Plötz Christina, Schelle Florian, Bourauel Christoph, Frentzen Matthias, Meister Jörg
Department of Operative and Preventive Dentistry, Dental Faculty, Bonn University, Welschnonnenstrasse 17, 53111, Bonn, Germany.
Lasers Med Sci. 2015 Apr;30(3):977-83. doi: 10.1007/s10103-014-1520-9. Epub 2014 Jan 24.
Ultrashort pulsed lasers (USPLs) represent a new generation of laser systems in the field of biophotonical applications. In terms of a pilot project, the study was carried out to evaluate the ablation parameters of bone tissue regarding the medical use of such a laser technology in dentistry. Specimens from ribs of freshly slaughtered pigs were assembled and irradiated with an USP Nd:YVO4 laser (pulse duration 8 ps at 1,064 nm with repetition rates between 50 and 500 kHz) using eligible average output powers in the range of 3.5-9 W and fluences between 1 and 2.5 J/cm(2). Square-shaped cavities of 1-mm edge length in the bone compacta were created employing a scanner system. Cavities were analyzed with an optical profilometer to determine the ablated volume. Ablation rate was calculated by the ablated volume and the recorded irradiation time by the scanner software. Additionally, samples were examined histologically to investigate side effects of the surrounding tissue. Formed cavities showed a precise and sharp-edged appearance in bone compacta. Optimized ablation rate of 5.2 mm(3)/min without any accompanying side effects was obtained with an average output power of 9 W, a pulse repetition rate of 500 kHz, and an applied fluence of 2.5 J/cm(2). Provided that the used laser system will be advanced and adjusted for clinical applications, the outcome of this study shows auspicious possibilities for the use of USPL systems in the preparation of bone tissue.
超短脉冲激光(USPLs)是生物光子学应用领域中的新一代激光系统。作为一个试点项目,开展了此项研究,以评估在牙科医学中使用这种激光技术时骨组织的消融参数。收集新鲜屠宰猪的肋骨样本,使用波长为1064nm、脉冲持续时间为8ps、重复频率在50至500kHz之间的USP Nd:YVO4激光进行照射,使用的平均输出功率范围为3.5 - 9W,能量密度在1至2.5J/cm²之间。利用扫描系统在骨密质中创建边长为1mm的方形腔。使用光学轮廓仪分析腔以确定消融体积。消融速率由消融体积和扫描软件记录的照射时间计算得出。此外,对样本进行组织学检查以研究周围组织的副作用。形成的腔在骨密质中呈现出精确且边缘清晰的外观。在平均输出功率为9W、脉冲重复频率为500kHz、施加能量密度为2.5J/cm²的条件下,获得了5.2mm³/min的优化消融速率,且无任何伴随的副作用。倘若所使用的激光系统能够进一步改进并针对临床应用进行调整,本研究结果显示了在骨组织制备中使用USPL系统的良好前景。