摘要
目的:观察口腔种植修复同期引导骨组织再生术治疗牙列缺损合并牙周炎患者的效果。方法:回顾性分析2021年1月至2022年12月该院收治的94例牙列缺损合并牙周炎患者的临床资料,按治疗方式不同将其分为对照组(n=47)和观察组(n=47)。对照组给予常规口腔种植修复治疗,观察组给予口腔种植修复同期引导骨组织再生术治疗,比较两组修复优良率、治疗前后牙周指标[龈沟出血指数(SBI)、菌斑指数(PLI)、附着丧失(AL)、探诊深度(PD)]水平、血清炎性介质[白细胞介素(IL)-6、IL-10、C反应蛋白(CRP)]水平、口腔功能(语言功能、咀嚼效率)和术后3个月并发症发生率。结果:观察组修复优良率为91.49%(43/47),高于对照组的74.47%(35/47),差异有统计学意义(P<0.05);治疗后,观察组SBI、PLI评分和AL、PD水平均低于对照组,差异有统计学意义(P<0.05);观察组IL-6和CRP水平均低于对照组,IL-10水平高于对照组,差异有统计学意义(P<0.05);观察组语言功能评分和咀嚼效率均高于对照组,差异有统计学意义(P<0.05);观察组并发症发生率为10.64%(5/47),低于对照组的29.79%(14/47),差异有统计学意义(P<0.05)。结论:口腔种植修复同期引导骨组织再生术治疗牙列缺损合并牙周炎患者可提高修复优良率和语言功能评分,改善血清炎性介质水平,降低牙周指标水平和并发症发生率,效果优于常规口腔种植修复治疗。
Objective:To observe effects of oral implant repair combined with guiding bone tissue regeneration in treatment of patients with dentition defects and periodontitis.Methods:The clinical data of 94 patients with dentition defects and periodontitis admitted to this hospital from January 2021 to December 2022 were retrospectively analyzed.According to different treatment methods,they were divided into control group(n=47)and observation group(n=47).The control group was treated with conventional oral implant repair,while the observation group was treated with oral implant repair and guiding bone tissue regeneration.The excellent and good rate of repair,the periodontal indicator levels[sulcus bleeding index(SBI),plaque index(PLI),attachment loss(AL),probing depth(PD)]before and after the treatment,the serum inflammatory mediators[interleukin(IL)-6,IL-10,C-reactive protein(CRP)]levels,the oral function(language function,masticatory efficiency),and the incidence of complications 3 months after the surgery were compared between the two groups.Results:The excellent and good rate of repair in the observation group was 91.49%(43/47),which was higher than 74.47%(35/47)in the control group,the difference was statistically significant(P<0.05).After the treatment,the SBI and PLI scores and the AL and PD levels in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the levels of IL-6 and CRP in the observation group were lower than those in the control group,the level of IL-10 was higher than that in the control group,and the differences were statistically significant(P<0.05).After the treatment,the language function score and the masticatory efficiency of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).Further,the incidence of complications in the observation group was 10.64%(5/47),which was lower than 29.79%(14/47)in the control group,and the difference was st
作者
马楠
MA Nan(Department of Periodontal Mucosa of the Second Affiliated Hospital of Jinzhou Medical University,Jinzhou 121001 Liaoning,China)
出处
《中国民康医学》
2023年第23期90-93,共4页
Medical Journal of Chinese People’s Health
关键词
口腔种植修复
引导骨组织再生
牙列缺损
牙周指标
炎性介质
口腔功能
并发症
Oral implant repair
Guiding bone tissue regeneration
Dentition defect
Periodontal indicator
Inflammatory mediator
Oral function
Complication
