1、低能量激光的临床应用（光动力治疗）,Can the implants and prosthesis service for long time?,种植体和修复体的长期效果如何？,在最新的回顾性研究中，种植体的留存率为96.9%。Overall, the estimated 5-year implant survival rate for single implants amounted to 96.9% (95% CI: 95.6% to 97.8%). 1而修复体的留存率为95.6% 。The estimated 5-year survival rate of single-implant
2、rostheses was 95.6% (95% CI: 93.6% to 96.9%) 1基台的留存率为97.6%。The overall estimated 5-year abutment survival rate was 97.6% (95% CI: 96.2% to 98.5%),1. Zembic A, Kim S, et al. Systematic review of the survival rate and incidence of biologic, technical, and esthetic complications of single implant abutm
3、ents supporting fixed prostheses. Int J Oral Maxillofac Implants.2014V29 SupplN :99-116.,生物学并发症的发生率为6.4%。The estimated 5-year rate for biologic complications was 6.4% (95% CI: 3.3% to 12.0%).1上部结构并发症的发生率为11.8%The overall estimated 5-year rate for technical complications was 11.8% 1美学并发症的发生率为 0.9%The
4、 overall estimated 5-year esthetic complication rate for single implant prostheses was 0.9% (95% CI: 0.4% to 2.3%) 1,1. Zembic A, Kim S, et al. Systematic review of the survival rate and incidence of biologic, technical, and esthetic complications of single implant abutments supporting fixed prosthe
5、ses. Int J Oral Maxillofac Implants.2014V29 SupplN :99-116.,种植体周围病,种植体周围病,种植体周围组织病（peri-implant disease）顾名思义，发生在种植体周围组织（软组织和硬组织）中的疾病。种植体周围病是属于广义上的牙周病的一种。,种植体周围病,种植体周围黏膜炎（peri-implant mucositis）病变局限于牙龈黏膜，不累及骨组织，类似于牙龈炎，为可逆病变；种植体周围炎（peri-implantitis）病变类似牙周炎，为不可逆病变；表现为牙龈疼痛、肿胀，肉芽组织形成，自发性出血，严重时可有脓液形成。在种植体
6、周围通常可见移动的角化不全的粘膜包绕，可探及种植体周袋。,种植体周围炎的诊断,种植体周围的临床检查影像学检查微生物学检查龈沟液分析,2.Frank Schwarz . Peri-implant infection: etiology, diagnosis and treatment.,种植体周围的临床检查,2.Frank Schwarz . Peri-implant infection: etiology, diagnosis and treatment.,微生物学检查,革兰氏阴性厌氧菌（牙龈卟啉单胞菌、梭形杆菌、螺旋体、福塞拟杆菌、中间普氏菌）,2.Frank Schwarz . Peri-
7、implant infection: etiology, diagnosis and treatment.,治疗,机械清创药物治疗手术治疗光动力抗菌疗法其他,机械清创,用抛光刷、橡皮杯去除龈上未矿化的沉积物,用碳刮治器去除龈上及龈下的软硬沉积物,超声系统的聚醚醚酮工作尖,龈下喷砂系统，临床应用喷砂会增加气肿的风险,Frank Schwarz . Peri-implant infection: etiology, diagnosis and treatment.,药物治疗,抗微生物药物、局部或全身性抗生素以非甾体类抗炎药可用来辅助治疗种植体周围感染。但是，均应在机械去除种植体表面细菌性沉积物的前
8、提下进行。但目前，在种植体周围感染的治疗中并不推荐常规性局部或全身应用抗生素。,光动力抗菌疗法,无毒染料感光剂低强度可见光（660905nm）氧,PDT抗菌原理,基态光敏物质,光源照射,激发态光敏物质,有机基质,分子氧,自由基/自由基离子,单线态氧,内源性分子氧,活性氧族群ROS,生物活性物质,破坏细胞膜的完整性,细胞膜/壁造成氧化性损伤,光动力治疗仪,用于治疗种植体周围炎,before after,用于治疗种植体周围炎,before after,光动力治疗用于口腔治疗,总结,PDT,口腔内科,矿化,根管,龋,黏膜科,白斑,白色念珠菌病,口腔正畸,缩短正畸时间,口腔外科,头颈部肿瘤,牙周科,抗牙菌斑,牙周感染,用于治疗口腔溃疡,before 15min after,用于治疗白斑,低能量激光【LLLT】临床应用范围,产品独特性,光动力仪推广概念,一般医疗用的激光，若直接照射到视网膜的话会造成很大的伤害，即使是低強度雷射若经过角膜和水晶体的放大后也会伤害视网膜，因此不可以直视任何一种激光，这也是使用激光治疗时医生和助手都必须戴上护目镜的原因激光並非短波長的游离辐射，不会伤害人体器官，因此照射時医生或病人都不必穿防护衣。,
