Kasetsuwan J, Amornchat C, Sirirat M
Department of Oral Medicine, Faculty of Dentistry, Mahidol University.
J Dent Assoc Thai. 1991 Jan-Feb;41(1):24-31.
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.
伴放线放线杆菌和嗜二氧化碳噬纤维菌是与青少年牙周炎相关的龈下细菌。对一组20例青少年牙周炎患者在进行龈上洁治、根面平整、口腔卫生指导治疗前后,以及20例牙龈健康患者作为对照组进行了研究。测量了牙龈指数、菌斑指数、牙周袋深度。在选择性培养基上对龈下细菌进行计数,并通过相差显微镜进行比较。治疗前患者组和对照组的所有测量值均有显著差异(P小于0.05)。患者治疗前后所有临床测量值均有显著差异(P小于0.05),但伴放线放线杆菌和嗜二氧化碳噬纤维菌的数量无显著差异(P大于0.05)。这些结果表明,龈上洁治、根面平整和口腔卫生指导治疗青少年牙周炎可改善临床测量指标,但在降低龈下细菌比例方面无效。