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外生性纤维性牙龈病变局部臭氧治疗后观察到的形态学和组织病理学变化:病例报告

The Morphometrical and Histopathological Changes which were Observed after Topical Ozone Therapy on an Exophytic Fibrous Gingival Lesion: A Case Report.

作者信息

Patel Punit Vaibhav, Gujjari Sheela Kumar

机构信息

Faculty of Dental Sciences, Institute of Medical Sciences, Banaras Hindu University (B.H.U.) , Varanasi,-05, U.P., India .

出版信息

J Clin Diagn Res. 2013 Jun;7(6):1239-43. doi: 10.7860/JCDR/2013/4963.3039. Epub 2013 Jun 1.

DOI:10.7860/JCDR/2013/4963.3039
PMID:23905150
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3708245/
Abstract

We are presenting 2 cases where ozone therapy was used in the form of ozonated oil on an exophytic fibrous gingival lesion. A 42-years female patient was selected, who presented with a mild to moderately painful, exophytic, fibrous lesion on the upper anterior gingiva. This gingival lesion was treated with 2ml of ozonated oil, thrice daily for one week. After the ozone therapy, the postoperative outcomes were measured and analyzed. Finally, the lesion was subjected to an excisional biopsy and a histopathological evaluation. After the ozone therapy, the patient revealed that there was less pain. On examination of the lesion, an improvement was observed in the clinical sign of the inflammation and also a reduction in the surface ulceration. During the final biopsy, less bleeding was observed. The morphometrical analysis showed a reduction in the size of the lesion. The histopathological analysis showed a reduction in the collagen fibres and in the inflammatory cells in the connective tissue stroma. Topical ozone therapy provides potential benefits for the treatment of exophytic gingival lesions. The observed benefits in present case report needs to be verified in future with well-controlled clinical trials.

摘要

我们报告2例使用臭氧油治疗外生性纤维性牙龈病变的病例。选择了一名42岁女性患者,其上前牙龈出现轻度至中度疼痛的外生性纤维性病变。用2毫升臭氧油治疗该牙龈病变,每日3次,持续1周。臭氧治疗后,对术后结果进行测量和分析。最后,对病变进行切除活检和组织病理学评估。臭氧治疗后,患者表示疼痛减轻。检查病变时,观察到炎症的临床体征有所改善,表面溃疡也有所减少。在最后活检时,观察到出血较少。形态学分析显示病变大小减小。组织病理学分析显示结缔组织基质中的胶原纤维和炎性细胞减少。局部臭氧治疗为外生性牙龈病变的治疗提供了潜在益处。本病例报告中观察到的益处需要在未来通过严格控制的临床试验进行验证。

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本文引用的文献

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J Investig Clin Dent. 2011 Nov;2(4):248-58. doi: 10.1111/j.2041-1626.2011.00072.x. Epub 2011 Jul 7.
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Cytological assessment of healing palatal donor site wounds and grafted gingival wounds after application of ozonated oil: an eighteen-month randomized controlled clinical trial.应用臭氧油后愈合的腭部供区伤口和移植牙龈伤口的细胞学评估:一项为期18个月的随机对照临床试验。
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