实用老年医学 ›› 2024, Vol. 38 ›› Issue (12): 1234-1237.doi: 10.3969/j.issn.1003-9198.2024.12.010

• 临床研究 • 上一篇    下一篇

半导体激光辅助治疗老年牙周炎合并2型糖尿病病人的疗效分析

徐家丽, 张敏, 马春益, 李乔, 周艳, 梅幼敏   

  1. 226000 江苏省南通市,南通大学附属南通口腔医院(南通市口腔医院)牙周病科
  • 收稿日期:2024-04-01 出版日期:2024-12-20 发布日期:2024-12-19
  • 通讯作者: 梅幼敏,Email:youmin85vip@163.com
  • 基金资助:
    江苏省预防医学科研课题指导性项目(Yl2023021);南通市卫生健康委员会科研课题-青年课题(QN2023051);南通市社会民生科技计划项目(MS2023005);南通市社会民生科技计划指导性项目(MSZ2023224);南通市科学技术局科研基金项目(JC12022069)

Effect of assisted treatment of semiconductor laser for periodontal basic therapy in elderly patients with periodontitis complicated with type 2 diabetes mellitus

XU Jiali, ZHANG Min, MA Chunyi, LI Qiao, ZHOU Yan, MEI Youmin   

  1. Department of Periodontology, Affiliated Nantong Stomatological Hospital of Nantong University (Nantong Stomatological Hospital), Nantong 226000, China
  • Received:2024-04-01 Online:2024-12-20 Published:2024-12-19
  • Contact: MEI Youmin, Email: youmin85vip@163.com

摘要: 目的 评估半导体激光辅助老年牙周炎合并T2DM病人牙周基础治疗的效果。方法 选取32例伴有T2DM的老年慢性牙周炎病人,随机分为观察组和对照组。观察组采用半导体激光辅助牙周基础治疗,对照组仅进行牙周基础治疗。比较2组治疗前,治疗后6周、3个月和6个月的牙周指数,包括探诊深度(probing depth,PD)、出血指数(bleeding index,BI)、临床附着丧失(clinical attachment loss,CAL)、牙松动度(tooth mobility,TM)的差异,以及治疗后即刻及治疗后第1天的疼痛程度。结果 2组病人治疗后6周、3个月以及6个月的PD、BI指数均较治疗前显著改善(P<0.05),且观察组改善更为明显(P<0.05)。观察组治疗后即刻及治疗后第1天疼痛程度较对照组更低,差异有统计学意义(P<0.05)。结论 老年慢性牙周炎合并T2DM病人采用半导体激光辅助牙周基础治疗牙周炎有助于提升临床疗效及治疗舒适感,值得推广使用。

关键词: 半导体激光, 慢性牙周炎, 2型糖尿病, 老年人

Abstract: Objective To evaluate the effect of semiconductor laser combined with periodontal basic treatment in the elderly patients with periodontitis complicated with type 2 diabetes mellitus(T2DM). Methods A total of 32 elderly patients with chronic periodontitis complicated with T2DM were randomly divided into the observation group and the control group. The observation group received semiconductor laser treatment combined with periodontal basic treatment, while the control group received periodontal basic treatment only. Probing depth (PD), bleeding index (BI),clinical attachment loss (CAL) and tooth mobility(TM) were recorded and compared between the two groups before treatment, 6 weeks, 3 months and 6 months after treatment. And the scores of pain visual analogue scales(VAS)immediately after treatment and on the first day after treatment were also assessed and compared. Results The levels of PD and BI in the two groups 6 weeks, 3 months and 6 months after treatment were significantly improved compared with those before treatment (P<0.05), especially in the observation group (P<0.05). The pain degree in the observation group was lower than that in the control group immediately after treatment and on the first day after treatment(P<0.05). Conclusions The application of semiconductor laser combined with periodontal basic treatment in the elderly patients with chronic periodontitis complicated with T2DM is helpful to improve the clinical efficacy, and is worthy of clinical application.

Key words: semiconductor laser, chronic periodontitis, type 2 diabetes mellitus, aged

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