激光在牙周治疗中的应用

摘要/Abstract

摘要： [摘要]本文就目前牙周治疗中常见的几种激光作一介绍。文献回顾显示激光可以清除97%以上的牙周致病菌，能够有效去除病变牙骨质，并且对牙周组织和根面损伤较小，同时，激光可以减少治疗中的疼痛。在今后的牙周治疗具有广泛的应用前景。 [关键词]激光；牙周致病菌；牙周治疗；牙周手术

关键词: 激光, 牙周致病菌, 牙周治疗, 牙周手术

Abstract: To summarize the application of laser in the treatment of periodontal disease.Researches have proved that laser can clean more than 97%periodontal pathogens，and laser also can remove infected cementum effectively with little damage on periodontal tissue and tooth root.Laser also can alleviate pain in treatment.So laser may have potential application in periodontal therapy in future.

Key words: laser, periodontal pathogens, periodontal treatment, periodontal surgery

中图分类号:

R781.4

潘亚萍. 激光在牙周治疗中的应用[J]. 口腔医学, 2015, 35(1): 1-5.

参考文献

[1] Bukhary R,Wassell R,Sidhu S,et al .The Local Anaesthetic effect of a dental laser prior to cavity preparation:a pilot volunteer study［J］.Oper Dent,(2014-09-11)［2014-11-01］.PMID:25216939
[2]Kranendonk A,van der Reijden W,van Winkelhoff A,et al.The bactericidal effect of a Genius Nd:YAG laser[J].Int J Dent Hyg,2010,8(1):63-67
[3]Yaneva B,Firkova E,Karaslavova E,et al.Bactericidal effects of using a fiber-less Er:YAG laser system for treatment of moderate chronic periodontitis:preliminary results[J].Quintessence Int,2014,45(6):489-497
[4]Tosun E,Tasar F,Strauss R,et al.Comparative evaluation of antimicrobial effects of Er:YAG,diode,and CO2 lasers on titanium discs:an experimental study[J].J Oral Maxillofac Surg,2012,70(5):1064-1069
[5]Giannelli M,Bani D,Viti C,et al.Comparative evaluation of the effects of different photoablative laser irradiation protocols on the gingiva of periodontopathic patients[J].Photomed Laser Surg,2012,30(4):222-230
[6]Gómez C,Domínguez A,García-Kass AI,et al.Adjunctive Nd:YAG laser application in chronic periodontitis:clinical,immunological,and microbiological aspects[J].Lasers Med Sci,2011,26(4):453-463
[7]stün K,Erciyas K,Sezer U,et al.Clinical and biochemical effects of 810 nm diode laser as an adjunct to periodontal therapy:a randomized split-mouth clinical trial[J].Photomed Laser Surg,2014,32(2):61-66
[8]Saglam M,Kantarci A,Dundar N,et al.Clinical and biochemical effects of diode laser as an adjunct to nonsurgical treatment of chronic periodontitis:a randomized,controlled clinical trial[J].Lasers Med Sci,2014,29(1):37-46
[9]刘娜,刘鲁川,张国栋,等.脉冲Nd:YAG激光照射对大鼠牙周炎龈沟液中谷胱甘肽过氧化物酶和碱性磷酸酶活性的影响[J].牙体牙髓牙周病学杂志,2007,17(12):691-694
[10]黄干,伍贤平.抗酒石酸酸性磷酸酶与骨吸收[J].国外医学:生理、病理科学与临床分册,1998,18(1):4-6
[11] Pavone C,Perussi LR,de Oliveira GJ,et al .Effect of Er,Cr:YSGG laser application in the treatment of experimental periodontitis［J/OL］.Lasers Med Sci，(2014-01-30)［2014-11-01］.PMID:24477391
[12]Nevins ML,Camelo M,Schupbach P,et al.Human clinical and histologic evaluation of laser-assisted new attachment procedure[J].Int J Periodontics Restorative Dent,2012,32(5):497-507
[13] Theodoro LH,Caiado RC,Longo M,et al .Effectiveness of the diode laser in the treatment of ligature-induced periodontitis in rats:a histopathological,histometric,and immunohistochemical study［J］.Lasers Med Sci,(2014-03-15)［2014-11-01］.PMID:24733282
[14]Chellini F1,Sassoli C,Nosi D,et al.Low pulse energy Nd:YAG laser irradiation exerts a biostimulative effect on different cells of the oral microenvironment:"an in vitro study"[J].Lasers Surg Med,2010,42(6):527-539
[15]孙淑萍,潘亚萍,张冬梅.Er,Cr:YSGG激光照射牙周病牙根面的组织学研究和电镜观察牙体[J].牙体牙髓牙周病学杂志,2006,16(1):30-33
[16]孙淑萍,潘亚萍,张冬梅,等.Er,Cr:YSGG激光照射后牙周病牙根面的形态学研究和钙磷比率分析[J].华西口腔医学杂志,2006,24(5):444-446
