Safaee Sirus, Moghanian Amirhossein, Mehrdar Mohammad, Asadi Parviz, Akbari Mostafa, Nesabi Mahyar, Nesabi Mahdis
Nagasaki University, Nagasaki, Japan.
Imam Khomeini International University, Qazvin, Islamic Republic of Iran.
Lasers Med Sci. 2025 Sep 25;40(1):382. doi: 10.1007/s10103-025-04624-3.
This review examines advancements in laser-assisted dental procedures, focusing on their applications, clinical outcomes, and the shift towards minimally invasive techniques. It discusses the fundamentals of laser technology, including wavelength selection, monochromaticity, coherence, and beam focusing, which enhance the precision and efficacy of treatment. A comprehensive literature search was conducted using multiple databases, including PubMed, Scopus, Web of Science, Google Scholar, and Embase, using keywords related to lasers in dentistry. Peer-reviewed articles, original research studies, clinical trials, and reviews on clinical applications, benefits, and limitations were included, whereas irrelevant studies were excluded. During the review process, we utilized a broad range of search engines to ensure the inclusion of the most up-to-date and comprehensive evidence reflecting the evolution of laser-tissue interactions. The integration of laser technology in dental practice represents a significant advancement, offering benefits such as increased precision in targeting specific areas, minimal damage to surrounding tissues, and reduced patient discomfort. Laser procedures typically result in less bleeding and swelling, often decreasing the need for anesthesia, which leads to a more comfortable patient experience. Additionally, the minimally invasive nature of lasers supports the quicker recovery and preservation of healthy tissues. This review highlights the diverse applications of lasers in dentistry, including caries detection, soft and hard tissue surgeries, periodontal therapy, and dentin hypersensitivity (DH) management, while addressing challenges such as equipment costs, training requirements, and safety considerations. The review also emphasizes the need to consider the broad spectrum of laser wavelengths currently used in clinical dentistry, beyond the commonly referenced Er: YAG, to provide a complete perspective of contemporary practice. Further research is needed to enhance the clinical integration, accessibility, and optimization of laser-based therapies.
本综述探讨了激光辅助牙科手术的进展，重点关注其应用、临床结果以及向微创技术的转变。它讨论了激光技术的基本原理，包括波长选择、单色性、相干性和光束聚焦，这些特性提高了治疗的精度和效果。使用多个数据库进行了全面的文献检索，包括PubMed、Scopus、Web of Science、谷歌学术和Embase，使用了与牙科激光相关的关键词。纳入了同行评审的文章、原创研究、临床试验以及关于临床应用、益处和局限性的综述，而排除了无关研究。在综述过程中，我们使用了广泛的搜索引擎，以确保纳入反映激光与组织相互作用演变的最新和全面的证据。激光技术在牙科实践中的整合代表了一项重大进展，带来了诸如在靶向特定区域时提高精度、对周围组织损伤最小以及减少患者不适等益处。激光手术通常导致出血和肿胀较少，常常减少了麻醉的需求，从而为患者带来更舒适的体验。此外，激光的微创性质有助于更快恢复和保留健康组织。本综述强调了激光在牙科中的多种应用，包括龋齿检测、软硬组织手术、牙周治疗和牙本质过敏症（DH）管理，同时解决了诸如设备成本、培训要求和安全考虑等挑战。该综述还强调，除了常用的Er:YAG之外，需要考虑目前临床牙科中使用的广泛激光波长范围，以提供当代实践的完整视角。需要进一步研究以加强基于激光的治疗的临床整合、可及性和优化。
