Zhang Rui, Shen Lanhua, Xu Dandan, Li Xiao
Department of Stomatology, Nangang Branch, Heilongjiang Provincial Hospital, Harbin, Heilongjiang 150000, P.R. China.
Department of Stomatology, The First Hospital of Qiqihar, Qiqihar, Heilongjiang 161006, P.R. China.
Exp Ther Med. 2021 Jul;22(1):777. doi: 10.3892/etm.2021.10209. Epub 2021 May 18.
The effect of tooth preparation on the gingival crevicular flora of abutment teeth during porcelain veneer treatment is not clear. The purpose of the present study was to analyze the difference between prepared porcelain veneers and unprepared porcelain veneers on gingival crevicular flora. High-throughput sequencing was used in the present study. A total of 20 patients (40 anterior teeth) with veneer restoration of anterior teeth were enrolled. They were divided into two groups: The prepared porcelain veneer group (group P, 11 cases, 19 anterior teeth) and unprepared porcelain veneer group (group U, 9 cases, 21 anterior teeth). After 2 years of follow-up, the restoration and healthy natural gingival crevicular fluid were collected to extract bacterial DNA. 16S ribosomal DNA high-throughput sequencing technique was used to compare the diversity of gingival sulcus flora structure between the prepared porcelain veneer and unprepared porcelain veneer groups. In addition, a healthy control group (group H) was also used for comparison. The Shannon index of the group U was lower than that of group H and group P. The abundance of Proteus in group U was higher than that in group H and group P at the phylum level (P<0.05). At the genus level, the abundance of , and Actinomycetes in group U was significantly higher than that in group H and group P (P<0.05). Compared with the group P, the bacterial diversity of the group U was lower, and the proportion of gingival sulcus pathogenic bacteria was higher. The unprepared porcelain veneer had a certain adverse effect on the periodontal tissue.
在瓷贴面治疗过程中,牙体预备对基牙牙龈沟菌群的影响尚不清楚。本研究的目的是分析预备瓷贴面和未预备瓷贴面在牙龈沟菌群方面的差异。本研究采用高通量测序技术。共纳入20例(40颗前牙)进行前牙贴面修复的患者。他们被分为两组:预备瓷贴面组(P组,11例,19颗前牙)和未预备瓷贴面组(U组,9例,21颗前牙)。经过2年随访,收集修复体及健康天然牙龈沟液以提取细菌DNA。采用16S核糖体DNA高通量测序技术比较预备瓷贴面组和未预备瓷贴面组牙龈沟菌群结构的多样性。此外,还设立了健康对照组(H组)进行比较。U组的香农指数低于H组和P组。在门水平上,U组变形杆菌的丰度高于H组和P组(P<0.05)。在属水平上,U组的 、 和放线菌的丰度显著高于H组和P组(P<0.05)。与P组相比,U组的细菌多样性较低,牙龈沟病原菌比例较高。未预备瓷贴面会对牙周组织产生一定的不良影响。