Periodontal disease is a high prevalent disease.In the United States 47.2% of adults ≥ 30 years old have been diagnosed with some type of periodontitis.Longitudinal studies have demonstrated a two-way relationship be...Periodontal disease is a high prevalent disease.In the United States 47.2% of adults ≥ 30 years old have been diagnosed with some type of periodontitis.Longitudinal studies have demonstrated a two-way relationship between diabetes and periodontitis,with more severe periodontal tissue destruction in diabetic patients and poorer glycemic control in diabetic subjects with periodontal disease.Periodontal treatment can be successful in diabetic patients.Short term effects of periodontal treatment are similar in diabetic patients and healthy population but,more recurrence of periodontal disease can be expected in no well controlled diabetic individuals.However,effects of periodontitis and its treatment on diabetes metabolic control are not clearly defined and results of the studies remain controversial.展开更多
Aim The aim of this study was to measure the level of Oncostatin M （OSM） a gp130 cytokine in the gingival crevicular fluid （GCF） and serum of chronic periodontitis patients and to find any correlation between them...Aim The aim of this study was to measure the level of Oncostatin M （OSM） a gp130 cytokine in the gingival crevicular fluid （GCF） and serum of chronic periodontitis patients and to find any correlation between them before and after periodontal therapy （scaling and root planing,SRP）. Methodology 60 subjects （age 25-50 years） were enrolled into three groups （n=20 per group）,group Ⅰ （healthy）,group Ⅱ （gingivitis） and group III （chronic periodontitis）. Group Ⅲ subjects were followed for 6-8 weeks after the initial periodontal therapy （SRP） as the group Ⅳ （after periodontal therapy）. Clinical parameters were assessed as gingival index （GI）,probing depth （PD）,clinical attachment level （CAL）,and radiographic evidence of bone loss. GCF and serum levels of OSM were measured by using Enzyme Linked Immunosorbent Assay （ELISA）. Results It was found that mean OSM levels had been elevated in both the GCF and serum of chronic periodontitis subjects （726.65 ± 283.56 and 65.59 ± 12.37 pg·mL-1,res-pectively） and these levels were decreased proportionally after the periodontal therapy （95.50 ± 38.85 and 39.98 ± 16.69 pg·mL-1 respectively）. However,OSM was detected in GCF of healthy subjects （66.15 ± 28.10 pg·mL-1） and gingivitis-suffering subjects （128.33 ± 22.96 pg·mL-1） and was found as below the detectable limit （≈0.0 pg·mL-1） in the serum of same subjects. Significant correlation has been found between clinical parameters and GCF-serum levels of OSM. Conclusion Increased OSM level both in the GCF and serum,and the decreased levels after initial periodontal therapy （SRP） may suggest a use as an inflammatory bio-marker in the periodontal disease.展开更多
