›› 2015, Vol. 6 ›› Issue (1): 19-23.

• 论著 • 上一篇    下一篇

铒激光不同参数对牙本质小管即刻封闭影响的实验研究

丁亚娟1,董菁杰1,陈亚明2   

  1. 1. 南京医科大学附属口腔医院综合科
    2. 南京医科大学口腔医学研究所,南京医科大学附属口腔医院综合科
  • 收稿日期:2015-03-12 修回日期:2015-03-11 出版日期:2015-03-25 发布日期:2015-04-08
  • 通讯作者: 丁亚娟 E-mail:1005168081@qq.com

The influence of parameter settings of Erbium YAG laser on dentinal tubule occlusion

  • Received:2015-03-12 Revised:2015-03-11 Online:2015-03-25 Published:2015-04-08

摘要: 目的:比较不同工作参数下铒激光处理后牙本质小管封闭的影响,探求铒激光即刻封闭牙本质小管的最佳参数。方法:制备54个牙本质盘,0.5 mol/L EDTA脱矿形成敏感牙本质模型。以铒激光的输出功率、照射时间、照射距离为实验指标,设正交优化实验表,样本随机分成9组,每组6个样本,铒激光照射后扫描电子显微镜观察,评估各组牙本质小管封闭情况。结果:脱矿组牙本质小管口开放,清晰可见,激光照射组牙本质小管表面有明显熔融物沉积,各组牙本质小管封闭率有显著性差异(P<0.05)。结论:铒激光照射对牙本质小管有一定封闭作用,且受工作参数影响,本实验条件下,照射距离影响最大,最佳工作参数组合是:距离2.0 cm,照射功率0.2 W,照射时间30 s。

Abstract: Objective: To compare the influences of Er: YAG laser irradiation with different working parameters on dentinal tubule occlusion, and to find the best combination of parameter settings. Methods:54 dentin discs and dentin hypersensitivity models formed by 0.5 mol/L EDTA demineralization were prepared and randomly divided into 9 groups each containing 6 specimens according to different output power, irradiation time and irradiation distances of the Er:YAG laser. A table for orthogonal optimization experiment was designed. Specimens were evaluated with regard to dentin orifice occlusion under scanning transmission electron microscopes (SEM). Results: SEM showed most of the dentinal tubules in the demineralization group were clearly open, while they were partially or fully occluded by Er:YAG irradiation. There were significant differences between groups (P<0.05). Conclusions:Subject to working parameters, Er:YAG laser irradiation can be effective in narrowing or occluding the dentinal tubules. The best combination of working parameters with the most influential irradiation distance is: Distance = 2.0 cm, Power = 0.2 W and Time = 30 s.