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Basic Study of the Relationship between Root Canal Irradiation Tip Distance and Irradiation Energy 根管照射尖端距离与照射能量关系的基础研究
Pub Date : 1900-01-01 DOI: 10.5984/JJPNSOCLASERDENT.23.86
K. Takamori, D. Nasu, T. Shinoki, T. Shirakawa
The Er:YAG laser is useful in endodontic treatment compared with conventional methods, resulting in disinfection of the root canal and elimination of smear layers including bacteria and debris. An irradiation tip for root canal treatment has been developed; it can be used to perform lateral ablation using 20% power in the forward direction and 80% power in the lateral direction. However, the relationship between energy loss and distance of the endodontic irradiation tip was unclear. The aim of this study was to evaluate irradiation energy loss with change in distance, using an Er:YAG laser apparatus (Erwin AdvErL, J. Morita, Kyoto) and irradiation tip (R200T, J. Morita, Kyoto). The laser sensor (LMP10LP, COHERENT Inc., Portland) was placed vertically or horizontally at the irradiation tip. The irradiation energy was measured three times using a laser power meter (Field Master-GS, COHERENT Inc., Portland). The distance between the irradiation tip and sensor was varied from 1.0 to 10.0 mm. Irradiation energy was found to be inversely proportional to distance. An energy change was not clearly observed with low energy irradiation (30 mJ), however, a high energy (50 mJ and 70 mJ) setting has decrease of energy for influence distance. The lateral position was more greatly affected by the change in distance than the vertical position. These results suggested that the energy of the new irradiation tip varied in both the vertical and horizontal directions. (J. Jpn. Soc. Laser Dent. 23:86 ~ 89, 2012 Reprint requests to Dr. TAKAMORI) Key words= Er:YAG laser, Root canal irradiation tip, Energy alteration, Distance キーワード= Er:YAGレーザー,根管照射用チップ,出力変化,距離
与传统方法相比,Er:YAG激光在根管治疗中很有用,可以消毒根管,消除包括细菌和碎片在内的涂片层。一种用于根管治疗的辐照尖端已经开发出来;它可以使用20%的正向功率和80%的侧向功率进行侧烧蚀。然而,能量损失与根管照射尖端距离之间的关系尚不清楚。本研究的目的是利用Er:YAG激光装置(Erwin AdvErL, J. Morita, Kyoto)和辐照尖端(R200T, J. Morita, Kyoto)来评估辐照能量损失随距离的变化。激光传感器(LMP10LP, COHERENT Inc., Portland)垂直或水平放置在照射尖端。使用激光功率计(Field Master-GS, COHERENT Inc., Portland)测量辐照能量三次。辐照尖端与传感器之间的距离为1.0 ~ 10.0 mm。辐照能量与距离成反比。低能照射(30 mJ)时能量变化不明显,高能照射(50 mJ和70 mJ)时影响距离能量减少。横向位置比纵向位置受距离变化的影响更大。这些结果表明,新辐照尖端的能量在垂直和水平方向上都有变化。(j .日本。Soc。关键词:Er:YAG激光,根管照射尖端,能量改变,距离,,,,
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引用次数: 0
The Effect of Nd:YAG Laser Irradiation on Human Gingival Fibroblasts Nd:YAG激光照射对人牙龈成纤维细胞的影响
Pub Date : 1900-01-01 DOI: 10.5984/JJPNSOCLASERDENT.24.72
Naoya Yoshihashi, E. Murakashi, Hiroko Takeuchi-Igarashi, Y. Numabe
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引用次数: 2
The Effect of CO2 Laser Irradiation on Dentin CO2激光照射对牙本质的影响
Pub Date : 1900-01-01 DOI: 10.5984/JJPNSOCLASERDENT.5.73
F. Sugata, K. Ohmori, Teruo Tanaka, T. Yuuzu, A. Senda, A. Gomi, K. Kamiya, J. Hasegawa
The purpose of this study was to examine the morphlogical changes and the thermal effects of the CO2 laser irradiation on dentin. For this study, eighteen extracted hu man molars were used. In the experiment examining morphological changes, the irradiation power was 1 to 10 watts, the pulse times were 10 to 500ms and the irradiation frequency was 1 to 20 times. On the dentin surface irradiated by CO2 laser under various conditions, the carbonized area became wider, if the irradiation energy increased.But the depth and width of the cavity was the same, when the irradiation power was con stant. the irradiation energy densities were less than 153J/cm2, the dentin surface changed without making any cracking.In the experiment examining thermal effects, dentin blocks, 1.0 and 2.0mm in thickness, of extracted molars were prepared. These were lased by the CO2 laser using 1 to 5 watts at 10ms pulse mode for 30 seconds.The thermal increase transmitted from the lased surface was measured with the thermoco uple. The results indicate that the thermal increase depends on the dentin thickness and is in inversely proportional to the square of the dentin thickness. For example the thermal in crease should not rise more than 5 degrees for 10 seconds, when the dentin thickness is more than 2mm and the irradiated power is less then 2 watts. This result suggests that this laser irradiation may be successfully used in clinical situation as one of dentin treatment tech niques after further clarification of thermal effects on dental pulp.
