歯周治療・インプラント治療におけるEr:YAGレーザーの使い方

出版社： 医学情報社
著者：
発行日： 2011-01-20
分野： 歯科学  >  臨床歯科学
ISBN： 9784903553337
電子書籍版： 2011-01-20 （第1版第1刷）
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Er：YAGレーザーのエキスパートが、臨床家のために基本知識から高度なテクニック まで、わかりやすく解説。 歯周治療、インプラント治療における問題解決に期待できるレーザーとして注目の Er：YAGレーザー。

目次

  • 歯周治療・インプラント治療におけるEr:YAGレーザーの使い方

    ―目次―

    1.プロローグ：レーザーとは
    2.歯周治療やインプラント治療におけるレーザーの応用
    3.Er:YAGレーザーの特性
    4.伝送系とコンタクトチップ
    5.レーザー照射と生体組織の反応―他のレーザーとの比較
    6.安全対策および安全管理
    7.軟組織治療
    8.歯肉色素沈着除去
    9.歯石除去と根面のデブライドメント
    10.歯周病原細菌の殺菌と無毒化効果
    11.歯周ポケット治療
    12.フラップ手術
    13.骨外科処置
    14.インプラント治療における応用
    15.低出力照射による生物学的効果
    16.臨床応用例解説
    1歯周ポケットの縁下歯石のスケーリング
    2ミニフラップによる歯周外科治療
    3半月弁切開移動術による根面被覆法
    4審美治療―フラップレスでの歯冠長延長術
    5フラップレス骨整形
    6再生治療の補助としての骨穿孔
    7歯周再生外科治療
    8インプラント治療
    9インプラント周囲炎の治療
    10インプラント治療における骨造成および粘膜の処理
    17.臨床機種紹介
    1）アーウィン アドベールについて
    2）デントライト30について
    18.エピローグ：課題と展望

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参考文献のリンクは、リンク先の都合等により正しく表示されない場合がありますので、あらかじめご了承下さい。

本参考文献は電子書籍掲載内容を元にしております。

1. プロローグ : レーザーとは

P.8 掲載の参考文献
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2. 歯周治療やインプラント治療におけるレーザーの応用

P.11 掲載の参考文献
1) 加藤純二ほか : 一からわかるレーザー歯科治療. 医歯薬出版, 東京, 2003.
 
2) 森岡俊夫ほか : 歯科用レーザー・21世紀の展望, パート 2. クインテッセンス出版, 東京, 2004.
 
3) 青木章ほか : 歯周治療におけるレーザーの応用. 日歯先技研会誌 13 (3) : 127-136, 2007.
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4) Coluzzi DJ : Atlas of Laser Applications in Dentistry. 1st ed. Quintessence Pub Co. 2007.
 
5) Ishikawa I et al : Application of lasers in periodontics : true innovation or myth? Periodontol 2000 50 : 90-126, 2009.
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6) Ishikawa I et al : Potential applications of erbium : YAG laser in periodontics. J Periodont Res 39 : 275-285, 2004.
 
7) Aoki A et al : Lasers in non-surgical periodontal therapy. Periodontology 2000 36 : 59-97, 2004.
 
8) Miserendino LJ et al : Lasers in Dentistry. クインテッセンス出版, 東京, 2004.
 
9) 篠木毅, 津久井明 : Er : YAGレーザー臨床ハンドブック. クインテッセンス出版, 東京, 2008.
 
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13) Schwarz F et al : Laser application in non-surgical periodontal therapy : a systematic review. J Clin Periodontol 35 (Suppl. 8) : 29-44, 2008.
 
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15) Takasaki AA et al : Application of antimicrobial photodynamic therapy in periodontal and peri-implant diseases. Periodontol 2000 51 : 109-140, 2009.
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3. Er : YAGレーザーの特性

P.16 掲載の参考文献
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3) Aoki A et al : In vitro studies on laser scaling of subgingival calculus with an erbium : YAG laser. J Periodontol 65 (12) : 1097-1106, 1994.
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4) 渡辺久ほか : Erbium : YAGレーザーの軟組織外科手術, スケーリングおよび窩洞形成への応用と臨床評価. 日歯保存誌 38 (5) : 1168-1179, 1995.
 
5) Watanabe H et al : Clinical assessments of the erbium : YAG laser for soft tissue surgery and scaling. J Clin Laser Med Surg 14 (2) : 67-75, 1996.
PubMed
6) 加藤純二ほか : 一からわかるレーザー歯科治療. 医歯薬出版, 東京, 2003.
 
