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激光在活髓治疗中的应用:临床和放射学结果。

The application of lasers in vital pulp therapy: clinical and radiographic outcomes.

机构信息

School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran.

School of Dentistry, The University of Queensland, Brisbane, Australia.

出版信息

BMC Oral Health. 2024 Mar 14;24(1):333. doi: 10.1186/s12903-024-04026-x.

DOI:10.1186/s12903-024-04026-x
PMID:38486157
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10938664/
Abstract

The main purpose of vital pulp therapy (VPT) is to preserve the integrity and function of the pulp. A wide variety of materials and techniques have been proposed to improve treatment outcomes, and among them, the utilization of lasers has gained significant attention. The application of lasers in different stages of VPT has witnessed remarkable growth in recent years, surpassing previous approaches.This study aimed to review the applications of lasers in different steps of VPT and evaluate associated clinical and radiographic outcomes. An electronic search using Scopus, MEDLINE, Web of Science and Google Scholar databases from 2000 to 2023 was carried out by two independent researchers. The focus was on human studies that examined the clinical and/or radiographic effects of different laser types in VPT. A total of 4243 studies were included in this narrative review article. Based on the compiled data, it can be concluded that although current literature suggests laser may be proposed as an adjunct modality for some procedural steps in VPT, more research with standardized methodologies and criteria is needed to obtain more reliable and conclusive results.

摘要

活髓保存治疗(VPT)的主要目的是保持牙髓的完整性和功能。为了改善治疗效果,提出了各种各样的材料和技术,其中激光的应用引起了广泛关注。近年来,激光在 VPT 的不同阶段的应用有了显著的发展,超越了以往的方法。本研究旨在回顾激光在 VPT 不同步骤中的应用,并评估相关的临床和影像学结果。两位独立的研究人员使用 Scopus、MEDLINE、Web of Science 和 Google Scholar 数据库,从 2000 年到 2023 年进行了电子检索。研究重点是探讨不同激光类型在 VPT 中对临床和/或影像学影响的人类研究。本叙述性综述文章共纳入 4243 项研究。根据汇总的数据,可以得出结论,尽管目前的文献表明激光可能被提议作为 VPT 中某些程序步骤的辅助手段,但需要更多采用标准化方法和标准的研究,以获得更可靠和更具结论性的结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3612/10938664/cf51d38d24da/12903_2024_4026_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3612/10938664/02703eabeb62/12903_2024_4026_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3612/10938664/cf51d38d24da/12903_2024_4026_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3612/10938664/02703eabeb62/12903_2024_4026_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3612/10938664/cf51d38d24da/12903_2024_4026_Fig2_HTML.jpg

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本文引用的文献

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2
The comparison of calcium hydroxide + biostimulation, calcium hydroxide, formocresol, and MTA pulpotomies without biostimulation in primary teeth: 12-months clinical and radiographic follow-up.乳牙中氢氧化钙+生物刺激、氢氧化钙、甲醛甲酚和无生物刺激的MTA活髓切断术的比较:12个月临床和影像学随访
Lasers Med Sci. 2022 Jul;37(5):2545-2554. doi: 10.1007/s10103-022-03536-w. Epub 2022 Mar 1.
3
Efficacy of laser photobiomodulation pulpotomy in human primary teeth: A randomized controlled trial.
激光光生物调节活髓切断术治疗人乳恒牙的疗效:一项随机对照试验。
J Indian Soc Pedod Prev Dent. 2021 Oct-Dec;39(4):436-441. doi: 10.4103/jisppd.jisppd_150_21.
4
Present status and future directions-Vital pulp treatment and pulp preservation strategies.现状与未来方向——活髓治疗与牙髓保存策略。
Int Endod J. 2022 May;55 Suppl 3(Suppl 3):497-511. doi: 10.1111/iej.13688. Epub 2022 Feb 3.
5
Clinical and radiographic effectiveness of mineral trioxide aggregate (MTA) partial pulpotomy with low power or high power diode laser irradiation in deciduous molars: a randomized clinical trial.低功率或高功率二极管激光照射下三氧化矿物凝聚体(MTA)部分活髓切断术治疗乳磨牙的临床及影像学疗效:一项随机临床试验
Lasers Med Sci. 2022 Jun;37(4):2293-2303. doi: 10.1007/s10103-022-03503-5. Epub 2022 Jan 25.
6
Comparative evaluation of diode laser and simvastatin gel in pulpotomy of primary molars: A randomized clinical trial.二极管激光与辛伐他汀凝胶在乳磨牙活髓切断术中的对比评价:一项随机临床试验。
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J Lasers Med Sci. 2020 Fall;11(Suppl 1):S60-S66. doi: 10.34172/jlms.2020.S10. Epub 2020 Dec 30.
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