国际口腔医学杂志

国际口腔医学杂志 ›› 2021, Vol. 48 ›› Issue (6): 683-689.doi: 10.7518/gjkq.2021105

• 综述 • 上一篇    下一篇

混合光源系统用于活髓牙漂白的临床研究进展

张雪雯1(),李聪2,徐小茵1,高静3,申静3()   

  1. 1.天津医科大学口腔医学院口腔医学系 天津 300070
    2.南开大学医学院口腔医学系 天津 300071
    3.天津市口腔医院国际诊疗中心 天津 300041
  • 收稿日期:2021-02-12 修回日期:2021-07-10 出版日期:2021-11-01 发布日期:2021-10-28
  • 通讯作者: 申静
  • 作者简介:张雪雯,医师,硕士,Email： 2306744831@qq.com

Hybrid light source in vital dental bleaching

Zhang Xuewen1(),Li Cong2,Xu Xiaoyin1,Gao Jing3,Shen Jing3()   

  1. 1. Dept. of Stomatology, School of Stomatology, Tianjin Medical University, Tianjin 300070, China
    2. Dept. of Stomatology, School of Medicine, Nankai University, Tianjin 300071, China
    3. International Clinic Center, Stomatological Hospital of Tianjin, Tianjin 300041, China
  • Received:2021-02-12 Revised:2021-07-10 Online:2021-11-01 Published:2021-10-28
  • Contact: Jing Shen

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摘要：

自激光应用于活髓牙漂白,其显示出巨大的应用潜力,但同时也带来了髓腔升温、牙髓组织损伤、牙齿敏感等一系列的潜在风险。因此,大量的研究旨在寻求一种更加安全、可控的临床漂白方案,这些研究涉及了不同类型光源、不同光强度、不同浓度的漂白剂以及不同的漂白步骤。其中,应用发光二极管（LED）与低强度激光的混合光系统漂白方案因其较保守的漂白参数受到较大的关注。本文将对这一漂白系统的应用效果及安全性作一综述,以探讨其在活髓牙漂白中有效性及安全性的可能优势。

关键词: 牙齿漂白, 混合光, 低浓度过氧化氢, 安全性, 有效性

Abstract:

Laser shows great potential application in vital dental bleaching but includes many potential risks, such as temperature increase in pulp cavity, damage to pulp tissues, and tooth sensitivity. Therefore, many studies involving different light types, light powers, bleaching agent concentrations, and bleaching procedures have been conducted to develop a safe and predictable process for clinical bleaching. The application of light-emitting diode (LED)-low level laser hybrid light source has attracted attention due to its conservative bleaching parameters. In this paper, the efficacy and safety of this novel bleaching system are reviewed to explore its possible advantages in vital dental bleaching.

Key words: dental bleaching, hybrid light, low concentration hydrogen peroxide, safety, effectiveness

中图分类号: 

  • R312

表1

常用混合光系统漂白方案的参数"

参考文献 光源设备（波长及功率） 功率密度/
mW·cm-2		 光照面积/
cm2		 漂白凝胶 光敏剂 漂白程序 随访时间
[15] LED（470 nm、1 800 mW）+激光（808 nm、600 mW） 300 8.5 6%和15% H2O2 均含TiO_N 3次就诊,每次重复3个10 min 1周、6个月
[16] LED（470 nm、1 500 mW）+激光（808 nm、300 mW） - - 6% H2O2 TiO2 3次就诊,每次重复2个12 min 1周、1个月、1、2年
[17] LED（470 nm、350 mW·cm-2）+激光（810 nm、200 mW·cm-2） - - 25%和35% H2O2 无 3次就诊,每次重复3个7.5 min 1周、1个月、1、3年
[18] LED（470 nm、1 500 mW）+激光（808 nm、300 mW） - - 6% H2O2 TiO2 3次就诊,每次重复2个12 min 1周、1个月、
1年
[19] LED+激光（总功率1 500 mW） - - 6% H2O2 TiO2 3次就诊,每次重复2个12 min 1周、1、9个月
[20] LED（470 nm、1 800 mW）+激光（808 nm、600 mW） 300 8.5 6% H2O2 TiO2 3次就诊,每次重复2个12 min;1次就诊,每次重复2个36 min 1周、1个月
[21] LED（470 nm、1 800 mW）+激光（810 nm、600 mW） 300 8.5 6% H2O2 TiO_N 2次就诊,每次重复2个12 min 无长期随访
[22] LED+激光（总功率1 500 mW） - - 6% H2O2 N_TiO2 3次就诊,每次重复2个12 min 1周、1个月
[23] LED（450 nm、400 mW）+激光（808 nm、100 mW） - - 15%和35% H2O2 仅15% H2O2
含N_TiO2		 3次就诊,每次重复3个12 min 1周、1个月
[24] LED（470 nm、1 800 mW）+激光（808 nm、600 mW） 300 8.5 15% H2O2 TiO_N 3次就诊,每次重复3个16 min 无长期随访

图1

混合光源系统漂白机制示意图 PS：光敏剂（photosensitizer）;ROS：活性氧物质（reactive oxygen species）。"

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