Photodiagnosis Photodyn Ther:基于吲哚菁绿的抗菌光动力疗法治疗慢性牙周炎的效果

2020-04-19 MedSci原创 MedSci原创

本研究旨在评估基于吲哚菁绿(ICG)的抗菌光动力疗法(aPDT)在慢性牙周炎非手术治疗中的作用。

本研究旨在评估基于吲哚菁绿(ICG)的抗菌光动力疗法(aPDT)在慢性牙周炎非手术治疗中的作用。

 

研究纳入20例患者,进行刮治和根部平整治疗(对照组)。使用分口设计,两个象限使用额外的基于ICG的(periogreen®0.1 mg/mlaPDT,带有二极管激光器在808 nm2 kHz时为100 mW)(测试组)。基线,以及在治疗后两个星期、三个月和六个月时评估探诊出血(BOP),龈沟液流速(SFFR)和微生物分析。此外,研究还分析了相对附着水平(RAL),探诊深度(PD)和牙龈退缩(GR)。

 

结果显示,基线时,测试组和对照组之间所有评估参数没有明显的差异。治疗三个月后,两组中BOPRALPD的平均值均显著降低(p0.05),两组之间无明显差异。治疗后两周,SFFR在测试组(aPDT)中显示出明显较低的平均值。

 

综上所述,该研究结果表明,对照组和aPDT组之间唯一的明显差异是在第一次随访中后者的SFFR短暂减少。尽管没有发生不良反应,但不能最终支持基于ICGaPDT。必须阐明ICG的确切作用方式,并且需要进一步的临床试验。

 

原始出处:

 

Greta HillClaudia Dehn, et al., Indocyanine Green-Based Adjunctive Antimicrobial Photodynamic Therapy for Treating Chronic Periodontitis: A Randomized Clinical Trial. Photodiagnosis Photodyn Ther. 2019 Jun;26:29-35. doi: 10.1016/j.pdpdt.2019.02.019. Epub 2019 Feb 23.

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ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1451232, encodeId=1eb11451232a6, content=<a href='/topic/show?id=f0476e49582' target=_blank style='color:#2F92EE;'>#牙周#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=36, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=67495, encryptionId=f0476e49582, topicName=牙周)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=4c37265, createdName=医者仁心, createdTime=Tue Apr 21 10:19:07 CST 2020, time=2020-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1546328, encodeId=7f9f154632862, content=<a href='/topic/show?id=0da528e33ce' target=_blank style='color:#2F92EE;'>#光动力#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=46, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=28733, encryptionId=0da528e33ce, topicName=光动力)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=2b6213920685, createdName=luckyshitiancai_42705688, createdTime=Tue Apr 21 10:19:07 CST 2020, time=2020-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1047044, encodeId=d67c104e04408, content=疗效只是效果的众多方面之一,还要看对患者的获益,包括生活质量等因素共同决定效果的, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=CHANGE, createdTime=Sun Apr 19 22:19:07 CST 2020, time=2020-04-19, status=1, ipAttribution=)]
    2020-06-10 liuxiaona
  5. 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createdBy=2b6213920685, createdName=luckyshitiancai_42705688, createdTime=Tue Apr 21 10:19:07 CST 2020, time=2020-04-21, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1047044, encodeId=d67c104e04408, content=疗效只是效果的众多方面之一,还要看对患者的获益,包括生活质量等因素共同决定效果的, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=CHANGE, createdTime=Sun Apr 19 22:19:07 CST 2020, time=2020-04-19, status=1, ipAttribution=)]
  6. 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  7. 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    2020-04-19 CHANGE

    疗效只是效果的众多方面之一,还要看对患者的获益,包括生活质量等因素共同决定效果的

    0

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本文旨在根据疾病的严重程度,评估慢性牙周炎(CP)患者多形核白细胞(PMNs)氧化应激参数与PMN-内皮细胞相互作用之间的关系。

J Periodontal Res: 局部注射二甲双胍在慢性牙周炎治疗中的应用

本研究旨在评估二甲双胍作为刮治和根面平整(SRP)辅助治疗慢性牙周炎的疗效。在数据库(MEDLINE,EMBASE,Cochrane中央登记册对照试验和Cochrane口腔健康组试验登记数据库)中进行电子检索。采用随机临床试验的数据比较了二甲双胍辅助用于SRP和安慰剂组包括至少6个月的随访期。主要结果包括临床附着水平,而次要结果是骨缺损(BD)填充和探诊深度减少。使用随机效应模型计算每个变量的结果

J Periodontol: 颗粒体蛋白前体在慢性牙周炎患者中的高表达及对大鼠实验性牙周炎的保护作用

自分泌生长因子颗粒体蛋白前体(PGRN)在生理和病理过程中起着至关重要的作用。然而,其在慢性牙周炎(CP)中的功能仍不清楚。

J Contemp Dent Pract:姜黄素可作为慢性牙周炎的辅助治疗手段

本研究旨在评价姜黄素凝胶作为洁治和根面平整后局部给药的疗效及其对牙菌斑、牙龈评分、探诊深度和临床附着水平(CAL)等临床参数的影响。

J Periodontol:全口消毒对严重慢性牙周炎龈沟液中相关蛋白表达水平的影响

这篇研究的目的是为了比较和评估全口消毒(FMD)和全口超声洁治(FMUD)对严重慢性牙周炎常规象限法龈下刮治及根面平整(Q-SRP)的临床、微生物以及生物化学指标的影响。

Int J Periodontics Restorative Dent:低位激光治疗和光动力治疗在慢性牙周炎患者机械治疗中辅助使用的疗效

本分口随机对照临床试验旨在评估低位激光治疗(LLLT)和光动力治疗(PDT)在治疗慢性牙周炎的疗效。