7) Ishikawa I et al : Application of lasers in periodontics : true innovation or myth? Periodontol 2000. 50 : 90-126, 2009.
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8) Walsh JT et al : Er : YAG laser ablation of tissue : effect of pulse duration and tissue type on thermal damage. Lasers Surg Med 9 (4) : 314-326, 1989.
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9) Ishikawa I et al : Potential applications of erbium : YAG laser in periodontics. J Periodont Res 39 : 275-285, 2004.
 

4. 伝送系とコンタクトチップ

P.20 掲載の参考文献
1) Eguro T et al : Energy output reduction and surface Alteration of Quartz and Sapphire Tips Following Er : YAG Laser Contact Irradiation for Tooth Enamel Ablation. Lasers Surg Med. 41 : 595-604, 2009.
PubMed
2) Yamazaki K et al : output energy changes of Quartz Contact Probe for Er : YAG Laser with Tooth Ablation. Dent Mater J 22 (3), 292-300, 2003.
PubMed

5. レーザー照射と生体組織の反応 - 他のレーザーとの比較 -

P.23 掲載の参考文献
1) 加藤純二ほか編著 : 一からわかるレーザー歯科治療. 医歯薬出版, 東京, 2003.
 

6. 安全対策および安全管理

P.27 掲載の参考文献
1) AAP. The Research, Science and Therapy Committee of the American Academy of Periodontology : Lasers in periodontics (Academy report), authored by Cohen RE and Ammons WF, revised by Rossman JA. J Periodontol 73 (10) ; 1231-1239, 2002.
 
2) Aoki A et al : Lasers in non-surgical periodontal therapy. Periodontology 2000 36 : 59-97, 2004.
 
3) 永井茂之 : 歯科用レーザーの安全管理とは?. 日レ歯誌 19 (3) : 145-150, 2008.
 
4) Ishikawa I et al : Application of lasers in periodontics : true innovation or myth? Periodontol 2000 50 : 90-126, 2009.
PubMed
5) 青木章ほか : ポジション・ペーパー (学会見解論文) : レーザーによる歯石除去 (監修 : 特定非営利活動法人日本歯周病学会. 日本レーザー歯学会) 日歯周誌 52 (2) : 180-190, 2010. 日レ歯誌 21 (2) : 100-109, 2010.
 
6) 加藤純二ほか : 一からわかるレーザー歯科治療. 医歯薬出版, 東京, 2003.
 
7) 篠木剛, 津久井明 : Er : YAGレーザー臨床ハンドブック. クインテッセンス出版, 東京, 2008.
 
8) 日本レーザー歯学会ホームページ : http://jsld.jp/ (Accessed 2010. 12. 10).
 

7. 軟組織治療

P.31 掲載の参考文献
1) Ishikawa I et al Effects of Er : YAG laser on periodontal therapy. J Int Periodontol 5 (1) : 23-28, 2003.
PubMed
2) 津久井明, 渡辺久 : Er : YAGレーザーによる根面被覆 (半月弁切開移動術) への応用. 日レ歯誌 20 (1) : 2-8, 2009.
 

8. 歯肉色素沈着除去

P.37 掲載の参考文献
1) Ishikawa I et al : Potential applications of erbium : YAG laser in periodontics. J Periodont Res 39 : 275-285, 2004.
 
2) 石井さやかほか : Er : YAGレーザーの歯肉メラニン除去への応用. 日レ歯学誌 13 : 89-96, 2002.
 
3) Rosa DS et al : Esthetic treatment of gingival melanin hyperpigmentation with Er : YAG laser : short-term clinical observations and patient follow-up. J Periodontol 78 (10) : 2018-2025, 2007.
PubMed
4) 篠木毅 : Er : YAGレーザーによるメラニン除去. 日レ歯学誌 20 : 183-187, 2009.
 

9. 歯石除去と根面のデブライドメント

P.41 掲載の参考文献
1) 青木章ほか : ポジション・ペーパー (学会見解論文) ; レーザーによる歯石除去 (監修 : 特定非営利活動法人日本歯周病学会, 日本レーザー歯学会). 日歯周誌 52 (2) : 180-190, 2010. 日レ歯誌 21 (2) : 100-109, 2010.
 
