用二极管激光引导的Endo-Perio病变协议:朝着一个多阶段的治疗策略-一个案例系列和简短的文献综述
Ioana-Roxana Munteanu1,2, George-Dumitru Constantin3,4, Ruxandra-Elena Luca1,2
1University Clinic of Oral Rehabilitation and Dental Emergencies, Faculty of Dentistry, "Victor Babeș" University of Medicine and Pharmacy, Eftimie Murgu Square No. 2, 300041 Timișoara, Romania.
Medicina (Kaunas, Lithuania)
|December 31, 2025
概括
这项试点研究表明,多阶段二极管激光协议改善了难以治愈的内牙-牙周病变的愈合. 先进的激光治疗减少了炎症,促进了骨的修复,为标准护理提供了有希望的补充.
科学领域:
- 牙内科和牙周病学
- 生物医学工程 生物医学工程
- 激光牙科 激光牙科
背景情况:
- 内牙-牙周病变由于持续存在的微生物生物膜,造成了重大治疗挑战.
- 传统的治疗方法往往失败,需要新的治疗方法.
- 二极管激光器提供抗菌和光生物调节效应,增强消毒和愈合.
研究的目的:
- 评估一个多阶段二极管激光协议,用于耐火性内牙-牙周病变.
- 评估 Endodontic,牙周和光生物调节激光应用的效果.
- 确定该方案是否提高了治疗耐药病例的治愈结果.
主要方法:
- 一个由12名耐火性内分期病变患者组成的前性病例系列.
- 连续的二极管激光应用:内牙消毒 (976 nm),牙周消毒 (976 nm) 和光生物调节 (650 nm).
- 在基线和6个月评估的临床参数 (PD,BOP,移动性) 和放射性骨填充.
主要成果:
- 在6个月内,在所有12例病例中都观察到显著改善.
- 探测深度中位数从7.6毫米降低到6.0毫米;中位数BOP从0.9降低到0.3.
- 部分骨填充 (中位数为58.3%) 通过放射检测发现;报告了低的术后不适.
结论:
- 多阶段二极管激光协议在耐火性内分期病变中显示出有前途的临床和放射性改善.
- 该方案与最小的术后不适有关.
- 需要进一步进行更大规模的受控研究来证实疗效和长期结果.
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