口腔扁平苔藓患者牙周状况评估。

Quintessence Int. 2024 Jan 23;55(1):4-16. doi: 10.3290/j.qi.b4343127.

OBJECTIVE

Inflammatory pathogenesis is common to periodontitis and oral lichen planus. This study was conducted to assess and compare the periodontal status of patients with and without oral lichen planus.

METHOD AND MATERIALS

108 patients comprising 54 with oral lichen planus and 54 age-matched systemically healthy participants without oral lichen planus were selected. Periodontal parameters, ie Plaque Index, Gingival Index, bleeding on probing, probing pocket depth, clinical attachment level, and periodontal phenotype were measured.

RESULTS

On comparing the test and control groups, statistically significant differences were observed in respect to Plaque Index (P = .00), Gingival Index (P = .00), and bleeding on probing (P = .00). A higher proportion of sites with deeper pockets was observed in the test group (P = .00). On comparison of various oral lichen planus subtypes, significant difference was observed in respect to Gingival Index (P = .00) and bleeding on probing (P = .00). A higher proportion of sites with deeper pockets (P = .01) and greater CAL (P = .00) was observed in the erosive/atrophic subgroup compared to the reticular group. However, the differences between the reticular (a less severe form of oral lichen planus) and control group in terms of Gingival Index (P = .94), Plaque Index (P = .05), bleeding on probing (P = .17), probing pocket depth (P = .56), and clinical attachment level (P = .23) were not statistically significant. Statistically significant differences were observed in terms of Gingival Index (P = .01) and bleeding on probing (P = .00) between thin and thick periodontal phenotypes in the oral lichen planus group. Statistically significant positive correlations in periodontal parameters with increased gingival involvement and severity were observed using Spearman rank correlation coefficient.

CONCLUSION

Significantly greater periodontal inflammation in the test group means there is a risk of greater attachment loss in future. Thus, increased attention towards periodontal health in these patients might reduce the rate of disease progression.

目的

牙周炎和口腔扁平苔藓的发病机制具有共同的炎症基础。本研究旨在评估和比较患有口腔扁平苔藓和不患有口腔扁平苔藓的患者的牙周状况。

方法和材料

选择了 108 名患者，其中 54 名患有口腔扁平苔藓，54 名年龄匹配、无口腔扁平苔藓的系统性健康参与者。测量牙周参数，即菌斑指数、牙龈指数、探诊出血、探诊袋深度、临床附着水平和牙周表型。

结果

在比较试验组和对照组时，菌斑指数（P=0.00）、牙龈指数（P=0.00）和探诊出血（P=0.00）方面存在统计学显著差异。试验组有更多的深牙周袋部位（P=0.00）。在比较各种口腔扁平苔藓亚型时，在牙龈指数（P=0.00）和探诊出血（P=0.00）方面观察到显著差异。与网状组相比，糜烂/萎缩亚组有更多的深牙周袋部位（P=0.01）和更大的 CAL（P=0.00）。然而，网状组（口腔扁平苔藓的一种较轻形式）与对照组在牙龈指数（P=0.94）、菌斑指数（P=0.05）、探诊出血（P=0.17）、探诊袋深度（P=0.56）和临床附着水平（P=0.23）方面的差异无统计学意义。在口腔扁平苔藓组中，薄型和厚型牙周表型之间的牙龈指数（P=0.01）和探诊出血（P=0.00）存在统计学显著差异。使用 Spearman 等级相关系数观察到牙周参数与牙龈受累和严重程度增加呈统计学显著正相关。