›› 2016, Vol. 36 ›› Issue (1): 64-67.

• 临床研究 • 上一篇    下一篇

Er,Cr:YSGG激光对慢性牙周炎的短期疗效评估

陈美华,汪黎明   

  1. 上海市口腔病防治院
  • 收稿日期:2014-09-18 修回日期:2015-03-18 出版日期:2016-01-28 发布日期:2016-01-08
  • 通讯作者: 陈美华 E-mail:cathychendt@163.com

Effect of Er, Cr:YSGG laser on the treatment of chronic periodontitis: a short-term evaluation

Mei-Hua CHEN 2   

  • Received:2014-09-18 Revised:2015-03-18 Online:2016-01-28 Published:2016-01-08
  • Contact: Mei-Hua CHEN E-mail:cathychendt@163.com

摘要: 目的 评价Er,Cr:YSGG激光对慢性牙周炎的短期临床疗效。方法 分别以Er,Cr:YSGG激光以及传统的龈下刮治手器对20例中重度慢性牙周炎患者进行牙周基础治疗,评价治疗后1个月、3个月临床附着水平(CAL),探诊深度(PD)以及探诊出血指数BOP(+)百分比的变化。采用视觉模拟评分法(VAS)记录患者对两种治疗的疼痛程度。结果 所有患者对两组治疗均耐受,在激光组中未见明显副作用,两组VAS无明显差异(P>0.05)。治疗后1个月, Er,Cr:YSGG激光组BOP(+)百分比从45%降至12%。手器治疗组从43%降至13%。治疗后1个月,激光组和传统手器组患者的临床指标均有显著改善(P<0.05);治疗后3个月,两组疗效基本维持稳定,与基线相比,患者的各项牙周指标均明显改善,而两组间改善程度无明显差异(P>0.05)。结论 相对于传统的治疗模式Er,Cr:YSGG激光有着显著的优点,且临床疗效与传统治疗类似。因此,Er,Cr:YSGG激光可作为一种新兴的可靠的方法治疗慢性牙周炎。

关键词: Er,Cr:YSGG激光, 慢性牙周炎, 龈下刮治, 牙周非手术治疗

Abstract: Objective To evaluate the short-term clinical outcome of Er, Cr:YSGG laser in the treatment of chronic periodontitis. Methods A total of 20 participants diagnosed with moderate to severe chronic periodontitis were enrolled in our department. This research was conducted by a split-month design. For each participant, one arch side was treated with Er, Cr:YSGG laser, and the other side was treated with conventional SRP (hand curettes). The changes in CAL, PD, and percentage of BOP(+) between the two novel therapies were evaluated 1 and 3 months postoperatively. The pain and discomfort of patients during treatments were evaluated using VAS analogue. Results All the participants were well tolerated by both treatments. There was no major side effect of laser treatment. For VAS, there was no statistical difference between the two treatments. In the 1-month follow-up, percentage of BOP(+) was significantly increased in Er, Cr:YSGG laser group, from 45% to 12%. And in SRP group, percentage of BOP(+) decreased from 43% to 13%. The clinical outcomes in both groups were significantly improved 1 month postoperatively compared with baselines (P < 0.05). In the 3-month follow-up, the clinical outcomes were sustainable. However, there was no difference in changes of clinical outcomes between laser and SRP treatment (P > 0.05). Conclusion With its advantages over conventional SRP and similar clinical effects to SRP, Er, Cr:YSGG laser can be considered as a reliable method in the treatment of chronic periodontitis.

Key words: Er,Cr:YSGG laser, chronic periodontitis, SRP, Non-surgical periodontitis