Er:YAG激光辅助根管荡洗安全性的研究进展

doi:10.20047/j.issn1673-7210.2022.30.13

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Abstract 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.

Key words： Er:YAG laser Photon-induced photoacoustic streaming Shock wave enhanced emission photoacoustic streaming Laser-activated irrigation Root canal irrigation

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	ZHOU Yukun ZHANG Tingting ZHANG Fangqi LIU Xuejun

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ZHOU Yukun ZHANG Tingting ZHANG Fangqi LIU Xuejun. Research progress on the safety of Er:YAG laser-activated root canal irrigation[J]. 中国医药导报, 2022, 19(30): 62-66.

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https://www.yiyaodaobao.com.cn/EN/10.20047/j.issn1673-7210.2022.30.13 OR https://www.yiyaodaobao.com.cn/EN/Y2022/V19/I30/62

[参考文献]
[1] Ballal NV，Gandhi P，Shenoy PA，et al. Evaluation of various irrigation activation systems to eliminate bacteria from the root canal system：A randomized controlled single blinded trial [J]. J Dent，2020，99：103412.
[2] Kirmizi D，Aksoy U，Orhan K. Efficacy of Laser-Activated Irrigation and Conventional Techniques in Calcium Hydroxide Removal from Simulated Internal Resorption Cavities：Micro-CT Study [J]. Photobiomodul Photomed Laser Surg，2021，39（10）：674-681.
[3] Vatanpour M，Toursavadkouhi S，Sajjad S. Comparison of three irrigation methods：SWEEPS，ultrasonic，and traditional irrigation，in smear layer and debris removal abilities in the root canal，beyond the fractured instrument [J]. Photodiagnosis Photodyn Ther，2021，37：102707.
[4] 何蓉，刘学军，周宇琨.激光对弯曲根管内粪肠球菌灭菌效果的体外研究[J].口腔医学研究，2021，37（11）：981- 988.
[5] Eldeeb IM，Nawar NN，Saber SM，et al. Smear layer removal and sealer penetration with different tapers after using photon-initiated photoacoustic streaming technique [J]. Clin Oral Investig，2021，25（8）：5025-5032.
[6] Shi L，Wu S，Yang Y，et al. Efficacy of five irrigation techniques in removing calcium hydroxide from simulated S-shaped root canals [J]. J Dent Sci，2022，17（1）：128-134.
[7] Swimberghe RCD，Buyse R，Meire MA，et al. Efficacy of different irrigation technique in simulated curved root canals [J]. Lasers Med Sci，2021，36（6）：1317-1322.
[8] Mancini M，Cerroni L，Palopoli P，et al. FESEM evaluation of smear layer removal from conservatively shaped canals：laser activated irrigation（PIPS and SWEEPS）compared to sonic and passive ultrasonic activation-an ex vivo study [J]. BMC Oral Health，2021，21（1）：81.
[9] Di Vito E，Peters OA，Olivi G. Effectiveness of the erbium:YAG laser and new design radial and stripped tips in removing the smear layer after root canal instrumentation [J]. Lasers Med Sci，2012，27（2）：273-280.
[10] Yang Q，Liu M，Zhu L，et al. Comparison of Needle，Ultrasonic，and Laser Irrigation for the Removal of Calcium Hydroxide from Mandibular Molar Root Canals [J]. Photobiomodul Photomed Laser Surg，2021，39（5）：349-354.
[11] Kamalak A，Uzun I，Arslan H，et al. Fracture Resistance of Endodontically Retreated Roots After Retreatment Using Self-Adjusting File，Passive Ultrasonic Irrigation，Photon-Induced Photoacoustic Streaming，or Laser [J]. Photomed Laser Surg，2016，34（10）：467-472.
[12] Akbulut MB，Terlemez A. Does the Photon-Induced Photoacoustic Streaming Activation of Irrigation Solutions Alter the Dentin Microhardness？[J]. Photobiomodul Photomed Laser Surg，2019，37（1）：38-44.
[13] Wu L，Jiang S，Ge H，et al. Effect of Optimized Irrigation With Photon-Induced Photoacoustic Streaming on Smear Layer Removal，Dentin Microhardness，Attachment Morphology，and Survival of the Stem Cells of Apical Papilla [J]. Lasers Surg Med，2021，53（8）：1105-1112.
[14] Todea DCM，Luca RE，Balabuc CA，et al. Scanning electron microscopy evaluation of the root canal morphology after Er:YAG laser irradiation [J]. Rom J Morphol Embryol，2018， 59（1）：269-275.
