HIV血清阳性和HIV血清阴性患者支持性牙周治疗（SPT）的长期结果。

Long-term results of supportive periodontal therapy (SPT) in HIV-seropositive and HIV-seronegative patients.

作者信息

Hofer Dominik, Hämmerle Christoph H F, Grassi Markus, Lang Niklaus P

机构信息

Department of Periodontology and Fixed Prosthodontics, School of Dental Medicine, University of Berne, Switzerland.

出版信息

J Clin Periodontol. 2002 Jul;29(7):630-7. doi: 10.1034/j.1600-051x.2002.290707.x.

DOI:10.1034/j.1600-051x.2002.290707.x

PMID:12354088

Abstract

AIM

The aim of the present study was to investigate the long-term results of periodontal supportive therapy in HIV-seropositive and HIV-seronegative patients.

MATERIAL AND METHODS

Baseline examination of 18 HIV-seropositive patients (14 males and four females, median age of 29.7 years) revealed the following periodontal diagnoses: eight patients with linear gingival erythema, four patients with necrotizing periodontitis, five patients with conventional gingivitis and one patient with chronic periodontitis. In the HIV-seronegative group, out of 16 patients (12 males and four females, median age 35.5 years), one patient presented with conventional gingivitis and 15 patients with chronic periodontitis. Periodontal therapy and maintenance care consisted of supra- and subgingival removal of plaque and calculus and instruction in oral hygiene. Based on the individual patient's needs, the mechanical therapy was repeated.

RESULTS

In the test group, the mean maintenance period was 22.7 +/- 9.4 months (range 11.0-37.4) and in the control group, 48.9 +/- 32.0 months (range 9.3-110.8). In the test group, the mean PlI (1.1 +/- 0.8) remained at the same level (1.1 +/- 0.5; p = 0.73, Wilcoxon sign rank test, p < 0.05) throughout the observation period, the mean GI was reduced from 1.6 +/- 0.5 to 1.4 +/- 0.4 (p = 0.18), the mean PPD was reduced from 2.9 +/- 0.3 to 2.8 +/- 0.2 (p = 0.15) and the mean PAL (3.1 +/- 0.5) remained unaltered as well (3.1 +/- 0.4; p = 0.83). None of these differences was statistically significant. In the control group, PPD (3.0 +/- 0.4) and PAL (3.0 +/- 0.5) were significantly reduced: PPD = 2.7 +/- 0.2 (p = 0.0003) and PAL = 2.9 +/- 0.5 (p = 0.0034).

CONCLUSION

In HIV-seropositive patients, attachment level can be maintained. However, oral hygiene and compliance are the key factors for this.

摘要

目的

本研究旨在调查牙周支持治疗在HIV血清阳性和HIV血清阴性患者中的长期效果。

材料与方法

对18例HIV血清阳性患者（14例男性和4例女性，中位年龄29.7岁）进行基线检查，结果显示如下牙周诊断：8例线性牙龈红斑患者，4例坏死性牙周炎患者，5例传统牙龈炎患者和1例慢性牙周炎患者。在HIV血清阴性组中，16例患者（12例男性和4例女性，中位年龄35.5岁）中，1例患有传统牙龈炎，15例患有慢性牙周炎。牙周治疗和维护护理包括龈上和龈下菌斑及牙石清除以及口腔卫生指导。根据个体患者的需求，重复进行机械治疗。

结果

试验组的平均维护期为22.7±9.4个月（范围11.0 - 37.4），对照组为48.9±32.0个月（范围9.3 - 110.8）。在试验组中，整个观察期内平均菌斑指数（PlI）（1.1±0.8）保持在同一水平（1.1±0.5；p = 0.73，Wilcoxon符号秩检验，p < 0.05），平均牙龈指数（GI）从1.6±0.5降至1.4±0.4（p = 0.18），平均探诊深度（PPD）从2.9±0.3降至2.8±0.2（p = 0.15），平均附着丧失（PAL）（3.1±0.5）也保持不变（3.1±0.4；p = 0.83）。这些差异均无统计学意义。在对照组中，PPD（3.0±0.4）和PAL（3.0±0.5）显著降低：PPD = 2.7±0.2（p = 0.0003），PAL = 2.9±0.5（p = 0.0034）。