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Five-year comparative study on conventional and laser-assisted therapy of periimplantitis and periodontitis

机译:传统和激光辅助治疗种植体周围炎和牙周炎的五年比较研究

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Abstract: Numerous groups have recommended the use of the diode laser to decontaminate infected root and implant surfaces. The aim of this study was to show the outcome after laser assisted and conventional therapy of periimplantitis and periodontitis administering approved treatment protocols. Between 1994 and 1999 a total of 50 patients with periimplantitis (20) and periodontitis (30) were treated in two groups each. Clinical, microbiological and radiographic evaluation was performed before and 6, 12, 24, 36, 48 and 60 months after treatment. In addition to the conventional treatment protocol, flap surgery, the tooth or implant surface was decontaminated with a 810 nm diode laser using 1 Watt output for 20 sec (CW mode). All accessible surfaces were decontaminated at the follow up dates. In the periimplantitis group recurrence of the marker bacteria was higher and faster over time for the conventionally operated patients. Also the clinical and radiographic reevaluation showed significantly better results. The laser group of the periodontitis patients also showed significantly better outcome in terms of clinical evaluation, microbiological counts, radiographic evaluation and tooth loss. In comparison to other long term studies our results for the conventional therapy were adequate, the laser assisted therapy brought up significantly better and reproducible results. !40
机译:摘要:许多研究小组建议使用二极管激光器对感染的牙根和植入物表面进行消毒。这项研究的目的是显示经激光批准的植入物和牙周炎的激光辅助治疗和常规治疗后,采用已批准的治疗方案进行治疗的结果。在1994年至1999年之间,共对50例植入物周围炎(20)和牙周炎(30)进行了两组治疗。在治疗前和治疗后6、12、24、36、48和60个月进行了临床,微生物学和影像学评估。除了常规的治疗方案,皮瓣手术以外,还使用810 nm二极管激光器(使用1瓦输出功率,持续20 sec)对牙齿或种植体表面进行净化(20秒钟)。在随访日期对所有可及的表面进行了净化处理。在植入物周围炎组中,常规手术患者随着时间的推移,标记细菌的复发率更高且更快。临床和影像学重新评估也显示出明显更好的结果。在临床评估,微生物计数,影像学评估和牙齿脱落方面,激光牙周炎患者组也显示出明显更好的结局。与其他长期研究相比,我们对常规疗法的结果是足够的,激光辅助疗法的效果明显更好且可重复。 !40

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