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Diode laser excision of pyogenic granuloma: A case report 二极管激光切除化脓性肉芽肿1例
Pub Date : 2019-07-01 DOI: 10.4103/jdl.jdl_8_19
Vineet Bansal, A. Konidena, A. Mann, Farheen Farooq
Pyogenic granuloma is a commonly occurring inflammatory hyperplasia of the skin and oral mucosa in females. It is a misnomer that is characterized histologically by angiomatous proliferation rather than a granulomatous lesion. This tumorlike growth is considered to be nonneoplastic in nature and has a varied clinical presentation. We present one such case of pyogenic granuloma, which was excised with diode laser along with relevant review of literature.
化脓性肉芽肿是一种常见于女性皮肤和口腔黏膜的炎性增生。这是一个误称,其组织学特征是血管瘤增生而不是肉芽肿病变。这种肿瘤样生长被认为是非肿瘤性的,具有多种临床表现。我们报告一例这样的化脓性肉芽肿,用二极管激光切除并复习相关文献。
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引用次数: 2
Editors message 编辑信息
Pub Date : 2019-07-01 DOI: 10.4103/2321-1385.271017
V. Hegde
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引用次数: 0
Fluid flow analysis of laser-activated irrigation in the simulated root canal 激光激活灌洗在模拟根管内的流体流动分析
Pub Date : 2019-07-01 DOI: 10.4103/jdl.jdl_18_18
Tomoko Kihara, Himeka Matsumoto, Y. Yoshimine
Aim: The aim of the study was to evaluate the efficacy of laser-activated irrigation, the streaming pattern, and its relevance to laser-induced bubbles in a transparent simulated root canal. In addition, the effects of tip position on irrigant flow were examined. Materials and Methods: Particle image velocimetry with a high-speed camera was used, which enabled tracking of buoyant tracer movement. Recorded images were analyzed using two-dimensional fluid analysis software. The tip of an erbium: yttrium aluminum garnet (Er:YAG) laser was placed either in the coronal chamber or in the root canal. Results: On laser irradiation within the coronal chamber, rapid streaming appeared in the entire root canal immediately after the advent of the vapor bubble. Peak flow velocity was observed when the vapor bubble grew to peak size. In contrast, when the tip was placed in the root canal, rapid streaming was related to the appearance of secondary cavitation bubbles and confined to the apical region. Conclusion: The streaming pattern in laser-activated irrigation was affected by the tip position in the root canal. In addition, there was a close relation between the formation of laser-induced bubbles and rapid streaming.
目的:本研究的目的是评估激光激活灌洗的效果、流模式及其与透明模拟根管中激光诱导气泡的相关性。此外,还研究了喷头位置对喷灌流量的影响。材料与方法:采用高速摄像机的粒子图像测速技术,实现对浮力示踪剂运动的跟踪。使用二维流体分析软件对记录的图像进行分析。铒钇铝石榴石(Er:YAG)激光器的尖端被放置在冠状室或根管中。结果:在冠状室内激光照射时,蒸汽泡出现后,整个根管内立即出现快速流动。当气泡达到峰值尺寸时,流速达到峰值。相反,当尖端放置在根管中时,快速流动与二次空化泡的出现有关,并且被限制在根尖区域。结论:激光激活灌洗的流型受根管内尖端位置的影响。此外,激光诱导气泡的形成与快速流动有着密切的关系。
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引用次数: 1
Comparative evaluation of shear bond strength of a traditional composite and ACTIVA BioACTIVE after enamel preparation with Er:YAG laser and conventional acid etching: An in vitro study Er:YAG激光与常规酸蚀牙釉质制备后传统复合材料与ACTIVA BioACTIVE牙釉质剪切结合强度的比较研究
Pub Date : 2019-07-01 DOI: 10.4103/jdl.jdl_3_19
Charu Nijhawan, Purshottam Jasuja, Anshul Sharma, Heena Khurana, Ekta Gakhar
Objective: Traditional composites are strong and esthetic, but they have no bioactive potential and require bonding agents that have been shown to leak, cause white lines, staining, and failure. ACTIVA BioACTIVE is the first composite with an ionic resin matrix and bioactive fillers that mimic the physical and chemical properties of natural teeth. The aim of the study was to compare shear bond strength of traditional composite and resin-modified glass-ionomer bioactive ionic resin-based composite after enamel preparation with erbium-doped yttrium aluminum garnet (Er:YAG) laser and conventional acid etching. Materials and Methods: Forty sound extracted molars were divided into four groups of 10 samples each. In group I, specimens were bur treated followed by bonding of composite. In group II, specimens were laser treated followed by bonding of composite. In group III, specimens were bur treated followed by bonding of Bioactive. In group IV, specimens were laser treated followed by bonding of ACTIVA BioACTIVE. Buccal tooth surfaces were prepared approximately half of the enamel depth. A tube was filled with composite and placed on the treated tooth surface. Once the curing was complete, the tube molds were removed. After thermocycling, the shear bond strength testing was performed using the Instron Testing Machine, and the data were statistically analyzed. Results: Bur preparation followed by bonding of Bioactive yielded the highest bond strength followed by laser preparation. Conclusion: Er:YAG laser preparation caused decreased shear bond strength compared to conventional bur preparation.
