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Lasers in endodontics: an overview

机译:牙髓治疗中的激光:概述

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The interest in endodontic use of dental laser systems is increasing. Developing laser technology and a better understanding of laser effects widened the spectrum of possible endodontic indications. Various laser systems including excimer-, argon~+-, diode-, Nd:YAG-, Er:YAG- and CO_2-lasers are used in pulp diagnosis, treatment of hypersensitivity, pulp capping, sterilization of root canals, root canal shaping and obturation or apicoectomy. With the development of new delivery systems - thin and flexible fibers - for many different wavelengths laser applications in endodontics may increase. Since laser devices are still relatively costly, access to them is limited. Most of the clinical applications are laser assisted procedures such as the removing of pulp remnants and debris or disinfection of infected root canals. The essential question is whether a laser can provide improved treatment over conventional care. To perform laser therapy in endodontics today different laser types with adopted wavelengths and pulse widths are needed, each specific to a particular application. Looking into the future we will need endodontic laser equipment providing optimal laser parameters for different treatment modalities. Nevertheless, the quantity of research reports from the last decade promises a genuine future for lasers in endodontics.
机译:对牙激光系统的牙髓治疗的兴趣正在增加。不断发展的激光技术和对激光效果的更好理解拓宽了可能的牙髓病指征的范围。各种激光系统,包括准分子激光,氩气+,二极管,Nd:YAG-,Er:YAG-和CO_2-激光,可用于牙髓诊断,超敏反应治疗,牙髓覆盖,根管消毒,根管成形和闭塞或根尖切除术。随着新型输送系统(细而柔软的纤维)的发展,用于许多不同波长的牙髓治疗中的激光应用可能会增加。由于激光设备仍然相对昂贵,因此对其的访问受到限制。大多数临床应用是激光辅助程序,例如去除牙髓残留物和碎屑或对感染的根管进行消毒。基本问题是,与传统护理相比,激光能否提供更好的治疗。为了在如今的牙髓治疗中进行激光治疗,需要采用不同波长和脉冲宽度的不同激光类型,每种类型都特定于特定的应用。展望未来,我们将需要能为不同治疗方式提供最佳激光参数的牙髓激光设备。尽管如此,近十年来的大量研究报告为根管治疗中的激光器提供了真正的未来。

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