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首页> 外文期刊>Journal of clinical periodontology >A novel procedure for evaluating gingival perfusion status using laser-Doppler flowmetry.
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A novel procedure for evaluating gingival perfusion status using laser-Doppler flowmetry.

机译:一种使用激光多普勒血流仪评估牙龈灌注状态的新方法。

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OBJECTIVES: To systematize a procedure that allows one to characterize the perfusion response pattern of attached gingiva to the topical and transitory compression of alveolar mucose, using laser-Doppler flowmetry. MATERIAL AND METHODS: A cross-sectional study was carried out, in 20 healthy adult subjects of either sex, with teeth in antero-mandibular sextant but without periodontitis at the lower left lateral incisor (LLLI). Sample was selected by convenience non-probability sampling. Gingival perfusion was evaluated at labial LLLI attached gingiva using a specially designed gingival tray. Two perfusion recordings were carried out 5 min. apart, each one consisting of a 40 s control phase, a 22 s compression phase and a 40 s post-compression phase. During compression phase, LLLI alveolar mucose was compressed with a wood-mounted cotton swab until the perfusion decreased to about 1/5 of its control perfusion value. RESULTS: Integrated primary basal flow (IPBF) during control phase was of 14,210+/-1075 perfusion units (PU), whereas integrated flow during compression phase was of 1651+/-202 PU (p<0.05). After compression was released, integrated total secondary real flow was 13,322+/-1513 PU (p<0.05) which represented a 91.3+/-3.8% of IPBF. Gingival compression propitiated an induced flow debt (IFD) of 6478+/-781 PU, which increased in 980+/-482 PU after compression was released, representing 18% of the IFD (Debt index). CONCLUSIONS: A hypoaemic response in reaction to topical and transitory LLLI alveolar mucose compression was observed. Debt index and the ITSRF% are reproducible indices of microvascular perfusion response whose validation under pathological circumstances remains to be evaluated.
机译:目的:要系统化一个程序,使人们能够使用激光多普勒血流仪来表征附着的牙龈对肺泡粘液的局部和短暂压迫的灌注反应模式。材料与方法:对20名健康的成年男性受试者进行了横断面研究,左下侧切牙(LLLI)的牙齿在前下颌六分仪中没有牙周炎。通过便利性非概率抽样选择样本。使用专门设计的牙龈托评估在唇侧LLLI附着的牙龈上的牙龈灌注。在5分钟内进行两次灌注记录。此外,每个阶段都由40 s的控制阶段,22 s的压缩阶段和40 s的压缩后阶段组成。在压缩阶段,用木棉签压缩LLLI肺泡粘液,直到灌注降低至其对照灌注值的约1/5。结果:在控制阶段的综合基础流量(IPBF)为14,210 +/- 1075灌注单位(PU),而在压缩阶段的综合基础流量为1651 +/- 202 PU(p <0.05)。释放压缩后,次级总的实际总流量为13322 +/- 1513 PU(p <0.05),代表IPBF的91.3 +/- 3.8%。牙龈压缩导致6478 +/- 781 PU的诱导流动债务(IFD),在释放压缩后增加980 +/- 482 PU,占IFD(债务指数)的18%。结论:观察到局部和短暂的LLLI肺泡粘液压迫反应的低氧反应。债务指数和ITSRF%是微血管灌注反应的可再现指数,其在病理情况下的有效性仍有待评估。

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