[1]刘苗,刘瑾,王昱新,等.牙周病患者菌斑控制情况及相关影响因素分析[J].新乡医学院学报,2023,40(12):1126-1130.[doi:10.7683/xxyxyxb.2023.12.005]
　LIU Miao,LIU Jin,WANG Yuxin,et al.Analysis of control status and related influencing factors of plaque in patients with periodontal disease[J].Journal of Xinxiang Medical University,2023,40(12):1126-1130.[doi:10.7683/xxyxyxb.2023.12.005]
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牙周病患者菌斑控制情况及相关影响因素分析
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《新乡医学院学报》[ISSN:1004-7239/CN:41-1186/R]

卷:
40卷
期数:
2023年12
页码:
1126-1130
栏目:
临床研究
出版日期:
2023-12-05

文章信息/Info

Title:
Analysis of control status and related influencing factors of plaque in patients with periodontal disease
作者:
刘苗1; 2; 3; 刘瑾1; 2; 4; 王昱新1; 2; 3; 程百祥1; 2; 3; 程政1; 2; 3; 雷冰1; 2; 3
(1.西安交通大学口腔医院/陕西省颅颌面精准医学研究重点实验室,陕西　西安　710004;2.陕西省牙颌疾病临床研究中心,陕西　西安　710004;3.西安交通大学口腔医院口腔综合科,陕西　西安　710004;4.西安交通大学口腔医院牙周科,陕西　西安　710004)
Author(s):
LIU Miao1; 2; 3; LIU Jin1; 2; 4; WANG Yuxin1; 2; 3; CHENG Baixiang1; 2; 3; CHENG Zheng1; 2; 3; LEI Bing1; 2; 3
（1.Hospital of Stomatological Xi′an Jiaotong University/Shaanxi Key Laboratory of Craniomaxillofacial Precision Medicine,Xi′an 710004,Shaanxi Province,China;2.Shaanxi Provincial Dental and Jaw Disease Clinical Research Center,Xi′an 710004,Shaanxi Province,China;3.Department of Stomatology,Hospital of Stomatological Xi′an Jiaotong University,Xi′an 710004,Shaanxi Province,China;4.Department of Periodontology,Hospital of Stomatological Xi′an Jiaotong University,Xi′an 710004,Shaanxi Province,China）
关键词:
引导生物膜疗法; 牙周病; 菌斑控制; 横断面调查; 影响因素
Keywords:
guided biofilm therapy; periodontal disease; plaque control; cross-sectional survey; influencing factors
分类号:
R781.4
DOI:
10.7683/xxyxyxb.2023.12.005
文献标志码:
A
摘要:
目的　探讨牙周病患者菌斑控制情况及其相关影响因素。
方法　采用随机抽样方法选择2018年5月至2022年5月就诊于西安交通大学口腔医院的350例牙周病患者为研究对象。患者均行全口龈上洁治术，术后7～10 d复诊时对患者进行全口菌斑评估及检测、口腔一般检查及口腔卫生行为的问卷调查。采用单因素和多因素logistic回归分析影响菌斑控制效果的因素。
结果　本研究共发放350份问卷，收回有效问卷340份（97.14%）。患者总菌斑指数为（68.42±16.93）%；上颌菌斑指数低于下颌（P<0.05），前牙区菌斑指数低于后牙区（P<0.05）；左半口和右半口菌斑指数比较差异无统计学意义（P>0.05）；1区与2区菌斑指数比较差异无统计学意义（P>0.05），3区与4区菌斑指数比较差异无统计学意义（P>0.05）；3区和4区菌斑指数分别高于1区和2区（P<0.05）。远中和舌侧面菌斑指数比较差异无统计学意义（P>0.05），其余各牙面菌斑指数两两比较差异均有统计学意义（P<0.05）。单因素分析结果显示，不同性别、不同文化程度、不同疾病严重程度、不同刷牙时间、不同刷牙方法患者的菌斑指数比较差异有统计学意义（P<0.05）；多因素 logistic 回归分析结果显示，疾病严重程度和刷牙方法是影响菌斑指数的因素（P<0.05）。
结论　牙周病患者菌斑控制总体情况不理想，疾病严重程度和刷牙方法是菌斑指数控制效果的影响因素，应加强口腔卫生宣教以促进牙周病患者的菌斑控制。
Abstract:
