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光动力疗法对牙分叉处牙周骨丧失的体内效应

In vivo effect of photodynamic therapy on periodontal bone loss in dental furcations.

作者信息

de Almeida Juliano Milanezi, Theodoro Leticia Helena, Bosco Alvaro Francisco, Nagata Maria José Hitomi, Oshiiwa Marie, Garcia Valdir Gouveia

机构信息

Group of Study and Research on Lasers in Dentistry, Department of Surgery and Integrated Clinic, Division of Periodontics, São Paulo State University, Rua Jose Bonifácio 1193, Araçatuba, SP, Brazil.

出版信息

J Periodontol. 2008 Jun;79(6):1081-8. doi: 10.1902/jop.2008.070456.

Abstract

BACKGROUND

The purpose of this study was to histometrically evaluate the influence of photodynamic therapy on bone loss in furcation areas in rats with experimentally induced periodontal disease.

METHODS

Ligatures were placed on the first mandibular molar in rats. Then the animals were divided into four groups: control group = no treatment; methylene blue group (MB) = treated topically with methylene blue (100 microg/ml); laser group (LLLT) = treated with low-level laser therapy; and photodynamic therapy group (PDT) = treated topically with MB followed by LLLT (4.5 J/cm(2)). Rats from all groups were sacrificed at 7, 15, or 30 days postoperatively. The area of bone loss in the furcation region of the first molar was histometrically analyzed. Data were analyzed statistically (analysis of variance and Bonferroni tests; P <0.05).

RESULTS

The PDT group demonstrated less bone loss compared to the other groups at 7 days (1.986 +/- 0.417 mm(2)); at 15 days, the PDT (1.641 +/- 0.115 mm(2)) and MB groups (1.991 +/- 0.294 mm(2)) demonstrated less bone loss compared to the control (4.062 +/- 0.416 mm(2)) and LLLT (2.641 +/- 0.849 mm(2)) groups.

CONCLUSION

Within the parameters used in this study, PDT may be an effective alternative for control of bone loss in furcation areas in periodontitis.

摘要

背景

本研究的目的是通过组织计量学评估光动力疗法对实验性诱导牙周病大鼠根分叉区骨质流失的影响。

方法

在大鼠的第一下颌磨牙上放置结扎丝。然后将动物分为四组:对照组 = 不治疗;亚甲蓝组(MB) = 局部用亚甲蓝(100微克/毫升)治疗;激光组(低强度激光疗法,LLLT) = 用低强度激光疗法治疗;光动力疗法组(PDT) = 局部用亚甲蓝治疗,随后进行低强度激光疗法(4.5焦/平方厘米)。所有组的大鼠在术后7、15或30天处死。对第一磨牙根分叉区的骨质流失面积进行组织计量学分析。对数据进行统计学分析(方差分析和Bonferroni检验;P <0.05)。

结果

在7天时,与其他组相比,PDT组的骨质流失较少(1.986 +/- 0.417平方毫米);在15天时,与对照组(4.062 +/- 0.416平方毫米)和低强度激光疗法组(2.641 +/- 0.849平方毫米)相比,PDT组(1.641 +/- 0.115平方毫米)和MB组(1.991 +/- 0.294平方毫米)的骨质流失较少。

结论

在本研究使用的参数范围内,光动力疗法可能是控制牙周炎根分叉区骨质流失的一种有效替代方法。

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