2) Aoki A et al : In vitro studies on laser scaling of subgingival calculus with an erbium : YAG laser. J Periodontol 65 (12) : 1097-1106, 1994.
PubMed
3) Aoki A et al : In vitro evaluation of Er : YAG laser scaling of subgingival calculus in comparison with ultrasonic scaling. J Periodont Res 35 (5) : 266-277, 2000.
 
4) Aoki A et al : Lasers in non-surgical periodontal therapy. Periodontology 2000 36 : 59-97, 2004.
 
5) Frentzen M et al : Er : YAG laser scaling of diseased root surfaces. J Periodontol 73 (5) : 524-530, 2002.
PubMed
6) Schwarz F et al : In vivo and in vitro effects of an Er : YAG laser, a GaAIAs diode laser, and scaling and root planing on periodontally diseased root surfaces : a comparative histologic study. Lasers Surg Med 32 (5) : 359-366, 2003.
 
7) Ishikawa I et al : Application of lasers in periodontics : true innovation or myth? Periodontol 2000 50 : 90-126, 2009.
PubMed
8) Folwaczny M et al : Root substance removal with Er : YAG laser radiation at different parameters using a new delivery system. J Periodontol 71 (2) : 147-155, 2000.
PubMed
9) Eberhard J et al : Efficacy of subgingival calculus removal with Er : YAG laser compared to mechanical debridement : an in situ study. J Clin Periodontol 30 (6) : 511-518, 2003.
 
10) Sasaki KM et al : Compositional analysis of root cementum and dentin after Er : YAG laser irradiation compared with CO2 lased and intact roots using Fourier transformed infrared spectroscopy. J Periodont Res 37 (1) : 50-59, 2002.
 
11) Ando Y et al : Bactericidal effect of erbium YAG laser on periodontopathic bacteria. Lasers Surg Med 19 (2) : 190-200, 1996.
 
12) Yamaguchi H et al : Effects of irradiation of an erbium : YAG laser on root surfaces. J Periodontol 68 (12) : 1151-1155, 1997.
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13) 杉大介ほか : Er : YAGレーザー照射による歯石除去後のセメント質内エンドトキシン量および表面硬度に関する研究. 日歯保存誌 41 (6) : 1009-1017, 1998.
Medical*Online
14) Akiyama F et al : In vitro studies of the ablation mechanism of periodontopathic bacteria and decontamination effect on periodontally diseased root surfaces by erbium : yttrium-aluminum-garnet laser. Lasers Med Sci 2010 (E-pub), DOI 10.1007/s10103-010-0763-3 (in press).
 
15) Sekine Y et al : Proc SPIE 1984 : 159-167, 1995.
 
16) Sonntag KD et al : Pulpal response to cavity preparation with the Er : YAG and Mark III free electron lasers. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 81 (6) : 695-702, 1996.
PubMed
17) Mizutani K et al : Periodontal tissue healing following flap surgery using an Er : YAG laser in dogs. Lasers Surg Med 38 (4) : 314-324, 2006.
PubMed

10. 歯周病原細菌の殺菌と無毒化効果

P.45 掲載の参考文献
1) Ando Y et al : Bactericidal effect of erbium YAG laser on periodontopathic bacteria. Lasers Surg Med 19 (2) : 190-200, 1996.
 
2) Folwaczny M et al : Antimicrobial effects of 2.94 micron Er : YAG laser radiation on root surfaces : an in vitro study. J Clin Periodontol 29 (1) : 73-78, 2002.
 
3) Yamaguchi H et al : Effects of irradiation of an erbium : YAG laser on root surfaces. J Periodontol 68 (12) : 1151-1155, 1997.
PubMed
4) 杉大介ほか : Er : YAGレーザー照射による歯石除去後のセメント質内エンドトキシン量および表面硬度に関する研究. 日歯保存誌 41 (6) : 1009-1017, 1998.
Medical*Online
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PubMed
6) Akiyama F et al : In vitro studies of the ablation mechanism of periodontopathic bacteria and decontamination effect on periodontally diseased root surfaces by erbium : yttrium-aluminum-garnet laser. Lasers Med Sci, 2010 Mar Epub. DOI 10.1007/s10103-010-0763-3 (in press).
 
