准分子激光对大鼠下颌骨的影响

Yukio Nakamura, Takumasa Yoshida, K. Narushima, N. Tsuzuki, H. Wakabayashi, K. Kikuchi, Koukichi Matsumoto
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引用次数: 1

摘要

CO2和Nd: YAG激光器通常用于临床领域。众所周知,红外激光有热副作用,会对软硬组织造成损伤。使用红外激光,足够高的热能量密度可以去除软硬组织,导致结构变化,可以看到裂纹,坏死区和碳化。近年来,研究表明准分子激光照射可以在不造成热损伤的情况下切除软组织和硬组织。然而,关于ArF准分子激光对骨组织影响的研究很少。本研究旨在探讨ArF准分子激光照射对骨结构的影响。在以下照射条件下,用ArF准分子激光照射大鼠下颌骨表面;波长;193海里,输出;0.12W,脉冲重复率,10HZ,光斑大小;1.0×3.3mm,辐照时间;60和120秒。采用热成像技术,观察了激光照射下非重要下颌骨表面的热变化。60秒后升温34°C, 120秒后升温45°C。辐照后立即进行组织学和扫描电镜观察。ArF准分子激光束在非重要下颌骨和重要下颌骨均产生了边缘清晰的缺损。周围组织几乎没有热损伤的迹象。缺陷底部在组织切片上显示锯齿状外观,在扫描电子显微镜下显示锥体或棒状外观。这些结果表明,ArF准分子激光照射在不发生热变化的情况下切除骨组织是可能的。这种激光的有效性可归因于骨组织的光消融。本研究中ArF准分子激光的作用机理尚未明确。因此,在这种新型紫外激光器应用于临床之前,还需要进行更多的研究。
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The Effect of the Rat's Mandibula by ArF Excimer Laser Irradiation
CO2 and Nd: YAG lasers are usually used in the clinical field. Since it is generally known that infrared lasers has thermal side effect, which cause damage to the soft and hard tissues. With infrared lasers, thermal energy densities high enough to remove the soft and hard tissues lead to structural changes, which can be seen as cracks, necrotic zone and carbonization. Recently, it has been demonstrated that the soft and hard tissue can be removed without thermal damage by excimer laser irradiation. However, there are a few studies about the effects of the ArF excimer laser on the bone tissue. The purpose of this study was to investigate the changes of the bone structure by ArF excimer laser irradiation.ArF excimer laser was irradiated on the surface of the rat's mandibula under the follow ing irradiation conditions; wave length; 193nm, output; 0.12W, pulse repetition rate;10HZ, spot size; 1.0×3.3mm, irradiation time; 60 and 120 seconds. By using the extirpated mandibula, we examined the thermal change on the surface of the non-vital mandibula dur ing laser irradiation by thermography system. The temperature rise was 34°C after 60 sec onds and 45°C after 120 scconds. Histological and scanning electron microscopical studies were perfomed immediately after the irradiation. The ArF excimer laser beam produced de fect with clean-cut margins in both non-vital and vital mandibula. There was very minimal evidence of thermal damage on the surrounding tissue. The bottom of the defect revealed sawtooth appearance on histological sections and cone or clavate appearance when examined with a scanning electron microscope. These findings suggested that it is possible to remove the bone tissue without thermal changes by ArF excimer laser irradiation. The effectiveness of this laser can be attributed to the photoablation of the bone tissue. The mechanism of the ArF excimer laser in this study has not been clarified yet. Therefore more research is necessary before this newtype of ultraviolet laser may be used in the clinical field in the future.
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