高功率二极管激光治疗药物性牙龈增生：两例报告及长期随访
High-power diode laser on management of drug-induced gingival overgrowth: Report of two cases and long-term follow-up.
作者信息
Campos Luana, Gallottini Marina, Pallos Débora, Simões Alyne, Martins Fabiana
机构信息
a Department of Oral Medicine, Brazilian Institute of Cancer Control , São Paulo , Brazil.
b Special Care Dentistry Center, Dental School , University of São Paulo , São Paulo , Brazil.
出版信息
J Cosmet Laser Ther. 2018 Aug;20(4):215-219. doi: 10.1080/14764172.2017.1400165. Epub 2018 Jan 19.
BACKGROUND
Drug-induced gingival overgrowth (DIGO) is attributed mainly to the prolonged use of calcium channel blocking agents, anticonvulsants, and anti-calcineurin inhibitors . The management of DIGO depends on the severity of the disease and includes surgical intervention and plaque control. Compared to conventional surgical treatment, the recent literature data have shown that gingivectomy using a high-power laser (HPL) is a short and easy procedure, which results in minimal postoperative discomfort and greater patient accep- tance.
OBJECTIVE AND METHODS
The purpose of this study was to report two cases of recurrent DIGO treated surgically using HPL (λ 808nm, 1.5W).
RESULTS
Minimal bleeding and discomfort were observed during surgery, and patients reported no pain or bleeding after the procedure. After 1 year of follow-up, patients presented a minimal increase of gingival volume, indicating that laser technology can improve the efficiency and prognosis of DIGO.
CONCLUSIONS
The HPL was able to preventing hemorrhage and improving the patient's collaboration with the treatment and quality of life.
背景
药物性牙龈增生（DIGO）主要归因于长期使用钙通道阻滞剂、抗惊厥药和抗钙调神经磷酸酶抑制剂。DIGO的治疗取决于疾病的严重程度，包括手术干预和菌斑控制。与传统手术治疗相比，最近的文献数据表明，使用高功率激光（HPL）进行牙龈切除术是一种简短且简便的手术，术后不适最小，患者接受度更高。
目的与方法
本研究的目的是报告两例使用HPL（λ 808nm，1.5W）手术治疗复发性DIGO的病例。
结果
手术期间观察到出血和不适极少，患者术后报告无疼痛或出血。随访1年后，患者牙龈体积仅有极小增加，表明激光技术可提高DIGO的治疗效率和预后。
结论
HPL能够防止出血，提高患者对治疗的配合度及生活质量。
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