收稿日期: 2022-08-18
录用日期: 2022-11-18
网络出版日期: 2022-12-28
基金资助
上海交通大学医学院附属第九人民医院，上海交通大学口腔医学院研究型学科基金(KQYJXK2020)
Application of a new Er:YAG laser in root canal irrigation
Received date: 2022-08-18
Accepted date: 2022-11-18
Online published: 2022-12-28
Supported by
Research Discipline Fund from Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine;College of Stomatology, Shanghai Jiao Tong University(KQYJXK2020)
在治疗牙髓病、根尖周病时，根管冲洗对于消毒主根管、根管峡部及侧支根管都是至关重要的。传统的注射器冲洗使用最广泛。由于根管系统错综复杂的三维结构，液体无法渗透到所有区域，所以该方法无法很好地冲走组织残留物、牙本质碎屑及玷污层。这会妨碍根管消毒，并影响根管填充材料的密封性能。激光激活冲洗已经成为一种有效的根管冲洗技术，铒: 钇铝石榴石（Er:YAG）激光荡洗大大提高了清除根管内碎屑和消毒药物的效率。该文总结了Er:YAG激光荡洗技术在根管冲洗方面的效果和优势，并综述了Er:YAG激光荡洗技术在根管治疗中的应用现状。
关键词： 根管冲洗; 铒: 钇铝石榴石激光; 光子诱导光声流; 冲击波增强发射光声波流
潘悦萍 , 李婷婷 . Er：YAG激光荡洗的研究与进展[J]. 上海交通大学学报（医学版）, 2022 , 42(12) : 1780 -1784 . DOI: 10.3969/j.issn.1674-8115.2022.12.018
Root canal irrigation is essential to disinfect the main root canal, the root canal isthmus, and the lateral root canals. Traditional syringe irrigation is the most widely used irrigation method. Due to the intricate three-dimensional structure of the root canal system, the fluid cannot penetrate all areas. Therefore, syringe irrigation does not flush out tissue residues and dentin debris well. This accumulated hard tissue debris may interfere with the sealing properties of the root canal filling material and hinder disinfection. Laser-activated irrigation has emerged as an effective root canal irrigation technique. The new Er:YAG laser swabbing mode has greatly improved the efficiency of removing debris and medication from root canals.This article summarizes the effectiveness and advantages of Er:YAG laser in root canal irrigation and the current status of the application of Er:YAG laser to root canal treatment.
| 1 | CARON G, NHAM K, BRONNEC F, et al. Effectiveness of different final irrigant activation protocols on smear layer removal in curved canals[J]. J Endod, 2010, 36(8): 1361-1366. |
| 2 | RICUCCI D, SIQUEIRA J F. Fate of the tissue in lateral canals and apical ramifications in response to pathologic conditions and treatment procedures[J]. J Endod, 2010, 36(1): 1-15. |
| 3 | PRADA I, MICó-MU?OZ P, GINER-LLUESMA T, et al. Update of the therapeutic planning of irrigation and intracanal medication in root canal treatment. A literature review[J]. J Clin Exp Dent, 2019, 11(2): e185-e193. |
| 4 | PANTHANGI S, VISHWAJA U, REDDY C L C, et al. Novel sweeps technology in endodontics: a review[J]. IP Indian J Conserv Endodont, 2021, 6(3): 134-142. |
| 5 | 罗伯特·肯维萨. 口腔激光原理与技术实践[M].赵颖译. 2版. 沈阳: 辽宁科学技术出版社, 2019: 227-229. |
| 5 | KENVISA R. Principles and technical practice of oral laser[M]. 2nd ed. Shenyang: Liaoning Science and Technology Press, 2019: 227-229. |
| 6 | DE MOOR RJ, MEIRE M, GOHARKHAY K, et al. Efficacy of ultrasonic versus laser-activated irrigation to remove artificially placed dentin debris plugs[J]. J Endod, 2010, 36(9): 1580-1583. |
| 7 | VERSTRAETEN J, JACQUET W, DE MOOR R J G, et al. Hard tissue debris removal from the mesial root canal system of mandibular molars with ultrasonically and laser-activated irrigation: a micro-computed tomography study[J]. Lasers Med Sci, 2017, 32(9): 1965-1970. |
| 8 | VATANPOUR M, TOURSAVADKOUHI S, SAJJAD S. Comparison of three irrigation methods: sweeps, ultrasonic, and traditional irrigation, in smear layer and debris removal abilities in the root canal, beyond the fractured instrument[J]. Photodiagnosis Photodyn Ther, 2022, 37: 102707. |
| 9 | DELEU E, MEIRE M A, DE MOOR R J. Efficacy of laser-based irrigant activation methods in removing debris from simulated root canal irregularities[J]. Lasers Med Sci, 2015, 30(2): 831-835. |
| 10 | LUKA? N, JEZER?EK M. Amplification of pressure waves in laser-assisted endodontics with synchronized delivery of Er: YAG laser pulses[J]. Lasers Med Sci, 2018, 33(4): 823-833. |
| 11 | DE MOOR R J, BLANKEN J, MEIRE M, et al. Laser induced explosive vapor and cavitation resulting in effective irrigation of the root canal. Part 2: evaluation of the efficacy[J]. Lasers Surg Med, 2009, 41(7): 520-523. |
