种植体周菌斑控制不同情况下牙周炎与种植体周黏膜炎的相关性研究

doi:10.12337/zgkqzzxzz.2022.04.007

中国口腔种植学杂志 ›› 2022, Vol. 27 ›› Issue (2): 87-92.DOI: 10.12337/zgkqzzxzz.2022.04.007

种植体周菌斑控制不同情况下牙周炎与种植体周黏膜炎的相关性研究

李媛媛¹, 崔晓艺¹, 何宝杰²

¹河南大学口腔医学院,开封 475000;
²河南大学赛思口腔医院河南省口腔种植教育培训中心,郑州 450000

收稿日期:2021-10-26 出版日期:2022-04-30 发布日期:2022-05-07
通讯作者: 何宝杰,Email：hebaojie@sais.cn,电话：0371-65325395
作者简介:李媛媛,医师、硕士研究生在读,研究方向：口腔种植修复与牙周疾病相关研究;何宝杰,教授、硕士研究生导师,研究方向：即刻种植、全口种植、骨增量技术及牙周疾病相关研究

Correlation between periodontitis and peri-implant mucositis under different conditions of peri-implant plaque control

Li Yuanyuan¹, Cui Xiaoyi¹, He Baojie²

¹School of Stomatology, Henan University, Kaifeng 475000, China;
²SATH Hospital of Stomatology, Henan University, Dental Implant Education and Training Center of Henan Province, Zhengzhou 450000, China

Received:2021-10-26 Online:2022-04-30 Published:2022-05-07
Contact: He Baojie, Email: hebaojie@sais.cn, Tel: 0086-371-65325395

摘要/Abstract

摘要： 目的研究种植体周菌斑控制不同情况下种植体周黏膜炎（peri-implant mucositis,PM）和牙周炎的相关性,同时评估PM的相关危险因素。方法随机召回2010年1月至2020年1月于河南大学赛思口腔医院行种植手术且符合纳入标准的患者。对其进行口腔临床检查及放射线检查,记录牙周炎的分期分级、种植体菌斑指数、是否患有PM等。卡方检验分析不同菌斑控制时牙周炎与PM的相关性,Logistic回归分析PM的独立危险因素。结果研究共纳入182名患者427颗种植体。结果共76名（41.8%）患者存在PM,152颗（35.6%）种植体存在PM。回归分析得出,重度牙周炎（牙周炎分期≥Ⅲ期）患者（P=0.049,OR=2.108,95%CI: 1.003~4.429）、菌斑指数(plaque index,PLI)≥2（P=0.001,OR=3.126,95%CI: 1.566~6.238）患者患PM的风险更高。PLI<2时,PM与重度牙周炎无显著关系（P=0.645）;PLI≥2时,PM与重度牙周炎显著相关（P=0.001）。结论种植体周菌斑控制良好时,重度牙周炎与PM关系不显著。种植体周菌斑控制较差时,重度牙周炎与PM显著相关。因此掌握种植体周菌斑控制方法,维护牙周健康,对预防种植体周黏膜炎有重要意义。

关键词: 种植体周黏膜炎, 种植体周病, 牙周炎, 菌斑, 种植体

Abstract: Objective To investigate the correlation between periodontitis and peri-implant mucositis (PM) under different conditions of plaque control, and to evaluate related risk factors of peri-implant mucositis. Methods Patients who underwent implant surgery at SATH Hospital of stomatology, Henan University from January 2010 to January 2020 and met the the inclusion criteria were randomly recalled. Oral clinical examination and radiographic examination were carried out. The stage and grade of periodontitis, implant plaque index, peri-implant mucositis and so on were recorded. Chi-square test was used to analyze the correlation between periodontitis and PM under different conditions of plaque control, and Logistic regression was used to analyze the indipendent risk factors of PM. Results A total of 182 patients with 427 implants were included in the study. 76（41.8%） patients and 152（35.6%）implants had PM. Regression analysis showed that patients with severe periodontitis（periodontitis ≥ Stage III）（P=0.049,OR=2.108,95%CI: 1.003~4.429）and plaque index (PLI）≥2（P=0.001,OR=3.126,95%CI: 1.566~6.238）had a higher risk of PM. When PLI<2, there was no significant relationship between PM and severe periodontitis（P=0.645）; When PLI≥2, PM was significantly correlated with severe periodontitis（P=0.001）. Conclusion When peri-implant plaque was well controlled, the relationship between periodontitis and PM was not significant. Severe periodontitis was significantly associated with PM when peri-implant plaque control was poor, Therefore, mastering plaque control methods and maintaining periodontal health are of great significance in the prevention of PM.

Key words: Peri-implant mucositis, Peri-implant disease, Periodontitis, Plaque, Implant

李媛媛,等崔晓艺,等何宝杰. 种植体周菌斑控制不同情况下牙周炎与种植体周黏膜炎的相关性研究[J]. 中国口腔种植学杂志, 2022, 27(2): 87-92. DOI: 10.12337/zgkqzzxzz.2022.04.007

Li Yuanyuan, Cui Xiaoyi, He Baojie. Correlation between periodontitis and peri-implant mucositis under different conditions of peri-implant plaque control[J].Chinese Journal of Oral Implantology, 2022, 27(2): 87-92.DOI: 10.12337/zgkqzzxzz.2022.04.007.

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种植体周菌斑控制不同情况下牙周炎与种植体周黏膜炎的相关性研究

Correlation between periodontitis and peri-implant mucositis under different conditions of peri-implant plaque control

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