›› 2019, Vol. 39 ›› Issue (11): 1047-1052.

• 综述 • 上一篇    下一篇

龈沟液生物标志物在慢性牙周炎诊疗中的研究进展

陈崇崇1,钟良军2   

  1. 1. 杭州师范大学
    2. 杭州师范大学医学院口腔系
  • 收稿日期:2019-03-06 修回日期:2019-06-11 出版日期:2019-11-28 发布日期:2019-12-04
  • 通讯作者: 钟良军 E-mail:zymdxx@163.com
  • 基金资助:
    牙龈卟啉单胞菌分泌牙龈素对动脉粥样硬化血管平滑肌细胞增殖的影响及其机制研究

Research progress on gingival crevicular fluid biomarkers for diagnosis and treatment of chronic periodontitis

Chong-chong CHEN1,   

  • Received:2019-03-06 Revised:2019-06-11 Online:2019-11-28 Published:2019-12-04

摘要: 慢性牙周炎(chronic periodontitis,CP)是以牙周软、硬组织破坏为特点的慢性炎症性疾病,局部炎症微环境贯穿慢性牙周炎病损的各个阶段。目前,临床上常用的CP诊断评价指标包括牙周探诊深度、探诊出血和通过影像学检查评估牙槽骨水平等,但在明确牙周疾病进程、精确评估炎症状态等方面有所欠缺。通过生物标志物进行疾病的快速、精准筛查,提供准确的检测信息并可靠地评估CP的疾病状态,是研究的热点。龈沟液(gingival crevicular fluid,GCF)是牙周组织的血清渗出物或炎性渗出物,其中的生物标志物与炎症发展、结缔组织和骨组织破坏的关系密切,因此经常被用作检测CP病损程度的有效指标,对CP治疗效果的评价和预后的评估也有一定的帮助。本文就GCF生物标志物在CP非手术治疗前后的评估价值及研究进展作一综述。

关键词: 慢性牙周炎, 龈沟液, 生物标志物, 非手术治疗

Abstract: Chronic periodontitis (CP) is a chronic inflammatory disease characterized by periodontal soft and hard tissue destruction, and the local inflammatory microenvironment runs through all stages of lesions. At present, the common diagnostic criteria for CP include periodontal probing depth, bleeding on probing and evaluation of alveolar bone level by radiographic examination, but there is a lack of accurate assessment of the inflammatory state and the definition of periodontal disease progression. It has been a research hotspot worldwide that how the biomarkers come into wide use to conduct rapid and accurate screening, provide accurate detection information and reliably assess the disease state of CP. Gingival crevicular fluid (GCF) is a serum or inflammatory exudate from periodontium. Its biomarkers are closely related to inflammation and destruction of connective tissue and bone tissue, so they are used to assess the lesions and the evaluation of the therapeutic effect. Thus, this paper reviews the diagnostic value and research progress of GCF biomarkers before and after nonsurgical therapy of CP.

Key words: Chronic periodontitis, biomarkers, gingival crevicular fluid, nonsurgical periodontal therapy

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