国际口腔医学杂志 ›› 2017, Vol. 44 ›› Issue (6): 712-716.doi: 10.7518/gjkq.2017.06.017

• 综述 • 上一篇    下一篇

激光在口腔正畸临床应用中的进展

陈静, 黄晓峰   

  1. 首都医科大学附属北京友谊医院口腔科 北京 100050
  • 收稿日期:2017-01-03 修回日期:2017-08-03 出版日期:2017-11-01 发布日期:2017-11-01
  • 通讯作者: 黄晓峰,教授,博士,Email:huangxf1998@163.com
  • 作者简介:陈静,医师,硕士,Email:08.chenjing@163.com

Development of laser applications in orthodontics

Chen Jing, Huang Xiaofeng.   

  1. Dept. of Stomatology, Beijing Friendship Hospital, Capital Medical University, Beijing 100050, China
  • Received:2017-01-03 Revised:2017-08-03 Online:2017-11-01 Published:2017-11-01

摘要: 近年来,激光逐渐被正畸医生和学者们关注,并应用于正畸领域中。在预防釉质脱矿、软组织处理、缓解疼痛、釉质蚀刻、去除托槽粘接剂、促进牙齿移动等方面,激光的正畸应用已经有了巨大的进步。本文就近年来国内外关于激光的应用作一综述。

关键词: 激光, 脱矿, 软组织, 疼痛, 牙齿移动, 托槽粘接, 托槽再粘接, 埋伏阻生牙

Abstract: In recent years, lasers which are applied in dental clinics have attracted certain concern among orthodontists. Great progress has been recorded in the laser applications in orthodontics, such as the prevention of enamel demineralization, soft tissue treatment, pain relief, enamel etching, removal of bracket binder, and promoting tooth movement. This review presents an overview of the laser applications at home and abroad.

Key words: laser, demineralization, soft tissue, pain, tooth movement, bracket-bonding, bracket rebonding, impacted tooth

中图分类号: 

