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A Review of LLLT in Dentistry:: Current Evidence from Systematic Reviews and Randomized Clinical Trials 牙科LLLT研究综述:来自系统评价和随机临床试验的最新证据
Pub Date : 1900-01-01 DOI: 10.5984/JJPNSOCLASERDENT.29.10
S. Watanabe, Akira Kouno, Tomoyuki Hongo, Kanako Yao, T. Okiji
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引用次数: 0
Tensile Bond Strength and Adaptability of One-bottle One-step Bonding Systems to Dental Hard Tissues Irradiated by Er:YAG Laser Er:YAG激光辐照牙硬组织的单瓶一步键合系统的拉伸键合强度及适应性
Pub Date : 1900-01-01 DOI: 10.5984/JJPNSOCLASERDENT.26.17
Naohiro Iwata, K. Yokota, Youhei Hirota, K. Yasuo, K. Yoshikawa, Kazuyo Yamamoto
: Various studies have revealed that the Er:YAG laser is effective in endodontic, periodontal and surgical treat-ments, and it is used in actual clinical practice. In particular, the Er:YAG laser shows excellent clinical effects when cutting hard tooth tissue, and there have been many studies on adhesive restoration involving teeth irradiated with Er:YAG laser. In this study, focusing on the one-bottle one-step bonding system, we performed tensile bond and marginal leakage tests to evalu-ate its adhesive properties to enamel and dentin irradiated with Er:YAG laser.
多项研究表明,Er:YAG激光在牙髓、牙周及外科治疗中均有较好的疗效,并已应用于临床实践。特别是Er:YAG激光在切割硬牙组织时表现出优异的临床效果,在Er:YAG激光照射牙齿的粘接剂修复方面已有很多研究。本研究以单瓶一步粘接系统为研究对象,通过Er:YAG激光辐照后的拉伸粘接和边缘泄漏试验,评价其对牙釉质和牙本质的粘接性能。
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引用次数: 0
Electrophysiological Study of Irradiation of Semiconductor Laser on the Activity of the Trigeminal Subnucleus Caudal Neurons 半导体激光照射对三叉神经尾侧亚核神经元活动的电生理研究
Pub Date : 1900-01-01 DOI: 10.5984/JJPNSOCLASERDENT.3.65
H. Wakabayashi, M. Hamba, Koukichi Matsumoto, T. Nakayama
Effect of GaALAs semiconductor laser irradiation on activities of the neurons in the trigeminal subuncleus caudalis was electrophysiologically investigated in rats. Extrace llular potentials of the caudal neurons were induced by electric stimulation of the ipsilateral lower incisor pulp and laser irradiation was carried out on the cervical surface of the incisor. Changes in firing discharges and numbers of evoked spikes of the caudal neurons were compared before and after irradiation of the laser.1. Laser irradiation suppressed significantly the late discharges evoked by excitatory inputs from C-fiber afferents, but did not the early discharges evoked by inputs from A δ-afferent fibers.2. Laser irradiation could not suppress wind-up phenomenon of the caudal neurons which was induced by repetitive stimulation of the tooth pulp. However, previous irradiation of the laser before tooth pulp stimulation was effective not to induce wind-up of neurons.3. Non-laser light of a tungsten lamp did not suppress the spike discharges of caudal neurons.4. Reduction in the spike numbers was not significantly observed by the irradiation applied on the “GOUKOKU” point.5. Further investigations about the effect of low power laser irradiation on free nerve endings of C-fiber should be required.
