椅旁个性化口腔卫生指导降低牙周炎患者种植体周病发生率的初步调查研究

doi:10.13701/j.cnki.kqyxyj.2023.03.016

口腔医学研究 ›› 2023, Vol. 39 ›› Issue (3): 272-277.DOI: 10.13701/j.cnki.kqyxyj.2023.03.016

椅旁个性化口腔卫生指导降低牙周炎患者种植体周病发生率的初步调查研究

刘建, 杨杰, 韩子瑶, 孙菲, 胡文杰^*

北京大学口腔医学院·口腔医院牙周科;国家口腔医学中心; 国家口腔疾病临床医学研究中心;口腔数字化医疗技术和材料国家工程实验室; 国家卫生健康委员会口腔医学计算机应用工程技术研究中心, 口腔数字医学北京市重点实验室北京 100081

收稿日期:2022-12-05 出版日期:2023-03-28 发布日期:2023-03-21
通讯作者: * 胡文杰,E-mail:huwenjie@pkuss.bjmu.edu.cn
作者简介:刘建(1970~ ),女,辽宁人,本科,副主任护师,研究方向:口腔护理学、牙周病学、口腔种植学。
基金资助:
北京大学临床科学家计划专项(编号:BMU2019LCKXJ010);北京市自然科学基金(编号:7214273)

Preliminary Study on Reducing Incidence of Peri-implant Disease in Patients with Periodontitis Using Chairside Personalized Oral Hygiene Instruction

LIU Jian, YANG Jie, HAN Ziyao, SUN Fei, HU Wenjie^*

Department of Periodontology, Peking University School and Hospital of Stomatology & National Center of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & NHC Research Center of Engineering and Technology for Computerized Dentistry, Beijing 100081, China

Received:2022-12-05 Online:2023-03-28 Published:2023-03-21

摘要/Abstract

摘要： 目的: 回顾性调查分析牙周炎患者接受种植治疗后的就诊规律和诊疗期间曾接受口腔卫生宣教(oral hygiene instruction, OHI)的状况与种植体周病患病情况的相关性,为有效预防和治疗种植体周病提供临床指导。方法: 纳入128例患者共157颗种植体,根据既往接受口腔卫生宣教方式分为既往接受椅旁个性化OHI组(62例,75颗种植体)与接受一般OHI组(66例,82颗种植体),通过临床检查判断患者种植体周状况,并通过问卷调查了解其种植修复后就诊规律,对比两组患者定期维护频率与种植体周病患病情况。结果: 既往接受椅旁个性化OHI组患者在完成种植修复后做到定期(≤6个月)接受牙周和种植体周维护的比例达到74.2%(46/62),明显高于一般OHI组的13.6%(9/66)。在种植体水平,接受椅旁个性化OHI组健康种植体的数目占73.3%(55/75),高于一般OHI组的13.4%(11/82),种植体周改良菌斑指数、改良出血指数、探诊深度均显著低于一般OHI组的种植体(P＜0.001)。结论: 口腔医护工作者进行椅旁个性化OHI可使接受种植治疗的牙周炎患者养成良好的口腔卫生维护习惯,有助于种植体周病的预防。

关键词: 个性化, 口腔卫生指导, 牙周炎, 种植体周病, 发生率

Abstract: Objective: To analyze the association between the methods of oral hygiene instructions(OHI)and the prevalence of peri-implant diseases in patients with periodontitis. Methods: One hundred and twenty-eight patients with 157 implants were included and divided into the chairside personalized OHI group (62 patients, 75 implants) and the traditional OHI group (66 patients, 82 implants) according to the previous OHI methods received. The peri-implant status was defined by clinical examinations,and the patients were investigated by questionnaires for their frequencies of recalls after loading. The frequency of receiving maintenance treatment and the incidence of peri-implant disease were compared between two groups. Results: The proportion of patients who received regular(≤6 months)periodontal and peri-implant maintenance after loading was 74.2%(46/62)in the chairside personalized OHI group,which was significantly higher than 13.6%(9/66)in the traditional OHI group. At the implant level,the number of healthy implants in the chairside personalized OHI group accounted for 73.3%(55/75), which was higher than 13.4%(11/82)in the traditional OHI group. The modified plaque index(mPLI), modified bleeding index (mBI), and peri-implant probing depth(PPD)of implants in the chairside personalized OHI group were significantly lower than those in the traditional OHI group(P<0.001). Conclusion: Chairside personalized OHI by dentists and oral nurses can help patients who had periodontitis and received implant treatment develop good oral hygiene maintenance habit,which is helpful to prevent peri-implant diseases.

