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GCF-COL水平与GCF、治疗后的AL呈正相关(表3),说明GCF中PMN-COL的活性水平与牙周组织的炎症程度及破坏程度密切相关[3,4]。
总之,盐酸米诺四环素软膏作为牙周炎的辅助治疗,能较长时间地降低GCF-COL活性水平,从而有效地阻止中、重度牙周组织的破坏,达到促进组织愈合的作用。
参考文献
1,Romanelli R, Mancini S, Laschinger C, et al. Activation of neutrophil collagenase in periodontitis. Infect Immun ,1999,67:2 319-2 326.
2,Kryshatalskyj E, Sidek J. Nature of collagenolytic enzyme and inhibitor activities in crevicular fluid from healthy and inflamed periodontal tissues of beagle dogs. J Periodontal Res ,1987,22:264-269.
3,Liu CM, Hou LT. Collagenase activity in the gingival crevicular fluid of periodontal patients. J Formos Med Assoc ,1993 ,92:157-164.
4,Haerian A, Adonogianaki E, Mooney J, et al. Gingival crevicular stromelysin, collagenase and tissue inhibitor of metalloproteinase levels in healthy and diseased sites. J Clin Periodontol, 1995,22:505-509.
5,Ingman T, Sorsa T, Suomalainen K, et al. Tetracycline inhibition and the cellular source of collagenase in gingival crevicular fluid in different periodontal diseases. A review article. J Periodontol ,1993,64:82-88.
6,Sorsa T, Suomalainen K, Utto V-J. Purification,activation and regulation of adult gingival crevicular fluid collagenase. J Dent Res, 1990 (Special issue):193-196.
7,Birkedal-Hansen H. Role of matrix metalloproteinases in human periodontal disease. J Periodontol, 1993,64:474-484.
8,Kinane DF. Metalloproteinases in the pathogenesis of periodontal diseases. Curr Opin Dent, 1992,2:25-32.
9,Noumura T, Ishii A, Oishi Y, et al. Tissue inhibitors of metalloproteinases level and collagenase activity in gingival crevicular fluid: the relevance to periodontal diseases. Oral Dis,1998 ,4:231-240.
10,Ueda M, Imai H, Uemura M, et al. Topical application of antibiotics in periodontal therapy: combined effects of periocline and scaling. Dent Jap, 1997,33:139-143.
11,Nakashima K, Giannopoulou C,Andersen E, et al. A longitudinal study of various crevicular fluid components as markers of periodontal disease activity. J Clin Periodontol, 1996,23:832-838.
12,Haerian A, Adonogianaki E, Mooney J, et al. Effects of treatment on gingival crevicular collagenase, stromelysin and tissue inhibitor of metalloproteinases and their ability to predict response to treatment. J Clin Periodontol, 1996,23:83-91.
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