氯己定联合Er:YAG激光、Nd:YAG激光在牙体牙髓病患者根管治疗中的应用价值分析OA
Analysis on the Clinical Value of Chlorhexidine Combined with Er:YAG Laser and Nd:YAG Laser in the Root Canal Treatment of Patients with Diseases of Dental Hard Tissues and Pulp
目的 探讨氯己定联合Er:YAG激光、Nd:YAG激光应用于牙体牙髓病患者根管治疗中的临床效果,为优化牙体牙髓病治疗方案提供参考依据.方法 104 例牙体牙髓病患者随机分为两组.对照组接受氯己定根管冲洗联合Er:YAG激光治疗,观察组采用氯己定根管冲洗联合Er:YAG激光、Nd:YAG激光治疗.对比两组症状评分、牙周状况及炎性因子水平.结果 治疗后,观察组各项症状评分、PD、GI、SBI、PLI及IL-1β、IL-6、TNF-α 水平均低于对照组(P＜0.05).结论 氯己定联合Er:YAG激光、Nd:YAG激光治疗牙体牙髓病患者可有效缓解其临床症状,改善其牙周状况,降低其炎性因子水平,临床价值显著.
Objective To investigate the clinical effect of chlorhexidine combined with Er:YAG laser and Nd:YAG laser in the endodontic treatment of patients with diseases of dental hard tissues and pulp,providing reference for optimising treatment protocols.Methods 104 patients with diseases of dental hard tissues and pulp were randomly divided into two groups.The control group was treated with chlorhexidine root canal irrigation combined with Er:YAG laser,while the observation group was treated with chlorhexidine root canal irrigation combined with Er:YAG laser and Nd:YAG laser.The symptom scores,periodontal status,and inflammatory factor levels were compared between the two groups.Results After treatment,the symptom scores,PD,GI,SBI,PLI,and the levels of IL-1β,IL-6 and TNF-α in the observation group were all lower than those in the control group(P<0.05).Conclusions Chlorhexidine combined with Er:YAG laser and Nd:YAG laser in the root canal treatment of patients with diseases of dental hard tissues and pulp can effectively alleviate the clinical symptoms,improve the periodontal status,and reduce the inflammatory factor levels,with significant clinical value.
李云菊;董淑霞
嘉峪关市第一人民医院 口腔科,甘肃 嘉峪关 735100嘉峪关市第一人民医院 口腔科,甘肃 嘉峪关 735100
医药卫生
氯己定Er:YAG激光Nd:YAG激光牙体牙髓病根管治疗
ChlorhexidineEr:YAG laserNd:YAG laserDiseases of dental hard tissues and pulpRoot canal treatment
《临床医学工程》 2026 (2)
179-182,4
嘉峪关市科技计划项目(项目编号:24-41)
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