甘氨酸喷砂临床应用现状及进展-中国实用医学杂志社.PDFVIP

248 ChineseJournalofPracticalStomatology Apr.2014Vol.7No.4 综 述 甘氨酸喷砂临床应用现状及进展 刘玮键，张 馥，马春亮，赵钰莹 综述 唐晓琳 审校 文章编号：1674-1595（2013）04-0248-04 中图分类号：Ｒ78 文献标志码：Ａ 摘要：牙周病是慢性细菌感染性疾病，去除菌斑生物膜是牙周病治疗的核心。传统手动刮治、超声洁治等是去除 菌斑的常用方法，但耗时费力，可能对上皮组织和根面造成不同程度的损伤。新兴的甘氨酸喷砂具有省时、高 效、安全、舒适以及对牙根和牙周组织损伤小等优点，越来越受到临床医生和患者的青睐。本文就喷砂洁牙的应 用现状以及甘氨酸喷砂的应用前景进行综述。 关键词：喷砂抛光；甘氨酸；碳酸氢钠；牙周基础治疗 Current situation and advancement of glycine powder air-polishing. LIU Wei-jian，ZHANG Fu，MA Chun-liang，ZHAOYu-ying，TANGXiao-lin.DepartmentofPeriodontology,SchoolofStomatology，ChinaMedical University，Shenyang 110002，China Abstract：Periodontitis is a chronic bacterial infectious disease. Supra- and subgingival biofilm removal is a central part of initial periodontal therapy and periodontal maintenance. Traditional hand instruments or oscillating scalers are used to remove dental plaque. However ，the use of these instruments are both technically demanding and time consuming ，and may lead to severe root and epithelium damage overtime. Recently ，glycine powder has also been introduced in dental cleaning. Emerging glycine powder has many merits ，such as being time efficient ，safe and comfortable ，and cause the smallest damage to the root of tooth and periodontium ，and also get the favour of clinical physicians and patients. The aim of this review is to assess the present status and prospect of the glycine powder air-polishing. Keywords：air-polishing ；glycine ；sodium bicarbonate ；periodontal inital therepy 牙周病是人类口腔的常见病、多发病，其中牙 主要的抛光方法为橡皮杯抛光，但其无法对位于 菌斑生物膜是始动因子，尤其是非附着性龈下菌 龈下的牙根表面进行抛光；而喷砂可进入深牙周 斑与牙槽骨的快速破坏、牙周炎的发生关系密切， 袋、牙周间隙、根分叉等传统器械难以到达的区 ［3 ］ 被认为是牙周炎的“进展前沿”，因此去除菌斑是 域 。龈下喷砂可减少根面菌斑等污物的残留，使 牙周病治疗的核心。 根面更光滑平整，延缓菌斑和牙石的再沉积。近 目前，去除菌斑的主要途径是洁刮治和根面