目的:传统的复合材料坚固且美观,但它们没有生物活性潜力,并且需要粘合剂,这些粘合剂已被证明会泄漏,导致白线,染色和失效。ACTIVA BioACTIVE是第一种离子树脂基质和生物活性填料的复合材料,模仿天然牙齿的物理和化学特性。本研究的目的是比较用掺铒钇铝石榴石(Er:YAG)激光和常规酸蚀法制备牙釉质后,传统复合材料和树脂改性玻璃离子聚合物生物活性离子树脂基复合材料的剪切结合强度。材料与方法:将40颗拔除的磨牙分为4组,每组10颗。第一组对试样进行热处理,然后进行复合材料粘接。第二组采用激光处理后进行复合材料粘接。第三组,先对标本进行粗处理,然后进行生物活性结合。IV组采用激光处理后结合ACTIVA BioACTIVE。在牙釉质深度的一半左右准备颊面。一根管内填充复合材料并放置在处理过的牙齿表面。一旦固化完成,管模被移除。热循环后,利用Instron试验机进行剪切粘结强度测试,并对数据进行统计分析。结果:生物活性剂先制备后结合,结合强度最高,其次是激光制备。结论:Er:YAG激光制备与常规制备相比,其剪切结合强度降低。
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引用次数: 4
Evaluation of the efficacy of Er:YAG laser–activated irrigation in a simulated accessory canal Er:YAG激光激活灌洗模拟副管的疗效评价
Pub Date : 2019-07-01 DOI: 10.4103/jdl.jdl_4_19
Tomoko Kihara, Himeka Matsumoto, Y. Yoshimine
Aim: The aim of this study was to evaluate the effect of laser-activated irrigation (LAI) on the removal of debris-mimicking hydrogel from a simulated accessory canal. Materials and Methods: The simulated accessory canal was located 3 mm from the apex, perpendicular to the straight main canal. Gelatin hydrogel as a substitute of debris was used to fill the simulated accessory canal. The root canals were irrigated for 20 or 40 seconds by LAI using an erbium: yttrium aluminum garnet (Er:YAG) laser (30 mJ, 20 pps) or for 40 seconds by syringe irrigation (SI). During LAI, the cone-shaped tip of the laser was positioned stationary at 3 or 10 mm from the apex. Irrigation was performed using 5% NaOCl. The distance over which the hydrogel was removed from the accessory canal entrance was measured and compared between the irrigation procedures. Results: Using NaOCl as the irrigant, a significant increase was observed in the distance over which the hydrogel was removed by LAI compared with that by SI. A longer irradiation period with LAI resulted in significantly greater amount of hydrogel removal. There was no significant difference in hydrogel removal when the laser tip was positioned at 3 and 10 mm from the apex. Conclusion: Within the limitations of this in vitro model, LAI removed more hydrogel from the accessory canal than SI, when using NaOCl as the irrigant. Furthermore, the irradiation time influenced the cleaning efficacy, but the tip position did not.