本研究的目的是观察CO2激光照射牙本质后牙本质的形态变化和热效应。本研究使用18颗拔除的人类磨牙。在形态学变化检测实验中,照射功率为1 ~ 10瓦,脉冲次数为10 ~ 500ms,照射频率为1 ~ 20次。在不同条件下CO2激光照射牙本质表面,随着照射能量的增大,碳化区变宽。但在辐照功率一定的情况下,腔体的深度和宽度是相同的。辐照能量密度小于153J/cm2时,牙本质表面发生变化,但未发生开裂。在热效应实验中,制备了拔牙体1.0 mm和2.0mm厚度的牙本质块。这些是用CO2激光器在10ms脉冲模式下使用1到5瓦激光照射30秒。用热电偶测量了激光表面传递的热增量。结果表明,热增量与牙本质厚度有关,与牙本质厚度的平方成反比。例如,当牙本质厚度大于2mm,辐照功率小于2瓦时,10秒内热增不应超过5度。结果表明,在进一步澄清牙髓的热效应后,激光照射作为牙本质治疗技术之一,可以成功地应用于临床。
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引用次数: 1
Welding of Titanium using Normal Pulse Nd-YAG Laser 正脉冲Nd-YAG激光焊接钛的研究
Pub Date : 1900-01-01 DOI: 10.5984/jjpnsoclaserdent.3.45
Y. Tani, T. Nambu, C. Watanabe
Soldering has been chiefly used for jointing prosthetic materials. Titanium is very difficult to solder because it is highly susceptible to oxidation. The recent development of an infrared heater soldering system is expected to make titanium soldering easier. However, because this soldering system uses a solder different from the conventional solder, it may cause problems in the oral cavity such as low resistance to corrosion. Titanium soldering requires prior fixation with the investment material. Therefore, the authors recently attempted laser welding of titanium.In this attempt, normal pulse Nd-YAG laser (ML-2310A, Miyachi Technos Co.) was used. Laser welding was first used to join 2 titanium cast crowns together and then 2 round tita nium rods (2mm in diameter) together under the following settings: voltage, 300V; pulse width, 6ms (for crowns) or 5ms (for round rods); output, 7J (for crowns) or 6J (for rods). The round rods were rotated during welding. The focus spot diameter was 0.6mm. Laser was applied to the materials while spraying argon gas onto them.In both cases, laser welding resulted in glossy and strong union. Because the spot diameter was small, the heat-affected area was very narrow. Therefore, direct welding on a working model was possible, without necessitating fixation with an investment material. In case of round rods, it was possible to hold one end of both rods between fingers during laser welding. Because laser welding is a kind of sweating, it is expected to involve no risk for reduction of anti-corrosion resistance inthe welded area.The weld strengths of titanium plate specimens obtained by two different welding techniques were compared. With a laser beam (70mm in focal distance, 0.8mm in diameter), two titanium plates (40×10×3mm), superimposed each other 2mm at the end, were welded either by lap seam welding or by spot welding. The load required to tear off the joint by pulling for the spot-welded specimen was 56kgf in average, while that for the lap-seam-welded specimen was more than 106kgf in average, where the breakage of the base metal often arose in the proximity of the weld.A major factor hampering the utilization of titanium for prosthesis is the difficutly in processing. If laser welding is introduced to titanium, the dental application of titanium will widen.
