Journal of Prevention and Treatment for Stomatological Diseases ›› 2018, Vol. 26 ›› Issue (3): 171-174.DOI: 10.12016/j.issn.2096-1456.2018.03.006

• Cinical Study • Previous Articles     Next Articles

An analysis of periodontal status in desquamative gingivitis and the correlative factors

Jun SHEN1(), Wenxia MENG2, Xiao JIANG2, Xuan WANG2, Cao YIN2   

  1. 1. Department of VIP, Stomatological Hospital, Southern Medical University, Guangzhou 510280, China;
    2. Department of Periodontal and Oral Mucosal Disease, Stomatological Hospital, Southern Medical University, Guangzhou 510280, China;
  • Received:2017-09-24 Revised:2017-10-17 Online:2018-03-20 Published:2018-08-31

剥脱性龈炎患者的临床牙周状况及相关因素分析

申俊1(), 孟文霞2, 姜啸2, 王炫2, 殷操2   

  1. 1. 南方医科大学口腔医院特诊科,广东 广州(510280);
    2. 南方医科大学口腔医院牙周黏膜科,广东 广州(510280);
  • 作者简介:

    【作者简介】 刘影,医师,博士, Email:yingliu0504@yahoo.com

  • 基金资助:
    国家自然科学基金(81500850);广东省医学科研基金项目(A2016207)

Abstract:

Objective To study the clinical periodontal status of patients with desquamative gingivitis (DG) and analyze the factors that influence clinical periodontal indicators. Methods A purposive sampling method was used to obtain 42 subjects for a DG case group and a control group. Periodontal clinical indicators were detected, and related factors were analyzed. Results The DG patients were primarily middle-aged women. Periodontal clinical indicators were more prevalent in individuals with oral lichen planus (OLP) and mucous membrane pemphigoid (MMP) than in the control group. Probing depth (PD) (χ2=53.058, P<0.001; χ2=32.989, P<0.001), clinical attachment (χ2=30.292, P<0.001; χ2=32.470, P<0.001) and the positive rate of bleeding on probing (BOP) (χ2=50.003, P<0.001; χ2=36.236, P<0.001) were higher in the OLP and MMP group than in the control group. The time interval between the onset and treatment of DG was correlated with PD (rs=0.523, P<0.001) and the rate of positive BOP sites (rs=0.377, P=0.014). Conclusion Patients with DG have obvious periodontal lesions. Early medical intervention is helpful for diagnosing and treating DG-related oral and systemic disease.

Key words: Desquamative gingivitis, Oral lichen planus, Mucous membrane pemphigoid, Chronic periodontitis, Correlative factors analysis

摘要:

目的 研究剥脱性龈炎患者的临床牙周状况,探讨影响其牙周健康的临床指标的相关因素。方法 采用立意抽样,选择42例剥脱性龈炎患者为病例组,病例组经组织学和直接免疫荧光检测,25例诊断为口腔扁平苔藓(oral lichen planus,OLP)(OLP组),17例诊断为口腔黏膜良性类天疱疮(mucous membrane pemphigoid,MMP)(MMP组)。以剥脱性龈炎患者的健康家属为对照组,检测牙周临床指标并进行相关因素分析。结果 剥脱性龈炎患者就诊以中年女性居多。OLP组、MMP组在探诊深度、临床附着水平和探诊出血阳性率方面均显著高于对照组:OLP组探诊深度(χ2=53.058, P<0.001)、临床附着水平(χ2=30.292,P<0.001)和探诊出血阳性率(χ2=50.003,P<0.001)高于对照组;MMP组探诊深度(χ2=32.989,P<0.001)、临床附着水平(χ2=32.470,P<0.001)和探诊出血阳性率(χ2=36.236,P<0.001)高于对照组。剥脱性龈炎病例发病至就诊的时间与探诊深度(rs=0.523,P<0.001)和探诊出血阳性率(rs=0.377,P=0.014)之间存在相关关系。结论 剥脱性龈炎患者牙周病变程度更重,需要对此类患者进行早期治疗。

关键词: 剥脱性龈炎, 口腔扁平苔藓, 良性黏膜类天疱疮, 慢性牙周炎, 相关因素分析

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