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放大条件下使用胎盘提取物凝胶进行龈下刮治和根面平整对慢性牙周炎患者的临床疗效:一项半口对照研究

Clinical Efficacy of Scaling and Root Planing With Placental Extract Gel Under Magnification in Chronic Periodontitis Patients: A Split-Mouth Study.

作者信息

Bhadauriya Surabhi, Vasudevan Sanjay, Palle Ajay Reddy, Atchuta Abhinav, Singh Anuradha

机构信息

Periodontology, Army College of Dental Sciences, Secunderabad, IND.

出版信息

Cureus. 2024 Jun 6;16(6):e61851. doi: 10.7759/cureus.61851. eCollection 2024 Jun.

Abstract

Background Chronic localized periodontitis is a prevalent and persistent inflammatory condition in which there is the gradual degradation of the gingiva, periodontal ligament fibers, and alveolar bone loss. The objectives of periodontal therapy encompass not solely the elimination of local factors from the periodontal pocket but also the eradication of the dysbiotic microbial milieu to restore periodontal health. The present study aimed to compare the efficacy of scaling and root planing (SRP) with and without the placement of placental extract gel in the therapeutic management of chronic localized periodontitis under magnification. Materials and methods The present investigation encompassed 40 sites in 20 systemically healthy patients with chronic localized periodontitis. The allocation of the sites was done randomly, resulting in two distinct groups: group I (test site) and group II (control site). Group I was subjected to SRP, followed by the placement of placental extract gel, while group II solely received SRP. Clinical evaluations of pocket probing depth, plaque index, relative attachment level (RAL), gingival index (GI), and bleeding on probing (BoP) were performed at each site at baseline, six weeks, and three months. Results Placental extract gel as an accompaniment to SRP showed significant improvement in clinical parameters like pocket probing depth, RAL, GI, and BoP. Conclusion Placental extract gel may significantly act as a local drug delivery agent in the treatment of localized periodontal pockets.

摘要

背景 慢性局限性牙周炎是一种常见且持续存在的炎症性疾病,其中牙龈、牙周韧带纤维会逐渐退化,牙槽骨也会流失。牙周治疗的目标不仅包括消除牙周袋中的局部因素,还包括根除失调的微生物环境以恢复牙周健康。本研究旨在比较在放大条件下,龈下刮治术(SRP)联合与不联合放置胎盘提取物凝胶在慢性局限性牙周炎治疗中的疗效。

材料与方法 本研究纳入了20名患有慢性局限性牙周炎的全身健康患者的40个位点。这些位点随机分配,形成两个不同的组:第一组(试验位点)和第二组(对照位点)。第一组先进行龈下刮治术,然后放置胎盘提取物凝胶,而第二组仅接受龈下刮治术。在基线、六周和三个月时,对每个位点进行牙周袋探诊深度、菌斑指数、相对附着水平(RAL)、牙龈指数(GI)和探诊出血(BoP)的临床评估。

结果 胎盘提取物凝胶辅助龈下刮治术在牙周袋探诊深度、相对附着水平、牙龈指数和探诊出血等临床参数方面有显著改善。

结论 胎盘提取物凝胶在治疗局限性牙周袋时可能显著地作为一种局部给药制剂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d188/11227602/a33f3e2c1b9d/cureus-0016-00000061851-i01.jpg

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