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使用生物临床参数评估低强度激光治疗后牙种植手术部位的愈合情况:一项探索性研究。

Assessment of the Healing of Dental Implant Surgical Site Following Low-Level Laser Therapy Using Bioclinical Parameters: An Exploratory Study.

作者信息

Palled Varsha, Rao Jitendra, Singh Raghuwar Dayal, Tripathi Shuchi, Singh Kalpani, Radav Rakesh, Verma Umesh, Chand Pooran

机构信息

Department of Prosthodontics, Crown and Bridge, KLE VK Institute of Dental Sciences, JN Medical College Campus, Belagavi, Karnataka, India.

Department of Prosthodontics, Crown and Bridge, Faculty of Dental Sciences, King George's Medical University, Lucknow, Uttar Pradesh, India.

出版信息

J Oral Implantol. 2021 Jun 1;47(3):230-235. doi: 10.1563/aaid-joi-D-18-00316.

Abstract

The purpose of this study was to evaluate whether low-level laser therapy improves healing of the implant surgical site with clinical and biochemical parameters. Thirty patients with an edentulous space spanning a single tooth were selected. The patients were randomly allocated to 1 of 2 groups: control group and test group. The test group received laser energy at a power of 2 J/cm2 with a total of 4-6 J energy over each implant. Clinical parameters (implant stability quotient, probing index, modified sulcus bleeding index) and osteoprotegerin were assessed at baseline and follow-up intervals (2 weeks, 6 weeks, and 3 months). The test group showed significantly higher implant stability quotient than the control group at 2 weeks (57.93 ± 3.95 vs 35.67 ± 3.08; P < . 01) and 3 months (58.86 ± 3.75 vs 67.06 ± 3.78; P < . 01). A significant rise in osteoprotegerin levels of the test group (686.30 ± 125.36 pg/mL at baseline and 784.25 ± 108.30 pg/mL at 3 months; P < . 01) was seen contrary to significant decline in the control group (839.50 ± 249.08 pg/mL at baseline vs 415.30 ± 78.39 pg/mL at 3 months; P < . 01). Within the limitations of the study, the findings suggest that the healing of peri-implant hard and soft tissues may be enhanced with the use of low-level laser therapy as an explicit modality during the postoperative period.

摘要

本研究的目的是通过临床和生化参数评估低强度激光治疗是否能改善种植体手术部位的愈合情况。选取了30例单颗牙缺失的无牙颌患者。将患者随机分为2组中的1组:对照组和试验组。试验组接受能量为2 J/cm²的激光照射,每颗种植体的总能量为4 - 6 J。在基线以及随访间隔(2周、6周和3个月)时评估临床参数(种植体稳定性商数、探诊指数、改良龈沟出血指数)和骨保护素。试验组在2周时(57.93 ± 3.95 vs 35.67 ± 3.08;P < 0.01)和3个月时(58.86 ± 3.75 vs 67.06 ± 3.78;P < 0.01)的种植体稳定性商数显著高于对照组。试验组骨保护素水平显著升高(基线时为686.30 ± 125.36 pg/mL,3个月时为784.25 ± 108.30 pg/mL;P < 0.01),而对照组则显著下降(基线时为839.50 ± 249.08 pg/mL,3个月时为415.30 ± 78.39 pg/mL;P < 0.01)。在本研究的局限性范围内,研究结果表明,在术后期间使用低强度激光治疗作为一种明确的方式,可能会促进种植体周围软硬组织的愈合。

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