铥激光与二极管激光在口腔软组织手术中的有效性：一项随机临床研究。

IF 5.5 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Journal of dentistry Pub Date : 2025-08-30 DOI:10.1016/j.jdent.2025.106079

Li-Yuan Qi , Jing Wen , Qian Feng , Jia-Sha Wang , Ji Wang , Hua Yu , Yu Jin , Jing Zhao , Yi-Xiang Dai , En-Cai Ji

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引用次数: 0

摘要

目的：综合比较和评价铥激光与二极管激光在口腔软组织手术中的相对疗效。方法：招募需要进行口腔软组织手术（包括系带切除术和牙龈切除术）的33例患者，随机分为两组，实验组14例，对照组19例。实验组采用铥光纤激光治疗，对照组采用二极管激光（980nm）治疗。评估术后凝血效果。术后24 h、48 h、72h、240h分别用视觉模拟量表记录疼痛程度。术后10天观察有效治愈率。采用独立样本t检验、Mann-Whitney U检验和卡方检验（α= 0.05）对数据进行分析。结果：实验组ⅰ级止血14例（100%），对照组16例（84.21%），p值> 0.05差异无统计学意义。结论：铥激光在口腔软组织手术中的止血效果和治愈率与980nm二极管激光相比无统计学差异。使用铥激光与术后疼痛评分显著降低相关。临床意义：本研究评估了铥激光在口腔软组织手术中的疗效，发现铥激光在止血和伤口愈合方面的疗效与二极管激光相当。此外，铥激光器显示出优越的疼痛管理能力。研究结果表明，铥激光器在口腔医学中具有巨大的应用潜力。

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Effectiveness of thulium versus diode lasers in oral soft tissue surgery: a randomized clinical study

Objectives

To comprehensively compare and evaluate the relative effectiveness of thulium laser and diode laser in oral soft tissue surgery procedures.

Methods

Thirty-three participants who needed oral soft tissue surgery, encompassing frenectomy and gingivectomy, were recruited and subsequently randomized into two groups including 14 in the experimental group and 19 in the control group. The experimental group was treated with thulium fiber laser, while the control group was treated with the diode laser (980 nm). The coagulation efficacy following the surgery was assessed. The postsurgical pain level was recorded using visual analog scales 24 h, 48 h, 72 h and 240 h after the surgery. The effective healing rate were evaluated 10 days after surgery. The data were analyzed using the independent-samples t, Mann-Whitney U, and chi-square tests (α= 0.05).

Results

There were 14 cases (100 %) of Grade I hemostasis in the experimental group and 16 cases (84.21 %) in the control group, with a P-value > 0.05 indicating no statistical difference. The mean pain score in the diode laser group were significantly higher than the corresponding values in the thulium laser group (P < 0.05). Tukey’s test showed that the postsurgical pain level for the experimental group was significantly lower than that in control groups in 48 h (P < 0.05) and 72 h (P < 0.05) after surgery, and no statistical difference was found with the postsurgical pain level for the two groups in 24 h and 240 h after surgery. Within-group comparisons by ANOVA showed a significant difference in postsurgical pain level between the 4 time points in both groups (P < 0.05). Both the experimental and control groups achieved 100 % effective healing rates, also with no statistical difference.

Conclusions

Thulium laser demonstrates no statistically significant differences in hemostasis effect and healing rate compared to 980 nm diode laser for oral soft tissue surgery. The use of thulium laser was associated with significantly lower pain score after surgery.

Clinical Significance

This work assessed the efficacy of thulium lasers in oral soft tissue surgery and discovered that they exhibit efficacy comparable to diode lasers with regard to hemostasis and wound healing. Moreover, thulium lasers demonstrate superior pain - management capabilities. The findings suggest that thulium lasers hold significant potential for application in oral medicine.

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来源期刊

Journal of dentistry 医学-牙科与口腔外科

CiteScore

7.30

自引率

11.40%

发文量

349

审稿时长

35 days

期刊介绍： The Journal of Dentistry has an open access mirror journal The Journal of Dentistry: X, sharing the same aims and scope, editorial team, submission system and rigorous peer review. The Journal of Dentistry is the leading international dental journal within the field of Restorative Dentistry. Placing an emphasis on publishing novel and high-quality research papers, the Journal aims to influence the practice of dentistry at clinician, research, industry and policy-maker level on an international basis. Topics covered include the management of dental disease, periodontology, endodontology, operative dentistry, fixed and removable prosthodontics, dental biomaterials science, long-term clinical trials including epidemiology and oral health, technology transfer of new scientific instrumentation or procedures, as well as clinically relevant oral biology and translational research. The Journal of Dentistry will publish original scientific research papers including short communications. It is also interested in publishing review articles and leaders in themed areas which will be linked to new scientific research. Conference proceedings are also welcome and expressions of interest should be communicated to the Editor.