水激光在牙周病伴发糖尿病患者种植手术中的应用

Application of water laser in implant surgery for the patients with periodontal disease complicated with diabetes

目的研究水激光在牙周病伴发糖尿病患者种植手术中的应用。方法选取已经经过系统牙周治疗及糖尿病治疗的牙周病伴发糖尿病的缺牙患者,牙周情况及血糖控制情况稳定半年以上。根据患者的意愿一部分采用水激光进行种植手术(包括一期及二期手术),一部分采用传统手术刀片进行种植手术(包括一期及二期手术)。分析患者一期术后、二期术后、及修复术后的疼痛及炎症发生情况,进而评估水激光在种植手术中的应用情况。结果实验组的种植一期及二期手术术后炎症发生情况低于对照组(P<0.05),修复后的种植体周围炎的发生率也低于对照组(P<0.05)。结论水激光在牙周病伴发糖尿病患者种植手术中具有积极的作用。

Objective To study the application of water laser in the implant surgery for the patients with periodontaldisease complicated with diabetes. Methods Patients with agomphiasis and periodontal disease complicated with diabetes who had undergone systemic periodontal treatment and diabetes were selected. The periodontal conditions andblood sugar control had been stable for more than half a year. According to patients＇ willingness, some patients weregiven a water laser for implant surgery （including phase Ⅰ and phase Ⅱ surgery）, and others were given traditional surgical blades for implant surgery（including phase Ⅰ and phase Ⅱ surgery）. The incidence of pain and inflammation ofthe patients after phase Ⅰ surgery, phase Ⅱ surgery and repair surgery was analyzed, so as to further evaluate the application of water laser in implant surgery. Results The incidence rate of inflammation in the experimental group afterphase Ⅰ and phase Ⅱ implant surgery was lower than that in the control group（P〈0.05）. The incidence of inflammationaround the implant after repair was also lower than that in the control group（P〈0.05）. Conclusion Water laser has apositive effect in the implant surgery of patients with periodontal disease complicated with diabetes.