激光辅助微创非手术治疗严重牙周受损牙的临床研究。

IF 1.3 4区 医学 Q3 DENTISTRY, ORAL SURGERY & MEDICINE International Journal of Periodontics & Restorative Dentistry Pub Date : 2023-07-20 DOI:10.11607/prd.6295
Pang-Ning Chuang, Taewan Kim, Yu-Bo Wang, Joseph Fiorellini, Yu-Cheng Chang
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引用次数: 0

摘要

背景:微创非手术治疗(MINST)的理念是在对健康牙周组织损害最小的情况下消除病因,并提供理想的愈合环境。在本病例系列中,介绍了激光辅助微创非手术治疗(LAMINST)的新方案,该方案结合了微创和牙科激光的优点,以最大限度地发挥治疗潜力。方法:对25例晚期牙周病患者(32颗牙)进行研究。所有患者均采用激光辅助微创非手术治疗牙周。治疗部位在基线时通过全面的牙周检查和6个月的重新评估进行评估,包括探诊深度(PD)、衰退、临床附着水平(CAL)、探诊出血(BOP)、菌斑的存在和活动性。每颗牙的诊断及预后均以牙周评估为依据。结果:所有病例均根据2017年世界牙周和种植周疾病和状况分类研讨会诊断为III期和C级牙周炎。LAMINST完成后6个月平均探深减少4.44 mm,临床附着水平提高4.38mm。开始有1(6颗牙)、2(9颗牙)、3(3颗牙)可活动,后来全部减少到1(5颗牙)或无活动(13颗牙)。根据McGuire和Nunn的系统进行预后分配。牙齿的初步预后为无望(5)(15颗)、可疑(4)(13颗)、差(3)(4颗),目前已改善为可疑(5颗)、差(12颗)、一般(13颗)、好(2颗)。最初,共有179个防喷器站点。治疗后减少到12个位点。治疗前在173个部位发现斑块,治疗后减少到9个部位。结论:接受激光辅助微创非手术治疗方案后,PD、CAL、BOP、斑块存在及活动能力等临床参数均有改善。LAMINST的应用可以克服传统非手术治疗的局限性,如可及性差。
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Laser-Assisted Minimally Invasive Non-Surgical Therapy in Treating Severe Periodontal Compromised Teeth-A Case series.

Background: The idea of minimally invasive non-surgical treatment (MINST) is to remove the etiology with minimal damage to the healthy periodontium and provide the ideal healing environment. In this case series, the novel protocol of laser-assisted minimally invasive non-surgical therapy (LAMINST) is introduced that combines the benefit of minimally invasive and the dental laser to maximize the therapeutic potential.

Method: 25 patients (32 teeth) with advanced periodontal disease have enrolled in the study. All the patients have received periodontal treatment by following the laser-assisted minimally invasive non-surgical therapy protocol. Treated sites were evaluated by comprehensive Periodontal examination at the baseline and 6-month re-evaluation, including probing depth (PD), Recession, clinical attachment level (CAL), bleeding on probing (BOP), presence of plaque, and mobility. The diagnosis and prognosis of each tooth were assigned based on the Periodontal evaluation.

Result: All the cases were diagnosed as Stage III and Grade C Periodontitis according to the 2017 World Workshop on the Classification of Periodontal and Peri-Implant Diseases and Conditions. The average probing depth reduction 6 months after completion of LAMINST was 4.44 mm and improved clinical attachment level by 4.38mm. There was the mobility of 1 (6 teeth), 2 (9 teeth), and 3 (3 teeth) in the beginning, and all of them decreased to 1 (5 teeth) or none (13 teeth). The prognosis was assigned based on McGuire and Nunn's system. The initial prognosis for teeth was assigned to hopeless (5) (15 teeth), questionable (4) (13 teeth), poor (3) (4 teeth), and it has improved to questionable (5 teeth), poor (12 teeth), fair (13 teeth), and good (2 teeth). Initially, there were 179 BOP sites. After treatment, it decreased to 12 sites. The plaque was found in 173 sites before the treatment and has reduced to 9 sites after the treatment.

Conclusion: All clinical parameters such as PD, CAL, BOP, presence of plaque, and mobility are improved by receiving the laser-assisted minimally invasive non-surgical therapy protocol. The application of LAMINST may overcome the traditional limitation of non-surgical treatment, such as poor accessibility.

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来源期刊
CiteScore
2.90
自引率
6.20%
发文量
113
审稿时长
6-12 weeks
期刊介绍: The International Journal of Periodontics & Restorative Dentistry will publish manuscripts concerned with all aspects of clinical periodontology, restorative dentistry, and implantology. This includes pertinent research as well as clinical methodology (their interdependence and relationship should be addressed where applicable); proceedings of relevant symposia or conferences; and quality review papers. Original manuscripts are considered for publication on the condition that they have not been published or submitted for publication elsewhere.
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