焊接主要用于假肢材料的连接。钛很难焊接,因为它极易氧化。最近开发的红外加热焊接系统有望使钛焊接更容易。然而,由于这种焊接系统使用的焊料与传统焊料不同,因此可能会在口腔中引起诸如耐腐蚀性低等问题。钛焊接需要事先用投资材料固定。因此,作者最近尝试了钛的激光焊接。在这次尝试中,使用了正常脉冲Nd-YAG激光器(ML-2310A, Miyachi technologies Co.)。首先用激光焊接将2个钛铸冠连接在一起,然后在以下设置下将2个直径2mm的圆形钛棒连接在一起:电压300V;脉冲宽度,6ms(冠)或5ms(圆棒);输出,7J(冠)或6J(棒)。焊接时旋转圆棒。焦斑直径为0.6mm。在对材料进行激光照射的同时,向材料上喷氩气。在这两种情况下,激光焊接产生了光滑和牢固的结合。由于光斑直径小,热影响区域很窄。因此,在工作模型上直接焊接是可能的,而不需要用投资材料固定。在圆棒的情况下,可以在激光焊接时用手指夹住两根棒的一端。由于激光焊接是一种排汗工艺,因此不存在降低焊接区域抗腐蚀能力的风险。比较了两种焊接工艺制备的钛板试样的焊接强度。用激光束(焦距70mm,直径0.8mm)将两块钛板(40×10×3mm)端部重叠2mm,采用搭缝焊和点焊两种焊接方式进行焊接。点焊试样拉断接头所需载荷平均为56kgf,而搭缝试样拉断接头所需载荷平均大于106kgf,其中母材断裂多发生在焊缝附近。钛在义肢中的加工困难是制约其应用的主要因素。如果将激光焊接引入钛中,将会扩大钛在牙科领域的应用。
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引用次数: 0
バイオフィルムに関する光干渉断層計(Optical Coherence Tomography:OCT)の研究:総説 关于生物膜的光干涉断层仪(Optical Coherence Tomography, OCT)研究:综述
Pub Date : 1900-01-01 DOI: 10.5984/jjpnsoclaserdent.33.11
Tomoko Tabata, Hisaichi Nakagawa, Khairul Matin, Masayuki Otsuki, Akira Aoki, Yasushi Shimada
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引用次数: 0
Exchange of Nd: YAG Laser Irradiation and Damage of Microvascularization on the Rats Lingual Dorsum Nd: YAG激光照射对大鼠舌背微血管的损伤
Pub Date : 1900-01-01 DOI: 10.5984/JJPNSOCLASERDENT.8.7
Koichi Matsumoto, F. Suwa, H. Ike, Y. Murata, R. Shirasu, M. Kumazaki
The purpose of this study was to examine the depth into penetration of the tissue and the circulatory structure of the microvasculature after irradiation the Nd: YAG laser on the lingual dorsum of a 9-week-old male wistar rat.The Nd: YAG laser was irradiated against the tongue of rats under the following condition; the energy level; 1, 2 and 3-Watts for 1.0, 2.0 and 3.0 seconds.Wounds of tongue were observed macroscopically, microscopically and also examined by SEM. The following results were obtained; Microscopical findings: The penetration was observed until the lamina propria in 1W1S and 1W2S groupsThe penetration of 1W3S, 2W2S and 3W1S groups were observed still superior tranversus linguae layer and also were observed in the muscle layer for 3 second group.SEM findings: The capillary loops of the papillae and the lamina propria venure networks were damaged in 1W1S and 1W2S groups.Irradiation wounds disappeared in the capillary loops of the papillae and the lamina propria venure networks.In 1W3S, 2W2S and 3W1S groups, and also disappeared in the capillaries of muscle layer in 3 second groups.(J. Jpn. Soc. Laser Dent. 8: 7-15, 1997 Reprints request to Dr. MATSUMOTO)
