Lasers Med Sci:Nd:YAG和Er:YAG激光在非手术牙周治疗中的联合使用效果

2022-09-06 MedSci原创 MedSci原创

激光作为非手术牙周治疗中的一种附加治疗手段,越来越多地被用于管理牙周病。然而,目前,将Nd:YAG/Er:YAG联合用于非手术牙周治疗的潜在优势仍不清楚。

激光作为非手术牙周治疗中的一种附加治疗手段,越来越多地被用于管理牙周病。然而,目前,将Nd:YAG/Er:YAG联合用于非手术牙周治疗的潜在优势仍不清楚。近日,发表于Lasers Med Sci的一项系统综述旨在研究Nd:YAG和Er:YAG激光疗法在治疗严重牙周炎中的联合使用效果。

研究人员系统检索了PubMed/Medline、Cochrane Library、Google Scholar和Grey Literature数据库,并进行人工检索,纳入2021年11月1日之前收录的相关文章,对文献进行系统回顾。

 

最终,研究只纳入了在非手术治疗牙周袋的过程中联合激光治疗牙周袋≥6mm的研究。荟萃分析的纳入标准包括随机对照试验(RCTs),比较在非手术治疗牙周炎时辅助/不辅助使用激光治疗。

 

结果,在最初检索到的57篇文章中,6篇全文被评估为合格。两项研究被排除,一项研究不是随机临床试验(病例系列),一项研究是体外研究。最终四项RCTs被纳入荟萃分析。分析结果表明,联合Nd:YAG和Er:YAG的治疗可能有利于非手术牙周治疗的效果,与对照组相比,联合治疗组牙周袋深度和临床附着水平分别平均减少1.01毫米和0.77毫米。

综上所述,该研究结果表明,与单独的非手术治疗相比,Nd:YAG和Er:YAG激光联合治疗可能带来额外的临床改善。未来的研究需要证实这些发现并优化临床指南,包括更具体的激光治疗方案。初步数据表明,Nd:YAG和Er:YAG激光联合辅助非手术牙周治疗后,会有良好的治疗效果。

 

原始出处:

 

Nathan E Estrin, et al., Combination of Nd:YAG and Er:YAG lasers in non-surgical periodontal therapy: a systematic review of randomized clinical studies. Lasers Med Sci. 2022 Aug;37(6):2737-2743. doi: 10.1007/s10103-022-03548-6.  

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    2022-09-27 anminleiryan
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    2022-09-07 oliver169
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