Er,Cr：YSGG激光治疗种植体周炎的临床效果评价

doi:10.12337/zgkqzzxzz.2023.12.005

中国口腔种植学杂志 ›› 2023, Vol. 28 ›› Issue (6): 417-423.DOI: 10.12337/zgkqzzxzz.2023.12.005

Er,Cr：YSGG激光治疗种植体周炎的临床效果评价

孙菲^1,2, 王翠¹, 胡文杰¹

¹北京大学口腔医学院•口腔医院牙周科国家口腔医学中心国家口腔疾病临床医学研究中心口腔数字化医疗技术和材料国家工程实验室国家卫生健康委员会口腔医学计算机应用工程技术研究中心,北京 100081;
²首都医科大学附属北京世纪坛医院口腔科,北京 100089

收稿日期:2023-11-21 出版日期:2023-12-30 发布日期:2024-01-04
通讯作者: 胡文杰,Email：huwenjie@pkuss.bjmu.edu.cn,电话：010-62173402
作者简介:孙菲, 博士研究生,研究方向：种植体周病相关研究; 胡文杰, 教授、主任医师、博士生导师、北京大学口腔医院副院长,研究方向：牙周病学及口腔种植学临床、教学及基础研究

Evaluation of the clinical effects of Er, Cr: YSGG laser in the treatment of peri-implantitis

Sun Fei^1,2, Wang Cui¹, Hu Wenjie¹

¹Department of Periodontology, Peking University School of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital Medical Technology and Material Technology of Stomatology & NHC Research Center of Engineering and Technology for Computerized Dentistry, Beijing 100081, China;
²Department of Stomatology, Beijing Shijitan Hospital, Capital Medical University, Beijing 100089, China

Received:2023-11-21 Online:2023-12-30 Published:2024-01-04
Contact: Hu Wenjie, Email: huwenjie@pkuss.bjmu.edu.cn, Tel:0086-10-62173402

摘要/Abstract

摘要： 目的评价应用Er, Cr: YSGG激光与黏膜下刮治治疗早期种植体周炎的短期临床疗效差异。方法 28位早期种植体周炎患者随机分为试验组和对照组,试验组（14人/14颗种植体）使用Er, Cr: YSGG激光进行治疗,对照组（14人/14颗种植体）采用钛刮治器行手工刮治,并用氯己定冲洗进行治疗。分别记录治疗前、治疗后2个月和3个月种植体周的改良菌斑指数（mPI）、探诊深度（PD）、出血指数（BI）,对比两种治疗方案治疗前后临床指标的差异及治疗后的成功率。结果试验组和对照组治疗后2个月、3个月两组种植体及种植体周的mPI、PD、BI与基线水平相比均明显下降,差异具有统计学意义（P<0.05）。试验组BI较对照组在治疗后2个月[试验组（1.67±0.45）,对照组（2.40±0.55）（P=0.001）]和3个月[试验组（1.07±0.38）,对照组（2.09±0.83）（P<0.001）]更低,差异具有统计学意义。两组在患者水平治疗成功率分别为28.6%和7.1%（P=0.037）,在位点水平的治疗成功率分别为70.2%和48.8%（P=0.012）,差异有统计学意义。结论 Er, Cr: YSGG激光治疗早期种植体周炎较手工刮治可以更好地缓解种植体周软组织的炎症,可作为早期种植体周炎治疗的替代方案。

关键词: 种植体周炎, 非手术治疗, 铒,铬：钇钪镓石榴石激光

Abstract: Objective To evaluate changes in clinical parameters using Er, Cr: YSGG laser compared to submucosal debridement for the non-surgical treatment of early peri-implantitis. Methods Twenty-eight patients and 28 implants with early peri-implantitis were recruited. The patients were randomly divided into a test group and a control group. The test group (14 subjects/14 implants) was treated with Er, Cr: YSGG laser, and the control group (14 subjects/14 implants) received mechanical submucosal debridement using a titanium curettage and chlorhexidine irrigation. Clinical parameters, such as modified plaque index (mPI), peri-implant pocket probing depth (PD), and bleeding index (BI), were measured at baseline, 2 months, and 3 months after treatment. Differences in clinical parameters before and after treatment were compared. Results The mPI, PD and BI of both the test group and control group significantly reduced at 2 and 3 months after non-surgical intervention (P<0.05). Compared to the control group, the test group significantly achieved a reduction in BI value at 2 and 3 months after treatment (1.67 ± 0.45 vs. 2.40 ± 0.55, P=0.001; 1.07 ± 0.38 vs. 2.09 ± 0.83, P<0.001). Both the control and test group exhibited comparable mPI and PD reductions (P>0.05). The treatment success rates were 28.6% and 7.1% at the patient level (P=0.037) and 70.2% and 48.8% at the site level (P=0.012), respectively. Conclusion Er, Cr: YSGG laser for the treatment of early peri-implantitis may be used as an alternative to hand instrumentation to reduce soft tissue inflammation.

Key words: Peri-implantitis, Non-surgical treatment, Erbium.chromium:yttrium scandium gallium garnet laser

孙菲,等王翠,等胡文杰. Er,Cr：YSGG激光治疗种植体周炎的临床效果评价[J]. 中国口腔种植学杂志, 2023, 28(6): 417-423. DOI: 10.12337/zgkqzzxzz.2023.12.005

Sun Fei, Wang Cui, Hu Wenjie. Evaluation of the clinical effects of Er, Cr: YSGG laser in the treatment of peri-implantitis[J].Chinese Journal of Oral Implantology, 2023, 28(6): 417-423.DOI: 10.12337/zgkqzzxzz.2023.12.005.

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Er,Cr：YSGG激光治疗种植体周炎的临床效果评价

Evaluation of the clinical effects of Er, Cr: YSGG laser in the treatment of peri-implantitis

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