Güncü Güliz N, Büyüktepe Gülüzar, Aşkin Sezen B, Kilinç Kamer, Tümer Celal, Tözüm Tolga F
Department of Periodontology, Faculty of Dentistry, Hacettepe University, Ankara, Turkey.
J Contemp Dent Pract. 2013 Jan 1;14(1):90-5. doi: 10.5005/jp-journals-10024-1277.
The use of endosseous dental implants (DI) has become a successful treatment alternative. However, providing periimplant tissue health and achieving a natural esthetic look are important topics in this treatment. The aim of the present study was to evaluate periodontal and esthetic parameters around DI and natural teeth (NT) and also to analyze myeloperoxidase (MPO) levels in gingival crevicular fluid (GCF) and peri-implant sulcus fluid (PISF).
Twenty DI supported fixed prosthesis and contralateral 20 NT were enrolled to the present study. Clinical periodontal parameters (probing depth, clinical attachment level, gingival bleeding time index and gingival index) were recorded and GCF/PISF samples were obtained from mesial (mesiobuccal and mesiolingual) and distal (distobuccal and distolingual) sites of DI and NT. MPO levels were spectrophotometrically determined. Additionally clinical photographs were obtained and esthetical evaluations were performed by using Jemt papilla index. The parameters belong to DI and NT were compared and correlations were evaluated using statistical analysis.
A total of 40 samples were evaluated. No statistically significant differences were detected between groups in all periodontal parameters and MPO levels from mesial and distal sites. Jemt papilla index scores were slightly higher in NT however, this difference was not statistically significant (p > 0.05). Total PES score were similiar in DI and NT groups. Significant correlations were detected between MPO and gingival index values as expected.
These results suggest that DI and NT have similar inflammatory conditions and esthetics, representing DI as a predictable treatment option.
Dental implants are satisfactory treatments, they provide patient esthetic natural looking, phonetic and masticatory functions.
骨内牙种植体（DI）的应用已成为一种成功的治疗选择。然而，保持种植体周围组织健康并实现自然美观的外观是该治疗中的重要课题。本研究的目的是评估DI和天然牙（NT）周围的牙周和美学参数，并分析龈沟液（GCF）和种植体周围龈沟液（PISF）中的髓过氧化物酶（MPO）水平。
本研究纳入了20例由DI支持的固定修复体及对侧的20颗天然牙。记录临床牙周参数（探诊深度、临床附着水平、牙龈出血时间指数和牙龈指数），并从DI和天然牙的近中（近中颊侧和近中舌侧）和远中（远中颊侧和远中舌侧）部位获取GCF/PISF样本。用分光光度法测定MPO水平。此外，拍摄临床照片，并使用耶姆特乳头指数进行美学评估。比较DI和天然牙的参数，并采用统计分析评估相关性。
共评估了40个样本。两组在所有牙周参数以及近中与远中部位的MPO水平上均未检测到统计学显著差异。天然牙的耶姆特乳头指数评分略高，但这种差异无统计学意义（p>0.05）。DI组和天然牙组的总PES评分相似。正如预期的那样，MPO与牙龈指数值之间存在显著相关性。
这些结果表明，DI和天然牙具有相似的炎症状况和美学表现，这表明DI是一种可预测的治疗选择。
牙种植体是令人满意的治疗方法，它们能为患者提供美观自然的外观、语音和咀嚼功能。
