上海口腔医学

上海口腔医学 ›› 2019, Vol. 28 ›› Issue (1): 93-96.doi: 10.19439/j.sjos.2019.01.019

• 临床总结 • 上一篇    下一篇

甘氨酸喷砂技术治疗轻中度种植体周围炎的疗效观察

蒋勇1,2, 童昕2   

  1. 1.南京医科大学第二附属医院 口腔科,江苏 南京 210011;
    2.南京大学医学院附属口腔医院 种植科,江苏 南京 210008
  • 收稿日期:2018-08-16 修回日期:2018-10-18 出版日期:2019-02-25 发布日期:2019-04-12
  • 通讯作者: 蒋勇,E-mail: zhayifeng007@163.com
  • 作者简介:蒋勇(1982-),男,硕士研究生,主治医师

Efficacy of subgingival glycine air polishing on the treatment of moderate-mild peri-implantitis

JIANG Yong1,2, TONG Xin2   

  1. 1.Department of Stomatology,The Second Affiliated Hospital of Nanjing Medical University. Nanjing 210011;
    2.Department of Oral Implantology, Nanjing Stomatology Hospital, Medical School of Nanjing University. Nanjing 210008, Jiangsu Province, China
  • Received:2018-08-16 Revised:2018-10-18 Online:2019-02-25 Published:2019-04-12

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摘要： 目的:评价甘氨酸喷砂粉龈下喷砂治疗（GPAP）对轻中度种植体周围炎的临床疗效。方法:收集25例种植体周围炎患者作为研究对象,其中,每例至少有1颗种植体患有早期轻度种植体周围炎,且符合纳入标准和排除标准。采用简单随机抽样方法分为2组,试验组采用GPAP方法治疗,对照组采用碳纤维刮治器和0.2%氯己定治疗。在基线和治疗后6个月进行种植体周围临床指标检查,包括菌斑指数(mPLI)、探诊后出血指数(BOP)、龈沟出血指数(mSBI)、探诊深度(PPD)、临床附着水平(AL)。采用SPSS 21.0软件包对数据进行统计学分析。结果:基线时试验组和对照组间各项临床指标的差异无统计学意义（P>0.05）。治疗后6个月,2组临床指标与基线相比均有所降低,GPAP组的降低程度显著大于对照组,差异有统计学意义（P<0.05）。结论:GPAP治疗可在一定程度上增强治疗轻中度种植体周围炎的效果,长期疗效需要大样本长时间的随访观察。

关键词: 种植体周围炎, 非手术治疗, 甘氨酸喷砂技术

Abstract: PURPOSE: To evaluate the efficacy of subgingival glycine air polishing (GPAP) in the treatment of moderate-mild peri-implantitis. METHODS: Twenty-five patients with peri-implantitis were randomly recruited according to the inclusion and the exclusion criteria. They were divided into conventional scaling treatment group and GPAP treatment group. Periodontal clinical indicators were recorded before treatment(baseline level) and 6 months after treatment. The indicators included modified plaque index (mPLI), bleeding on probing (BOP), modified sulcus bleeding index (mSBI), probing pocket depth (PPD) and attachment level (AL). A periodontal probe (PCP 12) was used for all examinations. SPSS 21.0 software package was used for statistical analysis. RESULTS: At the baseline level, clinical periodontal parameters were similar between the experimental group and the control group. Six months after treatment, the overall clinical periodontal index was below the baseline, with significant difference (P<0.05) compared with the baseline and between the two groups. CONCLUSIONS: GPAP can improve the efficacy and comfort during treatment of moderate-mild peri-implantitis. However, this improvement may just be short-term, and the long-term efficacy may need a long-term follow-up of larger samples.

Key words: Peri-implantitis, Non-surgical treatment, Subgingival glycine air polishing

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