口腔医学 ›› 2022, Vol. 42 ›› Issue (4): 381-384.doi: 10.13591/j.cnki.kqyx.2022.04.020

• 综述 • 上一篇    

Er:YAG激光应用于口腔硬组织的研究进展

张旭东1, 杨雪莲1, 刘夏青2, 马宇峰1,3   

  1. 1 山西医科大学口腔医学院·口腔医院,山西太原(030000);
    2 山西医科大学第一医院口腔多学科诊疗中心,山西太原(030000);
    3 山西医科大学第二医院口腔,山西太原(030000)
  • 修回日期:2021-08-24 出版日期:2022-04-28 发布日期:2022-04-28
  • 通讯作者: 马宇锋 E-mail:tymyf1967@126.com
  • 基金资助:
    山西省科学技术厅重点研发计划(201903D321124)

Advances in research on the application of Er:YAG laser in oral hard tissues

ZHANG Xudong, YANG Xuelian, LIU Xiaqing, MA Yufeng   

  1. School and Hospital of Stomatology, Shanxi Medical University, Taiyuan 030000, China
  • Revised:2021-08-24 Online:2022-04-28 Published:2022-04-28

摘要: Er:YAG激光属于自由运行脉冲激光,在电磁波谱中属于中红外波段,其特定波长使得其可被水及羟基磷灰石吸收,可以更好作用于含水组织、牙体组织与骨组织。较传统临床操作而言,Er:YAG激光有切割精确、杀菌、愈合较快等特点。在牙釉质处理中,Er:YAG激光可以提高牙齿美白效能,延长窝沟封闭剂存留率及降低患龋率;在牙本质处理中,Er:YAG激光在龋病治疗中损伤小、脱敏效果确切,提高牙本质的粘接性能;在进行硬组织切割时,Er:YAG激光对目标组织控制精确、热损伤小、促进骨愈合、提高种植手术成功率等,具有较高临床应用前景。

关键词: Er:YAG激光, 作用机制, 临床应用, 口腔硬组织, 激光治疗

Abstract: Er:YAG laser is a free-running pulsed laser, which belongs to the middle infrared band in the electromagnetic spectrum. It is a hydrodynamic biological laser system with a specific wavelength that allows it to be absorbed by water and hydroxyapatite and can better act on water-bearing tissue, tooth tissue and bone tissue. Compared with traditional clinical operations, Er:YAG laser has the characteristics of accurate cutting, sterilization and faster healing. In enamel treatment, Er:YAG laser can improve the whitening effect of teeth, prolong the retention rate of fissure sealant and reduce the rate of caries. In dentin treatment, Er:YAG laser has little damage in the treatment of dental caries, the desensitization effect is accurate, and the bonding performance of the dentin is improved. When performing hard tissue cutting, Er:YAG laser has precise control of the target tissue, causes small thermal damage, promotes bone healing, and increases the success rate of implant surgery. Er:YAG laser has a good clinical application prospect.

Key words: Er:YAG laser, mechanism, clinical application, oral hard tissue, laser treatment

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