Key words: personalized, oral hygiene instruction, periodontitis, peri-implant disease, incidence

刘建, 杨杰, 韩子瑶, 孙菲, 胡文杰. 椅旁个性化口腔卫生指导降低牙周炎患者种植体周病发生率的初步调查研究[J]. 口腔医学研究, 2023, 39(3): 272-277.

LIU Jian, YANG Jie, HAN Ziyao, SUN Fei, HU Wenjie. Preliminary Study on Reducing Incidence of Peri-implant Disease in Patients with Periodontitis Using Chairside Personalized Oral Hygiene Instruction[J]. Journal of Oral Science Research, 2023, 39(3): 272-277.

参考文献

[1] 王兴.第四次全国口腔健康流行病学调查报告[M].北京:人民卫生出版社,2018.11-37.
[2] 孙菲,李思琪,危伊萍,等.种植体周病非手术治疗中联合应用甘氨酸粉喷砂的临床效果评价[J].北京大学学报(医学版),2022,54(1):119-125.
[3] 孟焕新.临床牙周病学[M].第2版.北京:北京大学医学出版社,2014.285-289.
[4] Adler L, Buhlin K, Jansson L. Survival and complications: A 9- to 15-year retrospective follow-up of dental implant therapy [J]. J Oral Rehabil, 2020, 47(1):67-77.
[5] Derks J, Tomasi C. Peri-implant health and disease. A systematic review of current epidemiology [J]. J Clin Periodontol, 2015, 42 Suppl 16: S158-S171.
[6] 孟焕新.种植体周围炎的危险因素及防治[J].中华口腔医学杂志,2014,49(6):328-332.
[7] Lindhe J, Meyle J, Group D of European Workshop on Periodontology. Peri-implant disease: Consensus Report of the Sixth European Workshop on Periodontology [J]. J Clin Periodontol, 2008, 35(8 Suppl):282-285.
[8] Berglundh T, Armitage G, Araujo MG, et al. Peri-implant diseases and conditions: Consensus report of workgroup 4 of the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions [J]. J Periodontol, 2018, 89 Suppl 1: S313-S318.
[9] Mombelli A, van Oosten MA, Schurch E, Jr, et al. The microbiota associated with successful or failing osseointegrated titanium implants [J]. Oral Microbiol Immunol, 1987, 2(4):145-151.
[10] Jepsen S, Berglundh T, Genco R, et al. Primary prevention of peri-implantitis: managing peri-implant mucositis [J]. J Clin Periodontol, 2015, 42 Suppl 16: S152-S157.
[11] Ferreira SD, Silva GL, Cortelli JR, et al. Prevalence and risk variables for peri-implant disease in Brazilian subjects [J]. J Clin Periodontol, 2006, 33(12):929-935.
[12] Marrone A, Lasserre J, Bercy P, et al. Prevalence and risk factors for peri-implant disease in Belgian adults [J]. Clin Oral Implants Res, 2013, 24(8):934-940.
[13] Renvert S, Quirynen M. Risk indicators for peri-implantitis. A narrative review [J]. Clin Oral Implants Res, 2015, 26 Suppl 11:15-44.
[14] Renvert S, Polyzois I. Risk indicators for peri-implant mucositis: a systematic literature review [J]. J Clin Periodontol, 2015, 42 Suppl 16: S172-S186.
[15] Heitz-Mayfield LJ, Salvi GE, Botticelli D, et al. Anti-infective treatment of peri-implant mucositis: a randomised controlled clinical trial [J]. Clin Oral Implants Res, 2011, 22(3):237-241.
[16] Thöne-Mühling M, Swierkot K, Nonnenmacher C, et al. Comparison of two full-mouth approaches in the treatment of peri-implant mucositis: a pilot study [J]. Clin Oral Implants Res, 2010, 21(5):504-512.
[17] Ramberg P, Lindhe J, Botticelli D, et al. The effect of a triclosan dentifrice on mucositis in subjects with dental implants: a six-month clinical study [J]. J Clin Dent, 2009, 20(3):103-107.
[18] 罗蝶华.个性化健康教育降低糖尿病病人种植体周围炎发生率的效果观察[J].护理研究,2017,31(11):1368-1369.
[19] Hu C, Lang NP, Ong MM, et al. Influence of periodontal maintenance and periodontitis susceptibility on implant success: A 5-year retrospective cohort on moderately rough surfaced implants [J]. Clin Oral Implants Res, 2020, 31(8):727-736.
[20] Cortellini S, Favril C, De Nutte M, et al. Patient compliance as a risk factor for the outcome of implant treatment [J]. Periodontol 2000, 2019, 81(1):209-225.
[21] Serino G, Ström C. Peri-implantitis in partially edentulous patients: association with inadequate plaque control [J]. Clin Oral Implants Res, 2009, 20(2):169-174.
[22] Cheung MC, Hopcraft MS, Darby IB. Patient-reported oral hygiene and implant outcomes in general dental practice [J]. Aust Dent J, 2021, 66(1):49-60.
[23] 刘建,释栋,马宁,等.基于菌斑染色图像分析初步评价负离子牙刷清除菌斑效率的研究[J].中国体视学与图像分析,2021,26(4):421-427.
[24] Cheung MC, Hopcraft MS, Darby IB. Dentists' preferences in implant maintenance and hygiene instruction [J]. Aust Dent J, 2021, 66(3):278-288.

