穿龈轮廓与骨水平种植体周围炎的相关性研究

doi:10.13701/j.cnki.kqyxyj.2022.11.009

口腔医学研究 ›› 2022, Vol. 38 ›› Issue (11): 1042-1046.DOI: 10.13701/j.cnki.kqyxyj.2022.11.009

穿龈轮廓与骨水平种植体周围炎的相关性研究

黄枚钰, 沈玉凤, 姜丹丹, 陈苗苗, 余重庆, 周政^*

石河子大学医学院第一附属医院新疆石河子 832000

收稿日期:2022-07-11 出版日期:2022-11-25 发布日期:2022-11-22
通讯作者: *周政,E-mail:15909935188@163.com
作者简介:黄枚钰(1995~ ),女,重庆长寿人,硕士,研究方向:口腔修复种植。
基金资助:
石大一附院青年基金项目(编号:QN202012)八师科技计划项目(编号:2018YL04)

Correlation between Emergence Profile and Peri-implantitis of Bone Level Implants

HUANG Meiyu, SHEN Yufeng, JIANG Dandan, CHEN Miaomiao, YU Chongqing, ZHOU Zheng^*

Department of Stomatology, The First Affiliated Hospital of Medical College, Shihezi University, Shihezi 832000, China

Received:2022-07-11 Online:2022-11-25 Published:2022-11-22

摘要/Abstract

摘要： 目的: 探讨不同的修复体穿龈轮廓对骨水平种植体周围炎(PI)发生的影响,并通过临床、影像学检查和生物标志物检测的联合诊断方法,进一步验证修复体穿龈轮廓作为PI危险因素之一的可行性。方法: 实验组90例患者共91颗骨水平种植体,根据上部修复体的穿龈轮廓不同,分为凸型组(29例)、直型组(36例)和凹型组(26例),对照组为35颗对侧同名健康天然牙。记录牙周及影像学检查指标,ELISA法检测RANKL、OPG、IL-10、IL-1β在各组龈沟液中的水平。结果: 凸型PI组、直型PI组、凹型PI组和对照组PD、SBI存在统计学差异(P<0.05);凸型PI组、直型PI组、凹型PI组、凸型健康组、直型健康组、凹型健康组RANKL、IL-1β、OPG、IL-10水平及RANKL/OPG比值与对照组的差异均有统计学意义(P<0.05);凸型组PI患病率高于直型组、凹型组(P<0.05)。结论: 本研究结果提示凸型穿龈轮廓较直型、凹型更易引起骨水平种植体PI发生;结合临床、影像学检查与生物标志物检测的联合诊断方法,能更准确提示不良的修复体穿龈轮廓对早期PI的影响。

关键词: 穿龈轮廓, 种植体周围炎, 骨水平种植体, 生物标志物

Abstract: Objective: To explore the influence of emergence profile of crown on the occurrence of peri-implantitis for bone level implants, and to verify the feasibility of using emergence profile of crown as risk factor of peri-implantitis through clinical examination, imaging examination, and biomarker detection. Methods: There were 91 bone level implants in 90 patients in the experimental group, which were divided into convex group (29 cases), straight group (36 cases), and concave group (26 cases) according to the emergence profile of the crown. The control group consisted of 35 homonymous healthy natural teeth on the opposite site. The periodontal and imaging examinations were recorded, and the levels of RANKL, OPG, IL-10, and IL-1β in gingival crevicular fluid of each group were detected by ELISA. Results: There were statistical differences in PD and SBI among convex PI group, straight PI group, concave PI group, and control group (P<0.05). The levels of RANKL, IL-1β, OPG, IL-10, and the ratio of RANKL/OPG in convex PI group, straight PI group, concave PI group, convex healthy group, straight healthy group, and concave healthy group were significantly different from those in the control group (P<0.05). The prevalence of PI in the convex group was higher than that in the straight group and concave group (P<0.05). Conclusion: Convex emergence profile is more likely to cause peri-implantitis than straight and concave emergence profile. A combination of clinical examination, imaging examination, and biomarker detection is more accurate to indicate the influence of emergence profile on early peri-implantitis.

Key words: emergence profile, peri-implantitis, bone level implants, biomarkers

黄枚钰, 沈玉凤, 姜丹丹, 陈苗苗, 余重庆, 周政. 穿龈轮廓与骨水平种植体周围炎的相关性研究[J]. 口腔医学研究, 2022, 38(11): 1042-1046.

HUANG Meiyu, SHEN Yufeng, JIANG Dandan, CHEN Miaomiao, YU Chongqing, ZHOU Zheng. Correlation between Emergence Profile and Peri-implantitis of Bone Level Implants[J]. Journal of Oral Science Research, 2022, 38(11): 1042-1046.

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穿龈轮廓与骨水平种植体周围炎的相关性研究

Correlation between Emergence Profile and Peri-implantitis of Bone Level Implants

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