Er,Cr:YSGG激光应用于牙周治疗的研究进展
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摘要
Er,Cr:YSGG激光作为新一代水动力生物激光系统,可降低激光热量对牙体、牙髓及牙槽骨的损伤,在口腔领域具有广泛的应用前景。Er,Cr:YSGG激光在牙周治疗中具有根面清洁、杀菌消毒、促进创面愈合、减少出血等作用,近年来,其广泛应用于牙周领域。本文就Er,Cr:YSGG激光的工作原理及其在牙周治疗中的应用作一综述。
As a new generation of hydrodynamic biological laser system,Er,Cr: YSGG laser has wide application prospects in dentistry because of its safety and effectiveness. In recent years,its application in periodontology is increasing. Er,Cr: YSGG laser has the functions of root surface cleaning,sterilization,promoting healing and reducing bleeding in periodontal treatment. This paper summarizes the operational principle of Er,Cr: YSGG laser and its application in periodontal therapy.
As a new generation of hydrodynamic biological laser system,Er,Cr: YSGG laser has wide application prospects in dentistry because of its safety and effectiveness. In recent years,its application in periodontology is increasing. Er,Cr: YSGG laser has the functions of root surface cleaning,sterilization,promoting healing and reducing bleeding in periodontal treatment. This paper summarizes the operational principle of Er,Cr: YSGG laser and its application in periodontal therapy.
引文
[1]孟焕新.牙周病学[M].4版.北京:人民卫生出版社,2012:1.
[2]Cobb CM.Non-surgical pocket therapy:mechanical[J].Ann Periodontol,1996,1(1):443-490.
[3]丁一,杨恒.激光在牙周领域的应用及前景[J].中国实用口腔科杂志,2015,8(4):193-198.
[4]Hadley J,Young DA,Eversole LR,et al.A Laser-poweredhydrokinetic system:for caries removal and cavity preparation[J].J Am Dent Assoc,2000,131(6):777-785.
[5]佟俊杰,张广耘,袁晓.Er,Cr:YSGG激光治疗牙周病的研究进展[J].口腔医学,2010,30(8):500-501.
[6]程竑,邓汉龙.Er,Cr:YSGG激光在口腔医疗中的应用研究进展[J].生物医学工程学进展,2012,33(1):18-22.
[7]Hossain M,Nakamura Y,Yamada Y,et al.Effects of Er,Cr:YSGG laser irradiation in human enamel and dentin:ablation and morphological studies.[J].J Clin Laser Med Surg,1999,17(4):155-159.
[8]刘华.Er,Cr∶YSGG激光在口腔软组织手术中的临床应用[J].口腔医学,2014,34(3):200-203.
[9]Cobb CM.Lasers in periodontics:a review of the literature[J].J Periodontol,2006,77(4):545-564.
[10]Sherman PR,Hutchens LH,Jewson LG,et al.The effectiveness of subgingival scaling and root planing I.Clinical detection of residual calculus[J].J Periodontol,1990,61(1):3-8.
[11]孙淑萍,潘亚萍,张冬梅,等.Er,Cr:YSGG激光照射牙周病牙根面的组织学研究和电镜观察[J].牙体牙髓牙周病学杂志,2006,16(1):30-33.
[12]Kimura Y,Yu DG,Kinoshita J,et al.Effects of erbium,chromium:YSGG laser irradiation on root surface:morphological and atomic analytical studies[J].J Clin Laser Med Surg,2001,19(2):69-72.
[13]Ting CC,Fukuda M,Watanabe T,et al.Effects of Er,Cr:YSGG laser irradiation on the root surface:morphologic analysis and efficiency of calculus removal[J].J Periodontol,2007,78(11):2156-2164.
[14]De Oliveira GJ,Pavone C,Sampaio JE,et al.Influence of the angle of irradiation of the Er,Cr:YSGG laser on the morphology,attachment of blood components,roughness,and root wear:in vitro study[J].Lasers Surg Med,2010,42(9):683-691.
[15]Noori ZT,Fekrazad R,Eslami B,et al.Comparing the effects of root surface scaling with ultrasound instruments and Er,Cr:YSGG laser[J].Lasers Med Sci,2008,23(3):283-287.
[16]Gutknecht N,Van BC,Ozturan S,et al.Laser supported reduction of specific microorganisms in the periodontal pocket with the aid of an Er,Cr:YSGG laser:a pilot study[J].Scientific World Journal,2015:450258.
[17]Hakki SS,Korkusuz P,Berk G,et al.Comparison of Er,Cr:YSGG laser and hand instrumentation on the attachment of periodontal ligament fibroblasts to periodontally diseased root surfaces:an in vitro study.[J].J Periodontol,2010,81(8):1216-1225.
