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[当代牙科中的激光]

[Laser in contemporary dentistry].

作者信息

Gáspár L

机构信息

Semmelweis Orvostudományi Egyetem, Szájsebészeti és Fogászati Klinika, Budapest.

出版信息

Fogorv Sz. 1992 Nov;85(11):343-53.

PMID:1291324
Abstract

In the 30 years of laser history the oral cavity application has always played an important role. In the laboratory diagnostics the analysis of the saliva, tissues and hard dental tissues is performed by laser. In the clinical diagnostics the laser is used for examining the caries, dental matter, in orthodontics, in the surgical analysis of splanchnocranium and the teeth. The photodynamic treatment involves the diagnostic and therapeutic use of the lasers in the management of oral cavity cancers. The soft laser therapy is widely applied in diseases of the oral mucosa, parodontal and pain syndromes, temporomandibular articular diseases, dental inflammations, salivary gland diseases and in osseal healing processes. The surgical lasers are applied in the treatment of teeth, in preprosthetic surgery, salivary gland diseases, precancerous conditions, tumour surgery and in the surgery of hemophilic patients, respectively. In the 90s one cannot speak about modern oral surgery or dentistry without the application of lasers. Though in various fields the research is merely in initial phase (holography, caries-treatment, photodynamic therapy, etc.), the lasers are becoming an indispensable (treatment of precancerous conditions, hemophilic patients, diseases of the oral mucosa, etc.). The oral surgical use of lasers might bring about fundamental changes in diagnosis and treatment, becoming a new professional branch, opening up new vistas, representing "future" today. The invention of lasers in 1960 and their broad dissemination in oral surgery and dentistry since 1980 have resulted in basic changes in numerous diagnostic and therapeutic approaches. The medical use of lasers is of such an extent that it can well justifiably regarded as a new branch of science namely the laser medicine. This considerably relates to stomatology, too.

摘要

在激光发展的30年历史中,口腔应用一直占据重要地位。在实验室诊断中,激光用于分析唾液、组织和牙齿硬组织。在临床诊断中,激光用于检查龋齿、牙质,用于正畸,用于颌面和牙齿的手术分析。光动力治疗涉及激光在口腔癌治疗中的诊断和治疗应用。弱激光疗法广泛应用于口腔黏膜疾病、牙周疾病和疼痛综合征、颞下颌关节疾病、牙齿炎症、唾液腺疾病以及骨愈合过程。手术激光分别应用于牙齿治疗、修复前手术、唾液腺疾病、癌前病变、肿瘤手术以及血友病患者的手术。在20世纪90年代,如果不应用激光,就无法谈论现代口腔外科或牙科。尽管在各个领域的研究仅处于初始阶段(全息术、龋齿治疗、光动力疗法等),但激光正变得不可或缺(用于癌前病变、血友病患者、口腔黏膜疾病等的治疗)。激光在口腔外科的应用可能会给诊断和治疗带来根本性变化,成为一个新的专业分支,开辟新的前景,在今天代表着“未来”。1960年激光的发明以及自1980年以来它们在口腔外科和牙科的广泛传播,导致了众多诊断和治疗方法的根本变化。激光在医学上的应用范围之广,足以使其被合理地视为一门新的科学分支,即激光医学。这也与口腔医学密切相关。

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