脉冲NdYAG激光蚀刻技术用于窝沟封闭研究.pdf

与其它三组比较有显著性差异，明显优于其它三组(P0.01).,;a 结论:激光蚀刻可以使釉质表面局部熔融和重结晶，产生粗 糙的表面，增加釉质表面积，500J/cm“是较好的参数，但与酸蚀 组相比明显不足，可以在它上下进行细筛选;1000)/cmz组与 500J/cm“组对窝沟的汽化作用明显优于其它四组，可在l000i/cm, 与500J/cm之间进行细筛选。500J/cm和1000)/cm2组的宏观渗 透性优于酸蚀组，酸蚀组的密合性优于激光组。 关健词:激光蚀刻;窝沟封闭;渗透性;密合性 StudyofUsingPulseNd:YAGLaserEtchingTechnique inPitandFissureSealing Abstract Objectives:Afterirradiatedwithlaser,Firstly,changesof ulrtastructureofocclusalsurface,changesofthesizeofcrannyora andchangesofquantiytofcontentincrannywereobservedunder scanningelecrtonicmicroscope(SEM).Secondly,aftersealingthepit andfissurewithpitandfissuresealant,usingstereomicroscope observepenetrationandadaptationofsealant,inordertoscreenout suitablelaserparametersforpitandfissuresealingprimarily. Methodes:Thisstudyincludes2sections.Thefirstsectionwas performedin21healthyhumanpremolarspreviouslyextractedfor odontoplasyt.Theteethwererandomly divided into seven groups(threeeach).Onegroupwasunrteated,onegroup wasetched with35%phosphoricacidconventionally,theotherfivegroupswere etchedwithpulseNd:YAGlaser,energydensiyt(ED)weresetas 50J/cm.100J/cm2.200J/cm2.500J/cm2and1000J/cm2separately. ThenperformingaSEMobservationtothechangesofpitand fissuresocclusalsurface.Thesecondsectionwasperformedin42 healthyhumanpremolarspreviouslyextractedforodontoplasyt.The teethwererandomlydividedintosixgroups(seveneach),fivegroups irradiatedwithlaser,parametersametothefirstsection;onegroup etchedwith35%phosphoricacidconventionally.Then,accordingto conventionalmethodssealthepitandfissure,andobservethe penetrationandadaptationofsealantunderstereomicroscope. Results:Thefirstsection:1nunrteatedgroup,enamelsurface appearripple-likestructure,noevidentconcave.Inacidetchinggroup, thesurfaceoftheenamelpresentanevenhoney-likeorpiebald-like appearance,increaseenamelsurfaceareatothegreatestlimit.Inlaser etchinggroups,enamelsurfacepresentanewroughappea