[18]Fekrazad R,Lotfi G,Harandi M,et al.Evaluation of fibroblast attachment in root conditioning with Er,Cr:YSGG laser versus EDTA:a SEM study[J].Microsc Res Tech,2015,78(4):317-322.
[19]Pavone C,Perussi LR,de Oliveira GJ,et al.Effect of Er,Cr:YSGG laser application in the treatment of experimental periodontitis[J].Lasers Med Sci,2015,30(3):993-999.
[20]Perio DNDC.Periodontal bone regeneration and the Er,Cr:YSGG laser:a case report[J].Open Dent J,2013,7(1):16-19.
[21]Alfalaki R,Hughes F,Wadia R,et al.The effect of an Er,Cr:YSGG laser in the management of intrabony defects associated with chronic periodontitis using minimally invasive closed flap surgery.a case series[J].Laser Ther,2016,25(2):131-139.
[22]Dyer B,Sung EC.Minimally invasive periodontal treatment using the Er,Cr:YSGG Laser.A2-year retrospective preliminary clinical study[J].Open Dent J,2012,6(1):74-78.
[23]Kelbauskiene S,Baseviciene N,Goharkhay K,et al.One-year clinical results of Er,Cr:YSGGlaser 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]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.
[25]陈美华,汪黎明.Er,Cr∶YSGG激光对慢性牙周炎的短期疗效评估[J].口腔医学,2016,36(1):64-67.
[26]Cercadillo-lbarguren I,Espa1a-Tost A,Arnabat-Domínguez J,et al.Histologic evaluation of thermal damage produced on soft tissues by CO2,Er,Cr:YSGG and diode lasers[J].Med Oral Patol Oral Cir Bucal,2010,15(15):e912-e918.
[27]Sarkar S,Kailasam S,Iyer VH.Effectiveness of Er,Cr:YSGG laser in the excision of different oral soft tissue lesions[J].J Indian Acad Oral Med Radiol,2013,25(1):10-12.
[28]Olivi G,Costacurta M,Maturo P,et al.Removal of fibrous epulis with Er,Cr:YSGG laser:case report[J].Eur J Paediatr Dent,2007,8(3):149-152.
[29]刘华.Er,Cr∶YSGG激光在口腔软组织手术中的临床应用[J].口腔医学,2014,34(3):200-203.
[30]Licata ME,Albanese A,Giannatempo G,et al.Minimally invasive approach to eliminate pyogenic granuloma using Er,Cr:YSGG laser[J].Ann Stomatol(Roma),2013,4(2):25.
[31]Kumar G,Rehman F,Chaturvedy V.Soft tissue applications of Er,Cr:YSGG laser in pediatric dentistry[J].Int J Clin Pediatr Dent,2017,10(2):188-192.
[32]Soares FM,Tarver EJ,Bimstein E,et al.Gingival overgrowth in a child with arthrogryposis treated with a Er,Cr:YSGG laser:a case report[J].Pediatr Dent,2009,31(1):8-13.
[33]Pié-Sánchez J,Espa1a-Tost AJ,ArnabatDomínguez J,et al.Comparative study of upper lip frenectomy with the CO2laser versus the Er,Cr:YSGG laser[J].Med Oral Patol Oral Cir Bucal,2012,17(2):e228-e232.
[34]Berk G,Atici K,Berk N.Treatment of gingival pigmentation with Er,Cr:YSGG Laser[J].JOral Laser Appl,2005,5(4):249-253.
[35]陈峰,童慧,乔佳云.水激光在前牙美容性冠延长术中的应用效果观察[J].口腔医学,2013,33(6):389-391.
[36]Kimura Y,Yu DG,Fujita A,et al.Effects of erbium,chromium:YSGG laser irradiation on canine mandibular bone[J].J Periodontol,2001,72(9):1178-1182.
[37]Lindhe J,Meyle J.Peri-implant diseases:Consensus report of the sixth european workshop on periodontology[J].J Clini Periodontol,2008,35(8):282-285.
[38]Zablotsky MH.A retrospective analysis of the management of ailing and failing endosseous dental implants[J].Implant Dent,1998,7(3):185-191.
[39]Miller RJ.Treatment of the contaminated implant surface using the Er,Cr:YSGG laser[J].Implant Dent,2004,13(2):165-170.
[40]Scarano A,Sinjari B,Iorio DD,et al.Surface analysis of failed oral titanium implant after irradiated with Er,Cr:YSGG2780 laser[J].Eur J Inflamma,2012,10(1):49-54.
