Er:YAG激光荡洗的研究与进展  

Application of a new Er:YAG laser in root canal irrigation

作　　者：潘悦萍[1] 李婷婷[1] PAN Yueping;LI Tingting(Department of Endodontics,Shanghai Ninth People's Hospital,Shanghai Jiao Tong University School of Medicine,College of Stomatology,Shanghai Jiao Tong University,National Center for Stomatology,National Clinical Research Center for Oral Diseases,Shanghai Key Laboratory of Stomatology,Shanghai 200011,China)

机构地区：[1]上海交通大学医学院附属第九人民医院牙体牙髓科,上海交通大学口腔医学院,国家口腔医学中心,国家口腔疾病临床医学研究中心,上海市口腔医学重点实验室,上海200011

出　　处：《上海交通大学学报（医学版）》2022年第12期1780-1784,共5页Journal of Shanghai Jiao tong University:Medical Science

基　　金：上海交通大学医学院附属第九人民医院,上海交通大学口腔医学院研究型学科基金(KQYJXK2020)。

摘　　要：在治疗牙髓病、根尖周病时,根管冲洗对于消毒主根管、根管峡部及侧支根管都是至关重要的。传统的注射器冲洗使用最广泛。由于根管系统错综复杂的三维结构,液体无法渗透到所有区域,所以该方法无法很好地冲走组织残留物、牙本质碎屑及玷污层。这会妨碍根管消毒,并影响根管填充材料的密封性能。激光激活冲洗已经成为一种有效的根管冲洗技术,铒:钇铝石榴石(Er:YAG)激光荡洗大大提高了清除根管内碎屑和消毒药物的效率。该文总结了Er:YAG激光荡洗技术在根管冲洗方面的效果和优势,并综述了Er:YAG激光荡洗技术在根管治疗中的应用现状。Root canal irrigation is essential to disinfect the main root canal,the root canal isthmus,and the lateral root canals.Traditional syringe irrigation is the most widely used irrigation method.Due to the intricate three-dimensional structure of the root canal system,the fluid cannot penetrate all areas.Therefore,syringe irrigation does not flush out tissue residues and dentin debris well.This accumulated hard tissue debris may interfere with the sealing properties of the root canal filling material and hinder disinfection.Laser-activated irrigation has emerged as an effective root canal irrigation technique.The new Er:YAG laser swabbing mode has greatly improved the efficiency of removing debris and medication from root canals.This article summarizes the effectiveness and advantages of Er:YAG laser in root canal irrigation and the current status of the application of Er:YAG laser to root canal treatment.

关 键 词：根管冲洗 铒:钇铝石榴石激光 光子诱导光声流 冲击波增强发射光声波流 

分 类 号：R781.33[医药卫生—口腔医学]