自体牙本质颗粒联合Nd:YAG激光在前牙区牙周炎患者拔牙术后中的应用效果  

Application Effect of Autogenous Dentin Particles Combined with Nd:YAG Laser in Patients with Anterior Periodontitis after Tooth Extraction Surgery

作　　者：任文平 孙瑗征 张文静 REN Wenping;SUN Yuanzheng;ZHANG Wenjing(Department of Conservative Dentistry&Endodontics,Henan Saisi Stomatological Hospital,Zhengzhou Henan 450000)

机构地区：[1]河南赛思口腔医院牙体牙髓病科,河南郑州450000 [2]河南赛思口腔医院牙体科,河南郑州450000

出　　处：《医学临床研究》2024年第8期1156-1159,1163,共5页Journal of Clinical Research

摘　　要：【目的】探讨自体牙本质颗粒联合Nd:YAG激光在前牙区牙周炎患者拔牙术后中的应用效果。【方法】选取2021年5月至2023年3月本院收治的123例前牙区牙周炎拔牙术后患者,按治疗方法不同分为观察组(n=63,63颗牙)和对照组(n=60,60颗牙),对照组采用Nd:YAG激光治疗,观察组在对照组基础上加用自体牙本质颗粒治疗,比较两组治疗效果。【结果】治疗后1年,观察组种植成功率显著高于对照组(P<0.05),但两组美学效果比较,差异无统计学意义(P>0.05);治疗后7 d,两组疼痛程度均下降,且观察组低于对照组(P>0.05)。治疗后1年,两组菌斑指数(PLI)、出血指数(SBI)、牙龈指数(GI)、牙周袋深度(PD)均下降(P<0.05),且观察组PLI、SBI、GI、PD低于对照组。观察组并发症总发生率显著低于对照组(χ^(2)=0.230,P=0.631)。【结论】自体牙本质颗粒联合Nd:YAG激光应用于前牙区牙周炎拔牙术后患者中,可显著提高患者咀嚼效率、美学效果,改善牙周功能,且并发症发生率较低,值得临床推广应用。【Objective】To investigate the application effect of autogenous dentin particles combined with Nd:YAG laser in patients with anterior periodontitis after tooth extraction.【Methods】A total of 123 patients with anterior periodontitis who underwent tooth extraction surgery in our hospital from May 2021 to March 2023 were selected and divided into the observation group(n=63,63 teeth)and the control group(n=60,60 teeth)according to different treatment methods.The control group was treated with Nd:YAG laser,while the observation group was treated with autogenous dentin particles in addition to the control group.The treatment effects of the two groups were compared.【Results】One year after treatment,the success rate of implantation in the observation group was significantly higher than that in the control group(P<0.05),but there was no statistically significant difference in aesthetic effects between the two groups(P>0.05);After 7 days of treatment,the pain levels in both groups decreased,and the observation group was lower than the control group(P>0.05).One year after treatment,the plaque index(PLI),bleeding index(SBI),gingival index(GI),and periodontal pocket depth(PD)in both groups decreased(P<0.05),and the PLI,SBI,GI,and PD in the observation group were lower than those in the control group.The total incidence of complications in the observation group was significantly lower than that in the control group(χ^(2)=0.230,P=0.631).【Conclusion】The application of autogenous dentin particles combined with Nd:YAG laser in patients with anterior periodontitis after tooth extraction can significantly improve chewing efficiency,aesthetic effects,and periodontal function,with a low incidence of complications.It is worthy of clinical promotion and application.

关 键 词：牙周炎/外科学 牙本质 激光 固体/治疗应用 拔牙 激光疗法 治疗结果 

分 类 号：R781.42[医药卫生—口腔医学]