摘要
目的:分析脉冲Nd:YAG激光辅助治疗妊娠期智齿冠周炎的短期疗效及对孕妇牙科焦虑症(DA)的影响,旨在为妊娠期智齿冠周炎提供新的疗法。方法:收集2017年9月~2019年5月就诊于齿槽外科的轻度妊娠期智齿冠周炎患者共68例,按就诊顺序随机分为两组(n=34),治疗周期为1周,非激光组组给予常规冠周冲洗术,激光组给予常规冠周冲洗术联合脉冲Nd:YAG激光辅助治疗。比较两组治疗过程中疼痛程度(NRS)、张口度、牙龈指数(GI)、出血指数(BI)、MDAS评分、总有效率、复发率及妊娠结局。结果:治疗第2~5天激光组张口度、NRS、GI、BI较非激光组均有所改善(P<0.05),第1、7天两组相比差异无统计学意义(P>0.05)。治疗第1次时激光组DA人数较非激光组减少(P<0.01)。1周后激光组总有效率大于非激光组(P<0.05)。6个月后激光组复发率小于非激光组(P<0.05)。68例患者均未见不良妊娠结局。结论:脉冲Nd:YAG激光辅助治疗轻度妊娠期智齿冠周炎短期疗效显著、安全,且能够缓解孕妇牙科焦虑症,值得参考。
Objective:To analyze the short-term efficacy of pulsed Nd:YAG laser-assisted treatment on pericoronitis during pregnancy and its effect on dental anxiety in pregnant women.Methods:68 patients with mild pregnancy-associated pericoronitis during the alveolar surgery from September 2017 to May 2019 were collected and randomly divided into two groups(n=34)according to the order of treatment.The treatment period was one week.The non-laser group was given conventional pericoronal irrigation and the laser group was given adjuvant therapy with pulsed Nd:YAG laser.The pain degree(NRS),mouth opening,gingival index(GI),bleeding index(BI),MDAS score,total effective rate,recurrence rate,and pregnancy outcome were compared between two groups.Results:The mouth opening degree,NRS,GI,and BI of the laser group were improved compared with the control group on the 2nd-5th days(P<0.05),however,no difference on the 1st and 7th days(P>0.05).The number of DA in the laser group was lower than that in the non-laser group on the first time of treatment(P<0.01).After 1 week,the total effective rate of the laser group was greater than that of the non-laser group(P<0.05).After 6 months,the recurrence rate in the laser group was lower than that in the non-laser group(P<0.05).None of the 68 patients had adverse pregnancy outcome.Conclusion:Pulsed Nd:YAG laser-assisted treatment has significant short-term efficacy on mild pregnancy-associated pericoronitis.It is safety and can alleviate dental anxiety in pregnant women.
作者
贡天远
沈亚峰
张超杰
热依沙·阿布都克依木
徐江
GONG Tianyuan;SHEN Yafeng;ZHANG Chaojie;Reisha·Abdukim;XU Jiang(Department of Stomatology, the First Affiliated Hospital of Shihezi University Medical College, Shihezi 832000, China;Department of Maxillofacial Surgery, the First Affiliated Hospital of Xinjiang Medical University, Urumqi 830001, China.)
出处
《口腔医学研究》
CAS
北大核心
2020年第10期942-947,共6页
Journal of Oral Science Research
基金
国家自然科学基金地区科学基金项目(编号:81560442)。
关键词
脉冲钕激光
妊娠期女性
智齿冠周炎
牙科焦虑症
临床疗效
pulsed Nd:YAG laser
pregnant women
pericoronitis of wisdom teeth
dental anxiety
clinical effect