目的:本研究的目的是评估激光激活冲洗(LAI)对模拟副管中模拟碎片水凝胶去除的影响。材料与方法:模拟副根管位于离根尖3mm处,垂直于直主根管。采用明胶水凝胶代替碎片填充模拟副管。采用铒钇铝石榴石(Er:YAG)激光(30 mJ, 20 pps)进行LAI根管冲洗20或40秒,或采用注射器冲洗(SI)冲洗40秒。在LAI期间,激光的锥形尖端固定在距离尖端3或10 mm处。用5% NaOCl冲洗。测量水凝胶从副管入口移除的距离,并在灌溉程序之间进行比较。结果:NaOCl作为冲洗剂,LAI与SI相比,水凝胶的去除距离明显增加。LAI照射时间越长,水凝胶去除率越高。当激光尖端位于距尖端3 mm和10 mm处时,水凝胶去除无显著差异。结论:在体外模型的限制下,当使用NaOCl作为冲洗剂时,LAI比SI从副管中去除更多的水凝胶。此外,照射时间对清洗效果有影响,但尖端位置不受影响。
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引用次数: 0
Drug-induced gingival enlargement: A case report 药物性牙龈肿大1例
Pub Date : 2019-07-01 DOI: 10.4103/jdl.jdl_2_19
Suhani Goel, S. Chhina, S. Arora
Gingival overgrowth is associated with multiple factors including congenital diseases, hormonal disturbances, poor oral hygiene condition, inflammation, neoplastic conditions, and adverse drug reactions including anticonvulsants, calcium channel blockers, and immunosuppressants. This can have a detrimental effect on the quality of life and also on high oral bacterial load caused by plaque-retentive areas. Various treatment modalities include both surgical (gingivectomy, periodontal flap, electrosurgery, and laser excision) and nonsurgical approaches (oral hygiene measures, scaling and root planing, discontinuation of the drug, or the replacement of the drug with other alternative).
牙龈过度生长与多种因素有关,包括先天性疾病、激素紊乱、口腔卫生状况不佳、炎症、肿瘤状况和药物不良反应,包括抗惊厥药、钙通道阻滞剂和免疫抑制剂。这可能会对生活质量产生不利影响,也会对由牙菌斑保留区引起的高口腔细菌负荷产生不利影响。各种治疗方式包括手术(牙龈切除术、牙周皮瓣、电外科手术和激光切除)和非手术方法(口腔卫生措施、刮治和牙根刨平、停药或用其他替代药物替代药物)。
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引用次数: 0
Application of diode laser in immediate implant restoration: A case report 二极管激光在种植体即刻修复中的应用1例
Pub Date : 2019-07-01 DOI: 10.4103/jdl.jdl_9_19
Shivaprasad Bilichodmath, G. K., Rekha Bilichodmath
Loss of teeth because of trauma in aesthetic zone is a common accident. Tooth loss may lead to bone resorption and collapse of the gingival architecture, which leads to unaesthetic appearance and functional impairment. Replacement of tooth in the anterior region is aesthetically challenging. Immediate implant placement into fresh extraction socket is considered an effective option for restoring missing teeth as it reduces the treatment time, preserves the hard and soft tissues, and reduces the number of surgical interventions. This case report describes application of diode laser in achieving a good emergence profile in a case of immediate implant placement and early implant loading in a 24-year-old boy who was with satisfied aesthetic and functional outcomes.
审美区外伤引起的牙齿脱落是常见的意外事故。牙齿脱落可能导致骨吸收和牙龈结构塌陷,从而导致不美观的外观和功能损害。前牙的置换术在美学上具有挑战性。立即种植体置入新鲜的拔牙槽内被认为是修复缺失牙齿的有效选择,因为它减少了治疗时间,保留了硬组织和软组织,减少了手术干预的次数。本病例报告描述了在一个24岁的男孩中应用二极管激光在立即植入和早期植入物加载的情况下获得良好的出现轮廓,该病例具有满意的美学和功能结果。
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引用次数: 0
Teeth bleaching using diode laser as an adjunct to a bleaching agent 用二极管激光作为牙齿漂白剂的辅助剂进行牙齿漂白
Pub Date : 2018-07-01 DOI: 10.4103/JDL.JDL_10_18
Shivaprasad Bilichodmath, Veenadharini Gundapaneni, Anju Cecil, Rekha Bilichodmath
The use of hydrogen peroxide (H2O2) for conventional bleaching was introduced way back in 1884. Today bleaching products are often found in the form of gels containing various concentrations of carbamide peroxide and H2O2depending on the application and methods. Laser-assisted tooth bleaching has proven faster and efficient results. This case report emphasizes on the efficacy of diode laser for tooth bleaching. Opalescent® (Potassium nitrate and fluoride) was used as a bleaching gel. Diode laser (810 nm) was used to irradiate the tooth surfaces and microabrasion was carried out. Visible reduction in tooth discoloration was seen after a period of 3 weeks. On the basis of the results obtained, diode laser can be considered as an efficient and reliable treatment modality compared to conventional bleaching.
