Current status of Er:YAG laser in periodontal surgery

IF 5.7 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE

Japanese Dental Science Review Pub Date : 2023-12-09 DOI:10.1016/j.jdsr.2023.11.002

Akira Aoki , Koji Mizutani , Yoichi Taniguchi , Taichen Lin , Yujin Ohsugi , Risako Mikami , Sayaka Katagiri , Walter Meinzer , Takanori Iwata

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引用次数: 0

Abstract

Lasers have numerous advantageous tissue interactions such as ablation or vaporization, hemostasis, bacterial killing, as well as biological effects, which induce various beneficial therapeutic effects and biological responses in the tissues. Thus, lasers are considered an effective and suitable device for treating a variety of inflammatory and infectious conditions of periodontal disease. Among various laser systems, the Er:YAG laser, which can be effectively and safely used in both soft and hard tissues with minimal thermal side effects, has been attracting much attention in periodontal therapy. This laser can effectively and precisely debride the diseased root surface including calculus removal, ablate diseased connective tissues within the bone defects, and stimulate the irradiated surrounding periodontal tissues during surgery, resulting in favorable wound healing as well as regeneration of periodontal tissues. The safe and effective performance of Er:YAG laser-assisted periodontal surgery has been reported with comparable and occasionally superior clinical outcomes compared to conventional surgery. This article explains the characteristics of the Er:YAG laser and introduces its applications in periodontal surgery including conventional flap surgery, regenerative surgery, and flapless surgery, based on scientific evidence from currently available basic and clinical studies as well as cases reports.

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Er:YAG 激光在牙周手术中的应用现状

激光具有许多有利的组织相互作用，如烧蚀或汽化、止血、杀灭细菌以及生物效应，可诱导组织产生各种有益的治疗效果和生物反应。因此，激光被认为是治疗各种牙周病炎症和感染性疾病的有效和合适的设备。在各种激光系统中，Er:YAG 激光可有效、安全地用于软组织和硬组织，热副作用极小，在牙周治疗中备受关注。这种激光可以有效、精确地去除病变的牙根表面，包括去除牙结石，消融骨缺损内的病变结缔组织，并在手术过程中刺激照射周围的牙周组织，从而促进伤口愈合和牙周组织的再生。据报道，Er:YAG 激光辅助牙周手术安全有效，与传统手术相比，临床效果相当，有时甚至更好。本文基于现有基础和临床研究的科学证据以及病例报告，解释了 Er:YAG 激光的特点，并介绍了其在牙周手术中的应用，包括传统翻瓣手术、再生手术和无瓣手术。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Japanese Dental Science Review DENTISTRY, ORAL SURGERY & MEDICINE-

CiteScore

9.90

自引率

1.50%

发文量

审稿时长

32 days

期刊介绍： The Japanese Dental Science Review is published by the Japanese Association for Dental Science aiming to introduce the modern aspects of the dental basic and clinical sciences in Japan, and to share and discuss the update information with foreign researchers and dentists for further development of dentistry. In principle, papers are written and submitted on the invitation of one of the Editors, although the Editors would be glad to receive suggestions. Proposals for review articles should be sent by the authors to one of the Editors by e-mail. All submitted papers are subject to the peer- refereeing process.