Division of Periodontology, Eastman Institute for Oral Health, University of Rochester, Rochester, NY, USA.
Lasers Med Sci. 2012 Mar;27(2):339-42. doi: 10.1007/s10103-010-0876-8. Epub 2011 Jan 28.
A temperature increase of more than 10°C can compromise bone vitality. Laser radiation with different wavelengths has been used for the treatment of peri-implantitis, but little is known about the effect of laser irradiation on temperature rise on the implant surface. In this study, the temperature gradient (∆T) generated by laser irradiation of implant surface using two diode lasers (810 nm and a 980 nm) with 2 W of power has been recorded by two thermocouples (one in the cervical area and one in the apical area) and studied. The 810-nm diode laser showed the following results: after 60 s of irradiation with 2 W of continuous mode the temperature gradient in the cervical area of the implant (∆Tc) was 37.2°C, while in the apical area (∆Ta) was 27.2°C. The 980-nm diode laser showed the following results: after 60 s of irradiation with 2 W continuous mode ∆Tc was 41.1°C, and ∆Ta was 30.6°C. The 810-nm diode laser with 2 W continuous mode generated a temperature increase of 10°C after only 14 s. The 980-nm diode lasers groups produced a much more rapid temperature increase. In only 12 s, the continuous wave of 980 nm reached the 10°C temperature rise. From the present in vitro study it was concluded that the irradiation of implant surfaces with diode lasers may produce a temperature increase above the critical threshold (10°C ) after only 10 s.
温度升高超过 10°C 可能会损害骨活力。不同波长的激光辐射已被用于治疗种植体周围炎,但对于激光辐照对种植体表面温升的影响知之甚少。在这项研究中,使用功率为 2 W 的两个二极管激光器(810nm 和 980nm)对种植体表面进行激光照射,记录了两个热电偶(一个在颈部区域,一个在根尖区域)产生的温度梯度(∆T)并进行了研究。810nm 二极管激光的结果如下:在以 2 W 连续模式照射 60s 后,种植体颈部区域的温度梯度(∆Tc)为 37.2°C,而根尖区域(∆Ta)为 27.2°C。980nm 二极管激光的结果如下:在以 2 W 连续模式照射 60s 后,∆Tc 为 41.1°C,∆Ta 为 30.6°C。810nm 二极管激光在连续模式下以 2 W 的功率仅 14s 就产生了 10°C 的温升。980nm 二极管激光组产生的温升要快得多。在连续波 980nm 仅 12s 内,就达到了 10°C 的温升。从目前的体外研究得出结论,二极管激光辐照种植体表面仅 10 秒后可能会产生超过临界阈值(10°C)的温升。