Er:YAG激光照射牙髓后的组织病理学变化:激光切髓术的初步报告。

Yuichi Kimura, Kazuo Yonaga, Keiko Yokoyama, Haruji Watanabe, Xiaogu Wang, Koukichi Matsumoto
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引用次数: 30

摘要

目的:探讨Er:YAG激光照射对牙髓切开术中牙髓组织的影响。背景资料:Er:YAG激光切开术对牙髓组织的影响尚不清楚。材料与方法:60根大鼠下颌第一磨牙近中根管分为4组。在其中三个组中,使用Er:YAG激光以2 Hz、34、68和102 mJ/脉冲照射根管,持续15秒。未照射根管作为对照。在光镜下观察激光照射后0天、2天和1周对剩余牙髓组织和牙周组织的影响。结果:治疗1周后,对照组和34个mJ/脉冲照射组均无炎症和吸收。然而,在68和102 mJ/脉冲照射组中,10例中有9例(90%)出现中度至重度炎症。结论:如果选择合适的参数,Er:YAG激光切齿对牙髓组织的影响很小,是一种有潜力的牙髓切齿治疗方法。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Histopathological changes in dental pulp irradiated by Er:YAG laser: a preliminary report on laser pulpotomy.

Objective: The effects of Er:YAG laser irradiation on the pulp tissue during a pulpotomy procedure were evaluated histopathologically.

Background data: The effects on pulp tissue during laser pulpotomy using Er:YAG laser irradiation are not clear.

Materials and methods: Sixty mesial root canals of mandibular first molars in rats were divided into four groups. In three of these groups, root canals were irradiated using an Er:YAG laser at 2 Hz and 34, 68, and 102 mJ/pulse for 15 sec. Non-irradiated canals served as controls. The effects of laser irradiation on the remaining pulp tissue and periodontal tissues were evaluated at 0 days, 2 days, and 1 week after irradiation under light microscopy.

Results: At 1 week after treatment, no inflammation or resorption was observed in any cases in the control or 34 mJ/pulse-irradiated groups. However, moderate to severe inflammation was observed in 9 of 10 cases (90%) in the 68 and 102 mJ/pulse-irradiated groups.

Conclusion: These results suggest that effects on pulp tissues during a pulpotomy procedure by Er:YAG laser irradiation are minimal, if appropriate parameters are selected, and this is a potential therapy for pulpotomy of human teeth.

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