Er:YAG激光联合内镜龈下刮治术治疗慢性牙周炎的疗效分析  

ER:YAG Laser Combined with Endoscopic Subgingival Scaling in the Treatment of Chronic Periodontitis

作　　者：李虹 LI Hong(Department of Stomatology,Xinyi Hospital of Traditional Chinese Medicine,Xinyi 221400,Jiangsu,China)

机构地区：[1]新沂市中医医院口腔科,江苏新沂221400

出　　处：《系统医学》2024年第14期167-169,共3页Systems Medicine

摘　　要：目的探讨Er:YAG激光联合内镜龈下刮治术治疗慢性牙周炎的临床效果。方法非随机选取2019年1月—2023年12月新沂市中医医院收治的66例慢性牙周炎患者,根据手术是否联合激光治疗进行分组,33例患者行内镜龈下刮治术为刮治组,33例患者在刮治的基础上联合Er:YAG激光治疗为激光组。对比两组治疗效果、牙周表现、出血情况。结果激光组治疗总有效率为96.97%(32/33),高于刮治组有效率的75.76%(25/33),差异有统计学意义(χ^(2)=4.632,P<0.05)。激光组出血率低于对照组,差异有统计学意义(P<0.05)。激光探诊深度、附着丧失低于刮治组,差异有统计学意义(P均<0.05)。两组菌斑指数比较,差异无统计学意义(P>0.05)。结论Er:YAG激光联合内镜龈下刮治术能够降低慢性牙周炎患者的探诊深度和附着丧失程度,并减少探诊出血发生可能。Objective To investigate the clinical effect of Er:YAG laser combined with endoscopic subgingival curettage in the treatment of chronic periodontitis.Methods 66 patients with chronic periodontitis admitted to Xinyi City Hospital of Traditional Chinese Medicine from January 2019 to December 2023 were selected non-randomly and grouped according to whether or not the surgery was implemented in combination with laser treatment and were divided into two groups,33 patients underwent endoscopic subgingival curettage as the curettage group,and 33 patients were combined with Er:YAG laser treatment on the basis of curettage as the laser group.The two groups were compared in terms of treatment effect,periodontal manifestations,and bleeding.Results The total effective rate of treatment in the laser group was 96.97%(32/33),which was higher than the effective rate of 75.76%(25/33)in the scraping group,and the difference was statistically significant(χ^(2)=4.632,P<0.05).The bleeding rate of the laser group was lower than that of the control group,and the difference was statistically significant(P<0.05).The probing depth and attachment loss of the laser group were lower than those of the scraping group,and the differences were statistically significant(both P<0.05).There was no statistically significant difference in the comparison of plague index between the two groups(P>0.05).Conclusion Er:YAG laser combined with endoscopic subgingival curettage reduces probing depth and attachment loss in patients with chronic periodontitis and decreases the likelihood of bleeding on probing.

关 键 词：ER:YAG激光 内镜龈下刮治术 慢性牙周炎 

分 类 号：R781[医药卫生—口腔医学]