gingival crevicular fluid was significantly higher in the peri-implantitis group than in the healthy implant group (P<0.05).The content of the isolated S.anguinis in gingival crevicular fluid of the peri-implantitis group was significantly lower than that of the healthy implant teeth (P<0.05); the content of the isolated S.anguinis in gingival crevicular fluid of the peri-implantitis group was significantly lower than that of the healthy implant group(P<0.05).The probing depth of implant periodontal pocket, modified plaque index, modified sulcus bleeding index and bone loss index were significantly higher in the peri-implantitis group than in the healthy implant group (P<0.05).The P.ingivalis in gingival crevicular fluid was positively correlated with the probing depth of implant periodontal pocket, modified plaque index, modified sulcus bleeding index and bone loss (P<0.05); the S.anguinis in gingival crevicular fluid was negatively correlated with the probing depth of implant periodontal pocket, modified plaque index, modified sulcus bleeding index and bone loss (P<0.05).CONCLUSIONThe content of the P.ingivalis in gingival crevicular fluid of the patients with peri-implantitis is increased, while the content of the S.anguinis is reduced. The P.ingivalis in gingival crevicular fluid of the patients with peri-implantitis is positively correlated with the clinical indexes, while the S.anguinis is negatively correlated with the clinical indexes.

     

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