使用Nd:YAG、Er、Cr:YSGG、氯己定和常规蒸汽消毒种植基牙后的临床、细菌和修复参数

IF 1.8 Q2 SURGERY
Khulud A Al-Aali, Abdulaziz A Alzaid, Mohammad Alsaloum, Khalid K Alanazi, Saad Hamad Almujel
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引用次数: 0

摘要

目的:这项为期1年的前瞻性临床试验旨在评估Er、Cr:YSGG(掺铒、铬、钇、钪、镓和石榴石)和Nd:YAG(掺钕钇、铝、石榴石)对种植体基台连接消毒后的微生物、临床、放射学和假体参数。材料与方法:将所有患者分为4组;第一组:Nd:YAG激光,第二组:Er,Cr:YSGG激光,第三组:0.2%氯己定(CHx),第四组:蒸汽消毒。评估的种植体周围参数包括种植体周围出血评分(PIBS)、种植体周围斑块评分(PIPS)、种植体周围口袋深度(PIPD)和牙冠骨质流失(CBL)。获得种植体周围菌斑样本进行微生物学分析,分别评估牙龈卟啉单胞菌、齿状密螺旋体和连翘Tannerella。所有测量均在基线、术后6个月和12个月完成。通过Bonferroni post-hoc adjustment test对多组患者进行比较(p)结果:在基线水平上,各组种植体周围参数无明显差异(p > 0.05)。6个月时(p < 0.05)。根据组间比较,与其他组相比,I组(Nd:YAG)的PIBS显著降低。与I、III和IV组相比,II组PIPD显著降低,CBL显著增强(p < 0.05)。结论:Nd:YAG激光和Er,Cr:YSGG激光用于清洁种植基牙时,在临床、种植周和假体结果上均优于CHx和蒸汽消毒。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Clinical, Bacterial, and Prosthodontic Parameters After Implant Abutment Disinfection Using Nd:YAG, Er,Cr:YSGG, Chlorhexidine, and Conventional Steam Before Prosthesis Delivery.

Objective: This 1-year prospective clinical trial was designed to assess the microbial, clinical, radiographic, and prosthetic parameters after disinfection of the implant abutment connection using Er,Cr:YSGG (erbium, chromium-doped: yttrium, scandium, gallium, and garnet) and Nd:YAG (neodymium-doped yttrium, aluminum, garnet). Materials and methods: All the patients were divided into four groups; Group I: Nd:YAG laser, Group II: Er,Cr:YSGG laser, Group III: 0.2% chlorhexidine (CHx), and Group IV: steam disinfection. Peri-implant parameters assessed included peri-implant bleeding scores (PIBS), peri-implant plaque scores (PIPS), peri-implant pocket depth (PIPD), and crestal bone loss (CBL). The peri-implant plaque samples were acquired to perform microbiological analysis to assess Porphyromonas gingivalis, Treponema denticola, and Tannerella forsythia, respectively. All measurements were completed at baseline, 6 months, and 12 months postsurgery. Multiple groups were compared with the help of the Bonferroni post-hoc adjustment test (p < 0.01). Logistic regression models were utilized to assess the association between age, oral hygiene practices (brushing and flossing), and duration of implant function. Results: At the baseline level, there were no discernible differences in the peri-implant parameters between the study groups (p > 0.05). At the 6-month (p < 0.01) and 12-month (p < 0.001) follow-ups, all four study groups demonstrated a significant improvement in PIPS and PIBS, with no significant differences between the groups at baseline (p > 0.05). Based on an intergroup comparison, Group I (Nd:YAG) showed a significant decrease in PIBS when compared with the other groups. Group II showed a considerable decrease in PIPD and enhancements in CBL when compared with Groups I, III, and IV (p < 0.01). At the 6- and 12-month follow-up periods, P. gingivalis and T. denticola reduction were found to be statistically higher in Group II, whereas P. gingivalis and T. forsythia mean log CFU/mL were found to be statistically higher in Group I. Conclusions: Nd:YAG and Er,Cr:YSGG lasers both outperformed CHx and steam disinfection in terms of clinical, peri-implant, and prosthetic results when used to clean implant abutments.

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CiteScore
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期刊介绍: Photobiomodulation, Photomedicine, and Laser Surgery Editor-in-Chief: Michael R Hamblin, PhD Co-Editor-in-Chief: Heidi Abrahamse, PhD
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