采用电生理学方法研究了GaALAs半导体激光照射对大鼠三叉神经尾核下神经元活动的影响。采用电刺激同侧下切牙牙髓和激光照射切牙颈表面的方法,诱导尾侧神经元的外细胞电位。比较激光照射前后尾侧神经元放电和诱发峰数的变化。激光照射可显著抑制c -纤维输入引起的后期放电,但对A - δ纤维输入引起的早期放电没有抑制作用。激光照射不能抑制牙髓重复刺激引起的尾侧神经元上弦现象。然而,先前的激光在牙髓刺激前照射是有效的,不会引起神经元的上弦。钨灯的非激光光不能抑制尾状神经元的脉冲放电。在“果果”点辐照后,未观察到穗数明显减少。低功率激光照射对c纤维游离神经末梢的影响有待进一步研究。
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引用次数: 15
Surface Observation of the Er: YAG Laser Irradiated Restorative Alloys Er: YAG激光辐照恢复性合金的表面观察
Pub Date : 1900-01-01 DOI: 10.5984/JJPNSOCLASERDENT.9.13
T. Eguro, M. Ogawa, M. Tanabe, T. Maeda, Hisayoshi Tanaka
Recently, the Er: YAG laser has been applied to some kinds of dental treatments. The aim of this study was to observe the surface changes of the restorative alloys irradiated by the Er: YAG laser. The specimens (8mm ∅×4mm high) were prepared from 5 alloys. [G;Type II gold alloy (CASTING GOLD M.C. TYPE II GC, Tokyo, Japan), 12% gold-silver-palladium alloy (PD; KINPARA S12% ISHIHUKU, Tokyo, Japan), silver alloy (S;MIRO 3, GC, Tokyo, Japan), amalgam (AM;SPHERICAL-D CAPSULE, SHOFU, Tokyo, Japan), gallium alloy (GA;Galliumalloy GF, Tokuriki, Tokyo, Japan)]. The specimens of G, PD and S were polished with silicon carbite paper to #1500. For AM and GA, two type of specimens were prepared [polished to #1500 (poAM, poGA), un-polished (noAM, noGA)]. The Er: YAG laser (KaVo K.E.Y. Laser) was irradiated to following 6 conditions: energy; 300mJ, pulse frequency; 1Hz, focal distance; 12mm, fine water mist; with/without, total pulse; 1, 3, 10 shots. The irradiated surface of specimens were observed using OPTIPHOTO (Nikon, Tokyo, Japan) and EPMA (Shimadzu, Kyoto, Japan). The results were as follows: 1. The Er: YAG laser irradiation did not affect G and PD. 2. S, poAM, noAM, poGA, noGA were melted by the Er: YAG laser irradiation. The surface of S was like beegum.The surface of poAM and noAM was crater form. The surface of poGA and noGA was like a thin film. 3. In cases of 10 shots irradiation to S, poAM, noAM, poGA, noGA and 3 shots irradiation to S and noGA, irradiation with the fine water mist spray caused more effect than irradiation without the fine water mist. In the other cases, the effects of fine water mist spray were little.
近年来,Er: YAG激光已被应用于一些牙科治疗。本研究的目的是观察Er: YAG激光辐照后恢复性合金的表面变化。试样(8mm∅×4mm高)由5种合金配制而成。II型金合金(CASTING gold M.C. II型GC,东京,日本),12%金银钯合金(PD;KINPARA [12% ISHIHUKU,东京,日本),银合金(S;MIRO 3, GC,东京,日本),汞合金(AM; spheral - d CAPSULE,东京,日本,SHOFU),镓合金(GA;镓合金GF,东京,日本)]。G、PD、S试样用碳化硅纸抛光至1500 #。对于AM和GA,制备了两种类型的样品[抛光至1500 # (poAM, poGA),未抛光(noAM, noGA)]。在以下6个条件下辐照Er: YAG激光器(KaVo K.E.Y.激光器):能量;300mJ,脉冲频率;1Hz,焦距;12mm细水雾;带/不带,总脉冲;1、3、10次。采用OPTIPHOTO (Nikon, Tokyo, Japan)和EPMA (Shimadzu, Kyoto, Japan)对样品辐照表面进行观察。实验结果如下:1.实验结果表明:Er: YAG激光照射对G和PD无明显影响。2. 用Er: YAG激光对S、poAM、noAM、poGA、noGA进行熔化。S的表面像beegum。poAM和noAM表面呈环形山状。poGA和noGA表面呈薄膜状。3.在对S、poAM、noAM、poGA、noGA进行10次照射和对S、noGA进行3次照射的情况下,细水雾喷雾照射效果优于无细水雾照射。在其他情况下,细水雾喷雾的效果很小。
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引用次数: 0
Measurement of Flap Blood Flow by Laser Doppler Velocimeter in Oral Surgery 用激光多普勒测速仪测量口腔外科皮瓣血流
Pub Date : 1900-01-01 DOI: 10.5984/JJPNSOCLASERDENT.2.11
K. Ishikawa, M. Goto, Yuichi Nakanishi, Hisaya Ogata, H. Kurokawa, Hirotoshi Nakagawa, E. Kubota, T. Katsuki
Recently the laser doppler velocimeter has been developped as aids in evaluation of microcircuratory flow in a variety of human tissue. We have used this instrument to measure viability of the flaps which were transplanted to the reconstruction of maxillo-facial region.The blood circulation of D-P flaps and Abbe flap were measured by laser doppler verocimeter. The analog data of the blood circulation was analyzed by using personal computer. The software for data analysis was developped by ourselves.The laser doppler verocimeter is a non-invasive instrument capable of instantaneous and continuous evalation of local flow in tissue microcirculation. It is fit to monitor viability of flaps used oral and maxillo-facial surgery.
