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810纳米和980纳米二极管激光用于二期牙种植手术的温度升高与疼痛:一项临床试验

Temperature Rise and Pain Following the Use of 810 and 980 nm Diode Lasers for Second-Stage Dental Implant Surgery: A Clinical Trial.

作者信息

Hosseini Mehvar Bahareh, Azizi Arash, Lavaf Shirin, Etemadi Ardavan, Hassani Ali

机构信息

Department of Oral Medicine, Faculty of Dentistry, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.

Department of Prosthodontics, Faculty of Dentistry, Tehran Medical Sciences, Islamic Azad University, Tehran, Iran.

出版信息

J Lasers Med Sci. 2024 Jul 31;15:e29. doi: 10.34172/jlms.2024.29. eCollection 2024.

Abstract

Many surgical procedures in a soft tissue are performed using diodes lasers. This study aimed to assess the temperature rise and pain following the use of 810 and 980 nm diode lasers for second-stage dental implant surgery. This clinical trial was conducted on 24 osseointegrated dental implants that were randomly divided into two groups of 810 nm and 980 nm diode lasers. The temperature rise in each group was measured right after uncovering by the laser and 15 minutes later by a thermocouple, compared with the baseline temperature of gingival tissue. The level of pain was also measured at 24 hours postoperatively by using a visual analog scale. Data were analyzed by ANOVA, Tukey's test, and test (alpha=0.05). Within-group comparisons by ANOVA showed a significant difference in tissue temperature between the three time points in both groups (<0.0001). Pairwise comparisons by Tukey's test showed that the temperature at baseline (<0.0001) and 15 seconds after uncovering was significantly lower than that immediately after uncovering in both groups (<0.0001). The mean tissue temperature and the mean pain score in the 980 nm laser group were significantly higher than the corresponding values in the 810 nm laser group (<0.05). According to the results, temperature rise in the use of the 980 nm laser was higher than the 810 nm laser. The use of 810 nm diode laser was associated with lower temperature rise and significantly lower pain score after 24 hours.

摘要

许多软组织手术都使用二极管激光器进行。本研究旨在评估在二期牙种植手术中使用810纳米和980纳米二极管激光器后的温度升高和疼痛情况。这项临床试验针对24颗骨结合牙种植体展开,这些种植体被随机分为810纳米和980纳米二极管激光器两组。每组在激光暴露后立即以及15分钟后,通过热电偶测量温度升高情况,并与牙龈组织的基线温度进行比较。术后24小时还使用视觉模拟评分法测量疼痛程度。数据通过方差分析、Tukey检验和检验(α = 0.05)进行分析。方差分析的组内比较显示,两组三个时间点的组织温度存在显著差异(<0.0001)。Tukey检验的两两比较表明,两组基线(<0.0001)和暴露后15秒时的温度显著低于暴露后即刻的温度(<0.0001)。980纳米激光组的平均组织温度和平均疼痛评分显著高于810纳米激光组的相应值(<0.05)。根据结果,使用980纳米激光时的温度升高高于810纳米激光。使用810纳米二极管激光器与较低的温度升高以及术后24小时显著较低的疼痛评分相关。

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