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辅酶Q10作为慢性牙周炎患者非手术牙周治疗辅助药物的疗效评估及其对龈沟超氧化物歧化酶的影响

Evaluation of Efficacy of Coenzyme Q10 as an Adjunct to Nonsurgical Periodontal Therapy and Its Effect on Crevicular Superoxide Dismutase in Patients with Chronic Periodontitis.

作者信息

Pranam Swagat, Palwankar Pooja, Pandey Ruchi, Goyal Anjana

机构信息

Department of Periodontology, Manav Rachna Dental College, Haryana, India.

出版信息

Eur J Dent. 2020 Oct;14(4):551-557. doi: 10.1055/s-0040-1716596. Epub 2020 Sep 22.

Abstract

OBJECTIVES

To assess the efficacy of coenzyme Q10 (CoQ10) as an adjunct to nonsurgical periodontal therapy and its effect on superoxide dismutase (SOD) in gingival crevicular fluid (GCF) in patients with chronic periodontitis (CP).

MATERIALS AND METHODS

A total of 16 patients aged between 30 and 50 years having mild to moderate CP of both sexes having pocket depth of 5 to 7 mm in four nonadjacent interproximal sites were selected. The sites were randomized and divided into treatment and control groups. CoQ10 and a placebo gel were administered in the treatment and control sites, respectively, at baseline after scaling and root planing (SRP). GCF was collected using microcapillary method at baseline and 3 months and was assessed for SOD using enzyme-linked immunosorbent assay reader at 450 nm wavelength. Probing pocket depth, gingival index, and plaque index were assessed at baseline, 1 month, and 3 months, respectively.

STATISTICAL ANALYSIS

For each assessment point, data were statistically analyzed using Student's -test and paired -test. Level of significance was set at < 0.05.

RESULTS

On intergroup comparison, there was no statistically significant difference between the clinical parameters of both the groups at all the time intervals ( > 0.05), but there was a significant increase in the level of SOD in the test group ( > 0.05) compared with the control group at 3 months.

CONCLUSIONS

Adjunctive use of CoQ10 with SRP can boost the antioxidant concentration, but it is not superior to SRP in the treatment of CP.

摘要

目的

评估辅酶Q10(CoQ10)作为非手术牙周治疗辅助手段的疗效及其对慢性牙周炎(CP)患者龈沟液(GCF)中超氧化物歧化酶(SOD)的影响。

材料与方法

选取16例年龄在30至50岁之间、患有轻至中度CP的患者,男女不限,在四个不相邻的邻间位点的牙周袋深度为5至7mm。将这些位点随机分为治疗组和对照组。在进行龈上洁治和根面平整(SRP)后的基线期,分别在治疗位点和对照位点给予CoQ10和安慰剂凝胶。在基线期和3个月时使用微量毛细管法收集GCF,并在450nm波长下使用酶联免疫吸附测定仪评估SOD。分别在基线期、1个月和3个月时评估探诊牙周袋深度、牙龈指数和菌斑指数。

统计分析

对于每个评估点,使用学生t检验和配对t检验对数据进行统计分析。显著性水平设定为P<0.05。

结果

组间比较时,在所有时间间隔内两组的临床参数均无统计学显著差异(P>0.05),但在3个月时,与对照组相比,试验组的SOD水平有显著升高(P>0.05)。

结论

CoQ10与SRP联合使用可提高抗氧化剂浓度,但在CP治疗中并不优于SRP。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/6c5c/7535976/bdaf14463f34/10-1055-s-0040-1716596_00313_01.jpg

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