Dembowska Elżbieta, Jaroń Aleksandra, Homik-Rodzińska Aleksandra, Gabrysz-Trybek Ewa, Bladowska Joanna, Trybek Grzegorz
Department of Periodontology, Pomeranian Medical University, 70-111 Szczecin, Poland.
Department of Oral Surgery, Pomeranian Medical University in Szczecin, 70-111 Szczecin, Poland.
J Clin Med. 2022 Feb 3;11(3):811. doi: 10.3390/jcm11030811.
Marginal and periapical periodontal diseases cause massive destruction of tooth tissues and surrounding tissues, such as alveolar bone and maxillary sinus floor, visible on radiographs. Lesions involving the apical and marginal periodontium are endo-perio (EPL) lesions. This study aimed to compare the treatment efficacy of endo-perio lesions using a standard treatment protocol and a standard diode laser-assisted treatment protocol. The 12 patients were divided into the study (a) and control (b) group. Periodontal indices, tooth vitality and mobility, occlusal status, and radiographic diagnosis were evaluated. Standard EPL treatment was then performed-without (a) and with (b) the use of diode laser (940 nm). Again, after six months, the above-mentioned parameters were evaluated and compared. The treatment of endo-perio lesions is a significant challenge for modern dentistry. Diode lasers are increasingly used in addition to traditional treatment methods. The conventional use of a 940 nm diode laser with an average power of 0.8 W in pulsed mode allows for the depth of periodontal pockets to be reduced. In addition, the use of a diode laser has a significant effect on tooth mobility and reduces bone loss.
边缘性和根尖周牙周疾病会导致牙齿组织以及周围组织（如牙槽骨和上颌窦底）的大量破坏，在X光片上可见。累及根尖和边缘牙周组织的病变为牙髓-牙周联合病变（EPL）。本研究旨在比较采用标准治疗方案和标准二极管激光辅助治疗方案对牙髓-牙周联合病变的治疗效果。12名患者被分为研究组（a）和对照组（b）。评估了牙周指数、牙齿活力和松动度、咬合状况以及影像学诊断。然后进行标准的牙髓-牙周联合病变治疗——研究组（a）不使用二极管激光，对照组（b）使用二极管激光（940nm）。同样，6个月后，对上述参数进行评估和比较。牙髓-牙周联合病变的治疗是现代牙科面临的一项重大挑战。除传统治疗方法外，二极管激光的使用越来越广泛。以脉冲模式使用平均功率为0.8W的940nm二极管激光常规治疗可使牙周袋深度减小。此外，二极管激光的使用对牙齿松动度有显著影响，并可减少骨质流失。
