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刚果患者侵袭性和慢性牙周炎的临床及微生物学特征:一项横断面研究

Clinical and Microbiological Profiles of Aggressive and Chronic Periodontitis in Congolese Patients: A Cross-sectional Study.

作者信息

Kalala-Kazadi Em, Toma Selena, Lasserre Jérôme F, Nyimi-Bushabu Fidèle, Ntumba-Mulumba Hubert, Brecx Michel C

机构信息

Periodontology Unit, Department of Dental Medicine, Faculty of Medicine, University of Kinshasa, Kinshasa, Democratic Republic of Congo.

Department of Periodontology, Université Catholique de Louvain, Brussels, Belgium.

出版信息

J Int Soc Prev Community Dent. 2020 Aug 6;10(4):491-497. doi: 10.4103/jispcd.JISPCD_501_19. eCollection 2020 Jul-Aug.

Abstract

BACKGROUND

Chronic and aggressive periodontitis were the main forms of periodontitis according to the 1999 classification of periodontal diseases and conditions. Their profile in Congolese patients is still undescribed.

AIM

The aim of this study was to compare the profile of chronic periodontitis (ChP) with that of aggressive periodontitis (AgP) in Congolese patients.

MATERIALS AND METHODS

Thirty-two patients with ChP and 20 with AgP who consulted the dental services at any of the four medical centers in Kinshasa, from April 2017 to April 2018, were enrolled in the cross-sectional study. All patients underwent a full mouth examination, including assessment of the probing pocket depth and clinical attachment level at six sites per tooth. Microbial samples were collected in the deepest pocket in the maxilla and the deepest pocket in the mandible. A deoxyribonucleic acid (DNA) analysis was performed using DNA strip technology. Fisher exact test, the chi-square test, the test, and the Mann-Whitney test were used for the statistical analysis.

RESULTS

Patients with AgP were significantly younger than those with ChP ( < 0.001). There was no significant difference in the prevalence of , , , or between the AgP and ChP groups ( > 0.05). was detected in 10% of cases in the AgP group and in none of those in the ChP group ( = 0.143).

CONCLUSION

This study shows that the clinical profiles of ChP and AgP are similar in Congolese patients. There were no microbiological differences between these two forms of periodontitis.

摘要

背景

根据1999年牙周疾病和状况分类,慢性牙周炎和侵袭性牙周炎是牙周炎的主要形式。它们在刚果患者中的情况仍未得到描述。

目的

本研究旨在比较刚果患者中慢性牙周炎(ChP)和侵袭性牙周炎(AgP)的情况。

材料与方法

2017年4月至2018年4月期间,在金沙萨四个医疗中心之一的牙科服务部门就诊的32例慢性牙周炎患者和20例侵袭性牙周炎患者被纳入这项横断面研究。所有患者均接受全口检查,包括评估每颗牙齿六个位点的探诊深度和临床附着水平。在上颌最深牙周袋和下颌最深牙周袋中采集微生物样本。使用DNA条带技术进行脱氧核糖核酸(DNA)分析。采用Fisher精确检验、卡方检验、t检验和Mann-Whitney检验进行统计分析。

结果

侵袭性牙周炎患者明显比慢性牙周炎患者年轻(P<0.001)。侵袭性牙周炎组和慢性牙周炎组之间在牙龈卟啉单胞菌、伴放线聚集杆菌、福赛坦氏菌或齿垢密螺旋体的患病率上没有显著差异(P>0.05)。侵袭性牙周炎组10%的病例检测到中间普氏菌,而慢性牙周炎组均未检测到(P=0.143)。

结论

本研究表明,刚果患者中慢性牙周炎和侵袭性牙周炎的临床情况相似。这两种形式的牙周炎在微生物学上没有差异。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c644/7523938/f038d78dd69c/JISPCD-10-491-g001.jpg

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