Laser applications in oral surgery and implant dentistry
Laser applications in oral surgery and implant dentistry
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DOI：
10.1007/s10103-007-0440-3
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发表时间：
2007-11-01
影响因子：
2.1
通讯作者：
Horch, Hans-Henning
中科院分区：
文献类型：
--
作者：
Deppe, Herbert;Horch, Hans-Henning
激光已在口腔外科和种植牙科中使用多年。在某些适应症中，与传统技术相比，激光治疗已成为最先进的技术。本文对激光在口腔外科和种植牙科中的新应用进行了全面的综述。在过去几年中，最有趣的发展之一是9.6 μ m CO2激光器的引入。最近的文献表明，使用这种新器械可以保存组织，在光镜水平上几乎没有不良反应。相比之下，经批准的癌前病变CO2激光治疗的改良导致比传统散焦激光技术更高的复发率。然而，一些研究表明，其他波长如Nd-YAG（λ =1,064 nm）或二极管激光器（λ =810 nm）在该领域也可能是有价值的。在许多其他适应症中，激光的使用仍处于实验阶段。术中使用的光动力疗法或种植体周围护理生病的种植体与CO2激光似乎比传统的方法更有价值。然而，需要进一步的研究来评估标准方案。在过去的几年里，研究确定了一些新的适应症，激光治疗在口腔外科和种植牙科。此外，众所周知的激光应用被定义为最新技术水平。然而，需要进一步研究激光治疗在口腔外科和种植牙科。
Lasers have been used for many years in oral surgery and implant dentistry. In some indications, laser treatment has become state of the art as compared to conventional techniques. This article is a comprehensive review of new laser applications in oral surgery and implant dentistry. One of the most interesting developments over the last years was the introduction of the 9.6-mu m CO2 laser. It has been shown in the recent literature that the use of this new device can preserve tissue with almost no adverse effects at the light microscopic level. In contrast, modifications of approved CO2 laser therapies of premalignant lesions resulted in higher recurrence rates than the conventional defocused laser technique. However, several studies indicate that other wavelengths such as Nd-YAG (lambda=1,064 nm) or diode lasers (lambda=810 nm) may be also of value in this field. In many other indications, the use of lasers is still experimental. Intraoperatively used photodynamic therapy or periimplant care of ailing implants with the CO2 laser seems to be more of value than conventional methods. However, further studies are required to assess standard protocols. Over the past years, research identified some new indications for laser treatment in oral surgery and implant dentistry. Moreover, well-known laser applications were defined as state of the art. Nevertheless, further studies are required for laser treatment in oral surgery and implant dentistry.