修改后的三角的第三个牙提取对第二个牙的远端牙周健康的影响:一个随机对照研究
Jing Zhao1,2, Yuan Zhang1,2, Yongfeng Cheng1,2
1Shanxi Medical University School and Hospital of Stomatology, Taiyuan 030001, China.
Heliyon
|May 26, 2023
概括
这项研究比较了两种片设计,用于受冲击的下第三骨提取. 与三角相比,修改后的三角更好地保留了相邻的牙的远端牙周健康状况.
科学领域:
- 口腔和牙面部外科手术
- 牙周病学 牙周病学
背景情况:
- 受影响的下第三通常需要手术提取.
- 提取期间的片设计可以影响相邻的牙周组织.
- 评估对远端牙周健康的影响对于长期结果至关重要.
研究的目的:
- 为了比较三角形的临床,免疫学和微生物学的效应与修改的三角形片设计.
- 评估受冲击的下三提取后,相邻的第二牙对远端牙周组织的影响.
主要方法:
- 一个随机对照试验,涉及100名患者.
- 患者接受了三角形或经过修改的三角形.
- 测量包括牙周口袋深度,斑块指数,探针出血,特定细菌 (Actinobacillus actinomycetemcomitans,Porphyromonas gingivalis,Prevotella intermedia) 和炎症标志物 (干白素-1β,干白素-8,矩阵金属蛋白酶-8) 在基线和手术后1,4,8周.
主要成果:
- 这两种片的设计都导致了远端牙周状况的暂时恶化,增加了下菌群,并在4周内增加了炎症因素.
- 与修改后的三角组相比,三角组的结果明显较差 (p < 0.05).
- 预发细胞中间体,介质蛋白-1β,和探测深度是正相关的. 在8周后,牙周指标恢复到基线水平.
结论:
- 对于受冲击的下第三提取的两个片设计都会在短期内对邻近的远端牙周健康产生负面影响.
- 与三角相比,修改后的三角在保持相邻的第二牙的远端牙周健康方面表现出更好的结果.
- 这些发现为临床实践提供了指导,用于选择片设计以优化牙周结局.
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