CAJ | 학술논문

烤瓷熔附金属全冠对局部牙龈在临床应用中出现修复后牙龈出血、红肿、龈缘变黑及口腔异味等情况，使近来学者从各个角度来研究和比较各金属对局部牙龈的影响。由于烤瓷铸造合金在口腔内可释放出离子并沉积于牙体表面和牙龈，对与其接触的牙周组织造成一定的刺激，促进牙龈炎症发展，这是引起修复后牙周损伤的重要因素。而作为牙周组织健康状态指标之一的龈沟液在这种情况下的量与质也非常重要。近年来已有许多学者在龈沟液内检测出多种炎症介质和炎症调节因子，其中白细胞介素－1β（Crevicularinterleuin-1β IL－1β）已被公认为在牙周病中起非常重要的作用。另有学者研究发现：在牙周致病菌携带者的龈沟液中，白细胞介素-8（interleukin-8，IL-8）的水平与龈炎指数、牙周袋深度、出血指数显著相关。本文将重点从非贵金属烤瓷冠的应用现状、非贵金属烤瓷冠对龈沟液中IL-1β和IL-8的影响以及对牙周组织的影响等方面加以综述。
고자용부금속전관대국부아간재림상응용중출현수복후아간출혈、홍종、간연변흑급구강이미등정황，사근래학자종각개각도래연구화비교각금속대국부아간적영향。유우고자주조합금재구강내가석방출리자병침적우아체표면화아간，대여기접촉적아주조직조성일정적자격，촉진아간염증발전，저시인기수복후아주손상적중요인소。이작위아주조직건강상태지표지일적간구액재저충정황하적량여질야비상중요。근년래이유허다학자재간구액내검측출다충염증개질화염증조절인자，기중백세포개소－1β（Crevicularinterleuin-1β IL－1β）이피공인위재아주병중기비상중요적작용。령유학자연구발현：재아주치병균휴대자적간구액중，백세포개소-8（interleukin-8，IL-8）적수평여간염지수、아주대심도、출혈지수현저상관。본문장중점종비귀금속고자관적응용현상、비귀금속고자관대간구액중IL-1β화IL-8적영향이급대아주조직적영향등방면가이종술。
In the clinical application of porcelain fused to metal crown, the situation like bleeding gums, swelling, gingival discoloration and bad breath often happens. Recently, the researchers study and compare the effects of metal on regional tissue from different angles. Because of PFM alloy casting release ions and deposit on the surface of teeth and gums, may cause certain stimulation to the periodontal tissue where contact with the PFM alloy casting, promote the development of gingival inflammation, this is the important factors causing the periodontal damage after repair. In this case, the quantity and quality of gingival crevicular fluid is very important which is one of periodontal health status indicators. In recent years, researchers detect a variety of inflammatory medium and regulating inflammation factors, including Crevicularinterleuin-1β(IL-1β) which has been recognized play a very important role in periodontal disease. Other researchers study found:, The level of Interleukin 8 (interleukin - 8, IL - 8) in the periodontal pathogen carriers’ gingival crevicular fluid is significant correlation with gingivitis, periodontal pocket depth and bleeding index. The present application of PFM crown, the effect of PFM crown to IL-1βand IL – 8 in gingival crevicular fluid and the impact on the periodontal tissue are reviewed in this article.