Lavu Vamsi, Sundaram Subramoniam, Sabarish Ram, Rao Suresh Ranga
Department of Periodontics, Faculty of Dental Sciences, Sri Ramachandra University, Porur, Tamil Nadu, Chennai, India.
Open Dent J. 2015 Jan 30;9:79-86. doi: 10.2174/1874210601509010079. eCollection 2015.
The objective of this literature review was to critically review the evidence available in the literature regarding the expediency of erbium family of lasers for root bio modification as a part of periodontal therapy. The literature search was performed on the Pubmed using MeSH words such as "lasers/therapeutic use, scaling, dental calculus, tooth root/anatomy and histology, ultrasonic therapy". The studies were screened and were grouped as follows: those evaluating a) efficacy for calculus removal with the Erbium family of laser b) root surface changes following Er YAG and Er Cr YSGG application c) comparative studies of the Er YAG, Er Cr YSGG lasers versus conventional methods of root surface modification d) Bio compatibility of root surface following Erbium laser treatment e) Studies on the combined efficacy of laser root modification with conventional methods towards root surface bio-modification f) Studies on effectiveness of root surface bio-modification prior to root coverage procedures. In conclusion, the erbium family has a proven anti-bacterial action, predictable calculus removal, minimal root substance removal, and appears to favor cell attachment. The Erbium family of lasers appears to be a useful adjunct for the management of periodontal disease.
本文献综述的目的是批判性地回顾文献中有关铒激光家族用于牙根生物改性作为牙周治疗一部分的适宜性的现有证据。使用诸如“激光/治疗用途、洁治、牙结石、牙根/解剖学和组织学、超声治疗”等医学主题词（MeSH）在PubMed上进行文献检索。对研究进行筛选并分组如下：a）评估铒激光家族去除牙结石的疗效；b）应用铒钇铝石榴石（Er YAG）和铒铬钇钪镓石榴石（Er Cr YSGG）后牙根表面的变化；c）Er YAG、Er Cr YSGG激光与传统牙根表面改性方法的对比研究；d）铒激光治疗后牙根表面的生物相容性；e）激光牙根改性与传统方法联合用于牙根表面生物改性的疗效研究；f）牙根覆盖手术前牙根表面生物改性有效性的研究。总之，铒激光家族已被证明具有抗菌作用、可预测的牙结石去除效果、最小的牙根物质去除量，并且似乎有利于细胞附着。铒激光家族似乎是牙周疾病治疗的一种有用辅助手段。
