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桥本氏病患者注射医用几丁糖后牙龈出血减少:一项初步研究。

Reduction in Gingival Bleeding after Atelocollagen Injection in Patients with Hashimoto's Disease-A Pilot Study.

机构信息

Department of Dental Surgery, Periodontal and Oral Mucosa Diseases, Poznan University of Medical Science, 70, Bukowska St., 60-812 Poznań, Poland.

出版信息

Int J Environ Res Public Health. 2023 Feb 8;20(4):2954. doi: 10.3390/ijerph20042954.

Abstract

Periodontal diseases are one of the main causes of tooth loss and the second most common oral disease after carries. Patients with autoimmune diseases, such as Hashimoto's disease, are more often vulnerable to infection. In the study group of patients, despite the lack of other signs of gingivitis, bleeding occurred after tooth brushing or minor trauma. Bleeding on probing is the first objective sign of ongoing inflammation. The study was conducted on a group of 17 patients diagnosed with Hashimoto's disease. The atelocollagen Linerase (100 mg) thinned with 5 mL 0.9% NaCl was used. A total of 0.05 mL of solution was injected into keratinized gingiva, two millimeters above the gingival papillae basement, four times in two-week intervals. The greatest decrease in the number of bleeding points was observed after the first and second injections of atelocollagen. After the third and fourth injections, the average BOP continued to decrease, but the decline was very slow. The use of atelocollagen made it possible to eliminate bleeding symptoms in the study group.

摘要

牙周病是牙齿缺失的主要原因之一,是仅次于龋齿的第二大常见口腔疾病。患有自身免疫性疾病(如桥本氏病)的患者更容易受到感染。在研究组的患者中,尽管没有其他牙龈炎的迹象,但在刷牙或轻微创伤后会出现出血。探诊出血是持续炎症的第一个客观标志。该研究针对的是一组被诊断患有桥本氏病的 17 名患者。使用了经 5mL0.9%NaCl 稀释的 100mg 型胶原酶。总共将 0.05 毫升溶液注射到角化龈中,距离龈乳头基底两毫米处,每隔两周注射四次。在第一次和第二次注射型胶原后,观察到出血点数量的最大减少。在第三次和第四次注射后,平均 BOP 继续下降,但下降非常缓慢。使用型胶原使研究组中的出血症状得以消除。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5f96/9957219/5cec0636ff8e/ijerph-20-02954-g001.jpg

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