过氧化氢(H2O2)在传统漂白中的使用早在1884年就被引入。今天,根据应用和方法的不同,漂白产品通常以凝胶的形式含有不同浓度的过氧化脲和h2o2。激光辅助牙齿漂白已被证明是更快和有效的结果。本病例报告强调了二极管激光牙齿漂白的效果。使用Opalescent®(硝酸钾和氟化物)作为漂白凝胶。采用二极管激光(810 nm)照射牙面进行微磨蚀。3周后,牙齿变色明显减少。结果表明,与传统漂白相比,二极管激光是一种有效、可靠的漂白方法。
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引用次数: 4
An update on the effect of low-level laser therapy on growth factors involved in oral healing 低水平激光治疗对口腔愈合中生长因子影响的最新进展
Pub Date : 2018-07-01 DOI: 10.4103/JDL.JDL_1_18
A. Colaco
Low-level laser therapy (LLLT) refers to irradiation with red-beam or near-infrared lasers that are typically of narrow spectral width to pathology to reduce inflammation, pain, and promote tissue regeneration. Lasers have varied and growing applications in the field of medicine. This technology has attracted major interest in the field of tissue engineering and healing. The goal of this review is to present the biological action of LLLT on various growth factors involved in oral healing. This article highlights the series of photochemical reactions, mechanism of action, and synthesis of several cytokines. Furthermore, it elucidates the cellular responses to LLLT providing insight into the current strategies that promote healing. This review was based on electronic search of scientific papers from 2000 to 2017 which was accomplished using PubMed and MEDLINE search engines to include relevant scientific citations from the peer-reviewed journals published in English. A total of 68 articles were included, of which 23 were excluded based on the exclusion criteria. The remaining 45 articles were evaluated, and specific information was retrieved from relevant 22 articles. The 22 articles included review articles and in vivo and in vitro studies that discussed in detail the effect of lasers on various growth factors. LLLT has a biomodulating effect on oral healing. LLLT influences the release of chemical mediators, reduces the duration of inflammation, and consequently promotes tissue repair. LLLT has therapeutic actions on the growth factors involved in oral healing and hence accelerates healing.
低水平激光治疗(LLLT)是指用红光束或近红外激光照射,通常具有较窄的光谱宽度,以减少炎症、疼痛和促进组织再生。激光在医学领域的应用越来越广泛。这项技术引起了组织工程和愈合领域的极大兴趣。本综述的目的是介绍LLLT对参与口腔愈合的各种生长因子的生物学作用。本文重点介绍了光化学反应的系列、作用机制和几种细胞因子的合成。此外,它阐明了细胞对LLLT的反应,为当前促进愈合的策略提供了见解。本综述基于2000年至2017年科学论文的电子检索,使用PubMed和MEDLINE搜索引擎完成,包括同行评议期刊的相关科学引文。共纳入68篇文章,其中23篇根据排除标准被排除。对剩余的45篇文献进行评价,并从相关的22篇文献中检索具体信息。这22篇文章包括综述文章和体内和体外研究,详细讨论了激光对各种生长因子的影响。LLLT对口腔愈合具有生物调节作用。LLLT影响化学介质的释放,减少炎症持续时间,从而促进组织修复。LLLT对参与口腔愈合的生长因子有治疗作用,从而加速愈合。
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引用次数: 7
Diode laser for lingual frenectomy 二极管激光用于舌系带切除术
Pub Date : 2018-07-01 DOI: 10.4103/jdl.jdl_11_18
S. Bista, K. Adhikari, C. Saimbi, Bikash Agrahari
Ankyloglossia or tongue tie is characterized by short lingual frenum restricting tongue movement which causes feeding difficulties and speech problems. Such condition can be treated by frenectomy using scalpel, laser, and electrocautery. The present case reports ankyloglossia in an 11-year-old female patient treated with diode laser and followed up without any complications.
舌系带短,限制舌的运动,导致进食困难和语言问题。这种情况可以用手术刀、激光、电灼等方法切除系带。本病例报告了一名11岁的女性患者,用二极管激光治疗并随访,无任何并发症。
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引用次数: 0
期刊
Journal of Dental Lasers
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