近年来,激光多普勒测速仪已发展成为评估各种人体组织微循环流动的辅助工具。我们用这个仪器测量了用于重建上颌面部的皮瓣的生存能力。用激光多普勒测速仪测量D-P皮瓣和Abbe皮瓣的血液循环。利用个人计算机对血液循环模拟数据进行分析。数据分析软件是我们自己开发的。激光多普勒测速仪是一种非侵入性仪器,能够瞬时和连续地评估组织微循环中的局部流量。该方法适用于口腔颌面外科手术皮瓣的存活监测。
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引用次数: 0
Application of Antimicrobial Photodynamic Therapy in Periodontal Treatment 抗菌光动力疗法在牙周治疗中的应用
Pub Date : 1900-01-01 DOI: 10.5984/jjpnsoclaserdent.32.9
Yutaro Kitanaka, Y. Takeuchi, K. Hiratsuka, H. Nitta, T. Iwata, A. Aoki
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引用次数: 0
Fundamental Studies on Tissue Reaction after Low Power Laser Irradiation 低功率激光辐照后组织反应的基础研究
Pub Date : 1900-01-01 DOI: 10.5984/JJPNSOCLASERDENT.9.38
A. Shinohara, Mugio Kato, T. Imai, Kenji Yoshida, S. Yamada, K. Kurita
It is generally recognized that the lower power Nd: YAG laser provides some therapeutic effects on tissue without irreversible changes. On the other hand, high power laser causes irreversible changes. The criterion about low and high power laser is, however, not established. The aim of this study is to verify the effect of lower and high power laser on wound healing of rat skin by measuring blood flow and histomorphologic findings with HE and SEM. Each laser were irradiated to the center of 6mm round full-thickness skin defect at the back of the rat at either (1) 300mW×3min, (2) 500mW×3min, (3) 700mW×3min, (4) 300mW×20min, (5) 500mw×20min, (6) 700mW×20min.The results obtained are as follows;1) The histological findings showed that irradiation time caused more tissue damage in the deeper layer, whereas irradiation power caused more damage to the surrounding tissue.2) Small craters were starred on the bottom of the damaged tissue by laser irradiation at 700 mW x 20min. The formation of these craters was related to the absorption of laser irradiation.3) On the irradiated area, blood volume decreased significantly as irradiation power increased. However, both blood flow and tissue damage increased as irradiation time increased. As for the surrounding tissue, the findings showed an increase in the blood flow and tissue damage as irra diation power increased.4) High power laser at 700mW caused tissue damage regardless of irradiation time. On the other hand, 500mW irradiation power caused minimum damage to the tissue. Therefore, the range between 300 to 500mW and the irraditation time over 3min to less than 20min are classified as a lower power laser.
人们普遍认为,低功率Nd: YAG激光对组织有一定的治疗作用,但没有不可逆的变化。另一方面,高功率激光会引起不可逆的变化。然而,关于低功率和高功率激光的标准还没有建立起来。本研究的目的是通过HE和SEM测量血流和组织形态学结果,验证低功率和高功率激光对大鼠皮肤伤口愈合的影响。在(1)300mW×3min, (2) 500mW×3min, (3) 700mW×3min, (4) 300mW×20min, (5) 500mw×20min, (6) 700mW×20min处,每束激光照射大鼠背部6mm圆形全层皮肤缺损中心。结果表明:1)组织学结果显示,照射时间对深层组织损伤更大,而照射功率对周围组织损伤更大。2)激光照射700 mW x 20min后,损伤组织底部形成小凹坑。这些凹坑的形成与激光照射的吸收有关。3)在照射区域,随着照射功率的增加,血容量明显减少。然而,随着照射时间的延长,血流量和组织损伤均增加。对于周围组织,随着照射功率的增加,血流量增加,组织损伤增加。4)无论照射时间如何,700mW高功率激光均引起组织损伤。另一方面,500mW的辐照功率对组织的损伤最小。因此,在300 ~ 500mW之间,照射时间大于3min ~小于20min的激光器被归类为低功率激光器。
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引用次数: 0
Effect on Adjacent Teeth of Carbon Dioxide Laser Irradiation for Enhanced Post-extraction Wound Healing in Rat 二氧化碳激光照射对大鼠拔牙后伤口愈合的影响
