Er:YAG レーザーの歯周治療への応用と菌血症予防の可能性 Application of Er:YAG Laser in Periodontal Therapy and Its Possibility for Novel Prophylactic Method against Transient Bacteremia

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Author(s)

    • 小松 康高 Komatsu Yasutaka
    • 新潟大学大学院医歯学総合研究科 口腔生命科学専攻 摂食環境制御学講座 歯周診断・再建学分野 Division of Periodontology, Department of Oral Biological Science, Course for Oral Life Science, Niigata University Graduate school of Medical and Dental Sciences
    • 両角 俊哉 Morozumi Toshiya
    • 新潟大学大学院医歯学総合研究科 口腔生命科学専攻 摂食環境制御学講座 歯周診断・再建学分野 Division of Periodontology, Department of Oral Biological Science, Course for Oral Life Science, Niigata University Graduate school of Medical and Dental Sciences
    • 吉江 弘正 Yoshie Hiromasa
    • 新潟大学大学院医歯学総合研究科 口腔生命科学専攻 摂食環境制御学講座 歯周診断・再建学分野 Division of Periodontology, Department of Oral Biological Science, Course for Oral Life Science, Niigata University Graduate school of Medical and Dental Sciences

Abstract

<p>昨今,歯周炎は全身疾患との関連性が注目され,歯周組織局所の軽微な慢性炎症とその後の一過性の菌血症が原因として考えられている.菌血症は,歯周治療を含む様々な歯科処置において発生している.これまで必要に応じて抗菌薬の予防投与などがなされてきたが,その効果は完全ではなく,長期投与による耐性菌や菌交代現象など副作用の問題もあった.Er:YAG レーザーは水への吸収特性が極めて高く,軟組織のみでなく硬組織への応用が可能で,幅広く歯周治療に応用されている.本稿では,Er:YAG レーザーの歯周治療への応用と菌血症予防の可能性について解説する.</p>

<p>Recently, periodontitis has been received considerably much attention for its association with systemic diseases. This could be attributed to low grade chronic local infection of periodontal tissue following transient bacteremia. Bacteremia could also occur after dental procedures including periodontal treatment, therefore, to prevent and minimize the occurrence of bacteremia, prophylactic administrations of the antibiotics have been tried, but it could not prevent it perfectly. And repeated usage of antibiotic could also cause side effects such as bacterial resistance and microbial substitution. Er:YAG laser could serve for periodontal treatment in both soft and hard tissues for its specific high water absorption capacity. In the present paper, the application of Er:YAG laser for periodontal treatment and its possibility for novel prophylactic method against transient bacteremia are discussed.</p>

Journal

  • Nippon Laser Igakkaishi

    Nippon Laser Igakkaishi 38(2), 158-166, 2017

    Japan Society for Laser Surgery and Medicine

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