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- 2018
半导体激光辅助重度慢性牙周炎牙周非手术治疗的临床研究
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Abstract:
摘要 目的: 评估半导体激光在辅助重度慢性牙周炎的牙周非手术治疗中发挥的作用。方法: 20例重度慢性牙周炎患者基线时进行牙周各项检查,包括探诊深度(probing depth, PD)、临床附着水平(Clinical attachment level, CAL)、出血指数(bleeding index, BI)、松动度(tooth mobility, MOB)。将患者的牙列分为左右两侧,右侧患牙为对照组,仅采用牙周非手术治疗;左侧患牙为实验组,先行牙周非手术治疗,再选取检查时重度慢性牙周炎的患牙,进行半导体激光的牙周袋消毒。治疗后8周对患者进行同样的牙周检查,比较牙周指标恢复情况。结果: 8周复查时两组的PD、CAL及BI均较基线时明显降低(P＜0.05);实验组PD和CAL的改善程度比对照组更明显(P＜0.05),治疗后的MOB无明显改善(P＞0.05)。结论: 半导体激光在辅助重度慢性牙周炎牙周非手术治疗时可以增加其疗效,能有效增加附着水平,它可能是对当前牙周非手术治疗方案的有效补充
| [1] | Everett JD, Rossmann JA, Kerns DG, et al. Laser assisted non-surgical periodontal therapy: a double blind randomized clinical trial [J]. Open Dent J, 2017, 11∶79-90 |
| [2] | Teymouri F, Farhad SZ, Golestaneh H. The effect of photodynamic therapy and diode laser as adjunctive periodontal therapy on the inflammatory mediators levels in gingival crevicular fluid and clinical periodontal status [J]. J Dent (Shiraz), 2016, 17(3)∶226-232 |
| [3] | Hakki SS, Bozkurt SB. Effects of different setting of diode laser on the mRNA expression of growth factors and type Ⅰ collagen of human gingival fibroblasts [J]. Lasers Med Sci, 2012, 27(2)∶325-331 |
| [4] | Bozkurt SB, Hakki EE, Kayis SA, et al. Biostimulation with diode laser positively regulates cementoblast functions, <i>in vitro</i> [J]. Lasers Med Sci, 2017, 32(4)∶911-919 |
| [5] | 戴姗姗,肖刚,张林,等.不同功率Diode激光用于乳牙根管清洁的体外研究[J].口腔医学研究,2016,32(7)∶742-745 |
| [6] | Talebi M, Taliee R, Mojahedi M, et al. Microbiological efficacy of photodynamic therapy as an adjunct to non-surgical periodontal treatment: a clinical trial [J]. J Lasers Med Sci,2016,7(2)∶126-130 |
| [7] | Roncati M, Gariffo A, Barbieri C, et al. Ten-year nonsurgical periodontal treatment protocol with adjunctive use of diode laser monitoring clinical outcomes in ≥ 6 mm pockets: a retrospective controlled case series [J]. Int J Periodontics Restorative Dent, 2017, 37(5)∶647-654 |
| [8] | McGuire MK. Prognosis versus actual outcome: a long-term survey of 100 treated periodontal patients under maintenance care [J]. J Periodontol, 1991, 62(1)∶51-58 |
| [9] | Zare D, Haerian A, Molla R, Evaluation of the effects of diode(980nm) laser on gingival inflammation after nonsurgical periodontal therapy [J]. J Lasers Med Sci, 2014, 5(1)∶27-31 |
| [10] | Dixit S, Doshi Y, Shah MU, et al. Management of chronic generalized periodontitis using diode laser [J]. J Indian Soc Periodontol, 2016, 20(1)∶88-90 |
| [11] | Matarese G, Ramaglia L, Cicciù M, et al. The effects of diode laser therapy as an adjunct to scaling and root planing in the treatment of aggressive periodontitis: a 1-year randomized controlled clinical trial [J]. Photomed Laser Surg, 2017, 35(12)∶702-709 |
| [12] | Akram Z, Abduljabbar T, Kellesarian SV, et al. Efficacy of bisphosphonate as an adjunct to nonsurgical periodontal therapy in the management of periodontal disease: a systematic review [J]. Br J Clin Pharmacol, 2017, 83(3)∶444-454 |
| [13] | üstün K, Erciyas K, Sezer U, et al. Clinical and biochemical effects of 810 nm diode laser as an adjunct to periodontal therapy: A randomized split-mouth clinical trial [J]. Photomed Laser Surg, 2014, 32(2)∶61-66 |
| [14] | Barca E, Cifcibasi E, Cintan S. Adjunctive use of antibiotics in periodontal therapy [J]. J Istanb Univ Fac Dent, 2015, 49(3)∶55-62 |
| [15] | Oduncuoglu BF, Kayar NA, Haliloglu S, et al. Effects of a cyclic NSAID regimen on levels of gingival crevicular fluid prostaglandin E2 and Interleukin-1β: A 6-month randomized controlled clinical trial [J]. Niger J Clin Pract, 2018, 21(5)∶658-666 |