Pub Date : 1900-01-01 DOI: 10.5984/jjpnsoclaserdent.27.63
Y. Daigo, Erina Daigo, H. Fukuoka, M. Ishikawa, K. Kakimoto, Kazuya Takahashi, Y. Komasa
The utility of laser irradiation has been demonstrated in basic and clinical studies, albeit with an associated risk of tissue damage. We previously tested a combination of high reactive level laser therapy (HLLT) and low reactive level laser therapy (LLLT) using a carbon dioxide laser for enhanced post-extraction wound healing and observed irreversible changes in the pulps of the teeth adjacent to the extracted tooth. The aim of this study was to elucidate the histopathological changes in the pulps of teeth adjacent to the site of carbon dioxide laser irradiation performed to achieve enhanced wound healing after tooth extraction ; here we report the significance of care for the adjacent tissues in laser irradiation therapy. A total of 20 male Wistar rats (5 weeks old) were divided into an irradiation group that received HLLT combined with LLLT and a non-irradiation (control) group that did not. A tooth socket model was prepared by extracting the maxillary left first molar. HLLT and LLLT were respectively performed immediately and 1 day after tooth extraction. Laser-stimulated tissues surrounding the extracted tooth, namely, the socket and adjacent teeth, were collected from each rat both 7 and 10 days after tooth extraction. The obtained specimens were fixed in 4% paraformaldehyde, decalcified in 10% ethylenediaminetetraacetic solution, and then embedded in paraffin. Serial sagittal sections were stained with hematoxylin and eosin for histopathological examination. Laserinduced injuries, such as enamel ablation and dentin carbonization, were absent 7 days after tooth extraction in both groups. Formation of reparative dentin was observed along the rim of the laser-irradiated area in the dental pulps in the irradiation group but not the control group. Both groups showed no signs of inflammation in pulp tissues. Enamel and dentin injuries were not observed in either group at 10 days after tooth extraction, similar to the findings at 7 days after tooth extraction. Formation of reparative dentin was much more prominent at 10 days after tooth extraction than at 7 days in the irradiation group. In contrast, no formation of reparative dentin was observed at either time point in the control group. These results show that carbon dioxide laser irradiation induces the formation of reparative dentin in the pulps of teeth adjacent to the 〒 546-0032 大阪府大阪市東住吉区東田辺 2-2-14 TEL 06-7502-2649 FAX 06-7502-2649 2-2-14 Higashitanabe, Higashisumiyoshi-ku, Osaka-city, Osaka 546-0032, Japan. TEL +81-6-7502-2649 FAX +81-6-7502-2649 64 日本レーザー歯学会誌 27:63-70,2016 extracted tooth socket. In sum, carbon dioxide laser irradiation at the low reactive level appears to induce irreversible changes in the tissues surrounding the laser treatment site. (J. Jpn. Soc. Laser Dent. 27:63 ~ 70, 2016 Reprint requests to Dr. DAIGO) Key words= Carbon dioxide laser, Adjacent tooth, Dental pulp, Reparative dentin キーワード=炭酸ガスレーザー,隣接歯,歯髄組織,修復象牙質
