Nd∶YAG和Er∶YAG激光联合辅助治疗伴2型糖尿病的慢性牙周炎的临床疗效分析
The effects of combined Nd∶YAG and Er∶YAG laser therapy in the treatment of chronic periodontitis patients with Type 2 diabetes mellitus
朱晓茹 1逄键梁 1刘冰 1吴莹莹 1常晓燕1
作者信息
- 1. 100142 北京,空军军医大学空军特色医学中心口腔科
- 折叠
摘要
纳入合并2型糖尿病的慢性牙周炎患者30例,采用分口设计法,将同患者左侧牙列设为试验组,行牙周基础治疗,以及Nd∶YAG和Er∶YAG激光联合辅助治疗,右侧牙列设为对照组,仅行牙周基础治疗.治疗前后检测牙周及CBCT影像指标,并行组间比较.治疗前2组全部指标无统计学差异(P＞0.05).治疗后3个月,试验组的出血指数(BI)和探诊深度(PD)明显低于对照组(P＜0.05);治疗后6个月,试验组的BI、PD以及附着丧失(AL)明显低于对照组,牙槽骨内剩余牙根表面积和牙根体积明显高于对照组(P＜0.05).Nd∶YAG和Er∶YAG激光联合辅助下的牙周基础治疗较单纯牙周基础治疗对伴2型糖尿病的慢性牙周炎疗效更为显著.
Abstract
30 patients with chronic periodontitis and Type 2 diabetes mellituse were included.By a split-mouth design,the teeth in the left side were served as the experiment group and given Nd∶YAG and Er∶YAG laser therapy adjunctive to conventional periodontal treatment;the teeth in the right side were served as the control group and given conventional periodontal treatment alone.Before and after treatment perio-dontal and CBCT image indexes were examinde and compare between the 2 groups.Before treatment all the indexes were not statistically dif-ferent between the 2 groups(P＞0.05).3 months after treatment,the bleeding index(BI)and probing depth(PD)of the experimental group were significantly lower than those of the control group(P＜0.05).6 months after treatment,BI,PD and attachment loss(AL)in the experi-mental group were significantly lower than those in the control group,and the surface area and volume of the root in the alveolar bone were significantly higher than those in the control group(P＜0.05).Nd∶YAG and Er∶YAG laser therapy adjunctive to conventional periodontal treatment is more effective than conventional periodontal treatment alone in the treatment of chronic periodontitis with type 2 diabetes melli-tus.
关键词
Nd∶YAG激光/Er∶YAG激光/2型糖尿病/慢性牙周炎Key words
Nd∶YAG laser/Er∶YAG laser/Type 2 diabetes mellitus/Chronic periodontitis引用本文复制引用
基金项目
首都卫生发展科研专项(首发2018-2-5122)
空军特色医学中心科技助推计划(2020KTC22)
出版年
2024
NETL
NSTL
万方数据