Er，Cr:YSGG激光对慢性牙周炎的短期疗效评估

›› 2016, Vol. 36 ›› Issue (1): 64-67.

Er，Cr:YSGG激光对慢性牙周炎的短期疗效评估

陈美华,汪黎明

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/Abstract

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

陈美华汪黎明. Er，Cr:YSGG激光对慢性牙周炎的短期疗效评估[J]. , 2016, 36(1): 64-67.

Mei-Hua CHEN. Effect of Er, Cr:YSGG laser on the treatment of chronic periodontitis: a short-term evaluation[J]. , 2016, 36(1): 64-67.

参考文献

1. Walmsley AD, Lea SC, Landini G, et al. Advances in power driven pocket/root instrumentation[J]. J Clin Periodontol. 2008, 35(8 suppl): 22-28.
2. Aoki A, Sasaki KM, Watanabe H, et al. Lasers in nonsurgical periodontal therapy[J]. Periodontol 2000. 2004, 36: 59-97.
3. Schwarz F, Bieling K, Venghaus S, et al. Influence of fluorescence-controlled Er:YAG laser radiation, the Vector system and hand instruments on periodontally diseased root surfaces in vivo[J]. J Clin Periodontol. 2006,33(3): 200-208.
4. Folwaczny M, Aggstaller H, Mehl A, et al. Removal of bacterial endotoxin from root surface with Er:YAG laser[J]. Am J Dent 2003,16(1): 3-5.
5. Takeda FH, Harashima T, Kimura Y, et al. A comparative study of the removal of smear layer by three endodontic irrigants and two types of laser[J]. Int Endod J 1999,32(1): 32-39.
6. Feist IS, De Micheli G, Carneiro SR, et al. Adhesion and growth of cultured human gingival fibroblasts on periodontally involved root surfaces treated by Er:YAG laser[J]. J Periodontol 2003,74(9): 1368-1375.
7. Sgolastra F, Petrucci A, Gatto R, et al. Efficacy of Er:YAG laser in the treatment of chronic periodontitis: systematic review and meta-analysis. Lasers Med Sci. 2012, 27(3): 661-673.
8. Pavone C, Perussi LR, de Oliveira GJ, et al. Effect of Er,Cr:YSGG laser application in the treatment of experimental periodontitis[J]. Lasers Med Sci. 2014 [Epub ahead of print]
9. 黄楠楠, 黄姣。Er, Cr:YSGG激光在口腔治疗中的应用。激光杂志[J]. 2012,33（4）48-49.
10. Noori ZT, Fekrazad R, Eslami B, Etemadi A, Khosravi S, et al. Comparing the effects of root surface scaling with ultrasound instruments and Er,Cr:YSGG laser[J]. Lasers Med Sci 2008, 23: 283-287.
11.冯向辉，路瑞芳，和璐。应用Er：YAG激光治疗慢性牙周炎的短期临床疗效观察[J]. 北京大学学报（医学版）. 2001,43（6），886-890
12. Krohn-Dale I, Boe OE, Enersen M, et al. Er:YAG laser in the treatment of periodontal sites with recurring chronic inflammation: a 12-month randomized, controlled clinical trial[J]. J Clin Periodontol 2012, 39(8): 745-752.
13. Rotundo R, Nieri M, Cairo F, et al. Lack of adjunctive benefit of Er:YAG laser in non-surgical periodontal treatment: a randomized split-mouth clinical trial[J]. J Clin Periodontol 2010, 37(6): 526-533.
14. Schwarz F, Sculean A, Georg T, et al. Periodontal treatment with an Er: YAG laser compared to scaling and root planing. A controlled clinical study[J].J Periodontol 2001(3),72: 361-367.

[1]	王亚敏张瑞敏. 基质金属蛋白酶作为牙周炎调节因子的研究进展[J]. , 2019, 39(3): 271-274.
[2]	刘华刘菁钟良军梁照忠. Er,Cr:YSGG激光治疗糜烂型口腔扁平苔藓的疗效观察[J]. , 2019, 39(2): 135-137.
[3]	宋文静葛少华. Ⅱ型糖尿病牙周炎及牙周基础治疗对其影响的现状研究[J]. , 2018, 35(9): 839-843.
[4]	甘敏福顾杰林叶翀. 慢性牙周炎栖牙密螺旋体和牙周袋内硫化物水平的相关性研究[J]. , 2018, 35(9): 791-794.
[5]	张璇吴娟任双双杨洁苗雷英孙卫斌. 口内扫描数字化模型用于评价慢性牙周炎患者[J]. , 2018, 38(5): 422-427.
[6]	冯琛琛沈晓云孙颖陆新颜陈萍徐艳桂湧. 半导体激光辅助治疗伴2型糖尿病的慢性牙周炎的疗效分析[J]. , 2018, 38(3): 237-240.
[7]	俞宁孙尚敏刘博钟慧敏潘亚萍钟鸣. RAGE基因多态性与2型糖尿病伴慢性牙周炎遗传易感性的相关研究[J]. , 2018, 38(1): 33-38.
[8]	赵海礁宋佳潘亚萍. 东北地区绝经期慢性牙周炎妇女牙周状况初析[J]. , 2018, 38(1): 44-47.
[9]	艾山·依力哈木古丽努尔?阿吾提廖博马雅洁. 慢性牙周病与慢性肾病相关性研究进展[J]. , 2018, 38(1): 87-91.
[10]	王晖蒋勇. CBCT在评价慢性牙周炎牙周基础治疗前后牙槽骨变化的应用研究[J]. , 2017, 37(5): 444-448.
[11]	张静周薇宋忠臣. 慢性牙周炎与阿尔茨海默病相关性研究进展[J]. , 2017, 37(4): 364-368.
[12]	李晶张琴石莹姚源何惠宇. 应用非刺激性全唾液法进行慢性牙周炎患者种植短期预后的评价[J]. , 2017, 37(4): 350-355.
[13]	罗文琼潘亚萍张秀刘荩文. 伴2型糖尿病的慢性牙周炎基础治疗后失访7年病例分析[J]. , 2017, 37(2): 153-157.
[14]	周娟. Er,Cr:YSGG激光在根管治疗术中根管清理方面的应用[J]. , 2017, 37(1): 93-96.
[15]	王芳张海云何萍赵玉红蒋静颖. 牙周组织中防御素与TOLL样受体表达水平的研究[J]. , 2016, 36(6): 498-502.