激光照射的效用已在基础和临床研究中得到证实,尽管存在相关的组织损伤风险。我们之前使用二氧化碳激光测试了高反应水平激光治疗(HLLT)和低反应水平激光治疗(LLLT)的组合,以增强拔牙后伤口愈合,并观察到拔牙邻近牙齿的牙髓发生了不可逆的变化。本研究的目的是阐明在拔牙后进行二氧化碳激光照射以促进伤口愈合的牙髓附近的组织病理学变化;在此,我们报告在激光照射治疗中护理邻近组织的重要性。将20只5周龄雄性Wistar大鼠分为HLLT联合LLLT照射组和不照射(对照组)组。拔除上颌左第一磨牙,制备牙槽模型。拔牙后即刻和第1天分别进行HLLT和LLLT。在拔牙后第7天和第10天,收集每只大鼠拔牙周围的激光刺激组织,即牙槽和邻近牙齿。得到的标本用4%多聚甲醛固定,用10%乙二胺四乙酸溶液脱钙,然后包埋石蜡。连续矢状面切片用苏木精和伊红染色进行组织病理学检查。两组拔牙后7 d均未出现牙釉质消融、牙本质碳化等激光损伤。激光照射组牙髓沿激光照射区边缘形成修复性牙本质,而对照组牙髓无修复性牙本质形成。两组牙髓组织均未出现炎症迹象。两组拔牙后10 d均未见牙釉质和牙本质损伤,与拔牙后7 d相似。在拔牙后第10天,修复牙本质的形成比照射组在拔牙后第7天更加明显。相比之下,对照组在任何时间点均未观察到修复牙本质的形成。这些结果表明,二氧化碳激光照射可诱导牙髓中修复性牙实质的形成,牙髓中牙髓的位置为:546-0032。TEL - 06-7502-2649 FAX - 06-7502-2649 higashanabe 2-2-14,东住吉区,大阪市,546-0032,日本。TEL +81-6-7502-2649 FAX +81-6-7502-2649 64 27:63-70,2016拔牙槽。总之,低反应水平的二氧化碳激光照射似乎会引起激光治疗部位周围组织的不可逆变化。(j .日本。Soc。【关键词】二氧化碳激光,邻牙,牙髓,修复性牙本质
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引用次数: 0
Carbon Dioxide Laser Irradiation Stimulates Mineralization in Dental Pulp Cells 二氧化碳激光照射刺激牙髓细胞矿化
Pub Date : 1900-01-01 DOI: 10.5984/JJPNSOCLASERDENT.21.197
Y. Yasuda, Takashi Saito
Reparative dentin is formed in the dental pulp in response to various external stimuli such as caries and abrasion. Carbon dioxide laser has been used to accelerate the formation of reparative dentin on the exposed pulp surface. However, the mechanism by which carbon dioxide laser irradiation stimulates mineralization in direct pulp capping treatment is not fully understood. We examined the effects of carbon dioxide laser irradiation on mineralization in rat dental pulp cells. Rat dental pulp cells were irradiated with a carbon dioxide laser at an output power of 2 W for 20, 40, and 60 s and were cultured in media containing ascorbic acid and β-glycerophosphate. Cell viability was examined 24 h after laser irradiation by a modified MTT assay. Alizarin Red S staining was performed 10 days after laser irradiation. The amounts of collagen secreted from the cells after irradiation were quantified following Sirius Red staining. The expression levels of collagen type I and HSP47, collagen-binding stress protein, were analyzed by real-time PCR. HSP47 protein expression was examined by Western blotting. The cell viability was not affected by laser irradiation at 2 W for up to 40 s. However, it was significantly decreased by 20% at 60 s. The amount of mineralization after 10 days of irradiation at 2 W for 40 s was significantly increased in comparison to the other conditions. The extracellular collagen production was significantly increased, by 73% on day 2 and 38% on day 4, after laser irradiation. Although collagen type I gene expression was not changed by laser irradiation, HSP47 gene and protein expression was induced within 12 h and 24 h, respectively. These results suggested that carbon dioxide laser irradiation stimulated mineralization in dental pulp cells by increasing HSP47 expression. (J. Jpn. Soc. Laser Dent. 21:197 ~ 202, 2010 Reprint requests to Dr. YASUDA) Key words= Carbon dioxide laser, Dental pulp cells, Odontoblasts, Mineralization キーワード=炭酸ガスレーザー,歯髄細胞,象牙芽細胞,石灰化 〒 061-0293 北海道石狩郡当別町金沢 1757 TEL 0133-23-1726 FAX 0133-23-1726 1757 Tobetsu, Hokkaido 061-0293, Japan. TEL +81-133-23-1726 FAX +81-133-23-1726 198 日本レーザー歯学会誌 21:197-202,2010 牙質で覆い,かつ歯髄の炎症反応が認められないことが理 想とされる。 現在,レーザーが切開,止血,根管内殺菌や歯石除去な どその適応の広さから歯科臨床において広く利用されてい る。