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钕钇铝石榴石激光对人牙本质小管的封闭深度

Sealing depth of Nd:YAG laser on human dentinal tubules.

作者信息

Liu H C, Lin C P, Lan W H

机构信息

Graduate Institute of Dental Sciences, College of Medicine, National Taiwan University, Taipei, R.O.C.

出版信息

J Endod. 1997 Nov;23(11):691-3. doi: 10.1016/S0099-2399(97)80403-7.

Abstract

Dentin permeability and hypersensitivity are both reduced when the dentinal tubules are occluded. Previous scanning electron microscopic studies showed that Nd:YAG laser could cause melting of dentin and closure of exposed dentinal tubules without dentin surface cracking. Therefore, the aim of the present study was to evaluate the sealing depth of Nd:YAG laser on human dentinal tubules. Thirty-six dentin specimens with exposed dentinal tubule orifices were used in this study. Samples were randomly divided into three groups. Groups A and B were lased by Nd:YAG laser at energy of 30 mJ with 10 pulses/s for a stroke along the dentin surface. Group C was not lased and served as a control. Subsequently, group B was frozen in liquid nitrogen and split by a sharp chisel. Under SEM observation, nonlased specimens showed numerous exposed dentinal tubule orifices, and lased specimens showed melting of dentin and closure of exposed dentinal tubule orifices. The sealing depth of Nd:YAG laser on human dentinal tubules was approximately 4 microns.

摘要

当牙本质小管被封闭时,牙本质渗透性和过敏反应都会降低。先前的扫描电子显微镜研究表明,钕钇铝石榴石(Nd:YAG)激光可使牙本质熔化并封闭暴露的牙本质小管,而不会导致牙本质表面开裂。因此,本研究的目的是评估Nd:YAG激光对人牙本质小管的封闭深度。本研究使用了36个有暴露牙本质小管口的牙本质标本。样本随机分为三组。A组和B组用Nd:YAG激光以30 mJ的能量、10脉冲/秒沿着牙本质表面进行一次照射。C组不进行激光照射,作为对照。随后,将B组在液氮中冷冻,并用锋利的凿子劈开。在扫描电子显微镜观察下,未照射激光的标本显示有大量暴露的牙本质小管口,而照射激光的标本显示牙本质熔化且暴露的牙本质小管口封闭。Nd:YAG激光对人牙本质小管的封闭深度约为4微米。

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