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治疗性超声在牙科中的前瞻性应用——近期全面更新的综述

Prospective utility of therapeutic ultrasound in dentistry-Review with recent comprehensive update.

作者信息

Rai Shalu, Kaur Mandeep, Goel Sumit, Panjwani Sapna, Singh Shailly

机构信息

Department of Oral Medicine and Radiology, Institute of Dental Studies and Technologies, Kadrabad, Modinagar, (U.P.), India.

出版信息

Adv Biomed Res. 2012;1:47. doi: 10.4103/2277-9175.100153. Epub 2012 Aug 28.

Abstract

BACKGROUND

The utility of ultrasound (US) for therapeutic purposes is still in its infancy. Therapeutic US (TUS) has been used widely in medical field for urological application, surgical intervention, bone healing, and osteointegration in cancer and healing of full thickness excised skin lesions, and within dentistry as a prediagnostic, diagnostic and therapeutic purpose. The purpose of the paper is to review and determine the efficacy of US as one of the treatment modalities for its role in maxillofacial region to reduce pain and promote soft tissue healing.

MATERIALS AND METHODS

A Medline search included of the international literature published between 1976 and 2011 and was restricted to English language articles, published work of past researchers including in vitro and in vivo studies, recent additions of textbooks on surgical and therapeutic applications of US and, current articles in conference papers and reports accessed from the internet using Google search engine on therapeutic ultrasound.

RESULTS

Very few article regarding effect of therapeutic of US for its use of insonation for treatment of patient with pain and soft tissue injury are available. This review article mainly emphasizes the therapeutic utility of US in dentistry for its effectiveness to decrease joint stiffness, reduce pain and muscle spasms and improve muscle mobility. In vivo studies have shown very little clinical effects.

CONCLUSIONS

Further research is warranted in this clinically important area to make the development of noninvasive, multifunctional ultrasound devices for repair, regeneration and other therapeutic utility a success.

摘要

背景

超声用于治疗目的仍处于起步阶段。治疗性超声(TUS)已在医学领域广泛应用于泌尿外科、外科手术干预、骨愈合、癌症中的骨整合以及全层切除皮肤损伤的愈合,在牙科领域也用于预诊断、诊断和治疗目的。本文旨在回顾并确定超声作为一种治疗方式在颌面部区域减轻疼痛和促进软组织愈合方面的疗效。

材料与方法

对1976年至2011年间发表的国际文献进行Medline检索,仅限于英文文章,包括过去研究人员的已发表作品,涵盖体外和体内研究、超声外科和治疗应用的最新教科书,以及通过谷歌搜索引擎从互联网获取的关于治疗性超声的会议论文和报告中的当前文章。

结果

关于治疗性超声用于治疗疼痛和软组织损伤患者的超声照射效果的文章非常少。这篇综述文章主要强调了超声在牙科中的治疗效用,即其在降低关节僵硬、减轻疼痛和肌肉痉挛以及改善肌肉活动度方面的有效性。体内研究显示临床效果甚微。

结论

在这个具有临床重要性的领域有必要进行进一步研究,以使无创、多功能超声设备在修复、再生和其他治疗用途方面的开发取得成功。

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