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钟锡鹏.龈下喷砂对种植体周围炎发病率的影响及疾病发生风险影响因素分析[J].中国医药科学,2019,(16):13-16        基金项目:广东省中山市科技计划项目(20132A111)
龈下喷砂对种植体周围炎发病率的影响及疾病发生风险影响因素分析
Analysis on effects of subgingival sandblasting on incidence of periimplantitis and influencing risk factors for disease occurrence
  
DOI:
中文关键词:  种植体周围炎;发病率;影响因素;龈下喷砂
英文关键词:Peri-implantitis; Incidence; Influencing factors; Subgingival sandblasting
作者单位
钟锡鹏 广东省中山市人民医院口腔分院牙周科,广东中山 528400 
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中文摘要:
      [摘要] 目的 探讨龈下喷砂对种植体周围炎发病率的影响,分析疾病发生风险相关影响因素。方法 选取2015 年 7 月~ 2018 年 8 月在我院接受治疗的早期种植体周围病患者 74 例作为炎症组研究对象,种植体共计 142 颗。随机将所有患者分为对照组 37 例和研究组 37 例。对照组患者给予碳纤维头超声洁治和氯己定冲洗,研究组给予甘氨酸颗粒龈下喷砂,比较两组患者临床治疗效果。选择同期在我院行口腔种植修复而未发生种植体周围炎 112 例作为无炎症组,分析种植体周围炎发生的独立危险因素。结果 研究组患者治疗后天然牙治疗前后附着丧失差异显著高于对照组(P < 0.05),种植体出血指数改幅度显著高于对照组(P < 0.05);种植体周围炎的发生与文化程度、吸烟、饮酒、牙周病史、糖尿病、种植部位、角化牙龈情况、种植体咬合情况、种植体使用时间、定期洁牙等有关,其中吸烟、饮酒、牙周病史、糖尿病、不定期洁牙和种植体使用时间长是独立危险因素。结论 种植体周围炎的发生多与患者自身因素有关,因此在治疗中除了应严格遵循适应证外,还应加强对高风险患者的卫生宣教,同时做到定期复查,以尽早发现和治疗。而对于早期种植体周围炎的治疗,龈下喷砂可达到与超声联合氯己定冲洗治疗相近的效果,可有效控制种植体周围探诊深度和出血,这对于种植体周围炎的防治具有重要意义。
英文摘要:
      [Abstract] Objective To explore the effect of subgingival sandblasting on the incidence ofperi-implantitis and to analyze influencing risk factors for disease occurrence. Methods Seventy-four patients with early peri-implantitiswho were treated in our hospital from July 2015 to August 2018 were selected as research objects in the inflammatory group. There were 142 implants in total. All patients were randomly divided into the control group and the study group, with 37 cases. Patients in the control group were given ultrasonic scalingby carbon fiber tipand chlorhexidine washing while patients in the study group were given subgingival sandblasting by glycine particles. The clinical curative effects of patients of the two groups were compared.During the same period, 112 patients who underwent oral implant-repair withoutperi-implantitis in our hospital were selected as the non-inflammatory group.Independent risk factors for peri-implantitis were analyzed. Results The difference of attachment loss of natural teeth before and after treatment in the study group was significantly higher than that in the control group (P < 0.05). The change of implant bleeding index in the study group was significantly higher than that in the control group (P < 0.05). The occurrence of peri-implantitiswas related to the educational level, smoking, drinking, periodontal history, diabetes, planting site, keratinized gums, implant occlusion, implant use time, regular dental cleaning and so on.Among them, smoking, drinking, periodontal history, diabetes, irregular dental cleaning and long-term use of implants were independent risk factors. Conclusion The incidence of peri-implantitis is mostly related to the patients’ own factors. Therefore, in addition to the indications should be strictly followed in the treatment, health education for highrisk patients should be strengthened, and regular review should be carried out to detect and treat them as soon as possible.For the treatment of early peri-implantitis, subgingival sandblasting can achieve the same effect as ultrasound combined withchlorhexidine washing.It can effectively control the depth of exploration and bleeding of peri-implant, which is of great significance for the prevention and treatment of peri-implantitis.
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