椅旁个性化口腔卫生指导降低牙周炎患者种植体周病发生率的初步调查研究

Preliminary Study on Reducing Incidence of Peri-implant Disease in Patients with Periodontitis Using Chairside Personalized Oral Hygiene Instruction

PDF (PC)

可视化

摘要/Abstract

引用本文

使用本文

参考文献

相关文章 15

编辑推荐

Metrics

[1]	罗晓洁, 陈晓涛. 铁代谢异常对牙周炎作用的研究进展[J]. 口腔医学研究, 2023, 39(3): 202-205.
[2]	叶刚, 单丽华. 睡眠障碍与牙周炎的关系及机制研究进展[J]. 口腔医学研究, 2023, 39(2): 105-108.
[3]	陈栖, 龚婷. 牙周炎与口腔菌群及肠道菌群的相关研究进展[J]. 口腔医学研究, 2023, 39(2): 109-112.
[4]	赵慧伟, 刘树泰. Hippo-YAP信号通路影响牙周组织炎症及再生的研究进展[J]. 口腔医学研究, 2023, 39(1): 20-23.
[5]	解伟格, 董静雯, 黄玲燕, 康文, 王璐, 吴娟, 谢思静. 牙周炎对高脂饮食小鼠血浆氧化三甲胺的影响[J]. 口腔医学研究, 2023, 39(1): 74-80.
[6]	俞岚, 金佳杨, 涂业颖, 潘羽磊, 汪婷, 林海燕. 下前牙改良Onlay植骨术种植修复1例[J]. 口腔医学研究, 2023, 39(1): 86-88.
[7]	闫锐, 郭凯利, 曹丰弟, 张军, 马哲. 牙龈卟啉单胞菌GroEL对人脐静脉内皮细胞影响的研究[J]. 口腔医学研究, 2022, 38(9): 872-876.
[8]	姚玲玲, 黄满英, 熊际文. 低强度激光联合FM-SRP治疗对慢性牙周炎患者龈沟液中TGF-β1、t-AP和PAI-1水平的影响[J]. 口腔医学研究, 2022, 38(9): 887-891.
[9]	胥鹏飞, 张闵, 范智博, 杨彬彬, 徐晓梅. 无托槽隐形矫治中牙周炎患者下切牙压低的三维有限元研究[J]. 口腔医学研究, 2022, 38(8): 757-761.
[10]	张艺龄, 徐杰. 两种重度牙周炎相关微生物高通量检测[J]. 口腔医学研究, 2022, 38(5): 412-416.
[11]	高源, 李佳, 李维善. 牙龈卟啉单胞菌脂多糖对HUVECs中COX-2表达及信号通路的研究[J]. 口腔医学研究, 2022, 38(5): 436-441.
[12]	汪丹, 孟维艳. 牙龈卟啉单胞菌牙龈蛋白酶的研究进展[J]. 口腔医学研究, 2022, 38(3): 216-219.
[13]	吴沁蕊, 彭显. 牙龈卟啉单胞菌促进心血管疾病的研究进展[J]. 口腔医学研究, 2022, 38(2): 108-112.
[14]	周宏志, 张可, 王学玲, 王文洁, 王闻天. 不同形态种植体在两种骨质内以不同角度植入的应力分析[J]. 口腔医学研究, 2022, 38(2): 138-143.
[15]	陈智, 周林芳. 口腔疾病与治疗技术的风险评估[J]. 口腔医学研究, 2022, 38(1): 1-8.