探讨口腔种植修复对牙周炎牙列缺损患者种植体质量的影响

Effect of Dental Implant Restoration on the Quality of Implants in Patients with Periodontitis and Dentition Defect

目的探讨口腔种植修复应用在牙周炎牙列缺损患者中的效果及对种植体质量的影响。方法方便选择2020年10月—2021年10月桂林市口腔医院接诊且行口腔种植修复的68例牙列缺损患者,依据是否罹患牙周炎分为两组,观察组(34例牙周炎牙列缺损患者,共41枚种植体)、对照组(34例牙周健康牙列缺损患者,共40枚种植体),评价两组龈沟液炎性因子[白细胞介素-6(IL-6)、白细胞介素-8(IL-8)]、牙周相关指标[菌斑指数(PLI)、龈沟出血指数(SBI)、牙周探诊深度(PD)]、牙槽骨吸收状况、种植体质量。结果对照组术后6个月、1年的IL-6、IL-8差异无统计学意义(P>0.05),且观察组术后1年IL-6(5.70±0.64)ng/mL、IL-8(8.56±1.16)ng/mL高于术后6个月(3.21±0.47)ng/mL、(5.22±0.39)ng/mL,差异有统计学意义(t=18.285、15.914,P<0.05);观察组术后6个月、1年IL-6、IL-8均高于对照组,差异有统计学意义(P<0.05);观察组术后6个月的PLI、SBI、PD与对照组比较,差异无统计学意义(P>0.05),但观察组术后1年的PLI、SBI、PD高于对照组,差异有统计学意义(P<0.05);两组术后6个月、1年的牙槽骨吸收状况差异无统计学意义(P>0.05);术后1年,两组种植体松动度、脱落率、存留率差异无统计学意义(P>0.05)。结论对牙周炎牙列缺损患者实施口腔种植修复,短期疗效显著,具有推广价值。

Objective To expore the effect of dental implant restoration in patients with periodontitis and dentition defect and its impact on implant quality.Methods A total of 68 patients with dentition defects who underwent oral implant restoration in Guilin Stomatological Hospital from October 2020 to October 2021 were conveniently selected and divided into two groups according to whether they suffered from periodontitis,observation group(34 patients with periodontitis and dentition defect,a total of 41 implants),control group(34 patients with periodontal healthy dentition defect,a total of 40 implants).Gingival crevicular fluid inflammatory factors[interleukin-6(IL-6),interleukin-8(IL-8)],periodontal related indexes[plaque index(PLI),gingival crevicular bleeding index(SBI),periodontal probing depth(PD)],alveolar bone resorption and implant quality were evaluated between the two groups.Results There was no statistically significant difference in IL-6 and IL-8 in the control group at 6 months and 1 year after operation(P>0.05),and the IL-6 in the observation group at 1 year after operation was(5.70±0.64)ng/mL and IL-8(8.56±1.16)ng/mL were higher than(3.21±0.47)ng/mL and(5.22±0.39)ng/mL 6 months after operation,the difference was statistically significant(t=18.285,15.914,P<0.05);the levels of IL-6 and IL-8 in the observation group at 6 months and 1 year after operation were higher than those in the control group,the difference was statistically significant(P<0.05).The PLI,SBI and PD of the observation group compared with the control group at 6 months after operation,the difference was not statistically significant(P>0.05),but the PLI,SBI and PD of the observation group at 1 year after operation were higher than those of the control group,the difference was statistically significant(P<0.05).There was no statistically significant difference in alveolar bone resorption between the groups at 6 months and 1 year after operation(P>0.05).At 1 year after operation,there was no statistically significant difference in implant loosening,fall-off rate and survival rate between groups(P>0.05).Conclusion The short-term curative effect of dental implant restoration for patients with periodontitis and dentition defect is significant and has promotion value.