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首页> 外文期刊>Photodiagnosis and Photodynamic Therapy >Effectiveness of scaling and root planning with and without adjunct antimicrobial photodynamic therapy in the treatment of chronic periodontitis among cigarette-smokers and never-smokers: A randomized controlled clinical trial
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Effectiveness of scaling and root planning with and without adjunct antimicrobial photodynamic therapy in the treatment of chronic periodontitis among cigarette-smokers and never-smokers: A randomized controlled clinical trial

机译：在有烟者和从没烟者中，伴有和不伴有抗微生物光动力疗法的结垢和牙根计划治疗慢性牙周炎的有效性：一项随机对照临床试验

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Objective: The aim of the present short-term randomized clinical trial was to assess the efficacy of scaling and root planing (SRP) with and without adjunct antimicrobial photodynamic therapy (aPDT) in the treatment of chronic periodontitis (CP) among cigarette-smokers and never-smokers.Materials and methods: Demographic information was collected using a questionnaire. Cigarette-smokers (group-1) and never-smokers (group-2) with CP were included. Treatment wise, these individuals were divided into two subgroups as follows: (a) SRP alone and (b) SRP with adjunct aPDT. Periodontal parameters (plaque index [PI], bleeding on probing [BOP], clinical attachment loss [AL] and probing pocket depth = 4 mm [PD] were measured at baseline and at 1 month and 3 months' follow-up. Group comparisons were done using the Kruskall-Wallis test.Results: Eighty-three male patients with CP (Group-1: 42 cigarette-smokers and; Group-2: 41 never-smokers) were included. In group-1, individuals that received SRP alone and SRP with adjunct aPDT had a mean history of cigarette smoking of 11.7 +/- 0.3 and 12.5 +/- 0.4 pack years. At baseline, PI, BOP, PD and clinical AL were comparable among all individuals in groups 1 and 2. At 1 month and 3 months' follow-up, PI (P 0.05), PD (P 0.05) and clinical AL (P 0.05) were higher among all individuals in group-1 compared with group-2. In Group-2, PI, BOP, PD and clinical AL were comparable among all individuals at 1 month and 3 months' followup.Conclusion: Outcomes of SRP with or without aPDT for the treatment of CP are compromised in cigarette-smokers. Among never-smokers with CP, outcomes of SRP with or without aPDT are comparable. The significance of aPDT in this regard remains questionable.
机译：目的：本项短期随机临床试验的目的是评估在不吸烟和不吸烟的情况下，采用结扎和根治术（SRP）联合使用和不联合使用抗微生物光动力疗法（aPDT）的疗效。材料和方法：使用问卷调查收集人口统计信息。包括CP的吸烟者（第1组）和从不吸烟者（第2组）。在治疗上，将这些个体分为以下两个亚组：（a）单独的SRP和（b）伴有aPDT的SRP。在基线，随访1个月和3个月时测量牙周参数（斑块指数[PI]，探查出血[BOP]，临床附着力丧失[AL]和探查口袋深度> = 4 mm [PD]）。结果：83例男性CP患者（第1组：42名吸烟者；第2组：41名从未吸烟者）被纳入第1组，接受治疗的个体单独使用SRP和使用辅助aPDT的SRP的平均吸烟史为11.7 +/- 0.3和12.5 +/- 0.4包年，在基线时，第1组和第2组中所有个体的PI，BOP，PD和临床AL均具有可比性。在第1个月和第3个月的随访中，第1组的所有患者的PI（P <0.05），PD（P <0.05）和临床AL（P <0.05）高于第2组。 -2，PI，BOP，PD和临床AL在随访1个月和3个月时在所有个体中均具有可比性。结论：SPD伴或不伴aPDT的CP治疗结局均不佳。吸烟者。在从未吸烟的CP患者中，有或没有aPDT的SRP的结果都是可比的。在这方面，APDT的重要性仍然值得怀疑。

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