Gadzhula Nataliia G, Shinkaruk-Dykovytska Mariia M, Cherepakha Olena L, Goray Maryna A, Horlenko Irina M
National Pirogov Memorial Medical University, Vinnytsia, Ukraine.
Wiad Lek. 2020;73(5):841-845.
The aim: To study clinical efficiency of using the diode laser in the treatment of chronic catarrhal and hypertrophic gingivitis.
Materials and methods: Treatment of 32 patients with chronic catarrhal gingivitis and 30 patients with hypertrophic gingivitis by basic therapy according to the protocols of dental care was carried out. The patients of the main groups were additionally subjected to laser irradiation of the affected areas of the gums with a diode laser.
Results: The use of laser therapy in the treatment of chronic catarrhal gingivitis contributed to the pain relief, reducing of bleeding and edema of the gums in 68.8% of patients on the 3rd day of observation. On the 7th day, 93.8% of the examined patients had no inflammation in periodontal tissues. During treatment of hypertrophic gingivitis, anti-inflammatory and decongestant effects, improvements in the aesthetic appearance of the gums were revealed in 33.3% patients on the 3rd day of the examination; absence of inflammation, gingival bleeding and gum hypertrophy was diagnosed in 53.3% on the 7th day and in 80.0% patients on 14th day of follow-up. In the control group, similar changes were revealed only in 68.8% patients with catarrhal gingivitis and in 46.7% patients with hypertrophic gingivitis after complete course of drug treatment in 14 days of observation.
Conclusions: The use of a diode laser in patients with chronic gingivitis has provided a reduction in the term required for the complete elimination of the inflammatory process and suspended its further progression.
本研究旨在探讨二极管激光治疗慢性卡他性和肥厚性牙龈炎的临床疗效。
材料与方法：按照牙科护理方案，对32例慢性卡他性牙龈炎患者和30例肥厚性牙龈炎患者进行基础治疗。主要组的患者还额外接受了二极管激光对牙龈患区的照射。
结果：在慢性卡他性牙龈炎治疗中，使用激光疗法有助于在观察第3天使68.8%的患者疼痛减轻、牙龈出血和水肿减轻。在第7天，93.8%的受检患者牙周组织无炎症。在肥厚性牙龈炎治疗期间，在检查第3天，33.3%的患者显示出抗炎和消肿作用，牙龈美观度改善；在随访第7天，53.3%的患者被诊断无炎症、牙龈出血和牙龈肥大，在第14天，80.0%的患者如此。在对照组中，在观察14天的药物治疗全疗程后，仅68.8%的卡他性牙龈炎患者和46.7%的肥厚性牙龈炎患者出现类似变化。
结论：在慢性牙龈炎患者中使用二极管激光可缩短完全消除炎症过程所需的时间并阻止其进一步发展。
