Nd-YAP laser를 적용한 치주-근관 복합병소의 치료에 대한 고찰
Application of Nd-YAP laser to the conventional treatment of periodontal and endodontic combined lesions
강혜경, 윤호중,
소속 상세정보
강혜경 ( Kang He-Kyong ) - 서울대학교 치의학전문대학원 구강미생물학교실
윤호중 ( Yoon Ho-Jung ) - 윤호중치과의원
KMID : 0362720090470080479
Abstract
Purpose: The aim of this study was to show the clinical results of combination of Nd-YAP (1340nm) laser therapy with conventional endodontic and periodontal treatment.
Materials and Methods: Four patients with chronic advanced periodontitis and endodontic infection were treated with conventional treatment and Nd-YAP laser therapy. Occlusal adjustment and splinting were done for stabilization of the teeth with severe horizontal and vertical mobility. The protocol for periodontal treatment was followed as scaling and root planing, pocket irrigation with 3% H2O2, and exposure of Nd-YAP laser using 320 optical fiber with 160mJ/pluse, 30Hz. The other protocol for endodontic treatment was followed as access opening, canal preparation by hand and rotary instrument, canal filling, and exposure of Nd- YAP laser using 200 optical fiber with 200mJ/pluse, 10Hz and 180mJ/pluse, 5Hz which were used respectively for disinfection and canal filling. The assessments of probing depth, mobility, and radiography were made prior to and after treatment.
Result: All of these four clinical cases showed good healing of periodontium, which presented decrease of mobility and pocket depth, and increase of bone regeneration and bone density on the radiography.
Conclusion: The bactericidal effect of Nd-YAP laser would provide benefits for improving clinical results that are obtained from conventional therapy.
키워드
bactericidal effect;conventional therapy;Nd-YAP laser;optical fiber;periodontal and endodontic combined lesion
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