本研究的目的是观察Nd: YAG激光照射9周龄雄性wistar大鼠舌背后组织的渗透深度和微血管的循环结构。Nd: YAG激光在以下条件下照射大鼠舌;能级;1、2和3瓦,1.0、2.0和3.0秒。对舌部伤口进行宏观、微观观察和扫描电镜检查。得到以下结果:显微镜观察结果:1W1S组和1W2S组均有渗透至固有层,1W3S组、2W2S组和3W1S组仍有渗透至横舌层,第2组也有渗透至肌肉层。扫描电镜结果:1W1S和1W2S组乳头毛细血管袢和固有层风险网络均受损。乳头毛细血管袢和创面固有层网络的辐照伤口消失。1W3S组、2W2S组、3W1S组肌层毛细血管中也消失。日本。Soc。激光凹痕。8:7-15,1997转载请求MATSUMOTO博士)
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引用次数: 0
Removal of Intracanal Foreign Bodies using Er:YAG Laser Er:YAG激光去除肛管内异物
Pub Date : 1900-01-01 DOI: 10.5984/JJPNSOCLASERDENT.21.23
Atsunobu Sakata, Himeka Matsumoto, Y. Yoshimine
再根管治療は,日常の臨床において最も時間と手間のか かることの多い処置の一つである。その理由として,既に 治療の施されている根管においては,根尖部に再度到達す るために,根管充填材の他に金属製ポストや破折ファイル などを除去しなければならないことが挙げられる1,2)。ま た,治療後の歯を長期に渡って機能させるには,上記の処 置を行うに当たって可及的に健全な歯質を温存する,すな わち,ミニマルインターベンション(MI)の概念に配慮 することも必要である。 今回報告する症例においては,異物除去の目的で従来の 回転切削器具の替りに,Er:YAG レーザーを使用し,さら に根管用内視鏡を併用することで,作業部位を直視しなが ら処置を行った3-5)。根管用内視鏡として,図 1 に示すよ うなモニター,光源,送液ポンプなどから構成される試作 段階の装置を用いた。この内視鏡は,臼歯部用の先端が曲 のタイプと前歯部用の直のタイプ(図 2)があり,外径 1 mm の先端部には,カメラ用チャンネル・光源用ファイ バー・注水用チャンネル・多目的チャンネルが組み込まれ ている(図 3)。多目的チャンネルからは,レーザー用の 先端が平坦なチップ(直径 200μm・長さ 90mm)の他に, 試作 K ファイル(#10/#15・長さ 90mm)も挿入可能で ある(図 4)。
在日常临床中,再根管治疗是最费时间和精力的措施之一。其理由是,在已经接受治疗的根管中,为了再次到达根尖部,除根管填充材料外,还必须除去金属邮筒和破折文件等。另外,为了使治疗后的牙齿长期发挥作用,在进行上述放置时,为了尽可能地保留健全的牙质,需要考虑到沙土、迷你接触(MI)的概念。在本次报告的病例中,为了去除异物,使用Er:YAG激光代替传统的旋转切削器具,并配合根管用内窥镜,直视工作部位进行了异物处理3-5)。作为根管内窥镜,采用了由图1所示的监视器、光源、输液泵等构成的尚处于试制阶段的装置。该内窥镜分为臼齿部用前端曲型和前牙部用前端直型(图2),外径1mm的前端集成了相机通道、光源通道、注水通道、多用途通道。(图3)。在多用途通道中,除可插入激光用前端平坦的芯片(直径200μm、长90mm)外,还可插入试制K档(#10/#15、长90mm)(图4)。
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引用次数: 0
Electron Microscopic Study on Mouse Tumor Cell Following Photodynamic Therapy with Hematoporphyrin Oligomers 血卟啉低聚物光动力治疗小鼠肿瘤细胞的电镜研究
Pub Date : 1900-01-01 DOI: 10.5984/jjpnsoclaserdent.9.2
H. Ikeda, A. Kitamura, A. Irie, T. Inokuchi
A new photosensitizer Hematoporphyrin Oligomers (HpO) based photodynamic therapy (PDT) on mouse squamous cell carcinoma was studied. Morphological changes of the tumor after PDT was investigated by a transmission electron micros copy. One hour after PDT, bullous mitochondria were seen with irregular shaped inner cristae. After six hours, the inner cristae and outer membrane of mitochondria disappeared. Endonucleus vesicles appear ed. Heterochromatin increased in the nucleus. Forty-eight hours later, mitochondria had no longer its original feature. The outer layer of plasma membrane vanished away. Our study concludes that target organ HpO based PDT seems to be mitochondria. (J. Jpn. Soc. Laser Dent. 9:2-8, 1998 Reprint requests to Dr. IKEDA) Key words=Photodynamic therapy, Hematoporphyrin Oligomers, NR-S1 mouse squamous cell carcinoma キー ワー ド=光 化学 治療,ヘ マ トポル フ ィ リンオ リゴマ ー,NR-S1マ ウス扁 平上 皮癌