その中でも半導体レーザーなどの低出力レーザーには 創傷治癒の促進効果があり9),抜歯創や非感染性の露髄面 への応用により硬組織形成促進効果が観察されている。ま た,培養細胞レベルにおいても半導体レーザー照射により 細胞分化促進や石灰化結節の増大などが認められてい る10-12)。一方で,炭酸ガスレーザーなどの高出力レーザー は主に組織の蒸散により切開や病巣部の除去などを目的と してきた13)。現在では低出力照射により石灰化誘導やイ ンプラント周囲骨の再生への応用が期待されている14,15)。 HSP(heat shock protein)は,熱や薬剤刺激などのス トレスによって発現が誘導され,変性タンパク質の凝集抑 制を行うタンパク質として知られている16,17)。また,正常 な細胞でも構成的に発現しており,新生タンパク質の フォールディングや細胞内輸送などの重要な機能に関わっ ていることも明らかになってきた18,19)。その中でも HSP47 はコラーゲン特異的分子シャペロンで,コラーゲ ンに特異的に結合し,その合成過程におけるフォールディ ングを正しく導くことでコラーゲン産生に必須な役割を持 つことが知られている20,21)。 これまでに,直接覆髄実験において露髄面への炭酸ガス レーザー照射の有用性が示唆されている22)が,培養歯髄 細胞を用いた細胞レベルでの石灰化への影響についての報 告はほとんどない。そこで今回,炭酸ガスレーザー低出力 照射の象牙芽細胞の石灰化誘導効果について今までに明ら かとしてきたデータを提示23)し考察する。 炭酸ガスレーザー照射の細胞生存率への影響 ラット歯髄細胞に対して 2 W 出力で 20,40 および
修复性牙本质是在牙髓中形成的,是对各种外部刺激(如龋齿和磨损)的反应。二氧化碳激光用于牙髓表面修复性牙本质的形成。然而,在直接盖髓治疗中,二氧化碳激光刺激矿化的机制尚不完全清楚。研究了二氧化碳激光照射对大鼠牙髓细胞矿化的影响。用输出功率为2w的二氧化碳激光照射大鼠牙髓细胞,分别在含抗坏血酸和β-甘油磷酸的培养基中培养20、40和60 s。采用改良MTT法检测激光照射后24 h细胞活力。激光照射10天后进行茜素红S染色。照射后细胞分泌的胶原蛋白量采用天狼星红染色定量。实时荧光定量PCR检测ⅰ型胶原蛋白和胶原结合应激蛋白HSP47的表达水平。Western blotting检测HSP47蛋白表达。2 W激光照射40 s对细胞活力无影响。然而,在60年代,它显著下降了20%。与其他条件相比,2 W照射40 s后10天的矿化量显著增加。激光照射后,细胞外胶原蛋白产量显著增加,第2天和第4天分别增加73%和38%。虽然激光照射不改变I型胶原基因的表达,但在12 h和24 h内分别诱导了HSP47基因和蛋白的表达。这些结果表明,二氧化碳激光照射通过增加HSP47的表达刺激牙髓细胞矿化。(j .日本。Soc。激光削弱。21:197 ~ 202年、2010年重印)关键字=博士请求YASUDA二氧化碳激光器,牙髓细胞,成,矿化キーワード=炭酸ガスレーザー,歯髄細胞,象牙芽細胞,石灰化〒061 - 0293北海道石狩郡当別町金沢1757电话0133-23-1726传真0133-23-1726 1757 Tobetsu,日本北海道061 - 0293。电话+ 81-133-23-1726传真+ 81-133-23-1726 198日本レーザー歯学会誌21:197 - 202,2010牙質で覆い,かつ歯髄の炎症反応が認められないことが理想とされる。現在,レーザーが切開,止血,根管内殺菌や歯石除去などその適応の広さから歯科臨床において広く利用されている。その中でも半導体レーザーなどの低出力レーザーには創傷治癒の促進効果があり9),抜歯創や非感染性の露髄面への応用により硬組織形成促進効果が観察されている。また,培養細胞レベルにおいても半導体レーザー照射により細胞分化促進や石灰化結節の増大などが認められている10 - 12)。一方で,炭酸ガスレーザーなどの高出力レーザーは主に組織の蒸散により切開や病巣部の除去などを目的としてきた13)。現在では低出力照射により石灰化誘導やインプラント周囲骨の再生への応用が期待されている14、15)。HSP(热休克蛋白)は熱や薬剤刺激などのストレスによって発現が誘導され,変性タンパク質の凝集抑制を行うタンパク質として知られている16、17)。また,正常な細胞でも構成的に発現しており,新生タンパク質のフォールディングや細胞内輸送などの重要な機能に関わっていることも明らかになってきた18、19)。その中でもHSP47はコラーゲン特異的分子シャペロンで,コラーゲンに特異的に結合し,その合成過程におけるフォールディングを正しく導くことでコラーゲン産生に必須な役割を持つことが知られている20、21)。これまでに,直接覆髄実験において露髄面への炭酸ガスレーザー照射の有用性が示唆されていがる22),培養歯髄細胞を用いた細胞レベルでの石灰化への影響についての報告はほとんどない。そこで今回,炭酸ガスレーザー低出力照射の象牙芽細胞の石灰化誘導効果について今までに明らかとしてきたデータを提示23)し考察する。炭酸ガスレーザー照射の細胞生存率への影響ラット歯髄細胞に対して2 W出力で20、40および60秒間炭酸ガスレーザー照射し,24時間後の細胞生存率を測定した。24穴プレートにラット歯髄細胞を2×10個播種し,24時間後無血清培地に交換しさらに24時間培養した後,培地を除いて細胞に2 Wの出力,A4モード,照射距離2厘米,30秒間走査法にて炭酸ガスレーザー照射を行った(図1)。炭酸ガスレーザーは贝尔Luxar LX-20SP(タカラ,東京)を,チップはセラミックチップを使用した。照射スポットサイズは約2毫米でエネルギー密度は2 W, 40秒照射で382.2 W / cm2となる。20および40秒間照射を受けた細胞はコントロールとの間で生存率に差は見られなかったが,60秒間照射を受けた細胞の生存率は約80%でコントロールに比べて有意に減少した(図2 a)。炭酸ガスレーザーは,軟組織の切開や止血などの効果を持つ光熱作用と,疼痛緩和なの効果を発揮する光化学作用を有しており,現在臨床で幅広い症例に対して使用されている13)。莫里茨らは,直接覆髄実験において水酸化カルシウム製剤の貼布前に露髄面への炭酸ガスレーザー照射の効果を調べた22)。2年後でも93%の歯髄が生活反応を示したのに対して,未照射では66%であったと報告している。つまり,炭酸ガスレーザーは修復象牙質形成を促進し,直接覆髄治療においても有用であることを示唆している。今回用いた実験系では,炭酸ガスレーザーの2 W, 60秒間の照射条件では,細胞生存率の低下が認められたことから,低出力照射でも照射時間が長くなるとエネルギー密度が増大し,細胞に対して傷害を与えることが明らかとなった。図1(写真左)実験に使用した炭酸ガスレーザー(贝尔Luxar LX-20SP,タカラ),(写真右)照射距離2厘米,出力2 Wで走査法にてラット歯髄細胞に照射を行った。199 2010年(12个月
