光动力辅助再生性手术治疗上颌磨牙颊侧Ⅱ°根分叉病变的随机对照研究

doi:10.13701/j.cnki.kqyxyj.2025.01.007

口腔医学研究 ›› 2025, Vol. 41 ›› Issue (1): 35-39.DOI: 10.13701/j.cnki.kqyxyj.2025.01.007

光动力辅助再生性手术治疗上颌磨牙颊侧Ⅱ°根分叉病变的随机对照研究

闵文君^1,2, 汪涌^1,2,3*, 赵兵³

1.安徽医科大学合肥口腔临床学院安徽合肥 230001;
2.安徽医科大学第五临床医学院安徽合肥 230001;
3.合肥市口腔医院安徽合肥 230001

收稿日期:2024-07-30 出版日期:2025-01-28 发布日期:2025-01-24
通讯作者: * 汪涌,E-mail:yllwywzy@126.com
作者简介:闵文君(1998~ ),女,安徽滁州人,医师,硕士在读,研究方向:牙周病学。
基金资助:
2023年安徽省卫生健康科研项目(编号:AHWJ2023A20391)；合肥市第七周期临床重点专科建设项目(合卫医秘[2023]72号)；2024年合肥市口腔医院院级重点科研项目(编号:Hkq2024zd05)

Randomized Comparative Study on Photodynamic Therapy Assisting Regenerative Surgery in Treatment of Degree Ⅱ Root Furcation Involvement on Buccal Side of Maxillary Molars

MIN Wenjun^1,2, WANG Yong^1,2,3*, ZHAO Bing³

1. Hefei School of Stomatology, Anhui Medical University, Hefei 230001,China;
2. Fifth Clinical College, Anhui Medical University, Hefei 230001,China;
3. Hefei Stomatological Hospital,Hefei 230001,China

Received:2024-07-30 Online:2025-01-28 Published:2025-01-24

摘要/Abstract

摘要： 目的:分析光动力疗法(photodynamic therapy,PDT)辅助再生性手术治疗上颌磨牙颊侧Ⅱ°根分叉病变的临床疗效。方法:将52颗患牙随机分为单纯手术治疗组(对照组)和PDT辅助手术治疗组(试验组),每组26颗,两组患牙再生性手术中均使用海奥口腔修复膜和Bio-Oss骨粉。对比两组患牙术前、术后6个月的牙周垂直和水平探诊深度、附着丧失、出血指数,以及根分叉病变区域垂直骨缺损和水平骨缺损的变化。结果:术后6个月试验组与对照组比较,出血指数变化量无明显差异(P>0.05),其余各项指标的变化量高于对照组(P<0.05)。结论:应用PDT辅助再生性手术治疗上颌磨牙颊侧Ⅱ°根分叉病变,可以提高临床治疗效果。

关键词: 光动力, Ⅱ°根分叉病变, 再生性手术

Abstract: Objective: To analyze the clinical efficacy of photodynamic therapy (PDT) assisted regenerative surgery in the treatment of degree Ⅱ root furcation involvement on the buccal side of maxillary molars. Methods: Fifty-two teeth were randomly divided into simple surgical treatment group (control group) and PDT assisted surgical treatment group (experimental group), with 26 teeth in each group. Both groups were treated with Heal-All oral repair membrane and Bio-Oss bone particles. Changes of periodontal probing depth, horizontal probing depth, clinical attachment loss, bleeding index, and vertical and horizontal bone loss in the root furcation involvement area were compared between two groups before and 6 months after surgery. Results: Six months after operation, except for the bleeding index (P>0.05), the changes of other indexes in the experimental group were higher than thosein the control group (P<0.05). Conclusion: The application of PDT assisted regenerative surgery can improve the clinical treatment effect ofdegree Ⅱ furcation root involvement on the buccal side of maxillary molars.

Key words: photodynamic therapy, degree Ⅱ furcation involvement, regenerative surgery

闵文君, 汪涌, 赵兵. 光动力辅助再生性手术治疗上颌磨牙颊侧Ⅱ°根分叉病变的随机对照研究[J]. 口腔医学研究, 2025, 41(1): 35-39.

MIN Wenjun, WANG Yong, ZHAO Bing. Randomized Comparative Study on Photodynamic Therapy Assisting Regenerative Surgery in Treatment of Degree Ⅱ Root Furcation Involvement on Buccal Side of Maxillary Molars[J]. Journal of Oral Science Research, 2025, 41(1): 35-39.

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光动力辅助再生性手术治疗上颌磨牙颊侧Ⅱ°根分叉病变的随机对照研究

Randomized Comparative Study on Photodynamic Therapy Assisting Regenerative Surgery in Treatment of Degree Ⅱ Root Furcation Involvement on Buccal Side of Maxillary Molars

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