Yoon Da-Le, Kim Yong-Gun, Cho Jin-Hyun, Lee Sang-Kyu, Lee Jae-Mok
Department of Periodontology, School of Dentistry, Kyungpook National University, Daegu, Republic of Korea.
Department of Prosthodontics, School of Dentistry, Kyungpook National University, Daegu, Republic of Korea.
J Adv Prosthodont. 2016 Aug;8(4):321-8. doi: 10.4047/jap.2016.8.4.321. Epub 2016 Aug 18.
This study was designed to investigate the maintenance of teeth and implants in patients with viral liver disease.
316 patients without any significant systemic disease were selected as a control group. Liver disease group was consisted of 230 patients. Necessary data were collected using clinical records and panoramic radiographs. Then, the patients were subdivided into 2 groups based on the type of active dental therapy received before maintenance period (Pre-Tx). Analysis for finding statistically significant difference was performed based on the need for re-treatment of active dental therapy (Re-Tx) and change in the number of teeth (N-teeth) and implants (N-implants).
Comparing to control group, the patients with liver disease showed higher value on N-teeth, N-implants, and Re-Tx. Statistically significant differences were found on N-teeth (P=.000) and Re-Tx (P=.000) in patients with non-surgical Pre-Tx. Analysis based on severity of liver disease showed that N-teeth and Re-Tx were directly related to severity of liver disease regardless of received type of Pre-Tx. Significant differences were found on N-teeth (P=.003) and Re-Tx (P=.044) in patients with non-surgical Pre-Tx.
In this study, it was concluded that liver disease might influence the loss of teeth and cause the relapse of dental disease during maintenance period in patients. A significant positive relationship between tooth and implant loss and severity of liver disease seems to exist.
本研究旨在调查病毒性肝病患者牙齿和种植体的维护情况。
选取316例无任何重大全身性疾病的患者作为对照组。肝病组由230例患者组成。使用临床记录和全景X线片收集必要数据。然后，根据维护期之前接受的积极牙科治疗类型（治疗前）将患者分为两组。基于积极牙科治疗的再治疗需求（再治疗）以及牙齿数量（牙齿数）和种植体数量（种植体数）的变化进行分析，以找出统计学上的显著差异。
与对照组相比，肝病患者的牙齿数、种植体数和再治疗值更高。在接受非手术治疗前的患者中，牙齿数（P = .000）和再治疗（P = .000）存在统计学显著差异。基于肝病严重程度的分析表明，无论接受何种治疗前类型，牙齿数和再治疗均与肝病严重程度直接相关。在接受非手术治疗前的患者中，牙齿数（P = .003）和再治疗（P = .044）存在显著差异。
在本研究中，得出的结论是肝病可能会影响患者维护期牙齿的丧失并导致牙科疾病复发。牙齿和种植体丧失与肝病严重程度之间似乎存在显著的正相关关系。
