Świder Katarzyna, Dominiak Marzena
Private Dental Practice, Wschowa, Poland.
Department of Oral Surgery, Faculty of Dentistry, Wroclaw Medical University, Poland.
Dent Med Probl. 2019 Jan-Mar;56(1):111-116. doi: 10.17219/dmp/100386.
The use of lasers in the field of dentistry has increased recently. Their numerous advantages and applications in soft and hard tissue surgeries make them a great alternative to conservative methods in dental implantology. The most commonly used lasers are diode and erbium-doped yttrium aluminium garnet (Er:YAG) lasers. The Er:YAG laser can be used in implant bed preparation, as it brings no thermal injury to the bone. The laser does not cause bone necrosis and positively affects osseointegration and the healing process. The use of the diode laser in soft tissue surgeries helps to obtain optimal hemostasis. Therefore, it can be used in implant exposure, since it allows performing immediate impressions. The present case report describes the implementation of the Er:YAG laser in the implant bed preparation of a single-tooth dental implant in position 35 (according to the World Dental Federation (Fédération Dentaire Internationale - FDI) notation) for better bone regeneration. The implant exposure was performed with the diode 980-nm laser for hemostasis and immediate impressions. The results of laser employment were compared to traditional drilling and scalpel techniques. The advantages and disadvantages of the application of the above lasers were featured.
近年来，激光在牙科领域的应用有所增加。它们在软硬组织手术中的众多优势和应用使其成为牙种植学中保守方法的绝佳替代方案。最常用的激光是二极管激光和掺铒钇铝石榴石（Er:YAG）激光。Er:YAG激光可用于种植窝制备，因为它不会对骨造成热损伤。该激光不会导致骨坏死，对骨整合和愈合过程有积极影响。二极管激光在软组织手术中的应用有助于实现最佳止血效果。因此，它可用于种植体暴露，因为它允许进行即刻印模。本病例报告描述了在35号牙位（根据国际牙科联合会（Fédération Dentaire Internationale - FDI）标记法）单颗牙种植体的种植窝制备中使用Er:YAG激光以促进更好的骨再生。使用980纳米二极管激光进行种植体暴露以实现止血和即刻印模。将激光应用的结果与传统钻孔和手术刀技术进行了比较。阐述了上述激光应用的优缺点。
