Suppr超能文献

对感染伴放线放线杆菌的成年人进行龈下刮治和根面平整的临床效果。

Clinical effects of scaling and root planing in adults infected with Actinobacillus actinomycetemcomitans.

作者信息

Müller Hans-Peter, Heinecke Achim

机构信息

Faculty of Dentistry, Kuwait University, P.O. Box 24923, 13110 Safat, Kuwait.

出版信息

Clin Oral Investig. 2004 Jun;8(2):63-9. doi: 10.1007/s00784-003-0251-2. Epub 2004 Feb 25.

Abstract

The periodontal pathogen Actinobacillus actinomycetemcomitans can frequently be isolated from subgingival plaque of adults with chronic inflammatory periodontal disease and individuals with plaque-induced gingivitis. Problems with the persistence of the organism after thorough debridement of root surfaces have been reported. In the present study clinical effects of the hygienic phase of periodontal therapy in ten adult patients with moderate or advanced periodontitis harbouring A. actinomycetemcomitans were analysed. Since proper analysis of highly correlated data within a given patient is crucial for appropriate interpretation, a major objective of this study was to compare the results of different models derived from logistic regression of clinical and microbiological factors on gain or loss of clinical attachment under different assumptions. Subgingival samples from every tooth present were obtained before and 6 weeks after thorough subgingival scaling, and selectively cultivated for the organism. A relevant gain of clinical attachment of 2 mm or more was observed at a total of 36% of periodontitis sites after scaling. Overall, loss of attachment of 2 mm or more was observed at 8% sites. Most loss occurred at sites with gingival enlargement (15%), whereas 3% periodontitis sites lost 2 mm or more. In multivariate analyses erroneously assuming either independence of data or correctly considering the correlated structure of observations attachment gain was mainly associated with deep probing depths at the outset. Presence or absence of A. actinomycetemcomitans before or after therapy was not included into the periodontitis models. Also, loss of attachment of 2 mm or more after subgingival scaling was not influenced by the organism. A direct comparison of the results obtained with both approaches of logistic regression may be helpful in the assessment of the influence of the magnitude of correlation of the data on the regression coefficients.

摘要

牙周病原体伴放线放线杆菌经常可从患有慢性炎症性牙周病的成年人以及菌斑性牙龈炎患者的龈下菌斑中分离出来。据报道,在对牙根表面进行彻底清创后,该微生物仍会持续存在。在本研究中,分析了牙周治疗卫生阶段对10例患有中度或重度牙周炎且携带伴放线放线杆菌的成年患者的临床效果。由于对给定患者内高度相关数据进行恰当分析对于正确解读至关重要,本研究的一个主要目的是比较在不同假设下,由临床和微生物学因素对临床附着丧失或增加进行逻辑回归得出的不同模型的结果。在彻底龈下刮治前和刮治后6周,从每颗存在的牙齿获取龈下样本,并对该微生物进行选择性培养。刮治后,在总共36%的牙周炎部位观察到临床附着有2毫米或更多的相关增加。总体而言,在8%的部位观察到2毫米或更多的附着丧失。大多数附着丧失发生在牙龈肿大的部位(15%),而3%的牙周炎部位丧失了2毫米或更多。在多变量分析中,错误地假设数据独立或正确考虑观察值的相关结构时,附着增加主要与最初的深探诊深度相关。治疗前后伴放线放线杆菌的存在与否未纳入牙周炎模型。此外,龈下刮治后2毫米或更多的附着丧失不受该微生物影响。对两种逻辑回归方法获得的结果进行直接比较,可能有助于评估数据相关性大小对回归系数的影响。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍。

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索

文档翻译

学术文献翻译模型,支持多种主流文档格式。

立即体验