[41]Romanos G,Crespi R,Barone A,et al.Osteoblast attachment on titanium disks after laser irradiation[J].Int J Oral Maxillofac Implants,2006,21(2):232-236.
[42]Gómez-Santos L,Arnabat-Domínguez J,Sierra-Rebolledo A,et al.Thermal increment due to Er,Cr:YSGG and CO2laser irradiation of different implant surfaces.A pilot study[J].Med Oral Patol Oral Cir Bucal,2010,15(5):e782-e787.
[43]Azzeh MM.Er,Cr:YSGG laser-assisted surgical treatment of peri-implantitis with 1-year reentry and 18-month follow-up[J].JPeriodontol,2008,79(10):2000-2005.
[2]Cobb CM.Non-surgical pocket therapy:mechanical[J].Ann Periodontol,1996,1(1):443-490.
[3]丁一,杨恒.激光在牙周领域的应用及前景[J].中国实用口腔科杂志,2015,8(4):193-198.
[4]Hadley J,Young DA,Eversole LR,et al.A Laser-poweredhydrokinetic system:for caries removal and cavity preparation[J].J Am Dent Assoc,2000,131(6):777-785.
[5]佟俊杰,张广耘,袁晓.Er,Cr:YSGG激光治疗牙周病的研究进展[J].口腔医学,2010,30(8):500-501.
[6]程竑,邓汉龙.Er,Cr:YSGG激光在口腔医疗中的应用研究进展[J].生物医学工程学进展,2012,33(1):18-22.
[7]Hossain M,Nakamura Y,Yamada Y,et al.Effects of Er,Cr:YSGG laser irradiation in human enamel and dentin:ablation and morphological studies.[J].J Clin Laser Med Surg,1999,17(4):155-159.
[8]刘华.Er,Cr∶YSGG激光在口腔软组织手术中的临床应用[J].口腔医学,2014,34(3):200-203.
[9]Cobb CM.Lasers in periodontics:a review of the literature[J].J Periodontol,2006,77(4):545-564.
[10]Sherman PR,Hutchens LH,Jewson LG,et al.The effectiveness of subgingival scaling and root planing I.Clinical detection of residual calculus[J].J Periodontol,1990,61(1):3-8.
[11]孙淑萍,潘亚萍,张冬梅,等.Er,Cr:YSGG激光照射牙周病牙根面的组织学研究和电镜观察[J].牙体牙髓牙周病学杂志,2006,16(1):30-33.
[12]Kimura Y,Yu DG,Kinoshita J,et al.Effects of erbium,chromium:YSGG laser irradiation on root surface:morphological and atomic analytical studies[J].J Clin Laser Med Surg,2001,19(2):69-72.
[13]Ting CC,Fukuda M,Watanabe T,et al.Effects of Er,Cr:YSGG laser irradiation on the root surface:morphologic analysis and efficiency of calculus removal[J].J Periodontol,2007,78(11):2156-2164.
[14]De Oliveira GJ,Pavone C,Sampaio JE,et al.Influence of the angle of irradiation of the Er,Cr:YSGG laser on the morphology,attachment of blood components,roughness,and root wear:in vitro study[J].Lasers Surg Med,2010,42(9):683-691.
[15]Noori ZT,Fekrazad R,Eslami B,et al.Comparing the effects of root surface scaling with ultrasound instruments and Er,Cr:YSGG laser[J].Lasers Med Sci,2008,23(3):283-287.
[16]Gutknecht N,Van BC,Ozturan S,et al.Laser supported reduction of specific microorganisms in the periodontal pocket with the aid of an Er,Cr:YSGG laser:a pilot study[J].Scientific World Journal,2015:450258.
[17]Hakki SS,Korkusuz P,Berk G,et al.Comparison of Er,Cr:YSGG laser and hand instrumentation on the attachment of periodontal ligament fibroblasts to periodontally diseased root surfaces:an in vitro study.[J].J Periodontol,2010,81(8):1216-1225.
[18]Fekrazad R,Lotfi G,Harandi M,et al.Evaluation of fibroblast attachment in root conditioning with Er,Cr:YSGG laser versus EDTA:a SEM study[J].Microsc Res Tech,2015,78(4):317-322.
[19]Pavone C,Perussi LR,de Oliveira GJ,et al.Effect of Er,Cr:YSGG laser application in the treatment of experimental periodontitis[J].Lasers Med Sci,2015,30(3):993-999.
[20]Perio DNDC.Periodontal bone regeneration and the Er,Cr:YSGG laser:a case report[J].Open Dent J,2013,7(1):16-19.
