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纸质出版:2007
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李黎,刘鲁川.Nd:YAG激光辅助去除陶瓷托槽的实验研究[J].陆军军医大学学报(原第三军医大学学报),2007,29(21):2060-2063.
LI Li,LIU Lu-chuan.Nd:YAG laser-aided debonding for ceramic bracket[J].J Amry Med Univ (J Third Mil Med Univ),2007,29(21):2060-2063.
目的 探讨脉冲Nd:YAG激光去除陶瓷托槽的最佳技术参数。 方法 利用激光照射去除陶瓷托槽的方法进行离体牙实验,依据激光照射的条件、所施加的外力及托槽表面涂剂的不同对实验结果进行比较。 结果 ① 激光照射后可以显著降低陶瓷托槽的黏接强度
约降低48%
6组间的平均黏接强度差异有统计学意义(P0.05);②激光照射后各组温度均升高,各组温度升高有统计学意义(P0.05), 激光功率3 W照射时间2 s组髓腔温度只升高3.71 ℃、3.94 ℃(托槽涂黑)
较其它两组低。③激光照射可以去除托槽及牙齿表面的黏接剂,其脱落时间与激光照射功率及表面涂剂有关。 结论 脉冲Nd:YAG激光照射后可以显著降低陶瓷托槽的黏接强度。去除陶瓷托槽的最佳参数是激光功率3 W、照射时间2 s
Nd:YAG激光照射可以作为去除正畸陶瓷托槽的一种方法。
Objective To explore the best parameters of impulse Nd:YAG laser-aided debonding for ceramic bracket. Methods The removal of ceramic bracket from enamel surface by laser irradiation was investigated in vitro. Fifty-four premolars were used to test the tensile strength and 32 premolars for pulp cavity temperature test. The results were compared according to the laser setting (output power: 0
2
3
5 W; time: 2
4 s)
the average force (830.3
556.5 g) necessary to break the adhesion between ceramic bracket and tooth
the different edible pigment on bracket surface (black or not). Results The bonding strength of ceramic bracket was significantly reduced by laser irradiation
averagely by 48%. The average bonding strenth in the six groups for tensile strength test was of statistical difference (P0.05). The pulp cavity temperature was enhanced after laser irradiation
and the gained temperature among the 4 groups for temperature test was statistically different (P0.05). When output power was 3 W and time was 2 s
the pulp cavity temperature rose by 3.71 ℃; if the ceramic brackets were blackened
the temperature rose by 3.94 ℃. Laser irradiation could remove the adhesive on the surface of bracket and tooth. The debonding time was associated with laser output power and edible pigment on the bracket surface. Conclusion The bonding strength of ceramic bracket was statistically reduced after laser irradiation and the best parameters of impulse Nd:YAG laser-aided debonding are determined (laser output power: 3 W and time: 2 s). Laser irradiation can be used to remove orthodontic ceramic bracket.
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