Strauss R A
Department of Oral and Maxillofacial Surgery, Virginia Commonwealth University, Medical College of Virginia, Schools of Dentistry and Medicine, Richmond, USA.
Dent Clin North Am. 2000 Oct;44(4):851-73.
Because of their many advantages, lasers have become indispensable in OMS as a modality for soft tissue surgery. Based on manufacturer estimates, approximately 10% to 20% of all oral and maxillofacial surgeons have one or more lasers in their offices, and most surgeons have access to lasers in the hospital. Lasers not only enhance the current surgical options for treatment, but also have expanded the scope of practice. There are many uses for lasers in OMS, and the advent of new wavelengths will undoubtedly lead to new procedures that can be performed with them. One [figure: see text] elusive use is hard tissue surgery. Although the Er:YAG has been approved for hard tissue use in the United States and currently is being used in general dentistry, it is still not yet practical or proven for large-volume osseous or extraction surgery, in which the greatest opportunity for innovation and clinical use exists. With future research, it is possible that the right wavelength laser will be developed for this purpose, allowing an increased base of procedures performed with lasers in OMS.
由于具有诸多优点，激光已成为口腔颌面外科软组织手术中不可或缺的一种治疗手段。根据制造商的估计，大约10%至20%的口腔颌面外科医生在其办公室配备了一台或多台激光设备，而且大多数外科医生在医院也能够使用激光设备。激光不仅增强了当前的手术治疗选择，还扩大了业务范围。激光在口腔颌面外科有许多用途，新波长激光的出现无疑将带来可使用它们进行的新手术。一个难以实现的用途是硬组织手术。尽管铒钇铝石榴石激光在美国已被批准用于硬组织治疗，目前也正在普通牙科中使用，但对于大量骨组织或拔牙手术而言，它仍然不实用或未经证实，而这些手术存在着最大的创新和临床应用机会。随着未来的研究，有可能会为此开发出合适波长的激光，从而增加口腔颌面外科中使用激光进行的手术种类。
