Armaghane Danesh
ارمغان دانش
armaghanj
Medical Sciences
http://armaghanj.yums.ac.ir
1
admin
1728-6506
1728-6514
10.61882/armaghanj
en
jalali
1401
8
1
gregorian
2022
11
1
27
6
online
1
fulltext
fa
تأثیر درمان با لیزر کم توان بر عوارض پس از جراحی افزایش طول تاج
Effect of Low Power Laser Treatment on Complications after Crown Lengthening Surgery
دندانپزشکی
Dentistry
پژوهشي
Research
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Calibri","sans-serif""><b><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">زمینه و هدف:</span></span></span></b><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"> ایجاد و استمرار زخم حاصل از جراحی میتواند عوارض گوناگونی از جمله درد، تورم، التهاب، عفونت، اختلال عملکرد، تأخیر در پروسه درمانی و عدم زیبایی به همراه داشته باشد. لذا هدف از این مطالعه تعیین و </span></span></span><span lang="AR-IQ" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">بررسی تأثیر درمان با لیزر کم توان بر عوارض پس از جراحی افزایش طول تاج بود</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">.</span></span></span><span dir="LTR" style="font-size:7.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black"></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Calibri","sans-serif""><b><span lang="AR-IQ" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"></span></span></span></b></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Calibri","sans-serif""><b><span lang="AR-IQ" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">روش بررسی:</span></span></span></b> <span lang="AR-IQ" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">این یک مطالعه کارآزمایی بالینی دوسوکور میباشد که در سال 1400_1399 بر روی 12 نفر از افراد نیازمند جراحی افزایش طول تاج در دو دندان پرمولر </span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">در دو سمت فک انجام شد.</span></span></span><span lang="AR-IQ" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"> بلافاصله پس از جراحی، همچنین در روز اول و سوم پس از جراحی هر داوطلب به صورت تصادفی در یک سمت</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"> فک تابش لیزر دریافت کرد. در سمت دیگر</span></span></span> <span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">علیرغم قرارگیری دستگاه در دهان تابشی انجام نشد. ادم بافتی و رنگ بافتی در روزهای اول، سوم و هفتم پس از جراحی بررسی شدند. ارزیابی </span></span></span><span lang="AR-IQ" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">شدت درد نیز 24، 48 و 72 ساعت پس از جراحی </span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">انجام شد. دادهها با استفاده از آزمونهای کندال، فریدمن و </span></span></span><span lang="FA" style="font-size:9.0pt"><span style="font-family:Yagut"><span style="color:black">منویتنی</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"> تجزیه و تحلیل شدند.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Calibri","sans-serif""><b><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black"></span></span></span></b></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Calibri","sans-serif""><b><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">یافتهها: </span></span></span></b><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">بهبود ادم بافتی در گروه تابش یافته درمقایسه با گروه تابش نیافته طی هفته اول قابل ملاحظه بود(001/0=</span></span></span><span dir="LTR" style="font-size:7.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black">p</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">)، اما بهبود رنگ بافتی تفاوت قابل ملاحظهای در بین دو گروه نشان نمیداد(57/0=</span></span></span><span dir="LTR" style="font-size:7.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black">p</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">). تفاوت شدت درد نیز 24، 48 و 72 ساعت پس از جراحی در بین گروهها قابل ملاحظه نبود(707/0و812/0 و974/0=</span></span></span><span dir="LTR" style="font-size:7.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black">p</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">) و بهبود شدت درد طی روزهای متوالی نیز در گروه تابش یافته معنیدار نبود(164/0=</span></span></span><span dir="LTR" style="font-size:7.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black">p</span></span></span><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">).</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Calibri","sans-serif""><span dir="LTR" style="font-size:7.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black"></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Calibri","sans-serif""><b><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">نتیجهگیری: </span></span></span></b><span lang="FA" style="font-size:10.0pt"><span style="font-family:Yagut"><span style="color:black">در مطالعه حاضر لیزر کم توان تأثیر قابل ملاحظهای بر بهبود رنگ بافتی و کاهش درد پس از جراحی افزایش طول تاج در گروه مورد مقایسه با گروه شاهد نشان نمیداد، اما در بهبود ادم بافتی پس از جراحی مؤثر بود.</span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:"Calibri","sans-serif""><span dir="LTR" style="font-size:7.