激光辅助牙周手术治疗原理与操作常规  

Principle and routine operation of laser assisted periodontal surgery

作　　者：刘程程[1] 孟姝[1] 丁一[1] Liu Chengcheng;Meng Shu;Ding Yi(Department of Periodontics,West China Hospital of Stomatology,Sichuan University&National Clinical Research Center for Oral Diseases&State Key Laboratory of Oral Diseases,Chengdu 610041,China)

机构地区：[1]四川大学华西口腔医院牙周病科、国家口腔疾病临床医学研究中心、口腔疾病研究国家重点实验室,成都610041

出　　处：《中华口腔医学杂志》2023年第5期497-504,共8页Chinese Journal of Stomatology

基　　金：国家自然科学基金(82071121);四川省自然科学基金(2022NSFSC0773)。

摘　　要：牙周炎是常见的口腔感染性疾病之一,可造成牙周支持组织的破坏,甚至牙齿的松动和脱落。控制感染,消除炎症,恢复牙周组织的生理形态,满足功能和美学需求是牙周治疗的主要目标。当牙周炎发展到较严重的阶段后,需要通过手术治疗对软硬组织进行处理,才能获得良好的效果。自1990年Myers研制了第一台口腔医学专用Nd:YAG激光器以来,历经30余年的临床和基础研究结果表明,激光在辅助牙周手术治疗方面拥有巨大的潜力。本文总结了激光辅助牙周手术治疗的原理和操作常规,以期为临床诊疗提供参考。Periodontitis is one of the most common infectious oral diseases,which can cause destruction of periodontal supporting tissues and even tooth mobility and loss.Controlling infection,eliminating inflammation,restoring the physiological shape of periodontal tissues,and meeting functional and aesthetic needs are the main goals of periodontal treatment.When periodontitis develops to a more severe stage,surgical treatment is necessary to handle soft and hard tissues for good treatment results.Since the development of the first Nd:YAG laser dedicated to dental medicine by Myers in 1990,over 30 years of clinical and basic research have shown that lasers have tremendous potential in assisting periodontal surgery.This article summarizes the principles and operational routines of laser-assisted periodontal surgery,aiming to provide clinical reference for diagnosis and treatment.

关 键 词：操作常规 牙周支持组织 口腔医学 软硬组织 牙周手术治疗 口腔感染性疾病 牙周治疗 ND:YAG激光器 

分 类 号：R781.42[医药卫生—口腔医学]