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非受影响的第三毛提取对邻近第二毛的非手术牙周治疗的预后影响:一项前性分口研究

Rui Gao¹, Hong-Lei Qu¹, Yi Tian¹

¹Department of Periodontology, School of Stomatology, State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi International Joint Research Center for Oral Diseases, The Fourth Military Medical University, Xi'an, People's Republic of China.

Journal of clinical periodontology

|August 11, 2025

概括

切除相邻的未受影响的第三牙可以改善第二牙的非手术性牙周治疗结果. 这种方法提高了牙周炎患者的临床,免疫学和微生物学结果.

科学领域:

牙周病学牙周病学
在口腔外科手术.
免疫学免疫学免疫学

背景情况:

牙周炎会影响第二牙 (M2s),特别是当它与未受影响的第三牙 (N-M3s) 邻近时.
非手术性牙周治疗 (NSPT) 是牙周炎的标准治疗方法.
删除N-M3对M2sNSPT结果的影响需要进一步调查.

研究的目的:

为了比较单独的NSPT与与M2s相邻的N-M3移除相结合的NSPT在牙周炎患者中的有效性.
在这些治疗后评估M2s中的临床,微生物学和免疫学参数.

主要方法:

一项前性分裂口腔研究,涉及40名牙周炎患者.
全口NSPT被管理,其中一个N-M3被提取,而相反的N-M3在每个患者中被保留.
牙周参数,牙裂液 (GCF) 和牙下斑块在基线,治疗后3个月和6个月被评估.

主要成果:

所有的M2都在处理后显示了更好的探测深度.
与提取的N-M3相邻的M2s在3个月和6个月后显示出更好的临床结果.
在N-M3去除组中观察到牙周病原体水平降低 (例如, Porphyromonas gingivalis) 和较低的GCF体积,以及在6个月后更高的IL-10水平.

结论:

移除相邻的N-M3s显著提高了第二牙NSPT的结果.
辅助手术干预提供了临床,微生物学和免疫学的好处.
这种策略可能有利于在存在N-M3s时影响M2s的牙周炎的管理.

关键词:

没有受影响的第三牙.非手术性牙周治疗.牙周炎是指牙周炎的一种疾病.第二个牙.膜下微生物学膜下微生物学

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