YAG激光联合机械清创治疗牙周炎伴种植周炎,可有效缓解疼痛和控制炎症。

IF 1.6 4区 医学 Q3 MEDICINE, RESEARCH & EXPERIMENTAL
American journal of translational research Pub Date : 2025-07-25 eCollection Date: 2025-01-01 DOI:10.62347/VIOT6629
Dawei Sun, Zhiqiang Li, Daxu Li, Baolei Wu, Yiwei Ma
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引用次数: 0

摘要

目的:评价Er: YAG激光联合机械清创治疗牙周炎伴种植周炎的疗效。方法:回顾性分析2018 - 2024年收治的292例患者。将患者分为观察组(n=139, Er: YAG激光+机械清创)和对照组(n=153,单纯机械清创)。结果测量包括视觉模拟量表(VAS)评分、牙周探查深度(PD)、临床附着水平(CAL)、出血指数(BI)、牙龈指数(GI)和TNF-α/IL-6水平。采用logistic回归分析临床疗效及治疗失败的危险因素。结果:观察组总有效率明显高于对照组(89.21% vs. 64.71%)。结论:Er: YAG激光联合机械清创可明显减轻患者疼痛和炎症,改善种植周健康状况。吸烟、糖尿病和年龄增加了治疗失败的风险,而餐后漱口具有保护作用,强调了个性化治疗策略的重要性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
YAG laser combined with mechanical debridement enhances pain relief and inflammation control in the management of periodontitis with peri-implantitis.

Objective: To evaluate the efficacy of Er: YAG laser combined with mechanical debridement in treating periodontitis with peri-implantitis.

Methods: A retrospective analysis was conducted on 292 patients treated between 2018 and 2024. The patients were divided into an observation group (n=139, Er: YAG laser + mechanical debridement) and a control group (n=153, mechanical debridement only). Outcome measures included Visual Analog Scale (VAS) scores, periodontal probing depth (PD), clinical attachment level (CAL), bleeding index (BI), gingival index (GI), and TNF-α/IL-6 levels. Clinical efficacy and risk factors for treatment failure were analyzed using logistic regression.

Results: The observation group exhibited a significantly higher total efficacy rate than the control group (89.21% vs. 64.71%, P<0.001). Additionally, VAS scores, PD, CAL, BI, GI, and TNF-α/IL-6 levels were significantly lower at 1 week, 2 weeks, and 1 month post-treatment in the observation group (all P<0.05). Multivariate logistic regression identified age (OR=1.12, 95% CI: 1.07-1.18, P<0.001), smoking (OR=6.21, 95% CI: 2.96-13.82, P<0.001), and diabetes (OR=5.74, 95% CI: 2.71-12.94, P<0.001) as independent risk factors for treatment failure, while postprandial gargling (OR=0.28, P=0.002) was identified as a protective factor.

Conclusion: Er: YAG laser combined with mechanical debridement significantly reduced pain and inflammation, improving peri-implant health. Smoking, diabetes, and age increased treatment failure risk, while postprandial gargling was protective, underscoring the importance of personalized treatment strategies.

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来源期刊
American journal of translational research
American journal of translational research ONCOLOGY-MEDICINE, RESEARCH & EXPERIMENTAL
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