Lello J L, Lello G E
Department of Cariology, Periodontology and Preventive Dentistry, Dental Hospital, University of Zürich, Switzerland.
Int J Oral Maxillofac Surg. 1988 Aug;17(4):249-52. doi: 10.1016/s0901-5027(88)80050-x.
To study the influence of interdental loop-wire splinting and intermaxillary fixation on the marginal gingiva, 30 patients were evaluated clinically using different periodontal parameters, at 5 examination times. It was shown that despite a standardized oral hygiene regime including the use of a mouthrinse, gingival inflammation occurred for the duration of the splinting period. Factors other than the presence of limited plaque, such as gingival trauma due to splint application and subsequent mechanical irritation should be considered as possible aetiological factors. All investigated marginal gingival changes had totally reversed 2 weeks following loop-wire splint removal, apart from tooth mobility which did not re-attain pre-operative levels, the difference, however, being statistically insignificant.
为研究牙间环绕钢丝夹板固定和颌间固定对边缘龈的影响,在5个检查时间点,使用不同的牙周参数对30例患者进行了临床评估。结果显示,尽管采用了包括使用漱口水在内的标准化口腔卫生措施,但在夹板固定期间仍出现了牙龈炎症。除菌斑量有限外的其他因素,如夹板应用导致的牙龈创伤和随后的机械刺激,应被视为可能的病因。除牙齿松动度未恢复到术前水平外(然而,差异无统计学意义),所有研究的边缘龈变化在环绕钢丝夹板拆除后2周完全逆转。