洗牙对患有牙龈炎的全身健康育龄妇女血清高敏 C 反应蛋白水平和牙周参数的影响。

IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE Quintessence international Pub Date : 2024-08-30 DOI:10.3290/j.qi.b5437505
Richa Verma, Shikha Tewari, Deepti Anand
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引用次数: 0

摘要

目的:全身健康的年轻女性在月经周期中性激素水平的变化可能会改变组织对牙菌斑的反应,从而导致牙龈炎症加重。此外,成年女性牙龈炎的严重程度和发病率也高于男性,这都归因于荷尔蒙的变化。此外,据文献报道,牙龈炎会提高全身炎症标志物(如 C 反应蛋白)的水平。这项干预性试验旨在评估龈上洁治对血清高敏 C 反应蛋白(hsCRP)水平的影响,以及对患有天然牙龈炎的全身健康育龄妇女牙周参数的影响。试验组(人数=30)由患有牙龈炎并接受龈上洁治的全身健康妇女组成。对照组(人数=27)包括全身和牙周健康的女性。记录两组基线时的牙周参数[牙龈指数(GI)、牙菌斑指数(PI)、龈袋探诊深度(PPD)、探诊出血量(BOP)]和血清 hsCRP 水平。在 3 个月和 6 个月时对测试组参与者进行随访:结果:测试组的血清 hsCRP 和牙周参数在基线时明显高于对照组,而在治疗后 6 个月的随访中,测试组的血清 hsCRP 和牙周参数明显降低(p≤0.05)。试验组的 GI、BOP 和 hsCRP 在 6 个月后降至全身和牙周健康女性的基线水平:结论:治疗牙龈炎症有助于降低全身和局部炎症,使其达到全身和牙周健康女性的水平。
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Effect of scaling on serum high-sensitivity C-reactive protein levels and periodontal parameters in systemically healthy women of reproductive age group with gingivitis.

Objective: Varying levels of sex hormones across the menstrual cycle in young systemically healthy females may alter tissue responses to plaque, resulting in increased gingival inflammation. Also, higher severity and prevalence of gingivitis has been demonstrated in adult women than men, attributed to hormonal changes. Further, it has been reported that gingivitis raises the levels of systemic inflammatory markers such as C-reactive protein. This interventional trial aimed to evaluate the effect of supragingival scaling on serum high-sensitivity C-reactive protein (hsCRP) levels along with periodontal parameters in systemically healthy women of reproductive age with natural gingivitis.

Method and materials: In total, 57 women of reproductive age were enrolled into two groups. The test group (n = 30) comprised systemically healthy women with gingivitis who received supragingival scaling. The control group (n = 27) included systemically and periodontally healthy women. Periodontal parameters (Gingival Index, Plaque Index, pocket probing depth, bleeding on probing) and serum hsCRP levels were recorded at baseline for both the groups. Follow-up of test group participants was done at 3 and 6 months.

Results: Serum hsCRP and periodontal parameters were significantly higher in the test group than in the control group at baseline, and this decreased significantly after treatment in the test group at the 6-month follow-up (P ≤ .05). Gingival Index, bleeding on probing, and hsCRP in the test group at 6 months were reduced to the baseline levels of systemically and periodontally healthy women.

Conclusion: Treatment of gingival inflammation can help in lowering the systemic and local inflammation to the levels of systemically and periodontally healthy women.

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来源期刊
Quintessence international
Quintessence international 医学-牙科与口腔外科
CiteScore
3.30
自引率
5.30%
发文量
11
审稿时长
1 months
期刊介绍: QI has a new contemporary design but continues its time-honored tradition of serving the needs of the general practitioner with clinically relevant articles that are scientifically based. Dr Eli Eliav and his editorial board are dedicated to practitioners worldwide through the presentation of high-level research, useful clinical procedures, and educational short case reports and clinical notes. Rigorous but timely manuscript review is the first order of business in their quest to publish a high-quality selection of articles in the multiple specialties and disciplines that encompass dentistry.
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