半导体激光辅助治疗中重度慢性牙周炎的临床疗效分析

›› 2014, Vol. 34 ›› Issue (4): 245-245.

半导体激光辅助治疗中重度慢性牙周炎的临床疗效分析

施钊铖¹,蒋春梅²,徐艳³,孙颖³

1. 江苏省口腔医院牙周科
2. 南京医科大学附属口腔医院
3. 南京医科大学附属口腔医院牙周科

收稿日期:2013-06-20 修回日期:2013-08-14 出版日期:2014-04-28 发布日期:2014-05-15
通讯作者: 孙颖 E-mail:ebolasun@njmu.edu.cn
基金资助:
江苏省高校优势学科建设工程资助项目

Effects of diode laser on the treatment for moderate to severe chronic periodontitis

Received:2013-06-20 Revised:2013-08-14 Online:2014-04-28 Published:2014-05-15

摘要/Abstract

摘要： ［摘要］目的评价半导体激光辅助治疗中重度慢性牙周炎的临床疗效。方法采用随机、自身对照、单盲法。将10位中重度慢性牙周炎患者的左右侧牙列随机分为实验组和对照组，每个象限选取探诊深度（Probing depth，PD）≥6 mm的两个位点，共80个位点。初诊时进行龈上洁治，2周后，实验组龈下刮治（Scaling and root planing，SRP）+半导体激光（980 nm，2 W）照射30 s，对照组只进行SRP，比较治疗前及治疗后3个月PD、临床附着丧失（Clinical attachment loss，CAL）和探诊出血（Bleeding on probing，BOP）的变化。结果治疗前，两组各临床指标均无明显差异（ P >0.05）。治疗后3个月，两组各临床指标均较治疗前明显降低（ P <0.05），实验组PD（4.15±0.24）mm，CAL（5.45±0.28）mm，BOP阳性率20% ，对照组PD（4.13±0.28）mm，CAL（5.15±0.30）mm，BOP阳性率42.5%。其中，实验组BOP阳性率明显低于对照组（ P ＜0.05），两组PD和CAL的变化值无明显差别( P >0.05)。结论半导体激光辅助治疗中重度慢性牙周炎可以有效改善牙龈炎症，其长期疗效有待进一步研究。

关键词: 半导体激光, 中重度慢性牙周炎, 基础治疗

Abstract: Abstract: Objective To evaluate the curative effects of diode laser on the treatment for moderate to severe chronic periodontitis.Methods This is a randomized,single blind clinical trial.Dentitions of 10 severe chronic periodontitis patients were randomly divided into experiment group and control group.There were two sites with probing depth (PD) ≥6 mm in each quadrant and 80 in all.At the first visit,supragingival scaling was performed.Two weeks later,each site in experimental group was treated with scaling and root planing (SRP）and diode laser (980 nm 2 W) irradiation for 30s,while those in control group were treated with SRP only.The changes of PD,clinical attachment loss (CAL) and bleeding on probing (BOP) were recorded and compared before treatment and 3 months after treatment.Results Before treatment,there were no significant differences in clinical indicators between two groups (P>0.05).3 months later,all clinical indexes decreased significantly in both groups (P<0.05) compared with those before treatment.In experimental group,PD was （4.15±0.24）mm,CAL was（5.45±0.28）mm，and positive rate of BOP was 20% while in control group,PD was（4.13±0.28）mm，CAL was（5.15±0.30）mm，and positive rate of BOP was 42.5%.In addition,in experimental group,positive rate of BOP decreased significantly compared with that in control group (P<0.05),but at the levels of PD and CAL,there were no significant differences between these two groups (P>0.05).Conclusions Diode laser is an effective adjuvant treatment for moderate to severe chronic periodontitis in short term,and its long-erm efficacy needs further study.

Key words: diode laser, moderate to severe chronic periodontitis, initial therapy

中图分类号:

R871.4+2

施钊铖蒋春梅徐艳孙颖. 半导体激光辅助治疗中重度慢性牙周炎的临床疗效分析[J]. 口腔医学, 2014, 34(4): 245-245.

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