{"title":"Carbon Dioxide Laser Irradiation Stimulates Mineralization in Dental Pulp Cells","authors":"Y. Yasuda, Takashi Saito","doi":"10.5984/JJPNSOCLASERDENT.21.197","DOIUrl":"https://doi.org/10.5984/JJPNSOCLASERDENT.21.197","url":null,"abstract":"Reparative dentin is formed in the dental pulp in response to various external stimuli such as caries and abrasion. Carbon dioxide laser has been used to accelerate the formation of reparative dentin on the exposed pulp surface. However, the mechanism by which carbon dioxide laser irradiation stimulates mineralization in direct pulp capping treatment is not fully understood. We examined the effects of carbon dioxide laser irradiation on mineralization in rat dental pulp cells. Rat dental pulp cells were irradiated with a carbon dioxide laser at an output power of 2 W for 20, 40, and 60 s and were cultured in media containing ascorbic acid and β-glycerophosphate. Cell viability was examined 24 h after laser irradiation by a modified MTT assay. Alizarin Red S staining was performed 10 days after laser irradiation. The amounts of collagen secreted from the cells after irradiation were quantified following Sirius Red staining. The expression levels of collagen type I and HSP47, collagen-binding stress protein, were analyzed by real-time PCR. HSP47 protein expression was examined by Western blotting. The cell viability was not affected by laser irradiation at 2 W for up to 40 s. However, it was significantly decreased by 20% at 60 s. The amount of mineralization after 10 days of irradiation at 2 W for 40 s was significantly increased in comparison to the other conditions. The extracellular collagen production was significantly increased, by 73% on day 2 and 38% on day 4, after laser irradiation. Although collagen type I gene expression was not changed by laser irradiation, HSP47 gene and protein expression was induced within 12 h and 24 h, respectively. These results suggested that carbon dioxide laser irradiation stimulated mineralization in dental pulp cells by increasing HSP47 expression. (J. Jpn. Soc. Laser Dent. 21:197 ~ 202, 2010 Reprint requests to Dr. YASUDA) Key words= Carbon dioxide laser, Dental pulp cells, Odontoblasts, Mineralization キーワード=炭酸ガスレーザー,歯髄細胞,象牙芽細胞,石灰化 〒 061-0293 北海道石狩郡当別町金沢 1757 TEL 0133-23-1726 FAX 0133-23-1726 1757 Tobetsu, Hokkaido 061-0293, Japan. TEL +81-133-23-1726 FAX +81-133-23-1726 198 日本レーザー歯学会誌 21:197-202,2010 牙質で覆い,かつ歯髄の炎症反応が認められないことが理 想とされる。 現在,レーザーが切開,止血,根管内殺菌や歯石除去な どその適応の広さから歯科臨床において広く利用されてい る。その中でも半導体レーザーなどの低出力レーザーには 創傷治癒の促進効果があり9),抜歯創や非感染性の露髄面 への応用により硬組織形成促進効果が観察されている。ま た,培養細胞レベルにおいても半導体レーザー照射により 細胞分化促進や石灰化結節の増大などが認められてい る10-12)。一方で,炭酸ガスレーザーなどの高出力レーザー は主に組織の蒸散により切開や病巣部の除去などを目的と してきた13)。現在では低出力照射により石灰化誘導やイ ンプラント周囲骨の再生への応用が期待されている14,15)。 HSP(heat shock protein)は,熱や薬剤刺激などのス トレスによって発現が誘導され,変性タンパク質の凝集抑 制を行うタンパク質として知られている16,17)。また,正常 な細胞でも構成的に発現しており,新生タンパク質の フォールディングや細胞内輸送などの重要な機能に関わっ ていることも明らかになってきた18,19)。その中でも HSP47 はコラーゲン特異的分子シャペロンで,コラーゲ ンに特異的に結合し,その合成過程におけるフォールディ ングを正しく導くことでコラーゲン産生に必須な役割を持 つことが知られている20,21)。 これまでに,直接覆髄実験において露髄面への炭酸ガス レーザー照射の有用性が示唆されている22)が,培養歯髄 細胞を用いた細胞レベルでの石灰化への影響についての報 告はほとんどない。そこで今回,炭酸ガスレーザー低出力 照射の象牙芽細胞の石灰化誘導効果について今までに明ら かとしてきたデータを提示23)し考察する。 炭酸ガスレーザー照射の細胞生存率への影響 ラット歯髄細胞に対して 2 W 出力で 20,40 および ","PeriodicalId":187459,"journal":{"name":"Journal of Japanese Society for Laser Dentistry","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129673959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Basic Study on Laser Joining of Resin for Denture Base and Dental Alloy 义齿基托树脂与牙合金激光连接的基础研究
