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Effect of ultrasonic oscillation in combination with laser microsurgery on chronic periapical periodontitis Cover

Effect of ultrasonic oscillation in combination with laser microsurgery on chronic periapical periodontitis

By: Hongling Si and  Ruidi Wang  
Open Access
|Aug 2024

Figures & Tables

General data (n, x̄± s)

GroupnAge (year)Apical foramen diameter (mm)GenderTooth position/nEtiology/n
M/FMaxillary anterior teeth/mandibular premolar/maxillary premolarDental trauma/caries/central cusp deformity
Control4526.28±4.271.18±0.3126/1915/21/913/6/26
Treatment4525.91±4.301.20±0.3324/2112/23/1014/8/23
t/χ2 0.4100.2960.1800.4770.506
P 0.6830.7680.6710.7880.776

O-PAI at different time points (x̄±s)

GroupnBefore treatment4 weeks after treatment8 weeks after treatment
Control453.38±0.082.42±0.121.49±0.15
Ftime, Ptime 141.58, <0.001
ttime, Ptime (Bonferroni correction) Before vs. 4 weeks after treatment: 7.44, <0.001
Before vs. 8 weeks after treatment: 12.60, <0.001
4 vs. 8 weeks after treatment: 6.14, <0.001
Treatment453.41±0.092.37±0.111.26±0.10
Ftime, Ptime 254.04, <0.001
ttime, Ptime (Bonferroni correction) Before vs. 4 weeks after treatment: 8.38, <0.001
Before vs. 8 weeks after treatment: 17.29, <0.001
4 vs. 8 weeks after treatment: 9.38, <0.001
tbetween groups 0.2843.3465.144
Pbetween groups 0.777<0.001<0.001

Serum biochemical indicators of bone formation (x̄± s)

GroupnCa (mmol/L)P (mmol/L)ALP (U/L)
Control452.54±0.411.98±0.14120.31±8.92
Treatment453.20±0.532.35±0.23150.94±10.83
t 6.6079.21814.645
P <0.001<0.001<0.001

Levels of inflammatory factors in GCF (x̄± s, µg/L)

GroupnTNF-αIL-6CRP
Before treatmentAfter treatmentBefore treatmentAfter treatmentBefore treatmentAfter treatment
Control457.65±0.942.95±0.62a15.68±2.747.16±1.48a2.68±0.481.38±0.41a
Treatment457.72±1.032.46±0.43a15.73±2.855.42±1.06a2.71±0.531.05±0.32a
t 0.3374.3560.0856.4120.2813.860
P 0.737<0.0010.933<0.0010.779<0.001

Incidence of adverse reactions [n(%)]

GroupnLocal swellingInfectionNerve injuryIncidence rate
Control452 (4)2 (4)1 (2)5 (10)
Treatment451 (2)0 (0)1 (2)2 (4)
χ2 1.394
P 0.238

Pain degree and MGV (x̄± s)

GroupnVAS score (point)MGV
Before treatment4 weeks after treatment8 weeks after treatmentBefore treatment4 weeks after treatment8 weeks after treatment
Control457.31±1.351.92±0.310.63±0.1277.65±9.41108.12±10.15136.14±14.27
Ftime, Ptime 800.00, <0.0011200.00, <0.001
ttime, Ptime (Bonferroni correction) Before vs. 4 weeks after treatment: 26.10, <0.001Before vs. 4 weeks after treatment: 15.13, <0.001
Before vs. 8 weeks after treatment: 33.06, <0.001Before vs. 8 weeks after treatment: 19.67, <0.001
4 vs. 8 weeks after treatment: 26.03, <0.0014 vs. 8 weeks after treatment: 14.65, <0.001
Treatment457.28±1.271.06±0.240.38±0.0678.53±9.52128.04±10.23138.25±15.02
Ftime, Ptime 1200.00, <0.001 1500.00, <0.001
ttime, Ptime (Bonferroni correction) Before vs. 4 weeks after treatment: 32.28, <0.001Before vs. 4 weeks after treatment: 24.55, <0.001
Before vs. 8 weeks after treatment: 36.41, <0.001Before vs. 8 weeks after treatment: 22.69, <0.001
4 vs. 8 weeks after treatment: 18.44, <0.0014 vs. 8 weeks after treatment: 5.45, <0.001
tbetween groups 0.10914.71512.5000.4419.2730.683
Pbetween groups 0.914<0.001<0.0010.660<0.0010.496

Treatment outcomes [n(%)]

GroupnCuredImprovedIneffectiveTotal effective rate
Control4525 (55)12 (27)8 (18)37 (82)
Treatment4529 (65)15 (33)1 (2)44 (98)
χ2 6.049
P 0.014
Language: English
Page range: 66 - 73
Submitted on: Dec 27, 2023
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Accepted on: Jul 1, 2024
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Published on: Aug 15, 2024
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2024 Hongling Si, Ruidi Wang, published by Hirszfeld Institute of Immunology and Experimental Therapy
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 License.