三种不同类型激光与常规手术刀行修复前前庭成形术的比较
Preprosthetic vestibuloplasty performed by three different types of lasers versus conventional scalpel.
文献信息
| PMID | 42761070 |
|---|---|
| 原文 | 在 PubMed 查看原文 ↗ |
| 发表日期 | 2026 |
| 作者 | Diana Florina Nica |
| 作者单位 | Research Center of Dento-Alveolar Surgery, Anesthesia and Sedation in Dental Medicine, Department I of Anaesthesiology and Oral Surgery, Faculty of Dental Medicine, "Victor Babes" University of Medicine and Pharmacy of Timisoara, Timisoara, Romania. |
| 期刊 | Frontiers in oral health |
| SCI 分区 | Q1 |
| IF | 4.2 |
| 研究类型 | 临床研究 · 临床 |
| 所属专科 | 鼻科 |
中文摘要
背景与目的： 无牙颌上颌全口义齿的稳定需要一定的牙槽嵴高度。萎缩性上颌骨前庭沟深度不足可导致全口义齿患者严重功能损害，影响其生活质量并波及全身健康。修复前前庭沟重建可采用常规手术或激光以获得适当深度。本研究旨在比较常规方法与现代激光方法所获得的临床结果，并记录术后并发症。
材料与方法： 本临床研究选取36例患者，分为3个等组，上颌右侧采用常规手术行前庭成形术，左侧采用激光。前者作为对照组。后者使用3种激光：第1组采用钕：钇铝石榴石（Nd:YAG）激光行前庭成形术，第2组采用二极管激光，第3组患者采用掺铒钇铝石榴石（Er:YAG）激光治疗。在早期愈合期记录水肿、疼痛和出血等术后并发症。
结果： 术后6周测量每位患者的前庭沟延长量。术后即刻，常规手术部位获得的前庭沟加深程度高于激光治疗部位。在愈合过程结束时，常规手术刀组伤口收缩显著高于激光组。愈合过程在不同类型激光之间无显著差异。另一方面，手术刀组术后并发症高于所有激光组。
结论： 这些结果提示，对于修复前前庭成形术，激光治疗优于常规治疗。注册信息：ClinicalTrials.gov，TRN：NCT07462117，注册日期：2018年4月30日。
英文摘要
BACKGROUND AND OBJECTIVES: A stable maxillary total prosthesis in an edentulous jaw requires a definite amount of ridge height. Deficient vestibular depth in an atrophic maxilla can cause severe functional impairment for patients with total prosthesis. This affects their quality of life, with impact on their general health. Preprosthetic vestibule remodeling could be carried out using conventional surgery or lasers to obtain an appropriate depth. The aim of our study was to compare the clinical results obtained through the conventional approach versus the modern laser method, recording postoperative complications.
MATERIALS AND METHODS: Thirty-six patients were selected for this clinical study, were divided in 3 equal groups, and the vestibuloplasty was performed by conventional surgery on the right side and by laser for the left side of the maxilla. The former served as a Control group. For the latter we utilized 3 types of lasers: for Group 1, the vestibuloplasty was performed with a neodymium:yttrium-aluminum-garnet (Nd:YAG) laser, for Group 2 we utilized a diode laser, and for Group 3 the patients were treated using an erbium-doped yttrium aluminum garnet (Er:YAG) laser. Postoperative complications such as edema, pain, and hemorrhage were recorded during the early healing time.
RESULTS: Six weeks after the surgery the vestibule lengthening was measured for each patient. A higher vestibular deepening was obtained for the conventional surgery compared to that of laser-treated sites immediately after the procedure. At the end of the healing process, wound shrinkage was significantly higher in conventional scalpel procedure compared to the laser groups. There were no significant differences in the healing process related to the type of laser. On the other hand, complications after the surgery were higher in the scalpel group compared to all the laser groups.
CONCLUSION: These results suggest that laser-based treatments are superior compared to conventional ones for preprosthetic vestibuloplasty. Registry: ClinicalTrials.gov, TRN: NCT07462117, Registration date: 30 April 2018.