Pub Date : 1900-01-01 DOI: 10.5984/JJPNSOCLASERDENT.23.131
Daisuke Naito, K. Kakimoto, Kazuya Takahashi, Y. Komasa
Dentures are comprised of resin and metal materials. These materials are joined using chemicals or mechanically by making under-cuts, but spaces remaining between the materials cause denture fracture and oral bacterial infection. To solve this problem, we performed a basic study to evaluate the applicability of laser-assisted metal and plastic (LAMP) joining for the direct joining of cobalt-chromium alloy for casting (COBALTAN, Shofu Inc., Kyoto, Japan) and acrylic resin for a thermoplastic base (ACRYJET, High-Dental Japan, Osaka, Japan). LAMP joining is a technique that facilitates the laser joining of resin and metal and was developed by the Laser Welding and Materials Processing, Welding Research Institute, Osaka University. LAMP joining achieves a very strong joint between acrylic resin and cobalt-chromium alloy. As a result, most samples of thermoplastic acrylic resin for denture suffer plastic deformation in tensile shear tests, and some samples broke at a position away from the joint interface on thermoplastic acrylic resin for dentures, prior to fracture at the joint interface. Although it was not possible to measure the bonding strength to line profile, in this experiment, the joints possessed very strong tensile shear strengths of not less than 4.9 MPa. Sufficient bonding strength was obtained between the thermoplastic acrylic resin for dentures and the cobalt-chromium alloy for casting by LAMP joining. When the bonded interface was observed under SEM, fine air bubbles characteristic of LAMP joining were observed, and no micro-level space was present in the bonded interface. It is suggested that cobalt-chromium alloy for casting and acrylic resin for a thermoplastic base can be joined with no space in the bond interface by using LAMP joining without special surface processing. (J. Jpn. Soc. Laser Dent. 23:131 ~ 136, 2012 Reprint requests to Dr. NAITO) Key words= Laser joining, Dissimilar materials joining, Thermoplastic acrylic resin, Cobalt-chromium cast alloy キーワード=レーザー接合,異材接合,熱可塑性アクリル樹脂,コバルトクロム合金
假牙由树脂和金属材料组成。这些材料是用化学物质或机械的方式连接起来的,但材料之间的空隙会导致假牙骨折和口腔细菌感染。为了解决这一问题,我们进行了一项基础研究,以评估激光辅助金属和塑料(LAMP)连接用于直接连接铸造用钴铬合金(COBALTAN, Shofu Inc.,京都,日本)和热塑性树脂基(ACRYJET, High-Dental Japan,大阪,日本)的适用性。LAMP连接是由大阪大学焊接研究所激光焊接与材料加工研究所开发的一种便于树脂和金属激光连接的技术。LAMP连接实现了丙烯酸树脂与钴铬合金之间非常牢固的连接。因此,在拉伸剪切试验中,大多数义齿用热塑性丙烯酸树脂试样都发生了塑性变形,部分试样在远离义齿用热塑性丙烯酸树脂接头界面的位置断裂,在接头界面处发生断裂。虽然无法测量到线形的结合强度,但在本实验中,接头具有非常强的抗拉剪切强度,不小于4.9 MPa。采用LAMP连接方法使义齿用热塑性丙烯酸树脂与铸造用钴铬合金之间获得了足够的结合强度。在SEM下观察结合界面时,观察到具有LAMP连接特征的细小气泡,结合界面中不存在微级空间。建议采用LAMP连接方法将铸造用钴铬合金与热塑性基体用丙烯酸树脂进行连接,无需进行特殊的表面处理。(j .日本。Soc。激光削弱。23:131 ~ 136年、2012年重印请求NAITO博士)关键字=激光加入,加入不同的材料,热塑性丙烯酸树脂、钴铬铸造合金キーワード=レーザー接合,異材接合,熱可塑性アクリル樹脂,コバルトクロム合金
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引用次数: 1
期刊
Journal of Japanese Society for Laser Dentistry
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