中国口腔医学继续教育杂志 ›› 2024, Vol. 27 ›› Issue (1): 81-87.DOI: 10.12337/zgkqjxjyzz.2024.01.010

• 病例报告 • 上一篇    下一篇

双波长激光联合治疗缝龈瘤后行全口义齿修复1例

赵宁1,2, 寇霓1, 柳清华1, 刘爽1, 王海玲1, 王畅畅1, 胡书海1, 李晓杰1,*   

  1. 1大连医科大学口腔医学院附属口腔医院;
    2大连医科大学中山学院
  • 出版日期:2024-01-31 发布日期:2024-05-08
  • 通讯作者: *李晓杰,联系方式:18640857890,电子邮箱:xiaojieli0504@dmu.edu.cn,通讯地址:辽宁省大连市沙河口区黄浦路397号,116023
  • 基金资助:
    2022年辽宁省研究生教育教学改革研究项目 基于立德树人背景下德才兼备的口腔医学专硕培养的改革与探索(项目编号:LNYJG2022332); 2022年大连医科大学医学教学改革研究项目 德才兼备的口腔专硕人才培养模式(项目编号:DYLX22033)

One Case of Complete Denture Repair after Dual-waved Laser Combined Treatment of Epulis Fissuratum

Ning Zhao1,2, Ni Kou1, Qinghua Liu1, Shuang Liu1, Hailing Wang1, Changchang Wang1, Shuhai Hu1, Xiaojie Li1,*   

  1. 1Dalian Medical University of Stomatology Affiliated Stomatological Hospital, Dalian, Liaoning Province, P.R. China;
    2Zhongshan College of Dalian Medical University, Dalian, Liaoning Province, P.R. China
  • Online:2024-01-31 Published:2024-05-08
  • Contact: Xiaojie Li. Tel: 18640857890. Email: xiaojieli0504@dmu.edu.cn. Address: No.397 Huangpu Road, Shahekou District, Dalian 116023, Liaoning Province, P.R. China.
  • Supported by:
    Research project on the reform of postgraduate education and teaching in Liaoning Province in 2022 (No. LNYJG2022332);Research project of medical teaching reform in Dalian Medical University in 2022 (No.DYLX22033)

摘要: 目的:本病例将探讨双波长激光联合治疗缝龈瘤的手术方法,并评价全口义齿术后修复的临床效果。诊治经过:对68岁女性牙列缺失患者进行口腔检查,明确治疗计划,联合应用掺铒钇铝石榴石(Er: YAG)激光分阶段切除病灶并行前庭沟加深术,掺钕钇铝石榴石(Nd: YAG)激光理疗,创口愈合后行全口义齿修复。结果:手术切除增生软组织,恢复良好后,行全口义齿修复恢复其咀嚼功能及美观。随访1年后未见软组织增生复发。结论:双波长激光联合治疗缝龈瘤可以缩短手术时间,减少术中出血,促进创口愈合,免除缝合需求,能够满足术后修复要求,可为口腔软组织病变治疗方式的选择提供重要的参考价值。

关键词: 激光, 掺铒钇铝石榴石激光, 掺钕钇铝石榴石激光, 缝龈瘤, 全口义齿

Abstract: Objective: To explore the surgical method of dual-wavelength laser combined treatment of epulis and evaluate the clinical effect of complete denture repair after operation. Diagnosis and treatment: Oral examination was performed on a 68-year-old female patient with dentition loss to clarify the treatment plan. The lesion was removed in stages and vestibular sulcus deepening surgery was performed by Er: YAG, Nd : YAG laser physiotherapy and after wound healing complete denture repair was performed. Results: The operation was carried out smoothly, and the masticatory function and aesthetics of the complete denture were restored after good recovery. No recurrence of soft tissue hyperplasia was found during 1-year follow-up. Conclusions: Dual-wavelength laser combined treatment of epulis can shorten the operation time, reduce intraoperative bleeding, promote wound healing, and avoid suture requirements. It can meet the requirements of postoperative repair and provide important reference value for the choice of treatment methods for oral soft tissue lesions.

Key words: dual-waved laser, Er: YAG, Nd: YAG, complete denture, epulis fissuratum