Nd:YAG激光联合Er:YAG激光对阻生齿拔除术后处理的疗效研究

发布时间：2018-03-06 06:37

本文选题：Nd　切入点：YAG激光　出处：《应用激光》2015年05期 　论文类型：期刊论文

【摘要】：目的:探讨Nd:YAG激光联合Er:YAG激光在阻生齿拔除术后进行处理与拔牙术后常规处理的疗效差异。方法:选取171例具有水平低位阻生智齿的患者,随机分配成术后Nd:YAG激光联合Er:YAG激光处理组、激光处理后加常规药物治疗组和术后常规处理组,第一组拔除智齿后用Er:YAG激光处理拔牙窝肉芽组织,Nd:YAG激光照射拔牙窝附近牙龈等软组织;第二组刮匙处理拔牙窝肉芽组织,术后常规服用消炎药;第三组在应用Er:YAG激光、Nd:YAG激光处理后配以消炎药常规治疗,分别对三组患者进行术后即刻反应情况、术后24、48、72h、两周恢复情况进行观察。结果:术后即刻、24、48、72h激光处理组与激光加常规药物组术后反应无明显差异,但两组术后反应均明显轻于常规处理组,差异显著。术后一周三组疗效无显著性差异。结论:阻生齿拔牙术后应用激光处理与常规处理的远期效果并无显著差异,但激光处理拔牙创后患者的术后反应明显减轻,恢复快,近期疗效好。因Nd:YAG激光与Er:YAG激光安全无副作用,在一些情况下可代替应用抗生素,减少副作用及耐药性,值得推广。
[Abstract]:Objective: To investigate the effect of different Nd:YAG laser combined with Er:YAG laser processing and extraction in the extraction of impacted teeth after surgery and conventional treatment. Methods: 171 cases with low levels of impacted teeth were randomly assigned to postoperative Nd:YAG laser combined with Er:YAG laser treatment group and conventional treatment group after laser treatment plus conventional drug therapy group and the first group after operation, removal of wisdom teeth by Er:YAG after laser treatment the sockets of granulation tissue, Nd:YAG laser irradiation extraction near the gums and other soft tissue; second sockets of granulation tissue curette treatment, routine postoperative anti-inflammatory drugs; the third groups in the application of Er:YAG laser, Nd:YAG laser treated with anti-inflammatory drugs and routine treatment. Respectively on three groups of patients with postoperative reaction, postoperative 24,48,72h, two weeks of recovery were observed. Results: immediately after operation, 24,48,72h laser treatment group and laser plus conventional drug group No significant difference between two groups after the reaction, but the reaction was significantly less than the conventional treatment group, the difference was significant. There was no significant difference between the groups after a Wednesday. Conclusion: there is no significant difference in long-term effect of application of laser treatment and conventional treatment of impacted teeth after extraction, but the dental record after laser treatment of patients after the reaction was alleviated, quick recovery and good curative effect. By Nd:YAG laser and Er:YAG laser is safe without side effects, can replace antibiotics in some cases, reduce side effects and drug resistance, it is worthy of promotion.

【作者单位】：辽宁医学院中国人民解放军第二炮兵总医院研究生培养基地;中国人民解放军第二炮兵总医院;
【分类号】：R782.11

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