激光的利用已被认为是用于牙科领域的临床用途的新技术。最近,关于激光治疗在牙髓学中的潜在应用,已经进行了许多研究。此外,由于它们的消融,穿透性,和消毒能力,激光在牙髓治疗方面表现良好,包括根管治疗,重要的牙髓疗法(牙髓盖层和牙髓切除术),牙本质过敏症治疗,与牙髓和神经根周疾病有关的牙痛的治疗。特别是,通过浓缩的临床对照试验强调了激光辅助牙髓治疗的优势,和组织学研究,在这次审查中。此外,巧妙地使用激光应用来帮助加速根系发育和提取异物(即,运河中破碎的文件和纤维桩)已迅速成为当前研究的前沿趋势。这篇综述提供了关于所有上述激光应用的当前文献的总结和讨论。此外,激光设备的特点,包括铒激光器,掺钕激光器,CO2激光器,和二极管激光器,在这里详细讨论,为激光在牙髓中的应用提供参考。我们还专注于在牙髓中应用的激光的不同波长。高功率激光器表现良好的操作仪器;此外,低水平激光导致牙髓炎症的调节,促进牙髓愈合。这篇叙述性综述总结了激光与各种设备在牙髓医学实践中的先进应用,并旨在激发在牙科疾病治疗背景下对激光的创新观点,尤其是牙髓病,在未来。
The utilization of lasers has been regarded as a novel technique for the purposes of clinical use in the dental field. Recently, numerous studies have been conducted on the potential applications of laser therapy in endodontics. Moreover, due to their ablation, penetrability, and disinfection capabilities, lasers have performed well with respect to endodontic treatments, including root canal treatment, vital pulp therapy (pulp capping and pulpotomy), dentinal hypersensitivity treatment, and management of dental pain related to pulp and periradicular disease. In particular, the superiorities of laser-aided pulp therapy are emphasized through condensed clinical controlled trials, and histological studies, in this
review. Moreover, the ingenious use of laser applications with respect to aiding in the acceleration of root development and the extraction of foreign matters (i.e., broken files and fiber posts) in canals has quickly become the cutting-edge trend of current research. This
review offers a summary and discussion of the current literature on all the aforementioned laser applications. Moreover, the characteristics of laser devices, including erbium lasers, neodymium-doped lasers, CO2 lasers, and diode lasers, are detailed and discussed here, providing useful references for laser application in endodontics. We also focus on the different wavelengths with respect to the lasers that are applied in endodontics. High-power lasers perform well as operative instruments; in addition, low-level lasers lead to the regulation of pulp inflammation, and the promotion of pulp healing. This narrative
review provides a summary of the advanced applications of lasers in conjunction with various devices in the practice of endodontics, and aims to inspire innovative perspectives on lasers in the context of the treatment of dental diseases, especially pulp diseases, in the future.