上海口腔医学

上海口腔医学 ›› 2023, Vol. 32 ›› Issue (6): 668-672.doi: 10.19439/j.sjos.2023.06.019

• 论著 • 上一篇    

牙龈生物型对上前牙全冠修复及龈沟液炎症因子的影响

盖云1, 刘志明2, 曾参1   

  1. 1.江南大学附属医院 口腔科,江苏 无锡 214000;
    2.武汉大学人民医院 口腔科,湖北 武汉 430060
  • 收稿日期:2023-09-05 修回日期:2023-10-27 出版日期:2023-12-15 发布日期:2024-01-12
  • 通讯作者: 刘志明, E-mail: lzmdds@whu.edu.cn
  • 作者简介:盖云（1986- ）,女,本科,副主任医师,E-mail: 13961749866@163.com
  • 基金资助:
    湖北省卫健委自然科学基金项目（WJ2023M072）

Effect of gingival biotype on total crown repair and gingival crevicular fluid inflammatory factors

GAI Yun1, LIU Zhi-ming2, ZENG Shen1   

  1. 1. Department of Stomatology, Jiangnan University Affiliated Hospital. Wuxi 214000, Jiangsu Province;
    2. Department of Stomatology, Wuhan University People's Hospital. Wuhan 430060, Hubei Province, China
  • Received:2023-09-05 Revised:2023-10-27 Online:2023-12-15 Published:2024-01-12

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摘要： 目的: 探讨厚龈型与薄龈型对口腔上前牙修复效果及牙龈龈沟液指标的影响。方法: 对江南大学附属医院口腔科行全瓷冠上前牙修复治疗的80例患者（130颗牙）进行研究,根据牙龈生物型分为厚龈型42例（67颗牙）和薄龈型38例（63颗牙）,对比2组患者修复前后的改良菌斑指数（improved plaque index,mPI）、改良出血指数（modified bleeding index,mBI）、探诊深度（probing depth,PD）、口腔修复体临床评价评分、龈沟液中肿瘤坏死因子-α（tumor necrosis factor-α,TNF-α）和白细胞介素-1β（interleukin-1β,IL-1β）的水平。采用SPSS 21.0软件包对数据进行统计学分析。结果: 治疗前,2组mPI、mBI和PD差异无统计学意义（P>0.05）;治疗12个月后,薄龈组mPI、mBI和PD显著低于厚龈组（P<0.05）;治疗前,2组龈沟液中TNF-α、IL-1β水平差异无统计学意义（P>0.05）;治疗12个月后,薄龈组龈沟液中TNF-α、IL-1β水平显著低于厚龈组（P<0.05）;治疗后6个月,2组修复体完整度、边缘密合度、颜色匹配、牙周健康状况及继发龋评分差异无统计学意义（P>0.05）;治疗12个月后,厚龈组边缘密合度、牙周健康状况及继发龋评分显著高于薄龈组（P<0.05）;治疗后6个月、12个月,厚龈组边缘着色评分显著低于薄龈组（P<0.05）。结论: 薄龈型更有利于修复后的口腔清洁和口腔健康状况维持;厚龈型患者修复后牙龈指数明显升高,牙龈炎症风险增加,但是其美学效果较薄龈型更好。

关键词: 厚龈型, 薄龈型, 上前牙, 全瓷冠, 牙周指数

Abstract: PURPOSE: To explore the effect of thick and thin sputum on the restoration of oral anterior teeth and the index of gingival crevicular fluid. METHODS: A study was conducted on 80 patients (130 teeth) who underwent full-ceramic crown treatment for anterior tooth restoration in Jiangnan University Affiliated Hospital 's oral clinic. The patients were divided into thick gingival type (42 cases, 67 teeth) and thin gingival type (38 cases, 63 teeth) according to their gingival biotype. The two groups were compared before and after the restoration with improved plaque index (mPI), modified bleeding index (mBI), probing depth (PD), clinical evaluation score of oral prosthesis, tumor necrosis factor-alpha (TNF-alpha) and IL-1 β(interleukin-1β) in gingival crevicular fluid. Statistical analysis was performed with SPSS 21.0 software package. RESULTS: Before treament, there were no significant differences in mPI, mBI and PD between the two groups (P>0.05); 12 months after treament, mPI, mBI and PD of the thin gingiva group were significantly lower than those of the thick gingiva group(P<0.05). Before treament, there were no significant differences in TNF-α and IL-1β levels in gingival crevicular fluid between the two groups(P>0.05); 12 months after treament, TNF-α and IL-1β levels of the thin gingiva group were significantly lower than those of the thick gingiva group(P<0.05). Six months after treament, there were no significant differences in prosthesis integrity, marginal adaptation, color matching, periodontal health status and secondary caries scores between the two groups (P>0.05); 12 months after treament, the marginal adaptation, periodontal health status and secondary caries scores of the thick gingiva group were significantly higher than those of the thin gingiva group(P<0.05); the marginal discoloration score of the thick gingiva group was significantly lower than that of the thin gingiva group at 6 months and 12 months after treament(P<0.05). CONVLUSIONS: The thin sputum type is more conducive to repairing the oral cavity after treatment, and is beneficial to the maintenance of oral health condition after repair. The gingival index of the thick sputum type patient will be significantly increased after repair, and the risk of gingival inflammation is increased. The aesthetic effect is better than the thin sputum type.

Key words: Thick sputum type, Thin sputum type, Upper anterior teeth, All ceramic crown, Periodontal index

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