940nm二极管激光辅助治疗牙周袋的临床疗效评价

Fatin Farhan Dakhil, A. Mahmood
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引用次数: 2

摘要

背景:牙周病是一种多因素的炎症性疾病,如果不进行治疗,可能会导致牙齿支撑结构的破坏,最终可能导致牙齿脱落。二极管激光治疗作为牙周袋非手术治疗的辅助手段已越来越受到一些研究的鼓励,但实验证明尚不支持激光治疗的应用。目的:单对照临床研究的目的是评估940纳米二极管激光作为牙周袋刮治和牙根规划(SRP)治疗的辅助疗法的效果。方法:选择15例牙周袋≥4的需要牙周治疗的患者进行裂口临床研究。四象限分为两组,对照组采用常规刮治和根规划,试验组采用940nm二极管激光辅助SRP对侧四象限。记录治疗前和治疗后3个月的基线数据,包括菌斑指数(PI)、牙龈指数(GI)、探测袋深度(PPD)。结果:3个月后,两组牙菌斑指数(PI)、牙龈指数(GI)、探牙深度(PD)均显著降低。两组PI、GI、PPD的降低平均值无显著差异。结论:使用二极管激光辅助刮治和牙根规划并不比传统的刮治和牙根规划提供任何优越的临床效益。
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Evaluation of Clinical Effects of a 940nm Diode Laser as Adjunctive Therapy in the Treatment of Periodontal Pockets
Background : Periodontal diseases are multifactorial, inflammatory diseases that, when left without treatment may results in the destruction of tooth-supporting structures and finally may cause tooth loss. Diode laser therapy as an adjunct to non-surgical peri- odontal treatment of periodontal pockets has been increasingly encouraged by some researches but experimental proves have not yet supported the use of laser therapy. Aim: The objective of this single controlled clinical study was to assess the effect of a 940-nm diode laser as an adjunct to scaling and root planing (SRP) therapy in the treatment of periodontal pockets. Methods : Fifteen patients in need of periodontal treatment with periodontal pocket ≥ 4 were selected for this split-mouth clinical study. Quadrants were enrolled into either control group treated by conventional scaling and root planning or test group treated by diode laser 940nm as an adjunct with SRP in contralateral quadrants. Baseline data, including plaque index (PI), gingival index (GI), probing pocket depth (PPD) were recorded before the treatment and 3 months post treatment. Results: plaque index (PI), gingival index (GI), probing depth (PD) were significantly reduced after 3 months in both groups. No significant differences were found in reduction mean of PI, GI, PPD. Conclusion : The use of the diode laser as an adjunct to scaling and root planing did not offer any superior clinical benefits over conventional scaling and root planning.
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