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- 2016
不同功率Diode激光用于乳牙根管清洁的体外研究
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Abstract:
摘要 目的: 评价不同功率Diode激光(810 nm)对乳牙根管壁玷污层的清除效果。方法: 选取66颗因滞留拔除的乳前牙,随机分为:阴性对照组(未处理,n=6)、阳性对照组(5.25%次氯酸钠冲洗, n=6)和实验组(Diode激光照射,n=54);实验组按不同激光功率分为0.1 W、0.5 W、1.0 W、1.5 W、2.0 W、2.5 W、3.0 W、3.5 W和4.0 W组(n=6)。将光纤头插入根管至工作长度后照射,扫描电子显微镜(SEM)观察根管内壁清洁效果。结果: SEM下可见根管上段、中段和下段分别在1.0W、1.5W和2.0W时有明显的清洁效果,优于与之相邻低功率组和阳性对照组(P<0.05),与高于此功率组相比无显著差异;功率在3.0 W时,根管管壁开始出现牙本质熔融。结论: Diode激光可有效清除乳牙根管玷污层,其有效功率范围为1.0~2.5 W,最佳功率为2.0 W
[1] | Cheng X, Guan S, Lu H, et al. Evaluation of the bactericidal effect of Nd:YAG, Er:YAG, Er,Cr:YSGG laser radiation, and antimicrobial photodynamic therapy (aPDT) in experimentally infected root canals [J]. Lasers Surg Med, 2012, 44(10)∶824-831 |
[2] | 谭青松,彭彬,边专,樊明文.不同浓度次氯酸钠根管超声冲洗的实验研究[J].口腔医学研究, 2007, 23(4)∶388-390 |
[3] | Wong DT, Cheung GS. Extension of bactericidal effect of sodium hypochlorite into dentinal tubules [J]. J Endod, 2014, 40(6)∶825-829 |
[4] | Mathew J, Emil J, Paulaian B, et al. Viability and antibacterial efficacy of four root canal disinfection techniques evaluated using confocal laser scanning microscopy [J]. J Conserv Dent, 2014, 17(5)∶444-448 |
[5] | Wang X, Sun Y, Kimura Y, et al. Effects of diode laser irradiation on smear layer removal from root canal walls and apical leakage after obturation [J]. Photomed Laser Surg, 2005, 23(6)∶575-581 |
[6] | Dos Santos Antonio MP, Moura-Netto C, Camargo SE, et al. Bactericidal effects of two parameters of Er:YAG laser intracanal irradiation: ex-vivo study [J]. Lasers Med Sci, 2012, 27(6)∶1165-1168 |
[7] | Takeda FH, Harashima T, Eto JN, et al. Effect of Er:YAG laser treatment on the root canal walls of human teeth: an SEM study [J]. Endod Dent Traumatol, 1998, 14(6)∶270-273 |
[8] | Asnaashari M, Safavi N. Disinfection of contaminated canals by different laser wavelengths, while performing root canal therapy [J]. J Lasers Med Sci, 2013, 4(1)∶8-16 |
[9] | Bago I, Plecko V, Gabric Panduric D, et al. Antimicrobial efficacy of a high-power diode laser, photo-activated disinfection, conventional and sonic activated irrigation during root canal treatment [J]. International Endodontic Journal, 2013, 46(4)∶339-347 |
[10] | Lim Z, Cheng JL, Lim TW, et al. Light activated disinfection: an alternative endodontic disinfection strategy [J]. Aust Dent J, 2009, 54(2)∶108-114 |
[11] | Marchesan MA, Brugnera-Junior A, Souza-Gabriel AE, et al. Ultrastructural analysis of root canal dentine irradiated with 980-nm diode laser energy at different parameters [J]. Photomed Laser Surg, 2008, 26(3)∶235-240 |
[12] | De Souza EB, Cai S, Simionato MR, et al. High-power diode laser in the disinfection in depth of the root canal dentin [J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2008, 106(1)∶e68-72 |