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中华口腔医学研究杂志(电子版) ›› 2024, Vol. 18 ›› Issue (05) : 345 -350. doi: 10.3877/cma.j.issn.1674-1366.2024.05.011

综述

激光治疗应用于撕脱性损伤牙再植根面处理的研究进展
王刘欣1, 郭艳霞2, 陈永进2, 张旻2, 李强2,†()   
  1. 1. 口颌系统重建与再生全国重点实验室，国家口腔疾病临床医学研究中心，陕西省口腔疾病国际联合研究中心，第四军医大学口腔医院急诊与综合临床科，西安　710032；中国人民解放军93801部队医院，咸阳　712201
    2. 口颌系统重建与再生全国重点实验室，国家口腔疾病临床医学研究中心，陕西省口腔疾病国际联合研究中心，第四军医大学口腔医院急诊与综合临床科，西安　710032
  • 收稿日期:2024-05-14 出版日期:2024-10-01
  • 通信作者: 李强

Research progress of laser therapy in the root surface treatment of replanted avulsed teeth

Liuxin Wang1, Yanxia Guo2, Yongjin Chen2, Min Zhang2, Qiang Li2,†()   

  1. 1. State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi International Joint Research Center for Oral Diseases, Department of General Dentistry & Emergency, School of Stomatology, The Fourth Military Medical University, Xi′an 710032, China; Chinese People′s Liberation Army 93801 Unit Hospital, Xianyang 712201, China
    2. State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, National Clinical Research Center for Oral Diseases, Shaanxi International Joint Research Center for Oral Diseases, Department of General Dentistry & Emergency, School of Stomatology, The Fourth Military Medical University, Xi′an 710032, China
  • Received:2024-05-14 Published:2024-10-01
  • Corresponding author: Qiang Li
  • Supported by:
    Key Research and Development Program of Shaanxi(2024SF-YBXM-259); Special Project of National Clinical Research Center for Oral Diseases(LCB202204); New Technology Project of the Third Affiliated Hospital of Air Force Medical University(LX2022-304)
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王刘欣, 郭艳霞, 陈永进, 张旻, 李强. 激光治疗应用于撕脱性损伤牙再植根面处理的研究进展[J]. 中华口腔医学研究杂志(电子版), 2024, 18(05): 345-350.

Liuxin Wang, Yanxia Guo, Yongjin Chen, Min Zhang, Qiang Li. Research progress of laser therapy in the root surface treatment of replanted avulsed teeth[J]. Chinese Journal of Stomatological Research(Electronic Edition), 2024, 18(05): 345-350.

牙齿撕脱性损伤是最严重且预后最差的外伤性牙齿损伤之一，主要发生于恒前牙，不仅造成患者咀嚼功能障碍，也影响患者容貌美观。再植是撕脱性损伤牙的首选治疗方案，但与理想的生理性愈合相比，牙周组织损伤和炎症反应可能导致不可逆的牙根吸收，降低再植成功率。因此，有效的根面处理对于良好预后至关重要。激光治疗作为一种新兴的手段已被广泛应用于口腔疾患防治。许多研究表明，激光在撕脱性损伤牙再植根面处理的过程中能够发挥促进牙周血管生成及牙周组织细胞黏附、加速牙周胶原纤维沉积的作用，有利于撕脱性损伤牙的牙周膜愈合，同时减轻牙周炎症反应，降低牙根吸收发生率，对提高撕脱性损伤牙再植成功率起到了重要作用。本文概述了撕脱性损伤牙再植后牙周组织愈合方式和再植牙根面处理常用方法，就近年来激光治疗处理撕脱性损伤牙再植根面的作用机制与相关应用研究进行讨论，并对未来激光在撕脱性损伤牙再植根面处理中的发展进行展望。

关键词: 激光, 根面处理, 牙撕脱性损伤, 牙再植, 牙根吸收

Tooth avulsion is one of the most serious traumatic dental injuries with the worst prognosis. It mainly occurs in the permanent anterior teeth. Tooth avulsion not only causes masticatory dysfunction, but also impacts the aesthetic appearance of patients. Replantation serves as the first treatment modality for avulsed teeth. However, the success rate of replantation may be reduced by irreversible root resorption caused by periodontal tissue damage and inflammation. Therefore, effective root surface management is imperative for a good prognosis of the replanted teeth. Laser therapy has been widely used in the prevention and treatment of oral diseases in recent years. Many studies have demonstrated its positive effects on facilitating the physiological periodontal healing in the replanted avulsed teeth by promoting periodontal angiogenesis and cell adhesion as well as accelerating the deposition of periodontal collagen fibers. Meanwhile, laser therapy also reduces periodontal inflammation and the probability of root resorption. These benefits contribute to improving the success rate of the replanted avulsed teeth. This article provides an overview of the periodontal tissue healing modes and common methods of root surface treatment of replanted avulsed teeth, and discusses the underlying mechanism and related application studies in the root surface treatment of replanted avulsed teeth by laser therapy in recent years. Meanwhile, the future development of laser therapy in the replantation of avulsed teeth is prospected.

Key words: Laser, Root surface treatment, Tooth avulsion, Tooth replantation, Root resorption
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