  • R783.5
[1] de Souza-e-Silva CM, Parisotto TM, Steiner-Oliveira C, et al. Carbon dioxide laser and bonding materials reduce enamel demineralization around orthodontic brackets[J]. Lasers Med Sci, 2013, 28(1):111-118.
[2] Tehranchi A, Fekrazad R, Zafar M, et al. Evaluation of the effects of CO 2 laser on debonding of ortho-dontics porcelain brackets vs. the conventional me-thod[J]. Lasers Med Sci, 2011, 26(5):563-567.
[3] Doshi-Mehta G, Bhad-Patil WA. Efficacy of low-intensity laser therapy in reducing treatment time and orthodontic pain: a clinical investigation[J]. Am J Orthod Dentofacial Orthop, 2012, 141(3):289-297.
[4] Nóbrega C, da Silva EM, de Macedo CR. Low-level laser therapy for treatment of pain associated with orthodontic elastomeric separator placement: a pla-cebo-controlled randomized double-blind clinical trial[J]. Photomed Laser Surg, 2013, 31(1):10-16.
[5] 刘莉, 黄楚云, 李正佳. Nd:YAG激光提高牙齿抗酸能力实验与机理研究[J]. 激光杂志, 2005, 26(1):83- 84.
Liu L, Huang CY, Li ZJ. Experiment and mechanism investigation on acid resistance of Nd:YAG laser treated enamel[J]. Laser J, 2005, 26(1):83-84.
[6] 王冠宇. Nd:YAG激光对预防正畸牙釉质脱矿的观察[D]. 成都: 四川大学, 2003.
Wang GY. Study of the effect of Nd:YAG laser irra-diation on enamel demineralization[D]. Chengdu: Sichuan University, 2003.
[7] Fornaini C, Rocca JP, Bertrand MF, et al. Nd:YAG and diode laser in the surgical management of soft tissues related to orthodontic treatment[J]. Photomed Laser Surg, 2007, 25(5):381-392.
[8] Raji SH, Birang R, Majdzade F, et al. Evaluation of shear bond strength of orthodontic brackets bonded with Er-YAG laser etching[J]. Dent Res J(Isfahan), 2012, 9(3):288-293.
[9] Yassaei S, Aghili H, KhanPayeh E, et al. Comparison of shear bond strength of rebonded brackets with four methods of adhesive removal[J]. Lasers Med Sci, 2014, 29(5):1563-1568.
[10] He WL, Li CJ, Liu ZP, et al. Efficacy of low-level laser therapy in the management of orthodontic pain: a systematic review and meta-analysis[J]. Lasers Med Sci, 2013, 28(6):1581-1589.
[11] Yamaguchi M, Fujita S, Yoshida T, et al. Low-energy laser irradiation stimulates the tooth movement velo-city via expression of M-CSF and c-fms[J]. Orthod Wav, 2007, 66(4):139-148.
[12] Fujita S, Yamaguchi M, Utsunomiya T, et al. Low-energy laser stimulates tooth movement velocity via expression of RANK and RANKL[J]. Orthod Cra-niofac Res, 2008, 11(3):143-155.
[13] Sousa MV, Scanavini MA, Sannomiya EK, et al. Influence of low-level laser on the speed of ortho-dontic movement[J]. Photomed Laser Surg, 2011, 29(3):191-196.
[14] Limpanichkul W, Godfrey K, Srisuk N, et al. Effects of low-level laser therapy on the rate of orthodontic tooth movement[J]. Orthod Craniofac Res, 2006, 9 (1):38-43.
[15] Correa-Afonso AM, Ciconne-Nogueira JC, Pécora JD, et al. Influence of the irradiation distance and the use of cooling to increase enamel-acid resistance with Er:YAG laser[J]. J Dent, 2010, 38(7):534-540.
[16] Oho T, Morioka T. A possible mechanism of ac-quired acid resistance of human dental enamel by laser irradiation[J]. Caries Res, 1990, 24(2):86-92.
[17] 马长柏, 李金华, 姜宏. 不同处理方法对正畸过程中釉面脱矿预防效果的评价[J]. 中华全科医学, 2015, 13(7):1077-1080.
Ma CB, Li JH, Jiang H. Preventing effects of dif-ferent methods on demineralization in the patients with fixed orthodontic appliances[J]. Chin J Gener Pract, 2015, 13(7):1077-1080.
[18] Karkhanechi M, Chow D, Sipkin J, et al. Periodontal status of adult patients treated with fixed buccal ap-pliances and removable aligners over one year of active orthodontic therapy[J]. Angle Orthod, 2013, 83(1):146-151.
[19] Lombardo L, Ortan YÖ, Gorgun Ö, et al. Changes in the oral environment after placement of lingual and labial orthodontic appliances[J]. Prog Orthod, 2013, 14:28.
[20] de Paula Eduardo C, de Freitas PM, Esteves-Oliveira M, et al. Laser phototherapy in the treatment of pe-riodontal disease. A review[J]. Lasers Med Sci, 2010, 25(6):781-792.
[21] To TN, Rabie AB, Wong RW, et al. The adjunct effectiveness of diode laser gingivectomy in main-taining periodontal health during orthodontic treat-ment[J]. Angle Orthod, 2013, 83(1):43-47.
