Er:YAG激光拆除种植牙全瓷冠修复体的研究进展

doi:10.13591/j.cnki.kqyx.2023.10.016

摘要/Abstract

摘要：

全瓷修复体在口腔临床特别是种植修复中应用广泛,但临床上粘接固位的种植冠部修复体拆除较为困难。传统拆除采用磨除、敲击等机械破坏的方法,不仅增加临床诊疗时间和费用,同时给患者带来恐惧和不安。近年来有学者着手于研究使用Er:YAG激光作为替代传统机械拆除种植全瓷修复体的新方法,全瓷修复体的材质和厚度、水门汀类型、激光参数设置等多种因素均对拆除结果存在影响。该文对Er:YAG激光拆除种植牙全瓷冠修复体的应用及研究进展作一综述,为医师的临床操作提供相关参考。

关键词: Er:YAG激光, 拆除, 种植, 全瓷修复体, 水门汀

Abstract:

All ceramic restorations are widely used in dental clinical practice, especially in implant repair. However, it is difficult to remove the cement-retained implant crowns in clinical treatment. Traditional removal methods such as grinding and knocking not only increase the time and cost of clinical diagnosis and treatment, but also bring fear and anxiety to patients. In recent years, some scholars have begun to study the use of Er:YAG laser as a new method to replace the traditional mechanical removal of implant all-ceramic restorations. But various factors, such as the material and thickness of the all-ceramic restoration, the type of cement, and the setting of laser parameters, have influence on the removal results. This article reviews the application and research progress of Er:YAG laser in removing implant all-ceramic crown restorations and provides relevant reference for doctors’ clinical operation.

Key words: Er:YAG laser, removal, implant, all-ceramic restoration, cement

中图分类号:

R783.4

蔡娉娉, 卓盈颖, 林玲, 林捷, 郑志强. Er:YAG激光拆除种植牙全瓷冠修复体的研究进展[J]. 口腔医学, 2023, 43(10): 945-949.

CAI Pingping, ZHUO Yingying, LIN Ling, LIN Jie, ZHENG Zhiqiang. Research progress of Er:YAG laser in removing all-ceramic restorations of implant[J]. Stomatology, 2023, 43(10): 945-949.

图/表 1

表1

激光辅助种植全瓷冠拆除体外研究"

作者	样本数量/ (个/组)	材料 (基台-牙冠)	厚度/ mm	粘接剂种类	激光种类	参数设置	脱粘时间/s
Grzech-Le $s'$ niak等^[6]	20	钛-二硅酸锂	1~2	复合树脂水门汀A/树脂改性玻璃离子水门汀B	Er:YAG	300 mJ,15 Hz, 4.5 W,非接触模式	A:196.5/B:97.5
Deeb等^[7]	10	氧化锆-二硅酸锂	1~1.5	复合树脂水门汀	Er:YAG	300 mJ,15 Hz, 4.5 W,非接触模式	192
Elkharashi等^[31]	10	氧化锆-氧化锆	1~2	复合树脂水门汀	Er:YAG/ Er,Cr:YSGG	300 mJ,15 Hz, 4.5 W,非接触模式	320/355
Cai等^[30]	20	钛-氧化锆	1,2,3,4	复合树脂水门汀A/树脂改性玻璃离子水门汀B	Er:YAG	300 mJ,15 Hz, 4.5 W,非接触模式	A:201.6(1 mm), 226.5(2 mm)/B:274.8(1 mm)

表1

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