Nd:YAG激光联合Er:YAG激光辅助治疗广泛型侵袭性牙周炎疗效分析
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摘要
目的:探究Nd:YAG激光联合Er:YAG激光辅助治疗广泛型侵袭性牙周炎(generalized aggressive periodontitis,GAgP)的临床疗效。方法:选取12例广泛型侵袭性牙周炎患者,将同颌对称同名牙随机分配为对照组(超声龈下刮治+根面平整术)和实验组(超声龈下刮治+根面平整术+激光治疗),临床检查患者治疗前、治疗后1、3个月探诊深度(probing depths,PD)、出血指数(bleeding index,BI)的改变。结果:术后1个月及3个月,实验组PD、BI均低于对照组(P<0.05)。结论:Nd:YAG激光联合Er:YAG激光辅助龈下刮治根面平整术治疗广泛型侵袭性牙周炎,可取得较好疗效,优于单纯使用龈下刮治根面平整术。
Objective: To investigate the clinical efficacy of Nd:YAG laser combined with Er:YAG laser as an adjunctive therapy on generalized aggressive periodontitis(GAgP). Methods: Twelve patients with generalized aggressive periodontitis were randomly assigned into 2 groups, the control group(subgingival scalling+ SRP) and the experimental group(subgingival scalling+ SRP+ laser). Clinical examination of patients with pre-treatment, 1 month, 3 months after treatment, the clinical parameters including probing depth(PD) and bleeding index(BI) were measured.Results: PD and BI in the experimental group were lower than those in the control group at 1 month and 3 months after treatment(P<0.05).Conclusion: Nd:YAG laser combined with Er:YAG laser as an adjunctive therapy on subgingival scalling + SRP for the treatment of generalized aggressive periodontitis can achieve better curative effect than the simple subgingival scalling+ SRP.
Objective: To investigate the clinical efficacy of Nd:YAG laser combined with Er:YAG laser as an adjunctive therapy on generalized aggressive periodontitis(GAgP). Methods: Twelve patients with generalized aggressive periodontitis were randomly assigned into 2 groups, the control group(subgingival scalling+ SRP) and the experimental group(subgingival scalling+ SRP+ laser). Clinical examination of patients with pre-treatment, 1 month, 3 months after treatment, the clinical parameters including probing depth(PD) and bleeding index(BI) were measured.Results: PD and BI in the experimental group were lower than those in the control group at 1 month and 3 months after treatment(P<0.05).Conclusion: Nd:YAG laser combined with Er:YAG laser as an adjunctive therapy on subgingival scalling + SRP for the treatment of generalized aggressive periodontitis can achieve better curative effect than the simple subgingival scalling+ SRP.
引文
[1] 孟焕新.牙周病学[M].北京:人民卫生出版社,2011:138.
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[5] QADRI T,JAVED F,PODDANI P,et al.Long-term effects of a single application of a water-cooled pulsed Nd:YAG laser in supplement to scaling and root planing in patients with perio-dontal inflammation[J].Lasers in Medical Science,2011,26(6):763-766.
[6] TAKAMATSU N,YANO K,HE T,et al.Effect of initial periodontal therapy on the frequency of detecting bacteroides forsythus,porphyromonas gingivalis,and actinobacillus actinomycetemcomitans[J].Journal of Periodontology,1999,70(6):574-580.
[7] 李德懿.牙周微生物学[M].天津:天津科技翻译出版社,1994:10-40.
[8] FAVERI M,MAYER M P,FERES M,et al.Microbiological diversity of generalized aggressive periodontitis by 16S rRNA clonal analysis[J].Oral Microbiol Immunol,2008,23(2):112-118.
[9] KREISLER M,KOHNEN W,CHRISTOFFERS A B,et al.In vitro evaluation of the biocompatibility of contaminated implant surfaces treated with an Er:YAG laser and an air powder system[J].Clin Oral Implants Res,2005,16(1):36-43.
[2] FERES M,HAFFAJEE A D,ALLARD K,et al.Antibiotic resistance of subgingival species during and after antibiotic therapy[J].Journal of Clinical Periodontology,2002,29(8):724-735.
[3] YUKNA R A,CARR R L,EVANS G H.Histologic evaluation of an Nd:YAG laser-assisted new attachment procedure in humans[J].The International Journal of Periodontics & Restorative Dentistry,2007,27(6):577-587.
[4] NEVINS M L,CAMELO M,SCHUPBACH P,et al.Human clinical and histologic evaluation of laser-assisted new attachment procedure[J].The International Journal of Periodontics & Restorative Dentistry,2012,32(5):497-507.
[5] QADRI T,JAVED F,PODDANI P,et al.Long-term effects of a single application of a water-cooled pulsed Nd:YAG laser in supplement to scaling and root planing in patients with perio-dontal inflammation[J].Lasers in Medical Science,2011,26(6):763-766.
[6] TAKAMATSU N,YANO K,HE T,et al.Effect of initial periodontal therapy on the frequency of detecting bacteroides forsythus,porphyromonas gingivalis,and actinobacillus actinomycetemcomitans[J].Journal of Periodontology,1999,70(6):574-580.
[7] 李德懿.牙周微生物学[M].天津:天津科技翻译出版社,1994:10-40.
[8] FAVERI M,MAYER M P,FERES M,et al.Microbiological diversity of generalized aggressive periodontitis by 16S rRNA clonal analysis[J].Oral Microbiol Immunol,2008,23(2):112-118.
[9] KREISLER M,KOHNEN W,CHRISTOFFERS A B,et al.In vitro evaluation of the biocompatibility of contaminated implant surfaces treated with an Er:YAG laser and an air powder system[J].Clin Oral Implants Res,2005,16(1):36-43.