| 12 | LLOYD A, UHLES J P, CLEMENT D J, et al. Elimination of intracanal tissue and debris through a novel laser-activated system assessed using high-resolution micro-computed tomography: a pilot study[J]. J Endod, 2014, 40(4): 584-587. |
| 13 | DE MEYER S, MEIRE M A, COENYE T, et al. Effect of laser-activated irrigation on biofilms in artificial root canals[J]. Int Endod J, 2017, 50(5): 472-479. |
| 14 | AZIM A A, AKSEL H, ZHUANG T, et al. Efficacy of 4 irrigation protocols in killing bacteria colonized in dentinal tubules examined by a novel confocal laser scanning microscope analysis[J]. J Endod, 2016, 42(6): 928-934. |
| 15 | SWIMBERGHE R C D, BUYSE R, MEIRE M A, et al. Efficacy of different irrigation technique in simulated curved root canals[J]. Lasers Med Sci, 2021, 36(6): 1317-1322. |
| 16 | GEORGE R, MEYERS I A, WALSH L J. Laser activation of endodontic irrigants with improved conical laser fiber tips for removing smear layer in the apical third of the root canal[J]. J Endod, 2008, 34(12): 1524-1527. |
| 17 | ?ZER S Y, BASARAN E. Evaluation of microleakage of root canal fillings irradiated with different output powers of erbium, chromium: yttrium-scandium-gallium-garnet laser[J]. Aust Endod J, 2013, 39(1): 8-14. |
| 18 | GREGORCIC P, JEZERSEK M, MOZINA J. Optodynamic energy-conversion efficiency during an Er: YAG-laser-pulse delivery into a liquid through different fiber-tip geometries[J]. J Biomed Opt, 2012, 17(7): 075006. |
| 19 | ARICIO?LU B, ?IKMAN A ?, BABACAN M. The comparison of cleaning efficacy and apical extrusion of advanced irrigation activation methods with a novel Er: YAG laser modality: sweeps[J]. Lasers Dent Sci, 2021, 5(1): 43-52. |
| 20 | OZBAY Y, ERDEMIR A. Effect of several laser systems on removal of smear layer with a variety of irrigation solutions[J]. Microsc Res Tech, 2018, 81(10): 1214-1222. |
| 21 | MACEDO R G, WESSELINK P R, ZACCHEO F, et al. Reaction rate of NaOCl in contact with bovine dentine: effect of activation, exposure time, concentration and pH[J]. Int Endod J, 2010, 43(12): 1108-1115. |
| 22 | GOLOB B S, OLIVI G, VRABEC M, et al. Efficacy of photon-induced photoacoustic streaming in the reduction of Enterococcus faecalis within the root canal: different settings and different sodium hypochlorite concentrations[J]. J Endod, 2017, 43(10): 1730-1735. |
| 23 | OLIVI M, RAPONI G, PALAIA G, et al. Disinfection of root canals with laser-activated irrigation, photoactivated disinfection, and combined laser techniques: an ex vivo preliminary study[J]. Photobiomodul Photomed Laser Surg, 2021, 39(1): 62-69. |
| 24 | WU L, JIANG S, GE H, et al. Effect of optimized irrigation with photon-induced photoacoustic streaming on smear layer removal, dentin microhardness, attachment morphology, and survival of the stem cells of apical papilla[J]. Lasers Surg Med, 2021, 53(8): 1105-1112. |
| 25 | KU?TARCI A, ER K, SISO S H, et al. Efficacy of laser-activated irrigants in calcium hydroxide removal from the artificial grooves in root canals: an ex vivo study[J]. Photomed Laser Surg, 2016, 34(5): 205-210. |
| 26 | LIAPIS D, DE BRUYNE M A A, DE MOOR R J G, et al. Postoperative pain after ultrasonically and laser-activated irrigation during root canal treatment: a randomized clinical trial[J]. Int Endod J, 2021, 54(7): 1037-1050. |
| 27 | JEZER?EK M, JEREB T, LUKA? N, et al. Evaluation of apical extrusion during novel Er: YAG laser-activated irrigation modality[J]. Photobiomodul Photomed Laser Surg, 2019, 37(9): 544-550. |
| 28 | YAO K, SATAKE K, WATANABE S, et al. Effect of laser energy and tip insertion depth on the pressure generated outside the apical foramen during Er: YAG laser-activated root canal irrigation[J]. Photomed Laser Surg, 2017, 35(12): 682-687. |
| 29 | KELE? A, ARSLAN H, KAMALAK A, et al. Removal of filling materials from oval-shaped canals using laser irradiation: a micro-computed tomographic study[J]. J Endod, 2015, 41(2): 219-224. |
/
| 〈 |
|
〉 |