[21]Alfalaki R,Hughes F,Wadia R,et al.The effect of an Er,Cr:YSGG laser in the management of intrabony defects associated with chronic periodontitis using minimally invasive closed flap surgery.a case series[J].Laser Ther,2016,25(2):131-139.
[22]Dyer B,Sung EC.Minimally invasive periodontal treatment using the Er,Cr:YSGG Laser.A2-year retrospective preliminary clinical study[J].Open Dent J,2012,6(1):74-78.
[23]Kelbauskiene S,Baseviciene N,Goharkhay K,et al.One-year clinical results of Er,Cr:YSGGlaser 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]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.
[25]陈美华,汪黎明.Er,Cr∶YSGG激光对慢性牙周炎的短期疗效评估[J].口腔医学,2016,36(1):64-67.
[26]Cercadillo-lbarguren I,Espa1a-Tost A,Arnabat-Domínguez J,et al.Histologic evaluation of thermal damage produced on soft tissues by CO2,Er,Cr:YSGG and diode lasers[J].Med Oral Patol Oral Cir Bucal,2010,15(15):e912-e918.
[27]Sarkar S,Kailasam S,Iyer VH.Effectiveness of Er,Cr:YSGG laser in the excision of different oral soft tissue lesions[J].J Indian Acad Oral Med Radiol,2013,25(1):10-12.
[28]Olivi G,Costacurta M,Maturo P,et al.Removal of fibrous epulis with Er,Cr:YSGG laser:case report[J].Eur J Paediatr Dent,2007,8(3):149-152.
[29]刘华.Er,Cr∶YSGG激光在口腔软组织手术中的临床应用[J].口腔医学,2014,34(3):200-203.
[30]Licata ME,Albanese A,Giannatempo G,et al.Minimally invasive approach to eliminate pyogenic granuloma using Er,Cr:YSGG laser[J].Ann Stomatol(Roma),2013,4(2):25.
[31]Kumar G,Rehman F,Chaturvedy V.Soft tissue applications of Er,Cr:YSGG laser in pediatric dentistry[J].Int J Clin Pediatr Dent,2017,10(2):188-192.
[32]Soares FM,Tarver EJ,Bimstein E,et al.Gingival overgrowth in a child with arthrogryposis treated with a Er,Cr:YSGG laser:a case report[J].Pediatr Dent,2009,31(1):8-13.
[33]Pié-Sánchez J,Espa1a-Tost AJ,ArnabatDomínguez J,et al.Comparative study of upper lip frenectomy with the CO2laser versus the Er,Cr:YSGG laser[J].Med Oral Patol Oral Cir Bucal,2012,17(2):e228-e232.
[34]Berk G,Atici K,Berk N.Treatment of gingival pigmentation with Er,Cr:YSGG Laser[J].JOral Laser Appl,2005,5(4):249-253.
[35]陈峰,童慧,乔佳云.水激光在前牙美容性冠延长术中的应用效果观察[J].口腔医学,2013,33(6):389-391.
[36]Kimura Y,Yu DG,Fujita A,et al.Effects of erbium,chromium:YSGG laser irradiation on canine mandibular bone[J].J Periodontol,2001,72(9):1178-1182.
[37]Lindhe J,Meyle J.Peri-implant diseases:Consensus report of the sixth european workshop on periodontology[J].J Clini Periodontol,2008,35(8):282-285.
[38]Zablotsky MH.A retrospective analysis of the management of ailing and failing endosseous dental implants[J].Implant Dent,1998,7(3):185-191.
[39]Miller RJ.Treatment of the contaminated implant surface using the Er,Cr:YSGG laser[J].Implant Dent,2004,13(2):165-170.
[40]Scarano A,Sinjari B,Iorio DD,et al.Surface analysis of failed oral titanium implant after irradiated with Er,Cr:YSGG2780 laser[J].Eur J Inflamma,2012,10(1):49-54.
[41]Romanos G,Crespi R,Barone A,et al.Osteoblast attachment on titanium disks after laser irradiation[J].Int J Oral Maxillofac Implants,2006,21(2):232-236.
[42]Gómez-Santos L,Arnabat-Domínguez J,Sierra-Rebolledo A,et al.Thermal increment due to Er,Cr:YSGG and CO2laser irradiation of different implant surfaces.A pilot study[J].Med Oral Patol Oral Cir Bucal,2010,15(5):e782-e787.
[43]Azzeh MM.Er,Cr:YSGG laser-assisted surgical treatment of peri-implantitis with 1-year reentry and 18-month follow-up[J].JPeriodontol,2008,79(10):2000-2005.