研究了一种新型光敏剂血卟啉寡聚物(HpO)对小鼠鳞状细胞癌的光动力治疗作用。透射电镜观察PDT后肿瘤的形态学变化。PDT后1小时,线粒体呈大泡状,内嵴不规则。6小时后,线粒体内嵴和外膜消失。核内小泡出现,核内异染色质增多。48小时后,线粒体不再具有原来的特征。外层的质膜消失了。我们的研究得出结论,靶器官HpO为基础的PDT似乎是线粒体。(j .日本。Soc。激光削弱。9:2-8 1998再版博士请求IKEDA)关键字=光动力治疗,血卟啉低聚物,NR-S1鼠标鳞状细胞癌キーワード=光化学治療,ヘマトポルフィリンオリゴマー,NR-S1マウス扁平上皮癌
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引用次数: 0
Vital Tooth Bleaching with KTP Laser: ―A Basic Study Using Brown Egg Shell―@@@―褐色鶏卵卵殻を使用した基礎研究― Vital Tooth Bleaching with KTP Laser:—A Basic Study Using Brown Egg Shell—@@—使用褐色蛋壳的基础研究—
Pub Date : 1900-01-01 DOI: 10.5984/JJPNSOCLASERDENT.26.67
K. Koba, Y. Kimura, Yoshishige Yamada, Y. Masuda, Yasuko Sato
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引用次数: 0
Response of Gingival Tissue Irradiated by CO2 Laser Approaching from the Periodontal Pocket Space CO2激光从牙周袋间隙照射牙龈组织的反应
Pub Date : 1900-01-01 DOI: 10.5984/JJPNSOCLASERDENT.10.61
N. Matin, N. Taguchi, Naoko Ito, H. Kusakari
感染した接合上皮と結合組織を無菌化することを目的として, 歯周ポケットにCO2レーザーを照射した際の歯肉組織の変化について検討した。実験には, デフォーカス型のCO2レーザーと6頭の雑種成犬を用いた。実験に先立ち, イヌには毎日15~20分のブラッシングを1週間続けて行った。この時点での歯周ポケットは, 最高で3mmであった。実験的な歯肉炎は, 軟食を与えてブラッシングも中止することにより引き起こし, 4週後には平均で1~2mm歯周ポケットが増加した。小臼歯と大臼歯の頬側歯肉45部位に, 0.3から2.5Jの範囲で出力を変化させて照射した。他の15部位については, 照射せずにコントロールとした。照射後7日と14日に, 臨床的および組織学的に歯肉組織の反応を観察した。照射直後には, 軽度の歯肉炎が観察された。組織の破壊程度は出力に関係しており, すなわち最大の組織破壊 (到達深度が1.4mmで創傷領域が0.33mm2) は最高出力 (2.5J) の場合に起こった。7日後には, 照射された歯肉の再上皮化がほぼ完全になされており, 結合組織にも新生したコラーゲン線維が形成されていた。特に0.5~1.5Jの照射出力の時は, コントロールよりも健康的な歯肉が臨床的にも組織学的にも認められた。この時期には, 炎症性の細胞は顕著に減少していた。14日後になると, レーザーを照射した歯肉は完全に治癒し, 傷害を受けた痕跡は全く観察されなかった。今回の実験から, 周囲組織を損傷せずに感染した接合上皮を無菌化することができるCO2レーザーの出力範囲を考察することができた。
以实现受感染的接合上皮和结缔组织的无菌为目的,研究了对牙周口袋照射CO2激光时齿龈组织的变化。实验使用了聚焦型CO2激光和6只杂种成犬。实验之前,每天给狗狗进行15 ~ 20分钟的洗刷,连续进行了一周。此时的牙周口袋最高为3mm。实验性的齿龈炎是由于喂食软食物并停止刷牙而引起的,4周后牙周口袋平均增加了1 ~ 2mm。对小臼齿和大臼齿的颊侧齿龈45个部位,在0.3 ~ 2.5J的范围内改变输出功率进行照射。其他15个部位未进行照射,仅进行了控制。在照射后的7日和14日,在临床上和组织学上观察了齿龈组织的反应。照射后观察到轻度齿龈炎。组织的破坏程度与功率有关,即最大的组织破坏(到达深度为1.4mm,伤口区域为0.33mm2)发生在最大功率(2.5J)的情况下。7天后,被照射的齿龈几乎完全重新上皮化,结缔组织中也形成了新生的骨胶原纤维。特别是在0.5 ~ 1.5J的照射输出时,在临床上和组织学上都公认齿龈比控制齿龈更健康。这一时期,炎性细胞显著减少。14天后,激光齿龈完全愈合,没有观察到任何受伤的痕迹。通过此次实验,可以考察在不损伤周围组织的情况下,对受感染的接合上皮进行无菌处理的CO2激光的输出范围。
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引用次数: 2
期刊
Journal of Japanese Society for Laser Dentistry
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