吸烟对全瓷冠修复后菌斑指数和龈沟液的影响

摘要

目的：探讨不同吸烟剂量对全瓷冠修复后基牙菌斑指数和龈沟液的影响。方法：选取近两年在我院口腔修复科就诊的35-40岁，需进行全瓷单冠修复的患者60例为受试对象，均为男性，根据吸烟情况分成不吸烟组，少量吸烟组(≤10支/d)和大量吸烟组(＞10支/d)。全瓷冠修复前1周常规牙周洁治，分别在修复前以及修复后1个月，2个月检测基牙菌斑指数，龈沟液的分泌量以及碱性磷酸酶和肿瘤坏死因子α水平。结果：与修复前相比，不吸烟组修复后1个月，2个月多数指标无显著变化，少量吸烟组和大量吸烟组修复后1个月，2个月多数指标都有所上升。与不吸烟组相比，少量吸烟组和大量吸烟组修复后1个月，2个月多数指标也有所上升，并且与吸烟剂量正相关。结论：吸烟可使全瓷冠修复后基牙菌斑指数升高，龈沟液分泌量增加，相关炎性因子表达增高。%Objective:To investigate the effect of smoking on plaque index and gingival crevicular fluid of abutment teeth restored by all-ceramic crown.Method:60 male patients indicated for all-ceramic crown restoration were selected from the 35-40 year old patients treated in our department during the past two years, and were randomly divided into no-smoking team, small amount smoking team (≤10 cigarette/day) and large amount smoking team (>10 cigarette/day). All the patients were treated with all-ceramic crowns after periodontal treatment. The plaque index, gross secretory volume of gingival crevicular fluid, ALP and TNF-αlevels before and 1 month and 2 month after treatment were recorded.Results:Compared with pretreatment, most of the parameters in the no-smoking team did not significantly change during 1 month and 2 months after treatment, while the parameters increased significantly in the smoking team during the 1 month and 2 month after treatment. Compared with the no-smoking team, most of the parameters during the 1 month and 2 month after treatment in the smoking team increased significantly in a dose-dependent manner.Conclusion:Smoking promotes plaque index, gingi-val crevicular fluid secretion, and ALP, TNF-αlevels in gingival crevicular fluid after restored by all-ceramic crown.