Objective　To investigate the status of plaque control in patients with periodontal disease and its related influencing factors.
Methods　A total of 350 periodontal disease patients admitted to the Hospital of Stomatological Xi′an Jiaotong University from May 2018 to May 2022 were selected as the research subjects by the random sampling method.All patients underwent total supragingival oral prophylaxis.The total oral plaque assessment and detection,general oral examination,and a questionnaire survey on oral hygiene behavior will be conducted when patients came back for return visit at 7-10 days after operation.Single factor and multivariate logistic regression analysis were used to analyze the factors affecting the effectiveness of plaque control.
Results　A total of 350 questionnaires were distributed in this study,and 340 valid questionnaires (97.14%) were collected.The total plaque index of the patient was (68.42 ± 16.93)%;the plaque index in maxillary was significantly lower than that in mandibular (P<0.05);the plaque index in anterior tooth area was significantly lower than that in the posterior tooth area (P<0.05);there was no significant difference in plaque index between the left and right halves of the mouth (P>0.05);there was no significant difference in plaque index between zone 1 and zone 2 (P>0.05);there was no significant difference in plaque index between zone 3 and zone 4 (P>0.05);the plaque index in zone 3 and zone 4 was significantly higher than that in zone 1 and zone 2,respectively (P<0.05).There was no significance difference in the plaque index between distal and lingual surfaces (P>0.05),while there was significance difference in the plaque index between the other dental surfaces(P<0.05).The results of univariate analysis showed that there were significant difference in plaque index among patients with different genders,educational levels,disease severity,brushing duration,and brushing method(P<0.05);the results of multivariate logistic regression analysis showed that the severity of the disease and brushing method were the factors affecting the plaque index(P<0.05).
Conclusion　The overall control situation of plaque control in patients with periodontal disease is not ideal.The severity of the disease and the method of brushing teeth are factors affecting the effectiveness of plaque index control.Oral health education should be strengthened to promote plaque control in patients with periodontal disease.

