吉林大学学报(医学版) ›› 2022, Vol. 48 ›› Issue (2): 493-499.doi: 10.13481/j.1671-587X.20220228

• 临床医学 • 上一篇    下一篇

以菌斑控制为导向的糖尿病患者牙周基础治疗效果1例报告及文献复习

张佩佩,高东辉,田悦,李红艳()   

  1. 吉林大学口腔医院牙周科,吉林 长春 130021
  • 收稿日期:2021-07-09 出版日期:2022-03-28 发布日期:2022-05-10
  • 通讯作者: 李红艳 E-mail:lihongy99@jlu.edu.cn
  • 作者简介:张佩佩(1997-),女,河南省驻马店市人,在读硕士研究生,主要从事牙周病诊治方面的研究。
  • 基金资助:
    吉林省科技厅科技发展计划项目(20190303183SF)

Effect of guided biofilm therapy for periodontitis in diabetic patient: A case report and literature review

Peipei ZHANG,Donghui GAO,Yue TIAN,Hongyan LI()   

  1. Department of Periodontology,Stomatology Hospital,Jilin University,Changchun 130021,China
  • Received:2021-07-09 Online:2022-03-28 Published:2022-05-10
  • Contact: Hongyan LI E-mail:lihongy99@jlu.edu.cn

摘要: 目的

分析以菌斑控制为导向的牙周基础治疗(GBT)在伴有糖尿病(DM)的牙周炎患者治疗中的作用,为伴有系统性疾病的牙周炎的诊治提供依据。

方法

收集1例伴有2型糖尿病(T2DM)的牙周炎患者的临床资料,行GBT,分别于初诊、治疗后1个月、3个月、6个月、1年和2年检查并记录患者全口牙位的探诊出血(BOP)阳性率、探诊深度(PD)、附着丧失(AL)和>5 mm 深牙周袋的数量,以及患者的空腹血糖和糖化血红蛋白(HbA1c)水平,并进行相关文献复习。

结果

行GBT后, 患者BOP阳性率、PD、AL和>5 mm 深牙周袋的数量以及空腹血糖和HbA1c水平均出现不同程度的降低;治疗后2年复查全口牙龈无明显炎症,BOP 阳性率为10%,PD均值为2.18 mm,AL均值减少至0.98 mm,菌斑阳性率为20%,无>5 mm深牙周袋,空腹血糖为5.5 mmol·L-1,HbA1c为5.9%。

结论

GBT对伴有T2DM的牙周炎患者牙周临床症状治疗效果较好,而且有利于患者血糖的长期控制。

关键词: 以菌斑控制为导向的牙周治疗, 糖尿病,2型, 牙周炎, 牙周基础治疗

Abstract: Objective

To analyze the role of guided biofilm therapy (GBT) in the therapy of the patient with periodontitis and diabetes mellitus, and to provide the basis for the diagnosis and treatment of periodontitis associated with systemic diseases.

Methods

The clinical materials of one periodontitis patient with type 2 diabetes mellitus (T2DM) were collected, and GBT was performed. The positive rates of bleeding on probing(BOP), probing depth (PD), attachment loss (AL), the number of deep periodontal pockets (>5 mm), and the levels of fasting blood glucose and glycated hemoglobin (HbA1c) of the patient were examined and recorded at the first visit, 1 month, 3 months, 6 months, 1 year and 2 years after GBT, respectively. The related literatures were reviewed.

Results

After GBT,the positive rates of BOP, PD, AL, the number of deep periodontal pockets, and the levels of fasting blood glucose and HbA1c were decreased in varying degrees. Two years after treatment, there was no obvious gingival inflammation in the whole mouth, the positive rate of BOP was 10%,the average PD value was 2.18 mm, the AL was reduced to 0.98 mm, the positive rate of plaque was 20%, and there was no deep periodontal pocket greater than 5 mm. The fasting blood glucose was 5.5 mmol·L-1, and the HbA1c was 5.9%.

Conclusion

GBT is more effective in the treatment of periodontitis associated with T2DM, and it is beneficial for the long-term control of blood glucose.

Key words: Guided biofilm therapy, Diabetes mellitus,type 2, Periodontitis, Initial periodontal therapy

中图分类号: 

  • R781