二极管激光辅助刮治与牙根刨治与单独刮治牙根刨治治疗慢性牙周炎的疗效比较——随机裂口临床研究

V. Boloor, S. Hegde, Manjunath Pooja, Rajesh Kashyap, M. A. Kumar
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引用次数: 0

摘要

比较二极管激光辅助刮治与单纯刮治治疗慢性牙周炎的临床效果。30名年龄在25-54岁的受试者参加了这项随机的裂口临床研究。所有60个选定部位的受试者根据所提供的治疗随机分为两组。第一组(对照组):仅在基线进行SRP,第二组(试验点):在第7、14和21天进行SRP和DL照射。记录两组患者临床参数:牙菌斑指数(PI)、牙龈指数(GI)、出血指数(BI)、探查袋深度(PPD)、临床附着水平(CAL)。两组患者中、远端PPD均值从基线至3个月差异有显著统计学意义(p < 0.02)。两组在远端和颊侧的CAL从基线到3个月的平均值差异有很高的统计学意义(p < 0.02)。在组内比较中,从基线到3个月,两组PI、GI和BI的平均差异均有所下降(p < 0.001)。在4-6 mm的中度牙周袋中,辅助使用810 nm DL和SRP可提供中等的额外临床益处。该研究表明,使用无创激光治疗,可以在减少牙周参数方面获得潜在的临床益处。Pooja M, Kashyap RS, Hegde S,等。二极管激光辅助刮治与牙根刨治与单独刮治牙根刨治治疗慢性牙周炎的疗效比较——随机裂口临床研究。现代医学学报,2019;9(3):117-123。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Comparison of Effectiveness of Diode Laser as an Adjunct to Scaling and Root Planing and Scaling, Root Planing Alone in Treatment of Chronic Periodontitis—A Randomized Split-mouth Clinical Study
To compare the clinical effects of diode laser (DL) as an adjunct to scaling and root planing (SRP) and SRP alone in the treatment of subjects with chronic periodontitis. Thirty subjects aged 25–54 years participated in this randomized split-mouth clinical study. All subjects with 60 selected sites were randomly divided into 2 equal groups depending on the treatment provided. Group I (control site): only SRP was performed at baseline and group II (test site): SRP along with DL irradiation was performed on day 7, 14, and 21. Clinical parameters plaque index (PI), gingival index (GI), bleeding index (BI), probing pocket depth (PPD), and clinical attachment level (CAL) were recorded at baseline and the end of 3 months for both groups. Mean values of PPD from baseline to 3 months between groups I and II on the mesial and distal aspect showed a high statistically significant difference (p < 0.02). Mean values of CAL from baseline to 3 months between two groups on distal and buccal aspect showed high statistically significant difference (p < 0.02). On intragroup comparison, there was a decrease in a mean difference of PI, GI, and BI individually for both the groups from baseline to 3 months with (p < 0.001). The adjunctive use of 810 nm DL with SRP provides moderate additional clinical benefit in moderate periodontal pockets 4–6 mm. This study signifies that using noninvasive laser therapy, potential clinical benefits can be obtained in terms of reduction of periodontal parameters. Pooja M, Kashyap RS, Hegde S, et al. Comparison of Effectiveness of Diode Laser as an Adjunct to Scaling and Root Planing and Scaling, Root Planing Alone in Treatment of Chronic Periodontitis—A Randomized Split-mouth Clinical Study. J Contemp Dent 2019;9(3):117–123.
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