关键词: dentistry laser operating parameter photobiomodulation surgery

Mesh : Humans Laser Therapy / methods Lasers Reproducibility of Results

来  源:   DOI:10.17219/acem/189795

Abstract:
BACKGROUND: The number and diversity of published peer-reviewed studies in the discipline of laser dentistry have grown considerably during the past 10 years.
OBJECTIVE: Within primary research, the development of protocols to guide and formulate clinical practice demands precision and ease of reproducibility. Errors in data acquisition and management may become amplified as the applied randomized clinical trials (RCTs) forge new levels of clinical diversity and predictability in the use of laser photonic energy in both ablative (surgical) and sub-ablative (photobiomodulation (PBM) or photodynamic therapy (PDT)) applications.
METHODS: A comprehensive range of empirical and computational operating parameters must be included in published studies to facilitate the uniformity of powerand time-related values of laser irradiation.
RESULTS: Choosing the correct \"tissue irradiation parameters\" is difficult and depends on the pathology and symptoms, the surface area to be treated, laser wavelength, the thermal relaxation time of each targeted tissue, and controlling penetration depth of the light into tissues. Therefore, to allow the reproducibility of the results, it is recommended that authors mention with the greatest care and clarity the irradiation parameters used in their study.
CONCLUSIONS: This paper outlines the concerns felt regarding the general shortfalls and proposes a minimum range of laser operating parameters that should be represented in future peer-reviewed publications.
摘要:
在过去的10年中,已发表的激光牙科学科的同行评审研究的数量和多样性已大大增加。
在初级研究中,制定指导和制定临床实践的方案需要精确和易于重现性。随着应用的随机临床试验(RCT)在消融(手术)和亚消融(光生物调节(PBM)或光动力疗法(PDT))应用中使用激光光子能量时,临床多样性和可预测性的新水平可能会加剧数据采集和管理中的错误。
已发表的研究中必须包括全面的经验和计算操作参数,以促进激光辐照的功率和时间相关值的均匀性。
选择正确的“组织照射参数”很困难,取决于病理和症状,要处理的表面积,激光波长,每个目标组织的热弛豫时间,控制光线进入组织的穿透深度。因此,为了使结果具有可重复性,建议作者非常谨慎和清晰地提及他们研究中使用的辐照参数.
本文概述了对一般不足的担忧,并提出了激光操作参数的最小范围,应在未来的同行评审出版物中表示。
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