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940纳米二极管激光对慢性牙周炎患者牙周袋深度、临床附着水平及探诊出血效果的评估:一项随机临床单盲半口对照研究

Evaluation of 940-nm diode laser effectiveness on pocket depth, clinical attachment level, and bleeding on probing in chronic periodontitis: A randomized clinical single-masked split-mouth study.

作者信息

Seyed-Monir Ali, Seyed-Monir Ebrahim, Mihandoust Sanaz

机构信息

Dental Sciences Research Center, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran.

Department of Periodontology, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran.

出版信息

Dent Res J (Isfahan). 2023 Oct 26;20:113. eCollection 2023.

Abstract

BACKGROUND

Diode lasers can be used in the treatment of periodontal diseases as they have an anti-bactericidal effect, and regulate oral tissue inflammatory responses. This study aimed to evaluate the adjunctive effects of Diode 940 nm laser on mechanical periodontal debridement.

MATERIALS AND METHODS

In this split-mouth single-blind randomized clinical trial, 12 patients were selected. Forty-four oral segments were enrolled in the scaling and root planing (SRP) group and SRP + Laser group with a 1:1 allocation ratio following a simple randomization procedure (coin flip). Clinical parameters (pocket depth, clinical attachment loss [CAL], and bleeding on probing [BOP]) were measured at baseline. After the SRP, a 940 nm Diode laser (1 Watt power and continuous wave mode) was used in the SRP + Laser group as an adjunctive treatment. The clinical parameters were remeasured 2 months posttreatment. Statistical analysis was carried out using an unpaired -test with a 5% significant level by SPSS.

RESULTS

Although all clinical parameters had more improvements in the SRP + Laser group, the differences were not significant between the two study groups ( > 0.05). Only in individual tooth evaluations, CAL changes in first and second premolars and BOP changes in second premolars show statistically significant improvement in the SRP + L group compared to the SRP group ( < 0.05).

CONCLUSION

Using diode 940 nm laser as an adjunctive treatment for SRP may be helpful and be suggested for periodontal treatment.

摘要

背景

二极管激光可用于治疗牙周疾病,因为它们具有抗菌作用,并能调节口腔组织的炎症反应。本研究旨在评估940nm二极管激光对机械性牙周清创术的辅助作用。

材料与方法

在这项双盲单中心随机临床试验中,选取了12例患者。按照简单随机程序(抛硬币),以1:1的分配比例将44个口腔节段纳入龈下刮治术(SRP)组和SRP +激光组。在基线时测量临床参数(牙周袋深度、临床附着丧失[CAL]和探诊出血[BOP])。在进行SRP后,SRP +激光组使用940nm二极管激光(功率1瓦,连续波模式)作为辅助治疗。在治疗后2个月重新测量临床参数。使用SPSS进行统计学分析,采用不成对t检验,显著性水平为5%。

结果

尽管SRP +激光组的所有临床参数改善更多,但两个研究组之间的差异无统计学意义(P>0.05)。仅在个别牙齿评估中,与SRP组相比,SRP + L组第一和第二前磨牙的CAL变化以及第二前磨牙的BOP变化显示出统计学上的显著改善(P<0.05)。

结论

使用940nm二极管激光作为SRP的辅助治疗可能是有益的,建议用于牙周治疗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d35e/10680077/2b09bc1e3374/DRJ-20-113-g002.jpg

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