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龋病患牙牙周健康状况调查分析

Preliminary Investigation of Periodontal Condition of Caries Teeth

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【作者】 江千舟王丹缪晓琳陈其超姚亮

【Author】 JIANG Qian-zhou,WANG Dan,MIAO Xiao-lin,et al.School of Stomatology,Wuhan University,Wuhan 430070

【机构】 武汉大学口腔医学院牙体牙髓科

【摘要】 目的:检查龋病患牙的牙周健康状况,探讨龋病对牙周健康状况的影响。方法:在武汉大学口腔医学院牙体牙髓科和牙周黏膜科就诊的患者中,选择一侧牙有龋,而对侧同名牙无龋的牙齿86对,每对牙齿依次检查牙体龋坏情况(包括冠龋和根龋)及牙周状况(包括探诊深度、探诊出血、牙石指数、牙龈退缩程度、松动度),并进行统计学分析,研究龋病患牙的牙周健康状况。结果:86对牙齿比较结果显示,有龋组的牙周探诊深度、牙石指数、牙龈退缩程度、松动度均显著高于无龋组(P<0.05)。对有龋组牙仅有冠龋的71对牙齿做比较,结果显示有龋组患牙的牙周探诊深度、牙石指数、牙龈退缩程度均高于无龋组,有显著性差异,且探诊深度、牙石指数有非常显著的差异(P<0.01)。对有龋组中既有冠龋又有根龋的15对牙齿牙周情况做比较,结果显示有龋组牙龈退缩、松动度均高于无龋组且有显著性差异(P<0.05)。结论:在同一口腔环境中龋病的发生和牙周炎症程度呈正相关,两者的微生态联系和相互影响有待深入的研究。

【Abstract】 Objective: To investigate the periodontal condition of caries teeth.Methods: The patients in the departments of Endodontics and Periodontics in Stomatological Hospital of Wuhan University were examined.86 pairs of teeth-each consisting of a tooth with caries and its counterpart on the opposite side without caries-were chosen.Caries(including coronal caries and root caries) and periodontal conditions(including probing depth,bleeding on probing(BOP),the index of dental calculus,gingival recession and mobility) of each tooth were investigated. Results: It showed that probing depth,index of dental calculus,gingival recession and mobility of teeth in the group of caries(CG) were significantly higher than those in the group without caries(NCG)(P<0.05).Comparing 71 pairs of patients who had only coronal caries occurred,probing depth,BOP,index of dental calculus and gingival recession in CG are higher than in NCG,especially of probing depth and BOP(P<0.01).As for the other 15 of patients who had both coronal and root caries occurred,the condition of gingival recession and mobility in CG is worse than those in NCG(P<0.05).Conclusion: It seems that there is positive correlation between caries prevalence and periodontal inflammation.The relationship and interaction of their micro-zoology are worthy of further study.

【关键词】 龋病牙周炎症
【Key words】 Caries Periodontal Inflammation
【基金】 武汉大学2004年大学生业余科研基金项目:龋病患牙的牙周健康状况调查分析
  • 【文献出处】 口腔医学研究 ,Journal of Oral Science Research , 编辑部邮箱 ,2009年04期
  • 【分类号】R781.1
  • 【被引频次】5
  • 【下载频次】172
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