低水平激光治疗对牙周非手术治疗的影响:临床生化研究

A. Mishra, N. Shergill
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引用次数: 4

摘要

目的:评价低水平激光辅助牙周非手术治疗对牙周临床及生化指标CRP的影响。材料与方法:本研究为随机、对照、单盲、裂口临床试验。诊断为慢性牙周炎且存在至少两颗双侧上颌前臼齿且牙周袋深度≥5mm的全身健康人群被纳入研究。在牙周治疗后1个月和3个月分别测量PPD、CAL、MGİ和SBI。在基线、治疗后1个月和3个月分别采集龈沟液样本。LLLT的应用分四个阶段进行:牙周治疗后、治疗后第三天和治疗后第七天。在非接触模式下施加LLLT,在连续模式下,0.5 W,施加尖端直径为1cm,测试侧每颗牙齿的尖端组织距离约为1cm,持续15 s。结果:两组组内比较MGI和SBI从基线到1个月有显著性差异,PD仅在试验组有显著性差异,从基线到3个月所有参数均有统计学差异。组间比较MGI、SBI、CRP水平差异有统计学意义。结论:在本研究的限制范围内,LLLT除非手术牙周治疗外,有积极的影响。
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The effect of low-level laser therapy on nonsurgical periodontal therapy: A clinico-biochemical study
Aim of the study: To evaluate the effect of low-level laser therapy, as an adjunct to non-surgical periodontal treatment, on periodontal clinical and biochemical parameter i.e CRP. Materials and Methods: The study was designed as a randomized, controlled, single-blind, split-mouth clinical trial. Systemically healthy persons diagnosed with chronic periodontitis and presence of at least two bilateral maxillary premolars with ≥5-mm periodontal pocket depth were included in the study. The PPD, CAL,MGİ and SBI were measured at the baseline and at 1 and 3 months after periodontal treatment. Gingival crevicular fluid samples were taken at the baseline , 1 month and 3 months after treatment. The LLLT application was made in four sessions: after periodontal treatment, on the third day, and on the seventh day post-treatment. LLLT was applied in non-contact mode and tip tissue distance was approximately 1cm on every tooth on the test side for 15 s in the continuous mode, at 0.5 W and with an application tip 1 cm in diameter. Results: Intra group comparison for both the groups showed significant difference from baseline to one month for MGI and SBI and PD showed significant difference only in the test group , whereas from baseline to three months all the parameters showed statistically significant difference. Intergroup comparison between the groups showed statistically significant differences between MGI, SBI and CRP levels. Conclusion: Within the limitations of this study, LLLT in addition to non surgical periodontal treatment, has positive impact.
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