文章摘要
低强度激光照射对正畸治疗慢性牙周炎患者疼痛及牙周健康状况的影响
Effect of low-level laser irradiation on pain and periodontal health of patients with chronic periodontitis during orthodontic treatment
投稿时间:2021-01-05  
DOI:10.3969/j.issn.1000-0399.2021.06.009
中文关键词: 低强度激光  慢性牙周炎  正畸  视觉模拟评分  菌斑指数  牙龈指数  牙周探诊深度  附着丧失  牙龈退缩
英文关键词: Low-level laser therapy  Chronic periodontitis  Orthodontic treatment  Visual analogue scale  Plaque index  Gingival index  Probing pocket depth  Clinical attachment loss  Gingival recession
基金项目:
作者单位
赵玥 230001 安徽省合肥市口腔医院正畸二科 
陶李明 230001 安徽省合肥市口腔医院正畸二科 
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中文摘要:
      目的 探讨低强度激光照射对正畸治疗慢性牙周炎患者疼痛和牙周健康的影响方法 选择2016年1月至2019年12月在合肥市口腔医院行正畸治疗的慢性牙周炎患者45例,以每位患者左、右侧2颗同名单根后牙共180颗为观察对象,将左、右侧患牙按随机号码表抽样分为观察组(90颗)及对照组(90颗)。观察组在正畸加力后行低强度激光照射颊、舌侧牙槽粘膜,对照组给予安慰剂处理。比较两组激光治疗后第1、3、5、7天疼痛评分(VAS评分),第1、2、3个月复诊时VAS评分,同时比较第1、3、6个月复诊时患牙牙菌斑指数(PI)、牙龈指数(GI)、牙周探诊深度(PPD)、临床附着丧失值(CAL)、牙龈退缩(GR)情况结果 两组不同时间点VAS评分、PI、GI、PPD、CAL、GR行重复测量方差分析,满足球形假设(P<0.05),主效应方差分析提示两组VAS评分、PI、GI差异有统计学意义(P<0.05),但两组GR、PPD、CAL差异无统计学意义(P>0.05)结论 低强度激光治疗可减轻正畸治疗的慢性牙周炎患者疼痛情况,还可以有效改善患者牙周健康状况,值得临床推广。
英文摘要:
      Objective To investigate the effect of low-level laser irradiation on pain and periodontal health of patients with chronic periodontitis during orthodontic treatment.Methods Forty-five patients with chronic periodontitis were selected from Jan 2016 to Dec 2019 in StomatologicalHospitalof Hefei.Two posteriorsingle-rooted teeth with the same name on the left and right sides of each patient, totally 180 teeth, were observed. The left and right teeth were randomly divided into observation group (90 teeth) and control group (90 teeth).The observation group received low-level laser irradiation on buccal and lingual alveolar mucosa after orthodontic treatment, while the control group received placebo.The pain score (VAS) was compared on the first, third, fifth and seventh days after laser irradiation treatment, VAS score was compared at the first, second and third months, and the plaque index (PI), gingival index (GI), probing pocket depth (PPD), clinical attachment loss (CAL), gingival regression (GR) were compared.Results After laser irradiation, VAS score of the observation group was lower than that of the control group on the 1st, 3rd, 5th and 7th day (P<0.05). At the first, second and third month of subsequent visit, VAS score of the observation group was lower than that of the control group (P<0.05). At the first, third and sixth month after laser irradiation, the PI and GI values of the observation group were lower than those of the control group (P<0.05), while there was no significant difference in GR, PPD and CAL between the two groups (P>0.05).Conclusions Low-level laser treatment can reduce the pain of patients with chronic periodontitis in orthodontic treatment, and also can effectively improve the periodontal health of patients, which is worthy of clinical promotion.
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