Er:YAG激光辅助根管荡洗安全性的研究进展

Research progress on the safety of Er:YAG laser-activated root canal irrigation

Er:YAG激光的使用是近年来口腔医学中疾病治疗的新思路,其衍生的光子引导的光声流(PIPS)技术和冲击波增强发射光声流(SWEEPS)技术辅助根管荡洗已取得理想的临床效果,但其安全性较少关注。本文针对Er:YAG激光辅助根管荡洗潜在的安全性问题及相关研究进行了综述,发现其在避免机械损伤及热损伤、减少冲洗液根尖溢出、避免损伤根尖周组织、减轻患者术后疼痛、减少气溶胶产生等方面具卓越性能,并简要介绍了技术的原理、参数设置和临床操作,以期为临床医师提供新的治疗选择,完善激光治疗技术,并为Er:YAG激光应用于根管荡洗的安全性提供依据。

The application of Er:YAG laser is a new method for treatment in stomatology in recent years.The derived photon-induced photoacoustic streaming technology and shock wave enhanced emission photoacoustic streaming technology have achieved ideal clinical results,but their safety still needs to be assessed.This article summarizes the potential safety problems of Er:YAG laser-activated root canal irrigation and its related researches.It is found that it has excellent performance in avoiding mechanical and thermal damage,reducing apical extrusion of irrigant,avoiding damage to periapical tissue,alleviating postoperative pain,and reducing aerosol production.Besides,the principle,parameter settings,and clinical operation of the technology are briefly introduced,in order to provide clinicians with new treatment options and improve laser treatment technology.It also provides a basis for the safety of the application of Er:YAG laser in root canal irrigation.