两种功率PIPS-Er:YAG激光对根管内玷污层去除效果的比较研究  

Comparison of Photon-initiated Photoacoustic Streaming with Two Kinds of Power Settings on Removal of Smear Layer

作　　者：刘敏 彭彬[1] LIU Min;PENG Bin(Key Laboratory for Oral Biomedical Engineering of Ministry of Education,School and Hospital of Stomatology,Wuhan University,Wuhan 430079,China)

机构地区：[1]武汉大学口腔医学院口腔生物医学工程教育部重点实验室,湖北武汉430079

出　　处：《口腔医学研究》2018年第10期1067-1071,共5页Journal of Oral Science Research

基　　金：国家自然科学基金(编号:81570973);湖北省医学领军人才培养工程项目(编号:2014CFA059)

摘　　要：目的:比较高功率和低功率PIPS-Er:YAG激光对根管内玷污层去除效果。方法:收集52颗下颌单根管恒前磨牙,按最后冲洗方法不同随机分为4组(n=13):0.3 W、0.9 W PIPS-Er:YAG组,超声组和注射器冲洗组(均为对照组),冲洗结束后将牙纵向劈开分成两份,随机选取一份用扫描电镜分别扫描根尖部、根中部、冠部根管壁并对残留玷污层进行评分,最后比较4组冲洗方法对玷污层去除效果。结果:0.3 W PIPS-Er:YAG组和0.9W PIPS-Er:YAG组对玷污层的去除效果相当(P>0.05),两组均优于超声组,但差异无统计学意义(P>0.05),而与注射器冲洗组比较差异均有统计学意义(P<0.05)。结论:高功率和低功率的PIPS-Er:YAG激光均可促进玷污层的去除,两者去除效果相当,且均优于于超声冲洗和注射器冲洗。Objective:To compare the efficacy of photon-initiated photoacoustic streaming on the removal of smear layer with two power settings.Methods:52 extracted single-rooted mandibular premolars were instrumented up to ProTaper Universal F4 and randomly divided into 4 groups(n=13)according to the final irrigation techniques:0.3 W PIPS,0.9 W PIPS,ultrasonic,and needle irrigation.After the final irrigation,the teeth were split longitudinally into 2 parts and observed under a scanning electron microscope.Images were taken at the coronal,middle,and apical thirds of the teeth at a magnification of 1000×and were scored in the presence of the smear layer using the Hülsmann scoring system.Results:0.3 W PIPS and 0.9 W PIPS were comparable on the removal of the smear layer(P>0.05).Both groups were better than the ultrasound group,but the difference was not significant(P>0.05),while the difference between the PIPS and the needle irrigation was significant(P<0.05).Conclusion:0.3 W PIPS and 0.9 W PIPS are comparable on removal of the smear layer and are better than ulrasonic and needle irrigation.

关 键 词：PIPS-Er:YAG激光 超声冲洗 注射器冲洗 玷污层 

分 类 号：R781.05[医药卫生—口腔医学]