摘要
Abstract
Objective To explore the clinical effect of erbium and oral erbium-neodymium dual wavelength laser therapeutic instrument with minocycline in the treatment of periodontal and endodontic lesions.Methods Eighty patients with periodontal and endodontic lesions treated in our hospital were regarded as the research objects,and they were randomly grouped into the control group(40 cases)and the laser group(40 cases).The patients in the control group were given conventional root canal and minocycline treatment,and the patients in the laser group were given oral erbium-neodymium dual wavelength laser therapeutic instrument on the basis of the control group.The oral indicators[clinical attachment loss(CAL),plaque index(PLI),gingival bleeding index(BI),probing depth(PD)],tooth conditions(periodontitis,percussion pain,loosening),inflammatory factor levels[interleukin-17(IL-17),C-reactive protein(CRP),tumor necrosis factor-α(TNF-α)],clinical efficacy and pain level were compared between the two groups.Results Compared with before treatment,the levels of CAL,PLI,BI,PD and serum IL-17,CRP,TNF-α in both groups were obviously decreased after treatment(P＜0.05),and compared with the control group,the laser group were obviously decreased(P＜0.05);the incidence rates of periodontitis,percussion pain and loosening in the laser group were obviously lower than those in the control group(P＜0.05);compared with the total effective rate of the control group(72.50%),the total effective rate of the laser group(92.50%)was obviously higher(P＜0.05).The visual analogue scale(VAS)scores of the laser group were obviously lower than those of the control group at 3 and 6 weeks after treatment(P＜0.05).Conclusion Oral erbium-neodymium dual wavelength laser therapeutic instrument combined with minocycline in the treatment of periodontal and endodontic lesions can effectively improve the clinical symptoms,relieve pain,and reduce inflammatory response,which is safe and effective.关键词
牙周牙髓联合病变/米诺环素/口腔铒钕双波长激光治疗仪/疼痛程度Key words
periodontal and endodontic lesions/minocycline/oral erbium-neodymium dual wavelength laser therapeutic instrument/pain degree分类
医药卫生
