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先进激光及其在牙科中的应用。

Advanced Lasers and Their Applications in Dentistry.

作者信息

Zhang Olivia Lili, Yin Iris Xiaoxue, Yu Ollie Yiru, Luk Kenneth, Niu John Yun, Chu Chun Hung

机构信息

Faculty of Dentistry, The University of Hong Kong, Hong Kong 999077, China.

出版信息

Dent J (Basel). 2025 Jan 16;13(1):37. doi: 10.3390/dj13010037.

Abstract

The development of laser technology has revolutionized dentistry, offering complementary and alternative approaches to traditional techniques. Lasers have been successfully integrated into various dental procedures, enhancing treatment outcomes and patient care. Several types of lasers can increase the acid resistance of enamel, thus preventing caries. Laser fluorescence has been utilized for the pre-operative diagnosis of dental caries, enabling early detection and effective treatment planning. The therapeutic application of lasers in caries treatment aligns with the contemporary philosophy of minimally invasive procedures. Clinicians can use laser Doppler flowmetry as a supplementary tool for pulp vitality testing by detecting pulpal blood flow. Lasers are also employed in various pulp-related interventions, such as managing dentine hypersensitivity and performing root canal therapy. These procedures benefit from the precision and reduced invasiveness provided by laser technology. Furthermore, laser fluorescence serves as an additional tool for subgingival calculus detection. High-power and low-power lasers are used in both nonsurgical and surgical therapies to treat periodontal and peri-implant diseases, oral mucosa conditions, and even cancer based on their specific properties. Lasers are also utilized to accelerate bone regeneration, promote adhesive strength, and remove ceramic brackets. In summary, laser technology has significantly impacted contemporary dentistry by facilitating early diagnosis, minimally invasive treatments, and precise operative procedures, ultimately improving patient outcomes and expanding the scope of dental practice.

摘要

激光技术的发展给牙科带来了革命性变化,为传统技术提供了补充和替代方法。激光已成功应用于各种牙科手术中,改善了治疗效果并提升了患者护理水平。几种类型的激光可以增强牙釉质的抗酸性,从而预防龋齿。激光荧光已被用于龋齿的术前诊断,能够实现早期检测并制定有效的治疗方案。激光在龋齿治疗中的治疗应用符合当代微创治疗理念。临床医生可以通过检测牙髓血流,将激光多普勒血流仪作为牙髓活力测试的辅助工具。激光还用于各种与牙髓相关的干预措施,如治疗牙本质过敏和进行根管治疗。这些手术受益于激光技术提供的精确性和较低的侵入性。此外,激光荧光可作为龈下牙石检测的辅助工具。根据其特定特性,高功率和低功率激光被用于非手术和手术治疗,以治疗牙周病和种植体周围疾病、口腔黏膜疾病甚至癌症。激光还用于加速骨再生、提高粘结强度以及去除陶瓷托槽。总之,激光技术通过促进早期诊断、微创治疗和精确手术操作,对当代牙科产生了重大影响,最终改善了患者治疗效果并扩大了牙科实践的范围。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3327/11763962/eeb66d3d0d21/dentistry-13-00037-g001.jpg

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