The therapeutic effect of subgingival root planing combined with Nd∶YAG laser assisted treatment for moderate to severe chronic periodontitis
Objective To explore the therapeutic effect of subgingival root planing combined with Nd∶YAG laser as-sisted treatment for moderate to severe chronic periodontitis.Method From October 2022 to October 2023,78 patients with moderate to severe chronic periodontitis were selected from Wenzhou Integrated Traditional Chinese and Western Medicine Hospital in Zhejiang Province.They were randomly divided into a root planing group and a laser assisted group,with 39 cases in each group,using a random number table method.The root planing group received root planing treatment,while the laser assisted group received root planing treatment and laser assisted subgingival scraping treatment.Compare the total periodontal index,bacteriological indicators,and incidence of postoperative adverse reactions between two groups.Results After treat-ment,the attachment loss(AL),probing depth(PD),bleeding index(BOP),gingival index(GI),and plaque index(PI)were compared between the two groups,and the laser assisted group had lower values(P＜0.05 or P＜0.01);The BANA values of subgingival plaque and gingival crevicular fluid(GCF)in the two groups were compared,and the laser assisted group had lower values(P＜0.05 or P＜0.01);The incidence of adverse reactions was lower in the laser assisted group compared to the two groups after surgery(P＜0.05).Conclusion The combination of subgingival root planing and Nd∶YAG laser assisted treat-ment has a good therapeutic effect on moderate to severe chronic periodontitis.The patient's overall periodontal index and bacteriological indicators have been significantly improved,and the incidence of postoperative adverse reactions has been significantly reduced.The clinical application value is significant.
moderate to severe chronic periodontitissubgingival curettageroot planing surgeryNd∶YAG laser
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