7) Lopes BM et al : Clinical and microbiologic follow-up evaluations after non-surgical periodontal treatment with erbium : YAG laser and scaling and root planing. J Periodontol 81 (5) : 682-691, 2010.
PubMed

11. 歯周ポケット治療

P.49 掲載の参考文献
1) Watanabe H et al : Clinical assessments of the erbium : YAG laser for soft tissue surgery and scaling. J Clin Laser Med Surg 14 (2) : 67-75, 1996.
PubMed
2) Aoki A et al : Lasers in non-surgical periodontal therapy. Periodontology 2000 36 : 59-97, 2004.
 
3) Ishikawa I et al : Application of lasers in periodontics : true innovation or myth? Periodontol 2000 50 : 90-126, 2009.
PubMed
4) Schwarz F et al : In vivo effects of an Er : YAG laser, an ultrasonic system and scaling and root planing on the biocompatibility of periodontally diseased root surfaces in cultures of human PDL fibroblasts. Lasers Surg Med 33 (2) : 140-147, 2003.
PubMed
5) Akiyama F et al : In vitro studies of the ablation mechanism of periodontopathic bacteria and decontamination effect on periodontally diseased root surfaces by erbium : yttrium-aluminum-garnet laser. Lasers Med Sci 2010 March (Epub) , DOI 10.1007/s10103-010-0763-3 (in press).
 
6) Maruyama H et al : The effect of chemical and/or mechanical conditioning on the Er : YAG laser-treated root cementum : analysis of surface morphology and periodontal ligament fibroblast attachment. Lasers Surg Med 40 (3) : 211-222, 2008.
 
7) Schwarz F et al : Immunohistochemical characterization of periodontal wound healing following nonsurgical treatment with fluorescence controlled Er : YAG laser radiation in dogs. Lasers Surg Med 39 (5) : 428-440, 2007.
PubMed
8) Mizutani K et al : Periodontal tissue healing following flap surgery using an Er : YAG laser in dogs. Lasers Surg Med 38 (4) : 314-324, 2006.
PubMed
9) Schwarz F et al : Periodontal treatment with an Er : YAG laser compared to scaling and root planing. A controlled clinical study. J Periodontol 72 (3) : 361-367, 2001.
PubMed
10) Schwarz F et al : Periodontal treatment with an Er : YAG laser or scaling and root planing. A 2-year follow-up split-mouth study. J Periodontol 74 (5) : 590-596, 2003.
 
11) Schwarz F et al : A controlled, prospective clinical study. J Clin Periodontol 30 (1) : 26-34, 2003.
PubMed
12) Sculean A et al : Periodontal treatment with an Er : YAG laser compared to ultrasonic instrumentation : a pilot study. J Periodontol 75 (7) : 966-973, 2004.
PubMed
13) Crespi R et al : Effects of Er : YAG laser compared to ultrasonic scaler in periodontal treatment : a 2-year follow-up split-mouth clinical study. J Periodontol 78 (7) : 1195-1200, 2007.
PubMed
14) Tomasi C et al : Short-term clinical and microbiologic effects of pocket debrldement with an Er : YAG laser during periodontal maintenance. J Periodontol 77 (1) : 111-118, 2006.
PubMed
15) Eberhard J et al : Efficacy of subgingival calculus removal with Er : YAG laser compared to mechanical debridement : an in situ study. J Clin Periodontol 30 (6) : 511-518, 2003.
 
16) Schwarz F et al : Laser application in non-surgical periodontal therapy : a systematic review. J Clin Periodontol 35 (Suppl. 8) : 29-44, 2008.
 

12. フラップ手術

P.56 掲載の参考文献
1) Mizutani K et al : Periodontal tissue healing following flap surgery using an Er : YAG laser in dogs. Lasers Surg Med 38 (4) : 314--324, 2006.
 
2) Gaspirc B&Skaleric U : Clinical evaluation of periodontal surgical treatment with an Er : YAG laser : 5-year results. Jperiodontol 78 (10) : 1864-1871, 2007.
PubMed
3) Sculean A et al : Healing of intrabony defects following surgical treatment with or without an Er : YAG laser. J Clin Periodontol 31 (8) : 604-608, 2004.
 
4) 高崎アリステオ淳志ほか : 高パルスEr : YAGレーザーの歯周フラップ手術への臨床応用. 第19回日本レーザー歯学会総会総会・学術大会, 日レ歯誌 19 (2) : 91-92, 2008.
 