[15] Wen C，Yan L，Kong Y，et al. The antibacterial efficacy of photon-initiated photoacoustic streaming in root canals with different diameters or tapers [J]. BMC Oral Health，2021， 21（1）：542.
[16] 孙宁佳，郭威.激光和超声荡洗对根管内壁形态及微渗漏的比较研究[J].牙体牙髓牙周病学杂志，2017，27（12）：689-697.
[17] Aljdaimi A，Devlin H，Dickinson M，et al. Micron-scale crack propagation in laser-irradiated enamel and dentine studied with nano-CT [J]. Clin Oral Investig，2019，23（5）：2279-2285.
[18] Arslan H，Capar ID，Saygili G，et al. Effect of photon-initiated photoacoustic streaming on removal of apically placed dentinal debris [J]. Int Endod J，2014，47（11）：1072-1077.
[19] 王昊明，周梦琪，洪瑾.激光对犬根尖周组织影响的组织学评价[J].上海口腔医学，2016，25（6）：657-662.
[20] Coaguila-Llerena H，Denegri-Hacking A，Lucano-Tinoco L，et al. Accidental Extrusion of Sodium Hypochlorite in a Patient Taking Alendronate：A Case Report With an 8-Year Follow-up [J]. J Endod，2021，47（12）：1947-1952.
[21] Arslan H，Akcay M，Ertas H，et al. Effect of PIPS technique at different power settings on irrigating solution extrusion [J]. Lasers Med Sci，2015，30（6）：1641-1645.
[22] Yost RA，Bergeron BE，Kirkpatrick TC，et al. Evaluation of 4 Different Irrigating Systems for Apical Extrusion of Sodium Hypochlorite [J]. J Endod，2015，41（9）：1530-1534.
[23] Vidas J，Snjaric D，Braut A，et al. Comparison of apical irrigant solution extrusion among conventional and laser-activated endodontic irrigation [J]. Lasers Med Sci，2020， 35（1）：205-211.
[24] Yao K，Satake K，Watanabe S，et al. Effect of Laser Energy and Tip Insertion Depth on the Pressure Generated Outside the Apical Foramen During Er:YAG Laser-Activated Root Canal Irrigation [J]. Photomed Laser Surg，2017，35（12）：682-687.
[25] George R，Walsh LJ. Apical extrusion of root canal irrigants when using Er:YAG and Er，Cr:YSGG lasers with optical fibers：an in vitro dye study [J]. J Endod，2008，34（6）：706-708.
[26] Lukac M，Lukac N，Jezersek M. Characteristics of Bubble Oscillations During Laser-Activated Irrigation of Root Canals and Method of Improvement [J]. Lasers Surg Med，2020，52（9）：907-915.
[27] Hancerliogullari D，Erdemir A，Kisa U. The effect of different irrigation solutions and activation techniques on the expression of growth factors from dentine of extracted premolar teeth [J]. Int Endod J，2021，54（10）：1915-1924.
[28] Dagher J，El Feghali R，Parker S，et al. Postoperative Quality of Life Following Conventional Endodontic Intracanal Irrigation Compared with Laser-Activated Irrigation：A Randomized Clinical Study [J]. Photobiomodul Photomed Laser Surg，2019，37（4）：248-253.
[29] Mandras N，Pasqualini D，Roana J，et al. Influence of Photon-Induced Photoacoustic Streaming（PIPS）on Root Canal Disinfection and Post-Operative Pain：A Randomized Clinical Trial [J]. J Clin Med，2020，9（12）：3915.
[30] Liapis D，De Bruyne MAA，De Moor RJG，et al. Postoperative pain after ultrasonically and laser-activated irrigation during root canal treatment：a randomized clinical trial [J]. Int Endod J，2021，54（7）：1037-1050.
[31] Pitak-Arnnop P，Sirintawat N，Tangmanee C，et al. Inanimate surface contamination of SARS-CoV-2 during midfacial fracture repair in asymptomatic COVID-19 patients [J]. J Stomatol Oral Maxillofac Surg，2022，19：S2468-7855（22）00023-4.
[32] Grzech-Lesniak K，Matys J. The Effect of Er：YAG Lasers on the Reduction of Aerosol Formation for Dental Workers [J]. Materials（Basel），2021，14（11）：2857.
[33] Jezersek M，Lukac N，Lukac M，et al. Measurement of Pressures Generated in Root Canal During Er:YAG Laser- Activated Irrigation [J]. Photobiomodul Photomed Laser Surg，2020，38（10）：625-631.
[34] Jezersek M，Jereb T，Lukac N，et al. Evaluation of Apical Extrusion During Novel Er:YAG Laser-Activated Irrigation Modality [J]. Photobiomodul Photomed Laser Surg，2019，37（9）：544-550.