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black"></span></span></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:"Calibri","sans-serif""><b><span style="font-size:12.0pt"><span style="font-family:"Times New Roman","serif""><span style="color:black">Abstract:</span></span></span></b></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:"Calibri","sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black">Background & aim: </span></span></span></b><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black">The creation and continuation of a wound resulting from surgery can cause various complications, including pain, swelling, inflammation, infection, dysfunction, delay in the treatment process, and lack of beauty. Therefore, the aim of the present study was to determine and investigate the effect of low-power laser treatment on complications after crown lengthening surgery.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:"Calibri","sans-serif""><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black"></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:"Calibri","sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black">Methods</span></span></span></b><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black">: The present double-blind clinical trial study was conducted in 2020-2021 on 12 patients who needed crown lengthening surgery on two premolar teeth on both sides of the jaw. Immediately after the surgery, and on the first and third day after the surgery, each volunteer randomly received laser radiation on one side of the jaw. On the other hand, radiation was not performed despite the placement of the device in the mouth. Tissue edema and tissue color were evaluated on the first, third, and seventh days after surgery. Pain intensity assessment was also done 24, 48 and 72 hours after surgery. Data were analyzed using Kendall, Friedman and Mann-Whitney tests.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:"Calibri","sans-serif""><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black"></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:"Calibri","sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black">Results</span></span></span></b><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black">: The improvement of tissue edema in the irradiated group was significant compared to the non-irradiated group during the first week (P=0.00), but the improvement in tissue color did not show a significant difference between the two groups (P=0.057). The difference in pain intensity 24, 48 and 72 hours after surgery was not significant among the groups (P=0.707, 0.812 and 0.974) and the improvement of pain intensity during consecutive days was not significant in the irradiated group (P=0.164).</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:"Calibri","sans-serif""><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black"></span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:"Calibri","sans-serif""><b><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black">Conclusion</span></span></span></b><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black">: In the present study, low-power laser did not have a significant effect on improving tissue color and reducing pain after crown lengthening surgery in the case group compared with the control group, but it was effective in improving tissue edema after surgery.</span></span></span></span></span></span><br>
<span style="font-size:11pt"><span style="line-height:normal"><span style="font-family:"Calibri","sans-serif""><span style="font-size:10.0pt"><span style="font-family:"Arial","sans-serif""><span style="color:black"></span></span></span></span></span></span><br>
جراحی دهان, عوارض پس از عمل, ادم, رنگ, اندازهگیری درد
oral surgery, Postoperative complications, Edema, Color, Pain measurement
680
691
http://armaghanj.yums.ac.ir/browse.php?a_code=A-10-2632-1&slc_lang=fa&sid=1
N
Akbari
نرجس
اکبری
akbari40214021@gmail.com
100319475328460026687
100319475328460026687
No
Infectious Disease Research Center, Birjand University of Medical Sciences, Birjand, Iran
مرکز تحقیقات بیماریهای عفونی، دانشگاه علومپزشکی بیرجند، بیرجند، ایران
M
Mohammadi Moghadam
مرضیه
محمدی مقدم
mohamadi_moghadam@yahoo.com
100319475328460026688
100319475328460026688
Yes
Department of Periodontics, Birjand University of Medical Sciences, Birjand, Iran
گروه پریودانتیکس، دانشگاه علوم پزشکی بیرجند، بیرجند، ایران
S
Abedzadeh
سجاد
عابدزاده
g.abedzade@gmail.com
100319475328460026689
100319475328460026689
No
Student Research Committee, Birjand University of Medical Sciences, Birjand, Iran,
کمیته تحقیقات دانشجویی، دانشگاه علوم پزشکی بیرجند، بیرجند، ایران،
F
Osmani
فرشته
عثمانی
fereshteh.osmani@gmail.com
100319475328460026690
100319475328460026690
No
Infectious Disease Research Center, Birjand University of Medical Sciences, Birjand, Iran
مرکز تحقیقات بیماریهای عفونی، دانشگاه علومپزشکی بیرجند، بیرجند، ایران