5) Schwarz F et al : Clinical evaluation of the Er : YAG laser in combination with an enamel rnatrix protein derivative for the treatment of intrabony periodontal defects : a pilot study. J Clin Periodontol 30 (11) : 975-981, 2003.
PubMed
6) Ishikawa I et al : Application of lasers in periodontics : true innovation or myth? Periodontol 2000 50 : 90-126. 2009.
PubMed

13. 骨外科処置

P.60 掲載の参考文献
1) Pourzarandian A et al : Histological and TEM examination of early stages of bone healing after Er : YAG laser Irradiation. Photomed Laser Surg 22 (4) : 342-350, 2004.
PubMed
2) Yoshino T et al : Long-term histological analysis of bone tissue alteration and healing following Er : YAG laser irradiation in comparison with electrosurgery. J Periodontol 80 : 82-92, 2009.
 

14. インプラント治療における応用

P.68 掲載の参考文献
1) Matsuyama T et al : Effects of the Er : YAG laser irradiation on titanium implant materials and contaminated implant abutment surfaces. J Clin Laser Med Surg 21 (1) : 7-17, 2003.
PubMed
2) Schwarz F et al : Effects of an Er : YAG laser and the Vector ultrasonic system on the biocompatibility of titanium implants in cultures of human osteoblast-like cells. Clin Oral Implants Res 14 (6) : 784-792, 2003.
PubMed
3) Kreisler M et al : Temperature changes at the implant-bone interface during simulated surface decontamination with an Er : YAG laser. Int J Prosthodont 15 (6) : 582-587, 2002.
PubMed
4) Schwarz F et al : Influence of implant bed preparation using an Er : YAG laser on the osseointegration of titanium implants : ahistomorphometrical study in dogs. J Oral Rehabil 34 (4) : 273-281, 2007.
 
5) 和泉雄一ほか : インプラント周囲炎へのアプローチ. 永末書店, 京都, 2007.
 
6) Schwarz F et al : Peri-implant infection : etiology, diagnosis and treatment. Berlin, Quintessence, 2010,
 
7) 和泉雄一, 吉野敏明 : インプラント周囲炎を治療する. 医学情報社, 東京, 2010.
 
8) Ishikawa I et al : Application of lasers in periodontics : true innovation or myth? Periodontol 2000 50 : 90-126, 2009.
PubMed
9) Sculean A et al : Anti-infective therapy with an Er : YAG laser : influence on peri-implant healing. Expert Rev Med Devices 2 (3) : 267-276, 2005.
PubMed
10) Kreisler M et al : Bactericidal effect of the Er : YAG laser on dental implant surfaces : an in vitro study. J Periodontol 73 (11) : 1292-1298. , 2002.
 
11) Schwarz F et al : Influence of different treatment approaches on the removal of early plaque biofilms and the viability of SAOS2 osteoblasts grown on titanium implants. Clin Oral Investig 9 (2) : 111-117, 2005.
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12) Friedmann A et al : In vitro attachment of osteoblasts on contaminated rough titanium surfaces treated by Er : YAG laser. J Biomed Mater Res A 79 (1) : 53-60, 2006.
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13) Kreisler M et al : In vitro evaluation of the biocompatibility of contaminated implant surfaces treated with an Er : YAG laser and an air powder system. Clin Oral Implants Res l6 (1) : 36-43, 2005.
 
14) 山本敦彦ほか : Er : YAG Laserのインプラント周囲炎への応用-臨床報告一. 日レ歯誌 20 (2) : 81-87, 2009.
 
15) Schwarz F et al : Influence of different treatment approaches on non-submerged and submerged healing of ligature induced peri-implantitis lesions : an experimental study in dogs. J Clin Periodontol 33 (8) : 584-595, 2006.
 
16) Takasaki AA et al : Er : YAG laser therapy for peri-implant infection : a histological study. Lasers Med Sci 22 (3) : 143-157, 2007.
PubMed
17) Mizutani K et al : Periodontal tissue healing following flap surgery using an Er : YAG laser in dogs, Lasers Surg Med 38 (4) : 314-324, 2006.
PubMed
18) Pourzarandian A et al : Histological and TEM examination of early stages of bone healing after Er : YAG laser irradiation. Photomed Laser Surg 22 : 355-363, 2004.
 
