口腔医学文献

10008125%271261225%Effectsofnon-surgicaltreatmentmodalitiesonperi-implantitisTANGZhihui*CAOCaifangSHAYueqinLINYeWANGXing.*DepartmentofPeriodontologyPekingUniversitySchoolofStomatologyBeijing100081ChinaAbstractObjectiveToevaluatetheeffectsoflocal-deliveryof25%metronidazolgelandmechanicalcleaningusingultrasoniccarbonfibertipondentalimplantswithperi-implantitis.Methods27implantswithperi-implantitiswererandomlyassignedtoreceivingeither25%metronidazolgeltreatmentorcarbonfibertipultrasonicscaling.AllparametersincludingplaqueindexPLIprobingdepthPDofpocketsulcularbleedingindexSBIandBANAenzymeanalysisweremeasuredatbaseline126and12weeksaftertreatment.ResultsStatisticallysignificantdecreaseP0.05inSBIBANAtestandPLIoccuredinbothtreatmentgroupsatalltimeintervalscomparedtobaseline.PDhadadecreasingtendencyinbothgroupsbutonlymetronidazolegroupreachedstatisticallysignificantlevelP0.05at2and6weekintervalscomparedtobaseline.Noneofthetreatmentmodalitiesproducedanysideeffectsontheimplantandperi-implanttissues.ConclusionsBoth25%metronidazolgelandmechanicalcleaningusingultrasoniccarbonfibertipcanbesafelyandeffectivelyusedinthetreatmentofperi-implantdiseases.KeywordsDentalimplantationMetronidazoleUltrasonicscalingG-12341.IMZFrialit-2sulcularbleedingindexSBI≥1probingdepthPD≤6mmX4mm31303030122.11plaqueindexPLI5012342benzoyl-DL-arginine-naphylamideBANA330sBANAPeriocheckSunstarJapan37℃15minPorphyromonasgingivalisPgTreponemadenticolaTdBacteroidesforsythusBf3BANA1062-+3PD0.2N20g4SBI5HaweClick-ProbeSwitzerland0.2N012343.1～2mm15s3mm1h1PLIPDSBI2612PLIPDSBIBANA12PD≥2mm4.PDttPLISBIFriedmansKruskal-WallistBANA2727327121527～62361.PDPD4.0mmPDP0.0526PDPD11mm-x±sn12612134.0±1.13.5±0.93.3±0.93.1±0.93.1±1.2143.9±0.93.6±0.73.1±0.6*3.0±0.7*3.2±0.4*P0.052.SBISBIP0.05SBI1222-x±sn12612132.1±0.41.3±0.6*1.1±0.7*1.1±0.7*1.4±0.9*142.5±0.71.2±0.4*1.0±0.1*1.0±0.5*1.3±0.6**P0.053.PLIPLIP0.0533-x±sn12612131.6±0.61.3±0.7*0.9±0.6*1.0±0.6*1.0±0.4*141.8±0.41.1±0.5*1.1±0.6*0.6±0.7*1.2±0.7**P0.054.BANABANAP0.0544%n261213628*15*15*145714*7*22**P0.05Persson637BANASBI12BANABIBANAPgBfTd3BANA1SBI≥12115mmGouvoussis7DNAAaPgPi1131MombelliALangNP.Antimicrobialtreatmentofperi-implantinfections.ClinOralImplantsRes19923162-168.2NoyanUYilmazSKuroBetal.Aclinicalandmicrobiologicalevaluationofsystemicandlocalmetronidazoledeliveryinadultperiodontitispatients.JClinPeriodontol199724158-165.3..19993412.4..1998355-58.5MombelliAvanOostenMASchurchEJretal.Themicrobiotaassociatedwithsuccessfulorfailingosseointegratedtitaniumimplants.OralMicrobiolImmunol19872145-151.6PerssonLGAraujoMGBerglundhTetal.Resolutionofperi-implantitisfollowingtreatment.Anexperimentalstudyinthedog.ClinOralImplantsRes199910195-203.7GouvoussisJSindhusakeDYeungS.Cross-infectionfromperiodontitissitestofailingimplantsitesinthesamemouth.IntJOralMaxillofacImplants199712666-673.2000-11-22333430079027-87646339