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非热常压等离子体应用对龈切除术愈合的影响。

The effect of non-thermal atmospheric pressure plasma application on wound healing after gingivectomy.

机构信息

Department of Periodontology, Faculty of Dentistry, Eskişehir Osmangazi University, Eskişehir, Turkey.

出版信息

Int Wound J. 2020 Oct;17(5):1376-1383. doi: 10.1111/iwj.13379. Epub 2020 May 27.

Abstract

Recent studies have indicated the potential benefits of Non-thermal atmospheric pressure plasma (NTAPP) as a novel therapeutic approach. The purpose of the current study was thus to assess the effect of NTAPP on gingival wound healing. Fifteen patients with bilaterally symmetrical gingival hyperplasia were included in the study. After gingivectomy and gingivoplasty, the left-hand side of the symmetrical surgical area was irradiated with NTAPP (plasma jet kINPen 11). Digital photographs of the gingival wounds were taken at baseline and days 3, 7, and 14. Wound epithelialisation was evaluated. Landry Wound Healing Index (WHI) scores and visual analogue scale (VAS) scores were also recorded. There were significant differences between the epithelialisation of the NTAPP-treated sites and the control sites after the surgical procedures. The NTAPP-treated sites had significantly smaller stained surface areas compared with the control sites on the 3rd, 7 , and 14th days (P < .05). The NTAPP-treated sites had better WHI scores than the control sites throughout the follow-up period (P < .05). It can be concluded that NTAPP enhances epithelialisation and stimulates wound healing after gingivectomy and gingivoplasty. However, further clinical studies with larger sample sizes are needed to determine the exact benefits of NTAPP for gingival wound healing.

摘要

最近的研究表明,非热常压等离子体(NTAPP)作为一种新的治疗方法具有潜在的益处。因此,本研究旨在评估 NTAPP 对牙龈创伤愈合的影响。本研究纳入了 15 名双侧对称性牙龈增生的患者。在牙龈切除术和牙龈成形术后,对对称手术区域的左侧使用 NTAPP(等离子体喷射 kINPen 11)进行照射。在基线和第 3、7、14 天拍摄牙龈伤口的数码照片。评估伤口上皮化情况。还记录了 Landry 伤口愈合指数(WHI)评分和视觉模拟评分(VAS)。手术治疗后,NTAPP 治疗部位和对照部位的上皮化有显著差异。与对照部位相比,NTAPP 治疗部位在第 3、7 和 14 天的染色表面面积明显更小(P<.05)。在整个随访期间,NTAPP 治疗部位的 WHI 评分均优于对照部位(P<.05)。综上所述,NTAPP 可促进牙龈切除和成形术后的上皮化,刺激伤口愈合。然而,需要更大样本量的进一步临床研究来确定 NTAPP 对牙龈创伤愈合的确切益处。

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