内窥镜辅助龈下刮治联合赤藓糖醇龈下喷砂治疗种植体周围炎的疗效评价

doi:10.13481/j.1671-587X.20240220

Abstract

Abstract:

Objective To study the clinical efficacy of endoscopic-assisted subgingival scaling combined with erythritol subgingival sand blasting technology for the treatment of peri-implantitis，and to provide the theoretical basis for the effective treatment of peri-implantitis. Methods The patients with peri-implantitis who attended the Periodontology Department in our hospital and received treatment were selected. A total of 58 peri-implantitis patients were sequentially observed according to the time of visit and were randomly divided into control group （28 cases） and minimally invasive group （30 cases）； the patients in control group underwent traditional blind subgingival curettage， while the patients in minimally invasive group were received endoscopic-assisted subgingival scaling combined with erythritol subgingival sandblasting. The probing depth （PD）， modified plaque index （mPLI）， modified sulcus bleeding index （mSBI）， and levels of interleukin-1β （IL-1β）， interleukin-6 （IL-6）， and tumor necrosis factor-α （TNF-α） in gingival crevicular fluid of the patients in two groups were analyzed before and after treatment. Results Before treatment， there were no significant differences in PD， mPLI， mSBI， and levels of IL-1β， IL-6， and TNF-α in gingival crevicular fluid of the patients between two groups （P>0.05）， demonstrating there was comparability. Compared with before treatment， the PD， mPLI， mSBI， and levels of IL-1β， IL-6， and TNF-α in gingival crevicular fluid of the patients in two groups after treatment were decreased （P<0.05）.Compared with control group， the PD， mPLI， and mSBI of the patients in minimally invasive group were obviously decreased （P<0.05）， and the levels of IL-1β， IL-6， and TNF-α were also significantly decreased （P<0.05）. Conclusion In the short term， endoscopic-assisted subgingival scaling combined with erythritol subgingival sandblasting technology for the treatment of peri-implantitis is more beneficial in controlling inflammation around the peri-implant tissue and improving clinical symptoms.

Key words: Peri-implantitis, Endoscopy, Subgingival scaling, Erythritol subgingival sandblasting, Gingival sulcus fluid, Periodontal clinical parameters

CLC Number:

R783.6

Hongyan LI,Qiqi WANG,Wenzhou XU,Bin ZHAO. Efficacy evaluation of endoscopic-assisted subgingival scaling combined with erythritol subgingival sandblasting in treatment of peri-implantitis[J].Journal of Jilin University(Medicine Edition), 2024, 50(2): 465-472.

Figures/Tables 4

Tab. 1

Values of PD, mSBI, and mPLI of patients in two groups before and after treatment"

Group	n	PD（l/mm）
Group	n	Before treatment （ $x ˉ$ ±s）	After treatment	Student’s t- test（Wilcoxon test ）
		Before treatment （ $x ˉ$ ±s）	After treatment	t/Z	P
Control	28	7.09±0.27	5.39 (5.24, 6.16)	4.639	<0.001
Minimal invasive	30	7.04±0.42	4.78±0.28	27.961	<0.001
Student’s t- test（Wilcoxon test ）
t/Z		－0.615	－7.084
P		0.542	<0.001
Group	n	mSBI
Group	n	Before treatment（ $x ˉ$ ±s）	After treatment（ $x ˉ$ ±s）	Student’s t- test
		Before treatment（ $x ˉ$ ±s）	After treatment（ $x ˉ$ ±s）	t/Z	P
Control	28	2.53±0.56	1.61±0.76	13.434	<0.001
Minimal invasive	30	2.56±0.72	1.03±0.69	26.561	0.002
Student’s t- test（Wilcoxon test ）
t/Z P		－1.745 0.073	－6.804 <0.01
Group	n	mPLI
Group	n	Before treatment（ $x ˉ$ ±s）	After treatment（ $x ˉ$ ±s）	Student’s t- test
				t/Z	P
Control	28	2.64±0.87	1.64±0.57	13.798	0.004
Minimal invasive	30	2.56±0.91	1.03±0.65	23.376	0.010
Student’s t- test（Wilcoxon test ）
t/Z		－1.637	－6.804
P		0.069	0.001

Tab. 1

Tab.2

Fig. 1

Fig. 2

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Efficacy evaluation of endoscopic-assisted subgingival scaling combined with erythritol subgingival sandblasting in treatment of peri-implantitis

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Group	n	IL-1β
Group	n	Before treatment	After treatment	Student’s t- test
		Before treatment	After treatment	t	P
Control	28	28.42±1.26	21.50±1.13	7.483	<0.01
Minimal invasive	30	28.24±1.37	16.27±1.43	34.961	0.001
Student’s t- test
t		－0.824	－4.075
P		0.643	<0.01
Group	n	IL-6
Group	n	Before treatment	After treatment	Student’s t- test
		Before treatment	After treatment	t	P
Control	28	21.98±0.43	9.78±0.34	31.542	<0.01
Minimal invasive	30	21.85±1.42	6.07±0.45	32.675	<0.01
Student’s t- test
t		－0.765 0.704	－3.546 0.014
P		－0.765 0.704	－3.546 0.014
Group	n	TNF-α
Group	n	Before treatment	After treatment	Student’s t- test
		Before treatment	After treatment	t	P
Control	28	9.31±1.32	4.23±0.38	23.452	0.003
Minimal invasive	30	8.98±1.38	2.36±0.44	21.435	0.001
Student’s t- test
t		－0.804 0.103	－2.023 0.006
P		－0.804 0.103	－2.023 0.006