[22] Kim WT, Bayome M, Park JB, et al. Effect of fre-quent laser irradiation on orthodontic pain. A single-blind randomized clinical trial[J]. Angle Orthod, 2013, 83(4):611-616.
[23] Seifi M, Shafeei HA, Daneshdoost S, et al. Effects of two types of low-level laser wave lengths(850 and 630 nm) on the orthodontic tooth movements in rab-bits[J]. Lasers Med Sci, 2007, 22(4):261-264.
[24] Horiuch S, Kaneko K, Mori H, et al. Enamel bonding of self-etching and phosphoric acid-etching ortho-dontic adhesives in simulated clinical conditions: debonding force and enamel surface[J]. Dent Mater J, 2009, 28(4):419-425.
[25] Uşümez S, Orhan M, Uşümez A. Laser etching of enamel for direct bonding with an Er,Cr:YSGG hydrokinetic laser system[J]. Am J Orthod Dento-facial Orthop, 2002, 122(6):649-656.
[26] Kwon YH, Kwon OW, Kim HI, et al. Nd:YAG laser ablation of enamel for orthodontic use: tensile bond strength and surface modification[J]. Dent Mater J, 2003, 22(3):397-403.
[27] Ahrari F, Basafa M, Fekrazad R, et al. The efficacy of Er,Cr:YSGG laser in reconditioning of metallic orthodontic brackets[J]. Photomed Laser Surg, 2012, 30(1):41-46.
[28] Nalbantgil D, Oztoprak MO, Tozlu M, et al. Effects of different application durations of ER:YAG laser on intrapulpal temperature change during debonding [J]. Lasers Med Sci, 2011, 26(6):735-740.
[29] Ishida K, Endo T, Shinkai K, et al. Shear bond strength of rebonded brackets after removal of adhe-sives with Er,Cr:YSGG laser[J]. Odontology, 2011, 99(2):129-134.
[30] 李若兰, 任煜光, 韩捷. 脉冲Nd:YAG激光影响复合树脂修补烤瓷粘接强度实验研究[J]. 华西口腔医学杂志, 2000, 18(6):377-379.
Li RL, Ren YG, Han J. Effects of pulsed Nd:YAG laser irradiation on shear bond strength of composite resin bonded to porcelain[J]. West Chin J Stomatol, 2000, 18(6):377-379.
[31] 台银霞, 朱宪春, 唐冠群, 等. 不同瓷表面处理对托槽与瓷面粘结强度的影响[J]. 吉林大学学报(医学版), 2015, 41(6):1207-1210.
Tai YX, Zhu XC, Tang GQ, et al. Influence of dif-ferent surface treatments in bond strength of brackets to porcelain[J]. J Jilin Univers(Med Ed), 2015, 41 (6):1207-1210.
[32] Fuhrmann R, Gutknecht N, Magunski A, et al. Con-ditioning of enamel with Nd:YAG and CO 2 dental laser systems and with phosphoric acid. An in-vitro comparison of the tensile bond strength and the morphology of the enamel surface[J]. J Orofac Orthop, 2001, 62(5):375-386.
[33] Genovese MD, Olivi G. Use of laser technology in orthodontics: hard and soft tissue laser treatments[J]. Eur J Paediatr Dent, 2010, 11(1):44-48.
[34] Boj JR, Hernandez M, Espasa E, et al. Erbium laser treatment of an impacted first mandibular premolar: a case report[J]. J Clin Pediatr Dent, 2008, 33(1):9- 12.
[35] Dabiri D, Nedley M, Baugh R, et al. An incident of subcutaneous emphysema following laser tooth ex-posure[J]. J Clin Orthod, 2012, 46(12):749-752, 754.
[1] 王楠楠,贺红,花放. 正畸相关釉质脱矿危险因素的研究进展[J]. 国际口腔医学杂志, 2024, 51(1): 91-98.
[2] 韩冲,何东宁,余飞燕,吴东潮. 口腔种植术后疼痛机制及治疗的研究进展[J]. 国际口腔医学杂志, 2024, 51(1): 99-106.
[3] 孙旭,邓振南,文才,赵颖. Er: YAG激光照射种植体表面微形貌变化的扫描电子显微镜观察[J]. 国际口腔医学杂志, 2023, 50(6): 669-673.
[4] 杨静,柳登高. 内镜下激光碎石术治疗唾液腺结石病的研究进展[J]. 国际口腔医学杂志, 2023, 50(6): 704-710.
[5] 廖洪林,方仲瀚,张艳艳,刘飞,沈颉飞. 牙种植术后三叉神经创伤性神经病理性疼痛的诊断与防治[J]. 国际口腔医学杂志, 2023, 50(6): 729-738.
[6] 李沛然,毕瑞野,王旻,王瑞宇,刘尧,姜楠,曹品银,祝颂松. 上颌Le Fort Ⅰ前徙术与前份根尖下截骨后退术术后软组织变化的比较研究[J]. 国际口腔医学杂志, 2023, 50(3): 293-301.
[7] 赵雅丽,王植,高阳,辛鹏飞,张宽收,刘青梅. 磷酸钛氧钾激光在牙齿漂白治疗中的研究进展[J]. 国际口腔医学杂志, 2023, 50(2): 195-202.
[8] 樊永杰,董婷婷. 内蒙古地区蒙古族和汉族成人面部软组织侧貌角度对比研究[J]. 国际口腔医学杂志, 2022, 49(6): 648-656.
[9] 任海霞,刘颍凤,梁慧敏,李家勇,温春琴,王春梅. 虚拟现实技术在儿童深龋治疗中对牙科畏惧的干预效果研究[J]. 国际口腔医学杂志, 2022, 49(5): 529-536.
[10] 郭子源,常笑,韩开放,张锡忠. 低能量激光促进正畸牙移动有效性研究的系统评价与Meta分析[J]. 国际口腔医学杂志, 2022, 49(2): 163-172.
[11] 章善,沈树平,张舫,杨卫东. Er: YAG激光光子激活光声流技术对根管壁牙本质失水状况及牙根抗压强度的影响[J]. 国际口腔医学杂志, 2022, 49(1): 55-59.
[12] 何蓉,刘学军,周宇琨. 光子引导的光声流效应在根管荡洗中应用的系统评价[J]. 国际口腔医学杂志, 2021, 48(6): 644-655.
[13] 王悦,文冰,邓梦婷,李建平. 低能量激光治疗对种植体周围组织愈合的研究进展[J]. 国际口腔医学杂志, 2021, 48(6): 725-730.
[14] 刘敏,张宽收,刘青梅. 激光蚀刻牙体组织在直接粘接技术中的研究进展[J]. 国际口腔医学杂志, 2021, 48(3): 292-296.
[15] 赵梦珺,李杨,吴家媛. 乳牙牙髓切断术在乳牙深龋治疗中的应用[J]. 国际口腔医学杂志, 2021, 48(1): 102-109.
Viewed
Full text


