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慢性牙周炎患者在进行第一阶段牙周治疗时,补充含UBLRu - 87的益生菌咀嚼片1个月后口腔微生物的变化:一项随机对照临床试验

Oral Microbial Shift Following 1-Month Supplementation of Probiotic Chewable Tablets Containing UBLRu-87 as an Adjunct to Phase 1 Periodontal Therapy in Chronic Periodontitis Patients: A Randomized Controlled Clinical Trial.

作者信息

Jebin A Aysha, Nisha K J, Padmanabhan Shyam

机构信息

Department of Periodontics, Vydehi Institute of Dental Sciences and Research Centre, Rajiv Gandhi University of Health Sciences, Bengaluru, Karnataka, India.

出版信息

Contemp Clin Dent. 2021 Apr-Jun;12(2):121-127. doi: 10.4103/ccd.ccd_135_20. Epub 2021 Jun 14.

Abstract

CONTEXT

Although as a probiotic was established as a treatment for a wide range of systemic infections, its role in periodontitis and oral microbiota is still under investigation.

AIMS

The present randomized clinical trial was aimed to evaluate the effects of probiotic chewable tablets containing along with initial periodontal therapy on clinical parameters and oral microbiota of chronic periodontitis (CP) patients.

SETTINGS AND DESIGN

The randomized controlled clinical trial.

SUBJECTS AND METHODS

Thirty CP patients were selected who received scaling and root planing (SRP) and were randomly allocated into two treatment groups; Groups A and B. Group A received -containing chewable probiotic tablets. The clinical parameters (plaque index, gingival index, probing pocket depth, clinical attachment level), and microbiological parameters ( and levels using real-time polymerase chain reaction) were evaluated at baseline, following treatment at 1 month and 3 months in both groups.

STATISTICAL ANALYSIS

Paired -test and unpaired -test were used for the statistical analysis.

RESULTS

On intergroup analysis, statistically significant improvement in clinical as well as microbiological parameters was observed in Group A (SRP + PROBIOTIC) compared to Group B (SRP ALONE) at all evaluation time points.

CONCLUSION

Probiotic chewable tablets containing may be a useful adjunct along with initial periodontal therapy to slow recolonization of periopathogens along with improvement in clinical outcomes of CP. Further long-term trials are necessary to establish the optimal dosage of probiotics.

摘要

背景

尽管[益生菌名称]作为一种益生菌已被确立为治疗多种全身感染的方法,但其在牙周炎和口腔微生物群中的作用仍在研究中。

目的

本随机临床试验旨在评估含[益生菌名称]的益生菌咀嚼片联合初始牙周治疗对慢性牙周炎(CP)患者临床参数和口腔微生物群的影响。

设置与设计

随机对照临床试验。

研究对象与方法

选取30例接受龈上洁治和根面平整(SRP)的CP患者,并随机分为两个治疗组;A组和B组。A组接受含[益生菌名称]的咀嚼型益生菌片。在两组的基线、治疗后1个月和3个月时评估临床参数(菌斑指数、牙龈指数、探诊深度、临床附着水平)和微生物学参数(使用实时聚合酶链反应检测[细菌名称1]和[细菌名称2]水平)。

统计分析

采用配对t检验和非配对t检验进行统计分析。

结果

组间分析显示,在所有评估时间点,A组(SRP + 益生菌)与B组(仅SRP)相比,临床和微生物学参数均有统计学意义的改善。

结论

含[益生菌名称]的益生菌咀嚼片可能是初始牙周治疗的有用辅助手段,可减缓牙周病原体的重新定植,并改善CP的临床结局。需要进一步的长期试验来确定益生菌的最佳剂量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5bb8/8237819/ab350b493ce8/CCD-12-121-g001.jpg

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