应用Nd:YAG激光减轻牙周刮治术中疼痛的临床观察  

Clinical observation on application of Nd:YAG laser to reduce periodontal scaling pain

作　　者：韩笑[1] 丁芳 吕亚林[1] 段向青[1] 刘莹[1] 宣玮[1] 

机构地区：[1]首都医科大学附属北京安贞医院口腔医疗中心,硕士生北京100029 [2]北京市心肺血管研究所

出　　处：《中华老年口腔医学杂志》2011年第5期279-281,291,共4页Chinese Journal of Geriatric Dentistry

基　　金：首都医科大学附属北京安贞医院院长基金资助课题(编号:2011C02)

摘　　要：目的 :探讨Nd:YAG激光在牙周病治疗中的镇痛效果方法 :通过101例60岁以上的慢性牙周炎患者自身对照,左、右侧各选一侧使用Nd:YAG激光牙周治疗仪辅助超声+手用刮治器,另一侧使用超声+手用刮治器作为对照,治疗后即刻进行视觉模拟评分法(Visual Analogue Scale,VAS)评分,对比Nd:YAG激光与传统牙周刮治术在临床应用中的疼痛程度结果:激光治疗侧的VAS值(1.67±0.67)明显低于牙周机械治疗侧(6.18±0.87),其差异有统计学意义(P<0.01)。女性在激光侧和对照侧的VAS值均高于男性,但无显著性差异(P>0.05)。结论:Nd:YAG激光在牙周病治疗术中使疼痛敏感程度降低,患者的舒适度较高。Objective：To evaluate the analgesic effect of Nd： YAG laser on periodontal treatment.Methods：One hundred and one patients over 60 years old with chronic periodontitis were randomly selected.Teeth on left or right side were treated with Nd： YAG laser combined with hand assisted and ultrasonic scaling device（served as experimental group）.On the other side,hand assisted and ultrasonic scaling device were barely used（served as control group）.After treatment,Visual Analogue Scale（VAS） values were evaluated and recorded immediately,followed by comparation of pain degrees created by two groups.Results：The mean of VAS values（1.67±0.67） of the experimental group was significantly lower than the mean of the control group（6.18±0.87）（P 0.01）.VAS values of both groups for women were higher than of men,but without significant difference（P 0.05）.Conclusion：Nd： YAG laser could reduced pain sensitivity in periodontal treatment.

关 键 词：ND:YAG激光 慢性牙周炎 牙周刮治 疼痛 

分 类 号：R781.4[医药卫生—口腔医学]