中国实用口腔科杂志

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激光在口腔种植中的应用

李    倩   

  1. 中国医学科学院北京协和医学院·北京协和医院口腔科,北京  100730
  • 出版日期:2015-04-15 发布日期:2015-04-14
  • 作者简介:李倩,口腔医学博士,北京协和医院口腔科副教授、副主任医师。兼任北京口腔医学会口腔生物医学专业委员会委员、国际口腔激光应用学会中国专家委员会秘书长、国际口腔激光应用学会中国培训中心课程负责人等职。作为负责人承担首都科研发展基金项目1项,作为主要研究人员参加国家自然科学基金、北京市自然科学基金项目各1项。发表论文10余篇, 参编专著2部。
  • 基金资助:

    2013年北京协和医院中青年科研基金项目(pumch-2013-010)

  • Online:2015-04-15 Published:2015-04-14

摘要:

激光是继种植后的口腔医学新技术,正在逐渐受到重视、推广和发展。学者和临床医生也对激光在口腔种植中的应用进行了广泛探索,前景美好。由于激光具有软组织切割疼痛轻、出血少、术后反应小等特点,较早即应用于二期手术暴露埋入式种植体、种植体周围软组织修整与塑形及切开翻瓣手术等方面,效果满意。应用Er∶YAG/Er,Cr∶YSGG硬组织激光还可以进行骨修整、种植窝洞预备、块状骨移植的取骨术、上颌窦底提升术的骨窗预备、牙槽嵴骨劈开术等。目前应用广泛并具有独特优势的是治疗种植体周围炎,包括多种波长激光和光动力疗法。此外,激光还被认为有促进骨结合的作用,弱激光对促进组织愈合以及减轻术后反应的作用也使激光可以参与种植修复的整个治疗过程。但需要重视的是,我们应该了解不同波长激光的特性及操作规范,以减少对种植体表面和种植体周围组织的影响,充分利用激光的优势以获得更好的临床效果。

关键词: 牙种植, 激光, 波长, 激光-组织相互作用, 种植体周围炎

Abstract:

Laser is the next new technology of dentistry after dental implantology,with gradually attention,promotion and development recently. Because of the characteristics of laser cutting soft tissue,less pain,bleeding and postoperative reaction,laser has a long history of applying to the second stage operation,exposing submerged implants,peri-implant soft tissue plasty and remodeling,incision and flap operation. With Er∶YAG/Er,Cr∶YSGG laser,we can also operate on hard tissue,alveolectomy,implant bed preparation,block bone augmentation,bone window preparation for sinus lift,alveolar crest split,etc. At present,laser has been widely used and has the unique advantage in the treatment of peri-implantitis,including multi wavelength laser and photodynamic therapy. In addition,there is evidence suggest that certain types of laser have a role in promoting osseointegration,promoting tissue healing and reducing postoperative reaction,which make oral laser could be involved in the whole procedure of implant restoration. We should understand the characteristics and operation specifications of different wavelength laser,in order to make full use of the advantages of laser to improve clinical outcome,with minimal damage on the tissue around and the implant.

Key words: dental implants, lasers, wavelength, laser interaction with tissue, periimplantitis