牙周牙髓联合病变激光与药物辅助治疗的对比研究

发布时间：2018-05-17 19:24

本文选题：掺铒钇铝石榴石激光 + 掺钕钇铝石榴石固体激光　；参考：《中国现代医学杂志》2017年17期

【摘要】：目的探讨双波长激光对比盐酸米诺环素治疗牙周牙髓联合病变的优越性。方法收集牙周源性牙周牙髓联合病变患者43例共48颗患牙,随机分为实验组和对照组。实验组掺铒钇铝石榴石(Er:YAG)消毒根管+掺钕钇铝石榴石固体激光(Nd:YAG)处理牙周袋;对照组碘伏消毒根管+盐酸米诺环素牙周袋上药。按视觉模拟评分法(VAS)观察两组治疗后1天疼痛差异,对比两组1周、2周、3周、3个月和6个月后牙周袋深度(PD)、牙周附着水平(CAL)、牙齿松动度,评价两组疗效。结果两组治疗后1天疼痛比较,差异有统计学意义;不同时间PD、CAL静息状态下VAS评分比较,差异有统计学意义(P0.05);两组牙齿松动度比较,差异有统计学意义(P0.05);实验组疗效优于对照组。结论双波长激光优于盐酸米诺环素治疗牙周牙髓联合病变素,临床应用前景良好。
[Abstract]:Objective to study the advantage of double wavelength laser in treating periodontal pulp syndesmosis. Methods 48 teeth of 43 patients with periodontal pulp disease were randomly divided into experimental group and control group. Erbium doped yttrium aluminum garnet (Erw yttrium garnet) was used to sterilize the periodontal bags treated with ND: yttrium aluminum garnet solid laser, and the control group was treated with iodophor to disinfect minocycline hydrochloride periodontal bags. Visual analogue score (VAS) was used to observe the difference of pain between the two groups at one day after treatment. The effects of two groups were compared after 1 week, 2 weeks and 3 weeks, 3 months and 6 months after periodontal bag depth, periodontal attachment level, tooth mobility, and evaluation of the curative effect of the two groups. Results there was a significant difference in pain between the two groups one day after treatment, the difference of VAS score in resting state of PDCAL at different time was statistically significant (P 0.05), and the tooth mobility of the two groups was higher than that of control group. The difference was statistically significant (P 0.05), and the effect of the experimental group was better than that of the control group. Conclusion Dual-wavelength laser is superior to minocycline hydrochloride in the treatment of periodontal pulp synpathic lesion.
【作者单位】：石河子大学医学院第一附属医院;
【基金】：中华口腔医学会口腔健康促进与口腔医学发展西部行临床科研基金(No:CSA-W2015-08)
【分类号】：R781

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