参考文献/References:

［1］　KIM S Y,LEE C J,KIM N Y,et al.Korean initiatives for noncommunicable and periodontal diseases［J］.J Periodontal Implant Sci,2022,52(6):435-436.
［2］　MANRESA C,SANZ-MIRALLES E C,TWIGG J,et al.Supportive periodontal therapy (SPT) for maintaining the dentition in adults treated for periodontitis［J］.Cochrane Database Syst Rev,2018,1(1):D9376.
［3］　TSENG C H.Metformin and risk of gingival/periodontal diseases in diabetes patients:a retrospective cohort study［J］.Front Endocrinol,2022,13:1036885.
［4］　王兴.第四次全国口腔健康流行病学调查报告［M］.北京:人民卫生出版社,2018：20-37.
WANG X.The fourth national oral health epidemiological survey report［M］.Beijing:People′s Medical Publishing House,2018：20-37.
［5］　FURRER C,BTTIG R,VOTTA I,et al.Patient acceptance of 《Guided Biofilm THerapy》［J］.Swiss Dent J,2021,131(3):229-234.
［6］　NARUISHI K.Biological roles of fibroblasts in periodontal diseases［J］.Cells,2022,11(21):3345.
［7］　HOLLOWAY J A,SEONG J,CLAYDON N C A,et al.A pilot study to evaluate the impact of digital imaging on the delivery of oral hygiene instruction［J］.J Dent,2022,118:104053.
［8］　RAJAB L D,ASSAF D H,EL-SMADI L A,et al.Comparison of effectiveness of oral hygiene instruction methods in improving plaque scores among 8-9-year children:a randomized controlled trial［J］.Eur Arch Paediatr Dent,2022,23(2):289-300.
［9］　孟焕新.临床牙周病学［M］.北京:人民卫生出版社,2013：7-28.
MENG H X.Clinical periodontology［M］.Beijing：People′s Health Publishing House,2013：7-28.
［10］　KAKUDATE N,MORITA M,SUGAI M,et al.Systematic cognitive behavioral approach for oral hygiene instruction:a short-term study［J］.Patient Educ Couns,2009,74(2):191-196.
［11］　LEE W C,SHIONO M,SUZUKI J,et al.The O′Leary et al.plaque control record in initial periodontal treatment［J］.Nihon Shishubyo Gakkai Kaishi,1986,28(1):252-262.
［12］　O′LEARY T J,DRAKE R B,NAYLOR J E.The plaque control record［J］.J Periodontol,1972,43(1):38.
［13］　SHRIVASTAVA D,NATOLI V,SRIVASTAVA K C,et al.Novel approach to dental biofilm management through guided biofilm therapy (GBT):a review［J］.Microorganisms,2021,9(9):1966.
［14］　郭曼丽,张植栋,包广洁.探讨以菌斑控制为导向治疗牙周病的思考［J］.中国医药指南,2022,20(31):72-75.
GUO M L,ZHANG Z D,BAO G J.Plaque control-oriented periodontal therapy［J］.Guide China Med,2022,20(31):72-75.
［15］　杨海静.六步行为认知法在慢性牙周炎患者口腔保健行为管理中的应用研究［D］.天津:天津医科大学,2018.
YANG H J.The study of a six-step behavioral cognitive method in the management of oral self-care behaviors of patients with chronic periodontitis［D］.Tianjin:Tianjin Medical University,2018.
［16］　PETKER W,WEIK U,MARGRAF-STIKSRUD J,et al.Oral cleanliness in daily users of powered vs.manual toothbrushes：a cross-sectional study［J］.BMC Oral Health,2019,19(1):96.
［17］　AL-OMIRI M K,ABU-AWWAD M,BUSTANI M,et al.Oral health status,oral health-related quality of life and personality factors among users of three-sided sonic-powered toothbrush versus conventional manual toothbrush［J］.Int J Dent Hyg,2023,21(2):371-381.
［18］　PETIT C,BENEZECH J,DAVIDEAU J L,et al.Consideration of oral health and periodontal diseases during pregnancy:knowledge and behaviour among French pregnant women［J］.Oral Health Prev Dent,2021,19(1):33-42.
［19］　JAMES P,WORTHINGTON H V,PARNELL C,et al.Chlorhexidine mouthrinse as an adjunctive treatment for gingival health［J］.Cochrane Database Syst Rev,2017,3(3):CD008676.
［20］　EBEL S,BLTTERMANN H,WEIK U,et al.High plaque levels after thorough toothbrushing:what impedes efficacy?［J］.JDR Clin Trans Res,2019,4(2):135-142.
［21］　NG E,LIM L P.An overview of different interdental cleaning aids and their effectiveness［J］.Dent J,2019,7(2):56.
［22］　DENTINO A,LEE S,MAILHOT J,et al.Principles of periodontology［J］.Periodontol 2000,2013,61(1):16-53.
［23］　张佩佩,高东辉,田悦,等.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［J］.吉林大学学报(医学版),2022,48(2):493-499.
ZHANG P P,GAO D H,TIAN Y,et al.Effect of guided biofilm therapy for periodontitis in diabetic patient:a case report and literature review［J］.J Jilin Univ（Med Ed）,2022,48(2):493-499.
［24］　RAISON M H,CORCORAN R,BURNSIDE G,et al.Oral hygiene behaviour automaticity:are toothbrushing and interdental cleaning habitual behaviours?［J］.J Dent,2020,102:103470.

更新日期/Last Update: 2023-12-05