University of Belgrade, School of Dentistry, Department of Periodontics, Belgrade, Serbia.
Int J Oral Maxillofac Surg. 2011 Mar;40(3):271-6. doi: 10.1016/j.ijom.2010.11.004. Epub 2010 Dec 8.
This study evaluated the prevalence of human cytomegalovirus (HCMV) and Epstein-Barr virus (EBV) in peri-implantitis and mucositis sites and the correlation between herpesvirus and clinical parameters. Fifty-six dental implants (mean time of loading, 4.27±1.6 years) were evaluated (20 peri-implantitis, 18 mucositis, 18 healthy peri-implant sites.) The clinical parameters assessed were: visible plaque index (PI), bleeding on probing (BOP), suppuration (SUP), probing depth (PD). A polymerase chain reaction assay identified HCMV and EBV in subgingival plaque samples. The percent of sites with plaque and BOP was significantly higher around mucositis and peri-implantitis compared with healthy implants (p<0.05). The mean PD around the implants was significantly higher in peri-implantitis, followed by mucositis and healthy implants (p<0.05). HCMV was detected in 13 (65%) and EBV in 9 (45%) of the 20 peri-implantitis sites. HCMV was found in 1 of the 18 (6%) healthy periodontal sites and EBV in 2 (11%). A statistically significant correlation was found between presence of HCMV and EBV subgingivally and clinical parameters of peri-implantitis and healthy sites. These results confirm the high prevalence of HCMV and EBV in subgingival plaque of peri-implantitis sites and suggest the viruses have a possible active pathogenic role in peri-implantitis.
本研究评估了人类巨细胞病毒(HCMV)和 Epstein-Barr 病毒(EBV)在种植体周围炎和黏膜炎部位的流行情况,以及疱疹病毒与临床参数之间的相关性。评估了 56 个牙种植体(平均加载时间为 4.27±1.6 年)(20 个种植体周围炎、18 个黏膜炎、18 个健康种植体部位)。评估的临床参数包括:可见菌斑指数(PI)、探诊出血(BOP)、溢脓(SUP)、探诊深度(PD)。聚合酶链反应检测确定了龈下菌斑样本中的 HCMV 和 EBV。与健康种植体相比,黏膜炎和种植体周围炎周围的菌斑和 BOP 百分比较高(p<0.05)。种植体周围的平均 PD 在种植体周围炎中最高,其次是黏膜炎和健康种植体(p<0.05)。在 20 个种植体周围炎部位中,检测到 13 个(65%)HCMV 和 9 个(45%)EBV。在 18 个(6%)健康牙周部位中发现了 1 个 HCMV 和 2 个(11%)EBV。龈下 HCMV 和 EBV 的存在与种植体周围炎和健康部位的临床参数之间存在统计学显著相关性。这些结果证实了 HCMV 和 EBV 在种植体周围炎部位龈下菌斑中的高流行率,并表明这些病毒在种植体周围炎中可能具有潜在的致病作用。