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新冠后毛霉菌病患者牙周状况的临床和影像学评估:一项横断面研究。

Clinical and radiographic assessment of periodontal status among patients with post-COVID mucormycosis: A cross-sectional study.

作者信息

Arunachalam Muthukumaraswamy, Natarajan Rajakumari, Krishnamurthi Malathi, Gopalakrishnan Ramesh Kumar

机构信息

Departments of Periodontics and Implant Dentistry, Tamil Nadu Government Dental College and Hospital, Chennai, Tamil Nadu, India.

Department of Public Health Dentistry, Tamil Nadu Government Dental College and Hospital, Chennai, Tamil Nadu, India.

出版信息

J Indian Soc Periodontol. 2023 Jul-Aug;27(4):381-385. doi: 10.4103/jisp.jisp_429_22. Epub 2023 Jul 1.

Abstract

BACKGROUND

An escalation in cases of rhinomaxillary mucormycosis among post-COVID patients is being reported. However, there is limited information about periodontal features in mucormycosis cases. This study explored the periodontal signs and symptoms among post-COVID mucormycosis individuals.

MATERIALS AND METHODS

This cross-sectional study was carried out with a total of 25 post-COVID mucormycosis patients attending tertiary care public teaching hospital. Clinical and radiographic assessments were done.

RESULTS

An elevation in mean probing pocket depth (PPD) up to 6.21 ± 2.7 mm was noted. Nearly 16%-40% of patients had Miller's Grade III mobility in the affected site. Forty-four per cent had localized single or multiple abscess, 40% had palatal swelling, 32% had necrosis of soft tissue and bone exposure, and 52% had maxillary dentoalveolar segmental mobility in the affected site. Radiographic examination revealed varying stages of interdental bone loss.

CONCLUSION

The present study observed an increase in mobility and mean PPD which did not commiserate with interdental bone loss in the affected maxillary region.

摘要

背景

有报道称新冠后患者鼻上颌毛霉菌病病例有所增加。然而,关于毛霉菌病病例的牙周特征的信息有限。本研究探讨了新冠后毛霉菌病患者的牙周体征和症状。

材料与方法

本横断面研究共纳入了25名在三级护理公立教学医院就诊的新冠后毛霉菌病患者。进行了临床和影像学评估。

结果

观察到平均探诊深度(PPD)升高至6.21±2.7毫米。近16%-40%的患者在患区出现米勒III级松动。44%的患者有局限性单处或多处脓肿,40%的患者有腭部肿胀,32%的患者有软组织坏死和骨暴露,52%的患者在患区出现上颌牙牙槽节段性松动。影像学检查显示了不同阶段的牙槽骨丧失。

结论

本研究观察到患侧上颌区域的松动度增加和平均PPD升高,这与牙槽骨丧失情况并不相符。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4175/10431227/461f7b74af7b/JISP-27-381-g002.jpg

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