Abstract

Cited

  Shared   
  Discussed   
[1] 王昆润. 修补颌骨缺损的新型生物学相容材料[J]. 国际口腔医学杂志, 1999, 26(06): .
[2] 陆加梅. 不可复性关节盘移位患者术前张口度与关节镜术后疗效的相关性[J]. 国际口腔医学杂志, 1999, 26(06): .
[3] 王昆润. 咀嚼口香糖对牙周组织微循环的影响[J]. 国际口腔医学杂志, 1999, 26(06): .
[4] 宋红. 青少年牙周炎外周血分叶核粒细胞的趋化功能[J]. 国际口腔医学杂志, 1999, 26(06): .
[5] 高卫民,李幸红. 发达国家牙医学院口腔种植学教学现状[J]. 国际口腔医学杂志, 1999, 26(06): .
[6] 侯锐. 正畸患者釉白斑损害的纵向激光荧光研究[J]. 国际口腔医学杂志, 1999, 26(05): .
[7] 轩东英. 不同赋形剂对氢氧化钙抗菌效果的影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[8] 房兵. 唇腭裂新生儿前颌骨矫正方法及对上颌骨生长发育的影响[J]. 国际口腔医学杂志, 1999, 26(05): .
[9] 杨美祥. 前牙厚度在预测上下颌牙量协调性中的作用[J]. 国际口腔医学杂志, 1999, 26(04): .
[10] 赵艳丽. 手术刀、电凝、CO_2和KTP激光对大鼠舌部创口的作用[J]. 国际口腔医学杂志, 1999, 26(04): .