[青少年牙周炎龈下菌群的比较]。

J Kasetsuwan, C Amornchat, M Sirirat
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引用次数: 0

摘要

放线菌和嗜碳细胞菌是与青少年牙周炎相关的牙龈下细菌。研究对象为20例青少年牙周炎患者,治疗前后分别进行刮治、牙根刨平、口腔卫生指导,对照组为20例健康牙龈患者。测量牙龈指数、菌斑指数、牙袋深度。在选择性培养基上计数龈下细菌,用相差显微镜比较。治疗前,患者各项指标与对照组比较差异均有统计学意义(P < 0.05)。治疗前后患者各项临床指标差异均有统计学意义(P < 0.05),但放线菌comitans和Capnocytophaga含量差异无统计学意义(P > 0.05)。这些结果表明,青少年牙周炎的治疗通过刮治、牙根平整和口腔卫生指导改善了临床测量,但对减少龈下细菌的比例没有效果。
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[Comparison of some subgingival microflora from juvenile periodontitis before and after scaling and root planing].

Actinobacillus actinomycetemcomitans and Capnocytophaga are subgingival bacteria that have correlation with juvenile periodontitis. Studies were carried out in a group of 20 patients with juvenile periodontitis before, after treatment by scaling, root planing, oral hygiene instruction and 20 patients with healthy gingiva as a control group. Gingival index, plaque index, pocket depth were measured. Subgingival bacteria were counted on selective media and compared by phase contrast microscopy. Before treatment all measurements in the patients and the control group were significantly different (P less than 0.05). In the patients before and after treatment all clinical measurements were significantly different (P less than 0.05) but the amount of A.actinomycetemcomitans and Capnocytophaga were not significantly different (P greater than 0.05). These results indicate that treatment of juvenile periodontitis by scaling, root planing and oral hygiene instruction improve the clinical measurements but are not effective in reducing proportions of subgingival bacteria.

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