Seifi Massoud, Matini Negin-Sadat
Tayebi Research Center, Marquette University, Wisconsin, USA.
Dentofacial Deformities Research Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Lasers Med Sci. 2017 Summer;8(Suppl 1):S1-S6. doi: 10.15171/jlms.2017.s1. Epub 2017 Aug 29.
Recently, a wide variety of procedures have been done by laser application in orthodontics. Apart from the mentioned range of various treatments, laser has become a tool for many soft tissue surgeries as an alternative to conventional scalpel-based technique during orthodontic treatments in the management of soft tissue. Due to scarce information in the latter subject, this study was designed in order to include clinical trials that included soft tissue ablation by laser in orthodontics. Literature was searched based on PubMed and Google Scholar databases in 5 years (2010-2015) with English language restriction and clinical trial design. Studies that performed soft tissue application of laser during orthodontic treatment were extracted by the authors. Only eight studies met the inclusion criteria. No significant difference was found between laser ablation and conventional scalpel technique in the matter of treatment outcome. However, few issues remained to clarify the differences in the mentioned procedures. Laser performance can be recommended in case of preceding less bleeding and discomfort during surgical procedure. There are still quandaries among clinical application of scalpel-based surgery in aesthetic region with bracket-bonded teeth. Precaution and knowledge regarding the characteristics of laser beam such as wavelength, frequency, power and timing is extremely needed.
最近，激光在正畸领域的应用开展了各种各样的操作。除了上述各种治疗范围外，在正畸治疗软组织管理过程中，激光已成为许多软组织手术的一种工具，可替代传统的基于手术刀的技术。由于该领域信息匮乏，本研究旨在纳入在正畸治疗中使用激光进行软组织消融的临床试验。基于PubMed和谷歌学术数据库，在5年（2010 - 2015年）内进行了文献检索，限制语言为英语且为临床试验设计。作者提取了在正畸治疗期间进行软组织激光应用的研究。只有八项研究符合纳入标准。在治疗效果方面，激光消融与传统手术刀技术之间未发现显著差异。然而，仍有一些问题有待澄清上述操作中的差异。在手术过程中出血较少且不适较少的情况下，可推荐使用激光操作。在粘结托槽牙齿的美学区域，基于手术刀的手术临床应用仍存在困惑。极其需要对激光束的特性，如波长、频率、功率和时间等有所预防和了解。
