关键词: gingivitis microneedling olive oil plaque subgingival scaling

来  源:   DOI:10.7759/cureus.59415   PDF(Pubmed)

Abstract:
BACKGROUND: Gingival inflammation, a hallmark of periodontal diseases, serves as a critical focus in oral health research. Characterized by redness, swelling, and bleeding of the gingival tissues, it reflects the body\'s response to bacterial biofilms accumulating on the tooth surfaces. This inflammatory process, initiated by the interaction between oral bacteria and the host immune system, can lead to a spectrum of periodontal conditions ranging from mild gingivitis to severe periodontitis. Understanding the efficacy of various methods to treat gingival inflammation is essential for refining treatment strategies and enhancing patient satisfaction in the realm of gingival inflammation.
OBJECTIVE: The objective of the study was to evaluate the efficacy of employing the microneedling technique with olive oil on gingival inflammation and plaque accumulation in individuals with gingivitis.  Materials and methods:Twenty-four individuals diagnosed with plaque-induced gingivitis were selected from Saveetha Dental College, Chennai. Participants were randomly assigned to one of two groups: Group A, comprising 12 individuals who received mechanical periodontal treatment only and Group B, consisting of 12 individuals treated with dermapen and topical olive oil. This involved the creation of microholes in the gingival tissue to enhance the concentration and penetration of the oils through the gingival tissues. Post-intervention assessments of gingival and plaque status were conducted using a gingival index and a plaque index at baseline, one, two, and four weeks. Statistical analysis was done using IBM SPSS Statistics for Windows, version 23 (IBM Corp., Armonk, NY, USA). Intergroup analysis was done using Mann-Whitney test and intra-group analysis was done using Kruskal-Wallis test for all the study parameters. Statistical significance was set at a p-value of less than 0.05.
RESULTS: The mean plaque index scores were 2.02 ± 0.12 and 2.29 ± 0.21 in the subgingival scaling and microneedling with olive oil group respectively in baseline. The scores were 1.83 ± 0.29 and 0.57 ± 0.16 in the subgingival scaling and microneedling with olive oil group respectively at the end of four weeks. The results of plaque index scores were statistically significant between the control and the intervened groups at the end of four weeks with a p value of 0.01*. The mean gingival index scores were 2.09 ± 0.16 and 2.37 ± 0.17 in the subgingival scaling and microneedling with olive oil group in the baseline respectively. The scores were 1.88 ± 0.23 and 0.96 ± 0.21 in the subgingival scaling and microneedling with olive oil group respectively at the end of four weeks. The results of gingival index scores were statistically significant between the control and the intervened groups at the end of four weeks with a p value of 0.01*.
CONCLUSIONS: Our research showcased a novel and effective technique, unveiling a significant enhancement in gingival health accompanied by a reduction in both the average gingival index and plaque index.
摘要:
背景:牙龈炎症,牙周病的标志,作为口腔健康研究的重点。以发红为特征,肿胀,牙龈组织出血,它反映了身体对积聚在牙齿表面的细菌生物膜的反应。这个炎症过程,由口腔细菌和宿主免疫系统之间的相互作用引发,可导致一系列牙周疾病,从轻度牙龈炎到重度牙周炎。了解治疗牙龈炎症的各种方法的功效对于完善治疗策略和提高患者在牙龈炎症领域的满意度至关重要。
目的:本研究的目的是评估使用橄榄油微针技术对牙龈炎患者牙龈炎症和牙菌斑积聚的疗效。材料和方法:从Saveetha牙科学院选择24名诊断为牙菌斑诱发的牙龈炎的个体,钦奈.参与者被随机分配到两组中的一组:A组,包括12名仅接受机械牙周治疗的人和B组,由12名接受dermapen和局部橄榄油治疗的患者组成。这涉及在牙龈组织中产生微孔以增强油通过牙龈组织的浓度和渗透。使用基线时的牙龈指数和菌斑指数对牙龈和菌斑状态进行干预后评估,一,两个,还有四个星期.统计分析是使用IBMSPSSStatisticsforWindows进行的,版本23(IBM公司,Armonk,NY,美国)。对于所有研究参数,使用Mann-Whitney检验进行组间分析,使用Kruskal-Wallis检验进行组内分析。统计显著性设定为小于0.05的p值。
结果:在基线时,用橄榄油组的龈下鳞屑和微针平均菌斑指数得分分别为2.02±0.12和2.29±0.21。在四周结束时,龈下刮削和橄榄油微针组的得分分别为1.83±0.29和0.57±0.16。4周结束时,对照组和干预组之间的菌斑指数评分结果具有统计学意义,p值为0.01*。基线下龈下刮片和橄榄油微针组平均牙龈指数评分分别为2.09±0.16和2.37±0.17。在四周结束时,龈下刮削和橄榄油微针组的得分分别为1.88±0.23和0.96±0.21。在4周结束时,对照组和干预组之间的牙龈指数评分结果具有统计学意义,p值为0.01*。
结论:我们的研究展示了一种新颖有效的技术,揭示了牙龈健康的显着增强,伴随着平均牙龈指数和菌斑指数的降低。
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