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高强度半导体激光作为非手术牙周治疗的辅助手段的疗效:一项随机对照试验。

Efficacy of high intensity diode laser as an adjunct to non-surgical periodontal treatment: a randomized controlled trial.

机构信息

Stomatology Department, Periodontics Discipline, School of Dentistry, University of São Paulo (USP), Av. Prof. Lineu Prestes 2227, Cidade Universitária, 05508-900, São Paulo, SP, Brazil.

出版信息

Lasers Med Sci. 2011 Jan;26(1):43-8. doi: 10.1007/s10103-009-0753-5. Epub 2010 Feb 4.

Abstract

The high intensity diode laser has been studied in periodontics for the reduction of subgingival bacteria in non-surgical treatment. Our study evaluated the bacterial effect as well as changes in periodontal clinical parameters promoted by root scaling and planing associated with this wavelength. Twenty-seven patients randomly assigned in two groups underwent root scaling and planing on the tested sites, and only the experimental group received the diode laser irradiation. Among the clinical parameters studied, the clinical probing depth (CPD) and the clinical attachment level (CAL) resulted in significant enhancement in the control group when compared with the experimental group (P = 0.014 and P = 0.039, respectively). The results were similar for both groups regarding the plaque index (PI) and bleeding on probing (BP). No significant difference in the microbiological parameters was observed between the control and experimental groups. It was possible to conclude that the high power diode laser adjunct to the non-surgical periodontal treatment did not promote additional effects to the conventional periodontal treatment.

摘要

高强度二极管激光已在牙周病学中用于减少非手术治疗中的龈下细菌。我们的研究评估了细菌的作用以及由根面平整术联合这种波长所引起的牙周临床参数的变化。27 名患者被随机分为两组,在试验部位进行根面平整术,只有实验组接受二极管激光照射。在所研究的临床参数中,与实验组相比,对照组的临床探诊深度(CPD)和临床附着水平(CAL)显著提高(P=0.014 和 P=0.039)。两组的菌斑指数(PI)和探诊出血(BP)结果相似。对照组和实验组之间的微生物学参数无显著差异。可以得出结论,高功率二极管激光辅助非手术牙周治疗并没有为常规牙周治疗带来额外的效果。

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