[17]Almehdi A,Aoki A,Ichinose S,et al.Histological and SEM analysis of root cementum following irradiation with Er:YAG and CO2 lasers[J].Lasers Med Sci,2013,28(1):203-213
[18]Miremadi S,Cosyn J,Schaubroeck D,et al.Effects of root surface debridement using Er:YAG Laser versus ultrasonic scaling-a SEM study[J].Int J Dent Hyg,2014,12(4):273-284
[19]孙淑萍,潘亚萍.激光在牙周治疗中的应用[J].口腔医学,2005,25(4):251-252
[20]Sgolastra F,Severino M,Petrucci A,et al.Nd:YAG laser as an adjunctive treatment to nonsurgical periodontal therapy:a meta-analysis[J].Lasers Med Sci,2014,29(3):887-895
[21]Krohn-Dale I,Be OE,Enersen M,et al.Er:YAG laser in the treatment of periodontal sites with recurring chronic inflammation:a 12-month randomized,controlled clinical trial[J].J Clin Periodontol,2012,39(8):745-752
[22]Euzebio Alves VT,de Andrade AK,Toaliar JM,et al.Clinical and microbiological evaluation of high intensity diode laser adjutant to non-surgical periodontaltreatment:a 6-month clinical trial[J].Clin Oral Investig,2013,17(1):87-95
[23]Kelbauskiene S,Baseviciene N,Goharkhay K,et al.One-2011 clinical results of Er,Cr:YSGG laser application in addition to scaling and root planing in patients with early to moderate periodontitis[J].Lasers Med Sci,2011,26(4):445-452
[24]Balasubramaniam AS,Thomas LJ,Ramakrishnanan T,et al.Short-term effects of nonsurgical periodontal treatment with and without use of diode laser (980 nm) on serum levels of reactive oxygen metabolites and clinical periodontal parameters in patients with chronic periodontitis:a randomized controlled trial[J].Quintessence Int,2014,45(3):193-201
[25]Soo L,Leichter JW,Windle J,et al.A comparison of Er:YAG laser and mechanical debridement for the non-surgical treatment of chronic periodontitis:a randomized,prospective clinical study[J].J Clin Periodontol,2012,39(6):537-545
[26]Dyer B,Sung EC.Minimally invasive periodontal treatment using the Er,Cr:YSGG laserA 2-2012 retrospective preliminary clinical study[J]..Open Dent J,2012,6(5):74-78
[27]孙淑萍,潘亚萍,邹博.Er,Cr:YSGG激光刮治龈下牙石的效果观察[J].中国医科大学学报,2005,34(5):442-443
[28]Dilsiz A,Sevinc S.Trauma from instrumentation after non-surgical periodontal treatment with ultrasonic scalers and Nd:YAG laser[J].Acta Odontol Scand,2014,25(9):1-6
[29] Sawabe M,Aoki A,Komaki M,et al .Gingival t healing following Er:YAG laser ablation compared to electrosurgery in rats［J］.Lasers Med Sci,(2013-11-16)［2014-11-01］.PMID:24241972
[30]Sanz-Moliner JD,Nart J,Cohen RE,et al.The effect of an 810-nm diode laser on postoperative pain and t2 response after modified Widman flap surgery:a pilot study in humans[J].J Periodontol,2013,84(2):152-158
[31]Gupta M,Lamba AK,Verma M,et al.Comparison of periodontal open flap debridement versus closed debridement with Er,Cr:YSGG laser[J].Aust Dent J,2013,58(1):41-49
[32]Zingale J,Harpenau L,Chambers D,et al.Effectiveness of root planing with diode laser curettage for the treatment of periodontitis[J].J Calif Dent Assoc,2012,40(10):786-793
[33]Myers TD.Laser s in dentistry[J].J Am Dent Assoc,1991,122(1):46-50
[34]Rastogi PK,Lal N,Garg N,et al.Aesthetic management of gingival recession by root biomodification with carbon dioxide laser and subepithelial connective t graft with lateral repositioned flap technique[J].BMJ Case Rep,2012,9:1-3
[35]Orchardson R.Effect of pulsed Nd:YAG laser radiation on action potential in isolated mammalian spinal nerves[J].Lasers Surg Med,1997,21(2):142-145
[36]王孟宏,赵耀.Er：YAG激光治疗牙本质敏感的临床疗效观察[J].激光杂志,2012,33(1):61-62
[37]Birang R,Poursamimi J,Gutknecht N,et al.Comparative evaluation of the effects of Nd:YAG and Er:YAG laser in dentin hypersensitivity treatment[J].Lasers Med Sci,2007,22(1):21-24