PDF(Pubmed)
Abstract：
In recent years, significant advancements in dental and periodontal diagnostics have paved the way for improved care. Among the available approaches, laser fluorescence (LF) is a promising method. This case report explores the utilization of a 405 nm diode laser as a diagnostic tool in the non-surgical treatment of biofilm-induced gingivitis, as well as its application in routine daily practice for diagnosing restorations and dental caries. A 24-year-old male patient and a 21-year-old female patient were included. A 405 nm diode laser (Smart M, Lasotronix, Poland) was used as a diagnostic tool with a tip diameter of 8 mm. In case one, the utilization of the 405 nm diode laser enhanced the patient\'s ability to perceive the presence and extent of plaque and calculus, aiding in motivation and education regarding supra-gingival dental biofilm control and it assisted the operator in precisely localizing plaque and calculus, thereby enabling more effective mechanical debridement and ultimately improving treatment outcomes. In the second case, the utilization of the laser facilitated the detection of defective composite fillings aiding in both accurate diagnosis for the operator and effective communication with the patient regarding the need for re-treatment. This study illustrates the potential of the relatively new 405 nm diode laser as a promising diagnostic tool in the daily management of periodontal patients and the detection of defective dental fillings in daily practice.
摘要：
近年来,牙科和牙周诊断的重大进展为改善护理铺平了道路。在可用的方法中，激光荧光（LF）是一种有前途的方法。该病例报告探讨了在生物膜引起的牙龈炎的非手术治疗中使用405nm二极管激光作为诊断工具。以及它在诊断修复体和龋齿的日常实践中的应用。包括一名24岁的男性患者和一名21岁的女性患者。405nm二极管激光器(SmartM，Lasotronix,波兰）用作尖端直径为8毫米的诊断工具。万一有,405nm二极管激光的利用增强了患者感知斑块和结石的存在和程度的能力，在动机和教育有关牙龈上牙生物膜控制和它协助操作者在精确定位牙菌斑和结石，从而实现更有效的机械清创并最终改善治疗结果。在第二种情况下，激光的使用有助于检测有缺陷的复合填充物，有助于为操作者提供准确的诊断，并与患者进行有效的沟通，以了解是否需要重新治疗。这项研究说明了相对较新的405nm二极管激光器作为牙周患者日常管理和日常实践中牙齿填充物缺陷检测的有前途的诊断工具的潜力。
