Relationship between some subgingival bacteria and periodontal pocket depth and gain or loss of periodontal attachment after treatment of adult periodontitis.
Relationship between some subgingival bacteria and periodontal pocket depth and gain or loss of periodontal attachment after treatment of adult periodontitis.
复制标题
成人牙周炎治疗后某些龈下细菌与牙周袋深度和牙周附着获得或丧失的关系。
DOI：
10.1111/j.1600-051x.1985.tb01388.x
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发表时间：
1985
影响因子：
6.7
通讯作者：
Rosling,BG
中科院分区：
文献类型：
--
作者：
Slots,J;Emrich,LJ;Genco,RJ;Rosling,BG
我们研究了治疗后牙周病活动与龈下牙龈拟杆菌之间的关系。中间类杆菌、螺旋体和活动杆。20个成人22-62岁，中度至重度牙周炎患者参加了一项裂口治疗研究。所有个体象限均接受龈上清洁，此外，龈下刮治和NaHCO 3-NaCl-H2 O2浆液、单独龈下刮治、单独浆液或无龈下治疗。在12个月的时间内，通过探测牙周袋深度和探测牙周附着水平的变化来确定治疗后牙周疾病状态。通过纸点取样获得的龈下样本被评价为B。牙龈炎和B.使用间接免疫荧光和使用明亮的光相差显微镜对螺旋体和运动杆。共有142个牙周炎病变，代表所有4个象限的20名受试者进行了研究。使用logistic回归分析临床数据与细菌之间的关系，研究微生物在治疗后3至6个月存在于龈下部位的概率随着残余袋深度的增加而增加。B的存在。牙龈炎与牙周附着丧失呈显著正相关（P<0.004）。也发现与螺旋体有显著相关性（p<0.008），但与活动杆（p>0.35）或B无显著相关性.中间肌（p>0.13）。在治疗后12个月获得了类似的结果，除了活动杆的存在与牙周附着的丧失显著相关（p<0.03）。牙龈螺旋体，以评估治疗效果。如果这些微生物的存在被用来指示进行性牙周炎，许多活动性病变可以确定，只有1%至17%和13%至43%的网站在缓解治疗后3-6个月，预计将窝藏B。牙龈炎和螺旋体。治疗缓解期牙周部位的后果主要限于成本和不便。然而，由于几个活动性牙周炎病变没有发现微生物，治疗决定完全基于微生物的缺席可能会导致遗漏所需的治疗。作为一个实际的考虑，牙周治疗应继续只要B。龈下菌群中可检测到牙龈炎和螺旋体。在没有这些微生物的情况下，在已知其他牙周病原体之前，继续或结束牙周治疗的决定必须基于临床依据。
We studied the association between post‐treatment periodontal disease activity and subgingivalBacteroides gingivalis. Bacteroides intermedius, spirochetes and motile rods. 20 adults. 22–62 years, with moderate‐to‐severe periodontitis participated in a split‐mouth treatment study. All individual quadrants received supragingival cleaning and in addition, subgingival scaling and a NaHCO3–NaCl‐H2O2slurry, subgingival scaling alone, slurry alone, or no subgingival treatment. Post‐treatment periodontal disease status was determined over a period of 12 months by changes in probing periodontal pocket depth and probing periodontal attachment level. Subgingival specimens obtained by paper point‐sampling were evaluated forB. gingivalisandB. intermediususing indirect immunofluorescence and for spirochetes and motile rods using bright light phase contrast microscopy. A total of 142 periodontitis lesions representing all 4 quadrants of the 20 subjects were studied. The relationship between clinical data and bacteria was analyzed using logistic regression.The probability of the study organisms being present in subgingival sites at 3 to 6 months after treatment increased with increased residual pocket depth. The presence ofB. gingivalisshowed a strong positive association (p<0.004) with loss of periodontal attachment. A significant association was also found for spirochetes (p<0.008) but not for motile rods (p>0.35) orB. intermedius(p>0.13). Similar results were obtained at 12 months after therapy, except that the presence of motile rods was significantly associated with loss of periodontal attachment (p<0.03).Caution must be exercised when usingB. gingivalisor spirochetes to evaluate treatment efficacy. If thepresenceof these organisms was utilized to indicate progressing periodontitis many active lesions could be identified, and only 1 to 17% and 13 to 43% of sites in remission at 3–6 months after therapy would be expected to harborB. gingivalisand spirochetes respectively. The consequences of treating periodontal sites in remission would mainly be limited to cost and inconvenience. However, since several active periodontitis lesions did not reveal the organisms, treatment decisions based solely on theabsenceof the organisms may result in the omission of needed therapy. As a practical consideration, periodontal treatment should be continued as long asB. gingivalisand maybe spirochetes are detectable in the subgingival microflora. In the absence of these organisms, and until additional periodontal pathogens have become known, the decision to continue or conclude periodontal therapy must be based on clinical grounds.