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J Lasers Med Sci:低强度半导体激光光动力疗法治疗种植体周围炎的效果

2018-02-05 MedSci MedSci原创

使用激光治疗(LT)种植体周围炎,则很少会发生抗生素治疗相关的副作用,因此,本研究旨在评估LT和光动力疗法(PDT)治疗原发性种植体周围炎的有效性。在这项随机临床试验中,采用简单的抽样技术,纳入了20名平均年龄为52.6岁的种植体周围炎患者,40颗植体发生原发性种植体周围炎。整口进行牙周治疗,包括洁治和根面平整(SRP),同时用钛刮匙进行机械清理,并用碳酸氢钠粉末在植入物周围进行抛光。将植体随机分

使用激光治疗(LT)种植体周围炎,则很少会发生抗生素治疗相关的副作用,因此,本研究旨在评估LT和光动力疗法(PDT)治疗原发性种植体周围炎的有效性。

在这项随机临床试验中,采用简单的抽样技术,纳入了20名平均年龄为52.6岁的种植体周围炎患者,40颗植体发生原发性种植体周围炎。整口进行牙周治疗,包括洁治和根面平整(SRP),同时用钛刮匙进行机械清理,并用碳酸氢钠粉末在植入物周围进行抛光。将植体随机分为两组,分别用LT(对照)和PDT(测试)处理。在治疗后的基线、6周和3个月测量临床指数。实时聚合酶链反应(PCR)分析基线和3个月随访时的微生物样本。统计分析使用重复测量的方差分析(ANOVA)、Friedman's和Mann-Whitney检验,使用SPSS 20分析数据(α= 0.05)。

结果显示,两组患者的探诊出血(P <0.001)、探诊深度(PPD)(P = 0.006)和改良菌斑指数(P <0.001)均有统计学意义的改善,两组间差异无统计学意义(P> 0.05)。与对照组相比,试验组伴放线聚集杆菌(P = 0.022)、福赛坦氏菌(P = 0.038)和牙龈卟啉单胞菌(P = 0.05)的数量均明显降低,且对照组牙龈卟啉单胞菌(P = 0.015)的量也明显降低。

综上所述,该研究结果表明,LT和PDT在治疗原发性种植体周围炎方面有明显的短期益处。

原始出处:

Birang E, Talebi Ardekani MR, et al., Evaluation of Effectiveness of Photodynamic Therapy With Low-level Diode Laser in Nonsurgical Treatment of Peri-implantitis. J Lasers Med Sci. 2017 Summer;8(3):136-142. doi: 10.15171/jlms.2017.25. Epub 2017 Jun 27.

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    2018-09-22 anminleiryan
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    2018-08-02 huangdf
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    2018-02-07 oliver169
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  6. [GetPortalCommentsPageByObjectIdResponse(id=1878254, encodeId=411518e82541b, content=<a href='/topic/show?id=c157696175' target=_blank style='color:#2F92EE;'>#ERS#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=6961, encryptionId=c157696175, topicName=ERS)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=e93e105, createdName=anminleiryan, createdTime=Sat Sep 22 15:11:00 CST 2018, time=2018-09-22, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1701911, encodeId=bbc81e019111a, content=<a href='/topic/show?id=04b9e4784aa' target=_blank style='color:#2F92EE;'>#种植#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74784, encryptionId=04b9e4784aa, topicName=种植)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=47e130405619, createdName=huangdf, createdTime=Thu Aug 02 03:11:00 CST 2018, time=2018-08-02, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1279700, encodeId=c2c512e9700cd, content=<a href='/topic/show?id=265c66e50ea' target=_blank style='color:#2F92EE;'>#激光#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=63, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=66750, encryptionId=265c66e50ea, topicName=激光)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4fd6156, createdName=oliver169, createdTime=Wed Feb 07 06:11:00 CST 2018, time=2018-02-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1343761, encodeId=e9b71343e6183, content=<a href='/topic/show?id=d512e47853f' target=_blank style='color:#2F92EE;'>#种植体#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=59, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=74785, encryptionId=d512e47853f, topicName=种植体)], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/TnzXXl41yf6V8fHrDb5JdtxOgpaY6vplUhHtL8BzDh1xMtcap9H1IOlE8umxPGovhIuVkeGTY26eNUFCFaOheQ/132, createdBy=29702500197, createdName=ms6279672939590805, createdTime=Wed Feb 07 06:11:00 CST 2018, time=2018-02-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1546299, encodeId=cdcb154629926, content=<a href='/topic/show?id=0da528e33ce' target=_blank style='color:#2F92EE;'>#光动力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=28733, encryptionId=0da528e33ce, topicName=光动力)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2b6213920685, createdName=luckyshitiancai_42705688, createdTime=Wed Feb 07 06:11:00 CST 2018, time=2018-02-07, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1608529, encodeId=0deb160852911, content=<a href='/topic/show?id=eb6b1145939' target=_blank style='color:#2F92EE;'>#Med#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=52, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=11459, encryptionId=eb6b1145939, topicName=Med)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=552a19396740, createdName=ms3994565386320060, createdTime=Wed Feb 07 06:11:00 CST 2018, time=2018-02-07, status=1, ipAttribution=)]
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