目的比较抗菌光动力疗法(aPDT)与全身抗菌药物辅助治疗牙周炎的疗效。方法搜索Embase、PubMed、Web of Science、Cochrane Library、中国知网、万方数据库、维普数据库共7个数据库,搜索时间从建库至2023年11月止,被搜索文献的语言类型...目的比较抗菌光动力疗法(aPDT)与全身抗菌药物辅助治疗牙周炎的疗效。方法搜索Embase、PubMed、Web of Science、Cochrane Library、中国知网、万方数据库、维普数据库共7个数据库,搜索时间从建库至2023年11月止,被搜索文献的语言类型为中文或英文。根据纳入排除标准筛选文献。用Cochrane工具进行文献质量评价。用RevMan 5.4软件和Stata 14.0软件对被纳入的文献进行Meta分析和发表偏倚检测。结果共有8篇文献被纳入。Meta分析结果表明,治疗后3个月时,当光敏剂(PS)为亚甲基蓝(MB)时,龈下刮治和根面平整术(SRP)+aPDT对探诊深度(PD)的改善效果优于SRP+全身抗菌药物;治疗后3个月时,当PS为吩噻嗪氯时,SRP+全身抗菌药物对PD的改善效果优于SRP+aPDT(P<0.05)。治疗后3个月,SRP+aPDT/SRP+全身抗菌药物对临床附着水平(CAL)、探诊出血(BOP)的改善效果均无明显区别(P>0.05);治疗后6个月,SRP+aPDT/SRP+全身抗菌药物对PD、CAL、BOP的改善效果均无明显区别(P>0.05)。与基线期相比,治疗后3个月时,SRP+aPDT使PD、CAL、BOP分别改善了(0.80±0.19)mm、(0.94±0.29)mm、19.74%±1.91%(P<0.05);而SRP+全身抗菌药物使PD、CAL、BOP分别改善了(1.02±0.27)mm、(0.95±0.25)mm、19.39%±11.83%(P<0.05)。治疗后6个月,SRP+aPDT使PD、CAL、BOP分别改善了(1.37±0.47)mm、(1.29±0.52)mm、28.97%±2.43%(P<0.05);而SRP+全身抗菌药物使PD、CAL、BOP分别改善了(1.55±0.53)mm、(1.34±0.49)mm、29.34%±10.47%(P<0.05)。结论SRP+MB-aPDT对PD的改善效果优于SRP+全身抗菌药物;SRP+全身抗菌药物对PD的改善效果优于SRP+吩噻嗪氯-aPDT,MB-aPDT或许能成为全身抗菌药物辅助治疗牙周炎的替代方法。牙周炎类型、2型糖尿病、吸烟、aPDT次数、全身抗菌药物的种类及其治疗时间等因素对于SRP+aPDT/SRP+全身抗菌药物的治疗效果影响相当。展开更多
文摘Periodontal disease is a high prevalent disease.In the United States 47.2% of adults ≥ 30 years old have been diagnosed with some type of periodontitis.Longitudinal studies have demonstrated a two-way relationship between diabetes and periodontitis,with more severe periodontal tissue destruction in diabetic patients and poorer glycemic control in diabetic subjects with periodontal disease.Periodontal treatment can be successful in diabetic patients.Short term effects of periodontal treatment are similar in diabetic patients and healthy population but,more recurrence of periodontal disease can be expected in no well controlled diabetic individuals.However,effects of periodontitis and its treatment on diabetes metabolic control are not clearly defined and results of the studies remain controversial.
文摘Aim The aim of this study was to measure the level of Oncostatin M （OSM） a gp130 cytokine in the gingival crevicular fluid （GCF） and serum of chronic periodontitis patients and to find any correlation between them before and after periodontal therapy （scaling and root planing,SRP）. Methodology 60 subjects （age 25-50 years） were enrolled into three groups （n=20 per group）,group Ⅰ （healthy）,group Ⅱ （gingivitis） and group III （chronic periodontitis）. Group Ⅲ subjects were followed for 6-8 weeks after the initial periodontal therapy （SRP） as the group Ⅳ （after periodontal therapy）. Clinical parameters were assessed as gingival index （GI）,probing depth （PD）,clinical attachment level （CAL）,and radiographic evidence of bone loss. GCF and serum levels of OSM were measured by using Enzyme Linked Immunosorbent Assay （ELISA）. Results It was found that mean OSM levels had been elevated in both the GCF and serum of chronic periodontitis subjects （726.65 ± 283.56 and 65.59 ± 12.37 pg·mL-1,res-pectively） and these levels were decreased proportionally after the periodontal therapy （95.50 ± 38.85 and 39.98 ± 16.69 pg·mL-1 respectively）. However,OSM was detected in GCF of healthy subjects （66.15 ± 28.10 pg·mL-1） and gingivitis-suffering subjects （128.33 ± 22.96 pg·mL-1） and was found as below the detectable limit （≈0.0 pg·mL-1） in the serum of same subjects. Significant correlation has been found between clinical parameters and GCF-serum levels of OSM. Conclusion Increased OSM level both in the GCF and serum,and the decreased levels after initial periodontal therapy （SRP） may suggest a use as an inflammatory bio-marker in the periodontal disease.
文摘将64例重度慢性牙周炎患者随机分为肌肉注射酮咯酸氨丁三醇组(KT组)和利多卡因局部神经阻滞麻醉组(L组)(n=32)在牙周手术治疗时采用VAS评估镇痛效果,并记录患者术中、术后的不良反应。术中2组VAS无统计学差异(P>0.05),术后6 h和12 h KT组VAS评分明显低于L组(P<0.05);术中L组全部出现口腔内局部轻度不良反应,KT组无任何局部不良反应出现(P<0.05);术后L组和KT组各观察到2例和1例轻度不良反应(P>0.05)。
