Nd∶YAG和Er∶YAG激光联合辅助治疗伴2型糖尿病的慢性牙周炎的临床疗效分析  

The effects of combined Nd∶YAG and Er∶YAG laser therapy in the treatment of chronic periodontitis patients with Type 2 diabetes mellitus

作　　者：朱晓茹 逄键梁 刘冰 吴莹莹 常晓燕 ZHU Xiaoru;PANG Jianliang;LIU Bing;WU Yingying;CHANG Xiaoyan(100142 Beijing,Department of Stomatology,Air Force Medical Center,Air Force Medical University,PLA,China)

机构地区：[1]空军军医大学空军特色医学中心口腔科,北京100142

出　　处：《实用口腔医学杂志》2024年第3期430-433,共4页Journal of Practical Stomatology

基　　金：首都卫生发展科研专项课题(编号:首发2018-2-5122);空军特色医学中心科技助推计划课题(编号:2020KTC22)。

摘　　要：纳入合并2型糖尿病的慢性牙周炎患者30例,采用分口设计法,将同患者左侧牙列设为试验组,行牙周基础治疗,以及Nd∶YAG和Er∶YAG激光联合辅助治疗,右侧牙列设为对照组,仅行牙周基础治疗。治疗前后检测牙周及CBCT影像指标,并行组间比较。治疗前2组全部指标无统计学差异(P>0.05)。治疗后3个月,试验组的出血指数(BI)和探诊深度(PD)明显低于对照组(P<0.05);治疗后6个月,试验组的BI、PD以及附着丧失(AL)明显低于对照组,牙槽骨内剩余牙根表面积和牙根体积明显高于对照组(P<0.05)。Nd∶YAG和Er∶YAG激光联合辅助下的牙周基础治疗较单纯牙周基础治疗对伴2型糖尿病的慢性牙周炎疗效更为显著。30 patients with chronic periodontitis and Type 2 diabetes mellituse were included.By a split-mouth design,the teeth in the left side were served as the experiment group and given Nd∶YAG and Er:YAG laser therapy adjunctive to conventional periodontal treatment;the teeth in the right side were served as the control group and given conventional periodontal treatment alone.Before and after treatment periodontal and CBCT image indexes were examinde and compare between the 2 groups.Before treatment all the indexes were not statistically different between the 2 groups(P>0.05).3 months after treatment,the bleeding index(BI)and probing depth(PD)of the experimental group were significantly lower than those of the control group(P<0.05).6 months after treatment,BI,PD and attachment loss(AL)in the experimental group were significantly lower than those in the control group,and the surface area and volume of the root in the alveolar bone were significantly higher than those in the control group(P<0.05).Nd∶YAG and Er∶YAG laser therapy adjunctive to conventional periodontal treatment is more effective than conventional periodontal treatment alone in the treatment of chronic periodontitis with type 2 diabetes mellitus.

关 键 词：Nd∶YAG激光 Er∶YAG激光 2型糖尿病 慢性牙周炎 

分 类 号：R781.4[医药卫生—口腔医学]