19) Schwarz F et al : Clinical evaluation of an Er : YAG laser for nonsurgical treatment of peri-implantitis : a pilot study. Clin Oral Implants Res 16 (1) : 44-52, 2005.
PubMed
20) Schwarz F et al : Nonsurgical treatment of moderate and advanced periimplantitis lesions : a controlled clinical study. Clin Oral Investig 10 (4) : 279-288, 2006.
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21) Schwarz F et al : Clinical and histological healing pattern of peri-implantitis lesions following non-surgical treatment with an Er : YAG laser. Lasers Surg Med 38 (7) : 663-671, 2006.
PubMed
22) Renvert S et al : Non-surgical treatment of peri-implant mucositis and peri-implantitis : a literature review. J Clin Periodontol 35 (8 Suppl) : 305-315, 2008.
 
23) Kotsovilis S et al : Fourmousis I. Therapy of peri-implantitis : a systematic review. J Clin Periodontol 35 (7) : 621-629, 2008.
PubMed

15. 低出力照射による生物学的効果

P.71 掲載の参考文献
1) Ohshiro T et al : Development of low reactive-level laser therapy and its present status. J Clin Laser Med Surg 9 (4) : 267-275, 1991.
PubMed
2) Kreisler M et al : Low level 809-nm diode laser-induced in vitro stimulation of the proliferation of human gingival fibroblasts. Lasers Surg Med 30 (5) : 365-369, 2002.
PubMed
3) Ozawa Y et al : Low-energy laser irradiation stimulates bone nodule formation at early stages of cell culture in rat calvarial cells. Bone 22 (4) : 347-354, 1998.
PubMed
4) Qadri T et al : The short-term effects of low-level lasers as adjunct therapy in the treatment of periodontal inflammation. J Clin Periodontol 32 (7) : 714-719, 2005.
PubMed
5) Ozcelik O et al : Enarnel matrix derivative and low-level laser therapy in the treatment of intra-bony defects : a randornized placebo-controlled clinical trial. J Clin Periodontol 35 (2) : 147-156, 2008.
PubMed
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16. 臨床応用例解説

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9) 丸山恵理子ほか : 骨再生療法に用いる分化・増殖因子および足場の現状, クインテッセンス・デンタル・テクノロジー, 17 (4) : 61-70, 2010.
 
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11) Raymond F et al : Osseous healing in dog mandibules with and without decortications. Oral Surg Oral Med Oral p 23 (2) : 236-240, 1967.
 
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16) Katia M et al : Ultrastructural analysis of bone tissue irradiated by Er : YAG Laser, Lasers Surg Med 31, 322-332, 2002.
 
17) Pourzarandian A et al : Histological and TEM examination of early stages of bone healing after Er : YAG laser irradiation, Photomedicine andLaser Surgery, 22, (4) : 342-350, 2004.
 
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19) Yoshino T et al : Long-term histologic analysis of bone tssue alteration and healing following Er : YAG laser irradiation compared to electrosurgery, J periodontol, 80, (1) : 82-92, 2009.
 
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2) Maruyama H et al : The effect of chemical and/or mechanical conditioning on the Er : YAG laser-treated root cementum : analysis of surface morphology and periodontal ligament fibroblast attachment. Lasers Surg Med. 2008 Mar ; 40 (3) : 211-222.
 
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2) Matsuyama T et al : Effects of the Er : YAG laser irradiation on titanium implant materials and contaminated implant abutment surface. J Clin Laser Med Surg 21 : 7-17, 2003.
 
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2) Berglumdh T et al : Spontaneous progression of ligature induced per-implantitis at implants with different surface roughness : an experimental study in dogs. Clin Oral Implant Res 655-661, 2007.
 
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4) 山本敦彦ほか : Er : YAG Laserのインプラント周囲炎への応用. 日レ歯誌 20 : 81-87, 2009.
 

18. エピローグ : 課題と展望

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1) 青木章ほか : ポジション・ペーパー (学会見解論文) : レーザーによる歯石除去 (監修 : 特定非営利活動法人日本歯周病学会, 日本レーザー歯学会. 日歯周誌 52 (2) : 180-190, 2010. 日レ歯誌 21 (2) : 100-109, 2010.
 
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3) Schwarz F et al : Influence of fluorescence-controlled Er : YAG laser radiation, the Vector(TM) system and hand instruments on periodontally diseased root surfaces in vivo. J Clin Periodontol 33 (3) : 200-208, 2006.
 
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8) Takasaki AA et al : Er : YAG laser therapy for peri-implant infection : a histological study, Lasers Med Sci 22 (3) : 143-157, 2007.
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10) 日本レーザー歯学会ホームページ. http://jsld.jp/ (Accessed 2010. 12. 10).
 

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