中国冶金工业医学杂志

吸烟对钙拮抗剂致牙龈增生的牙周非手术治疗的影响

作者：王薇1 胡玉乾2

分类号：R 7814文献标志码：A文章编号：1005-5495(2012)02-0

出版年,卷(期):页码：2012,29(2):141-142

摘要：

摘要：目的 研究吸烟对钙拮抗剂致牙龈增生的牙周非手术治疗的影响。方法对18例因钙拮抗剂致牙龈增生患者进行牙周非手术治疗，分别选取吸烟组（58个位点）与非吸烟组（46个位点）患者的多个位点观察菌斑指数(PLI)、龈沟出血指数(SBI)、牙龈增生指数(GO)、附着丧失（AL）和探诊深度(probing depth,PD)，分析吸烟对治疗效果的影响。结果治疗前，吸烟组SBI明显小于非吸烟组（P＜0.05），PD、PLI、GO、AL的差异无统计学意义；治疗后，吸烟组与非吸烟组PLI、PD、SBI较治疗前均有减少，且差异有统计学意义（P＜0.05）；未吸烟组的改变量明显高于吸烟组，且差异有统计学意义（P＜0.05）。结论非吸烟组钙拮抗剂致牙龈增生患者的牙周非手术治疗效果好于吸烟组。

Abstract :Objective To study the influence of smoking to periodontal non-surgical therapy of gingival overgrowth due to calcium channel blockers.Methods In 18 cases of gingival overgrowth due to calcium channel blockers by periodontal non\|surgical therapy,patients were divided into smoking group(58 sites)and non\|smoking group (46 sites).Many sites of patients were recorded:plaque index(PLI),sulcus bleeding index(SBI),and gingival overgrowth index(GO),attachment loss(AL)and probing depth(PD).The effects of smoking were analyzed.Results Before treatment,SBI in smoking group were obviously less than those in non-smoking group(P＜0.05),the differences of PD,PLI,GO,AL were statistically significant.After treatment,PLI,PD,SBI in smoking and non-smoking group were much more reduced than before,and it had a statistically significant(P＜0.05).The changing quantities in non\|smoking group were obviously higher than that in smoking group,and it had a statistically significant(P＜0.05).Conclusion To patients with calcium antagonists gingival overgrowth,the effect of periodontal non\|surgical therapy in the non\|smoking group was better than that in smoking group.

基金项目：

作者简介：

参考文献：

［1］曹采方临床牙周病学[M]北京：北京大学医学出版社，2005：147-148

［2］栾庆先，曹采方牙周基础治疗对药物性牙龈增生疗效的纵向观察[J]现代口腔医学杂志,2005,19(3):239-241

［3］许强，张雄吸烟对牙周炎非手术治疗效果的影响[J]广东牙病防治，2002,10(1):22-24

［4］Miller CS，Damm DDIncidence of verapamil-induced gingival hyperplasia in a dental population [J]J Periodontol，1992，63（5）：453-56

［5］Heijl L，Sundin YNifedipine\|induced gingival overgrowth in dogs [J]J Periodontol,1989,60(20)：104-112

［6］孙卫斌，蒋春梅，郑仕中，等钙拮抗剂对牙龈成纤维细胞作用的体外实验研究[J]牙体牙髓牙周病学杂志，2001,11(1):7-9

［7］Kwon O S，Chung J H，Cho K H,et alNicotine enhanced epithelial differentiation in reconstructed human oral mucosa in vitro[J]Skin Pharmacol Appl Skin Physiol，1999，12：227

［8］孙晓强吸烟对牙周炎患者牙龈组织上皮和血管的影响[J]首都医科大学学报，2006,27(3)：286-289

服务与反馈：

【文章下载】【加入收藏】