二极管激光辅助慢性牙周炎和2型糖尿病患者进行龈下刮治和根面平整的临床评估:一项半口对照研究。
Clinical Evaluation of Diode Laser as an Adjunct to Scaling and Root Planing in Patients With Chronic Periodontitis and Type II Diabetes Mellitus: A Split-Mouth Study.
作者信息
Lalli Agamjot K, Dhingra Sachin, Lalli Aeqamdeep S, Kaur Gurleen, Gupta Harinder, Goyal Sanjay
机构信息
Periodontology, Sri Guru Ram Das Institute of Dental Sciences & Research, Amritsar, IND.
Periodontology, Maulana Azad Institute of Dental Sciences, New Delhi, IND.
出版信息
Cureus. 2024 Feb 14;16(2):e54178. doi: 10.7759/cureus.54178. eCollection 2024 Feb.
INTRODUCTION
The primary goal of periodontal therapy is to arrest the inflammatory disease process which is done by non-surgical and surgical therapies in order to reduce the microorganisms. The outcome of periodontal therapy may not reveal the desired results owing to inaccessible areas for instrumentation, pathogenicity, resistance of the microorganisms, or even due to compromised host response to the treatment. Thus, adjunctive laser therapy has been proposed as a novel treatment modality in the treatment of periodontal disease. Aim: The aim of this study was to clinically evaluate the effect of a 980 nm diode laser (DEN10B; Wuhan Gigaa Optronics Technology Co., Ltd., Wuhan, China) therapy as an adjunct to scaling and root planing in patients with chronic periodontitis and type II diabetes.
METHODS
Twenty patients were divided into two groups in a split-mouth study design. Group I (Control) comprised mechanical debridement alone and Group II (test) comprised mechanical debridement followed by adjunctive laser therapy. The clinical parameters were recorded at baseline, six weeks, and three months, and the results were analyzed.
RESULTS
There was a significant improvement in gingival and plaque index in the test group. Though there was no significant improvement in probing pocket depth and clinical attachment, the results in the test group were superior relative to the control group.
CONCLUSION
Non-surgical periodontal therapy with adjunctive use of diode laser is effective in the management of generalized chronic periodontitis in patients with type II diabetes which led to a significant reduction in plaque score, gingival index score, probing pocket depth, and gain in clinical attachment level.
引言
牙周治疗的主要目标是通过非手术和手术治疗来阻止炎症性疾病进程,以减少微生物。由于器械操作难以触及的区域、微生物的致病性、耐药性,甚至由于宿主对治疗的反应受损,牙周治疗的结果可能无法达到预期效果。因此,辅助激光治疗已被提议作为牙周疾病治疗的一种新的治疗方式。目的:本研究的目的是临床评估980纳米二极管激光(DEN10B;武汉吉嘉光电科技有限公司,中国武汉)治疗作为慢性牙周炎和II型糖尿病患者龈下刮治和根面平整辅助治疗的效果。
方法
在一项双盲研究设计中,将20名患者分为两组。第一组(对照组)仅进行机械清创,第二组(试验组)进行机械清创后辅助激光治疗。在基线、六周和三个月时记录临床参数,并对结果进行分析。
结果
试验组的牙龈指数和菌斑指数有显著改善。虽然探诊深度和临床附着没有显著改善,但试验组的结果相对于对照组更优。
结论
辅助使用二极管激光的非手术牙周治疗对II型糖尿病患者的广泛性慢性牙周炎有效,可显著降低菌斑评分、牙龈指数评分、探诊深度,并提高临床附着水平。
相似文献
J Clin Diagn Res. 2016-4
Acta Odontol Scand. 2014-11
J Nepal Health Res Counc. 2022-11-2
引用本文的文献
本文引用的文献
J Periodontol. 2000-4
Lasers Med Sci. 2015-4
J Appl Oral Sci. 2013
Diabetes Technol Ther. 2012-9
Head Face Med. 2012-4-5