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Er,Cr:YSGG激光辅助治疗中重度慢性牙周炎13例 被引量:16

Clinical observation of Er,Cr:YSGG laser assisted treatment of moderate to severe chronic periodontitis
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摘要 目的评价Er,Cr:YSGG激光牙周袋内清创术对中重度慢性牙周炎的临床疗效。方法选取2016年1月至2018年2月安徽医科大学第二附属医院就诊的慢性牙周炎病人26例,采用随机数字表法分为两组,观察组13例病人126颗受试牙共计756个位点,在龈下刮治和根面平整术(SRP)后使用Er,Cr:YSGG激光进行牙周袋内清创,对照组13例病人118颗受试牙共计708个位点,仅进行SRP,比较两组治疗后牙周探诊深度(PD)、临床附着丧失(CAL)和探诊出血(BOP)的变化。结果观察组治疗后的PD[(2.51±1.05)比(4.70±1.71)mm]、CAL[(2.62±0.89)比(4.47±1.40)mm]和BOP[(16.1)%比(100.0)%]和对照组治疗后的PD[(3.38±1.50)比(4.84±1.72)mm]、CAL[(3.40±1.25)比(4.58±1.40)mm]和BOP[(24.6)%比(100.0)%]均较治疗前明显降低(P<0.05),且观察组降低显著高于对照组(P<0.05)。结论 Er,Cr:YSGG激光辅助SRP可以有效提高SRP的疗效。 Objective To evaluate the clinical effect of periodontal subgingival debridement with Er,Cr:YSGG laser that assisted treatment of moderate to severe chronic periodontitis.Methods 26 patients with chronic periodontitis were chosen and divided into two groups randomly.Test group(756 sites on 126 teeth from 13 patients)was treated with subgingival scaling and root planning(SRP)and Er,Cr:YSGG laser,and compare group(708 sites on 118 teeth from 13 patients)was treated with SRP only.Compare probing depth(PD),clinical attachment loss(CAL),bleeding on probing(BOP)changes.Results PD[(2.51±1.05)vs.(4.70±1.71)mm],CAL[(2.62±0.89)vs.(4.47±1.40)mm],BOP[(16.1)% vs.(100.0)%]of test group and PD[(3.38±1.50)vs.(4.84±1.72)mm],CAL[(2.62±0.89)vs.(4.47±1.40)mm],BOP[(24.6)% vs.(100.0)%]of control group after treatment were significantly lower than before.PD,CAL,BOP of test group after treatment reduced significantly higher than control group.Conclusion Er,Cr:YSGG laser assisted SRP can improve the clinical effect obviously.
作者 王姹 WANG Cha(Department of Stomatology,The Second Affiliated Hospital of Anhui Medical University,Hefei,Anhui 230601,China)
出处 《安徽医药》 CAS 2020年第2期349-352,共4页 Anhui Medical and Pharmaceutical Journal
关键词 慢性牙周炎 牙周袋 牙周清创术 激光疗法 Er Cr:YSGG激光 Chronic periodontitis Periodontal pocket Periodontal debridement Laser therapy Erbium,Chromium∶Yttrium-Scandium-Gallium-Garnet
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