Fornaini C, Merigo E, Vescovi P, Lagori G, Rocca Jp
Oral Medicine and Laser-Assisted Surgery Unit, Faculty of Medicine, University of Parma, Viale Antonio Gramsci, 14, 43126 Parma, Italy ; Faculty of Odontology, University Hospital "St. Roch", University of Nice-Sophia Antipolis, 5, rue Pierre Devoluy, 06006 Nice, France.
Laser Ther. 2013;22(2):115-24. doi: 10.3136/islsm.22.115. Epub 2013 Mar 31.
Laser technology got in these years a more and more important role in modern dentistry and, recently, also in orthodontics was proposed the utilization of laser devices. The aim of this work is to describe the utilization of this technology both in soft and hard oral tissues to improve orthodontic treatment. Several cases, with different wavelengths (532, 810, 980, 1064, 2940 and 10600 nm) and in different times of the treatment (before, during and after) are presented. All the cases reported showed, according to the literature, that the use of the laser related to orthodontic treatment offers several advantages when compared with conventional methods. In the soft tissues surgery it allows to reduce or eliminate the use of anesthetic injection, to avoid use of sutures and to bond bracket in dry enamel; associated with orthophosphoric acid, it gives a stronger adhesion of the brackets to the enamel and, in the case of porcelain brackets, it detaches them without damages; at low power (LLLT) it permits to control the pain of the first period after bonding and, by increasing the speed of teeth movement in the bone, reduces the time of the treatment.
近年来,激光技术在现代牙科中发挥着越来越重要的作用,最近,正畸学领域也开始提议使用激光设备。这项工作的目的是描述该技术在口腔软硬组织中的应用,以改善正畸治疗效果。本文介绍了几个使用不同波长(532、810、980、1064、2940和10600纳米)以及在治疗不同阶段(治疗前、治疗期间和治疗后)的病例。根据文献报道,所有这些病例均表明,与传统方法相比,正畸治疗中使用激光具有诸多优势。在软组织手术中,它可以减少或避免使用麻醉注射,避免使用缝线,并能在干燥的牙釉质上粘结托槽;与正磷酸联合使用时,它能使托槽与牙釉质的粘结更强,对于瓷托槽,还能在不损坏的情况下将其取下;在低功率(低强度激光疗法)下,它可以控制粘结后第一阶段的疼痛,并通过加快牙齿在骨中的移动速度,缩短治疗时间。