DOI QR코드

DOI QR Code

잇몸 박피술 없는 치은 미백을 위한 비글에서 365 nm LED 레이저 치료

365 nm LED laser treatment on beagle for gingival whitening without gum dermabrasion

  • 이성호 (서울대학교치과병원 구강악안면외과) ;
  • 김륜경 (성균관대학교 정보통신공학과) ;
  • 서나리 (서울대학교치과병원 구강악안면외과) ;
  • 임호경 (서울대학교치과병원 구강악안면외과) ;
  • 변수환 (한림대학교동탄성심병원 구강악안면외과) ;
  • 임영준 (서울대학교치과병원 보철과) ;
  • 김성민 (서울대학교치과병원 구강악안면외과) ;
  • 이종호 (서울대학교치과병원 구강악안면외과)
  • Lee, Sung-Ho (Department of Oral and Maxillofacial Surgery, Clinical Trial Center, Seoul National University Dental Hospital) ;
  • Kim, Ryun Kyung (College of information and Communication Engineering, Sungkyunkwan University) ;
  • Seo, Na-Ri (Department of Oral and Maxillofacial Surgery, Clinical Trial Center, Seoul National University Dental Hospital) ;
  • Lim, Ho-Kyung (Department of Oral and Maxillofacial Surgery, Clinical Trial Center, Seoul National University Dental Hospital) ;
  • Byun, Soo-Hwan (Department of Oral and Maxillofacial Surgery, Dongtan Sacred Heart Hospital, Hallym University Medical Center) ;
  • Lim, Young-Joon (Department of Prosthodontics, Seoul National University Dental Hospital) ;
  • Kim, Soung-Min (Department of Oral and Maxillofacial Surgery, Clinical Trial Center, Seoul National University Dental Hospital) ;
  • Lee, Jong-Ho (Department of Oral and Maxillofacial Surgery, Clinical Trial Center, Seoul National University Dental Hospital)
  • 투고 : 2016.05.18
  • 심사 : 2016.06.14
  • 발행 : 2016.06.30

초록

목적: 치은 미백은 치과치료의 목적으로 심미적 장애를 위한 치료에 가깝다. 기존의 치은미백술은 고출력 다이오드 레이저를 이용하여 박피술에 의한 치료를 했왔다. 그러나 이러한 치료법은 시술 후 감염 및 통증에서 자유로울 수 없기에, 우리는 저출력 LED 레이저를 이용하여 치은미백술을 진행하고자 하였다. 연구 재료 및 방법: 돼지고기 표면에 레이저를 조사하여 출력전력, 온도변화, 피부 변성 등의 안정성을 측정하였다. 15 - 20 kg 비글의 구강내 점막 색소에 비손 365 nm LED 레이저를 15분씩, 1 - 2주간 1, 2회씩 각각 조사하였다. 헤마토실린-에오신 염색을 통하여 색소의 손실여부를 확인하였다. 결과: 365 nm LED 레이저 조사 부위의 멜라닌 색소가 줄어드는 것을 확인 할 수 있었다. 결론: 본 연구에서 제시하는 365 nm LED 레이저는 수술적 기술 및 다이오드 레이저를 이용한 탈색화 효과를 대처 할 수 있을 것이라고 사료 된다.

Purpose: Gingival whitening is one of dental treatment purposes which is close to treating aesthetic disorders. Initial gingival whitening treatment was done by dermabrasion using a high power Diode Laser. However, this treatment method cannot be free from any infection or pain after the treatment. Therefore, we have decided to progress gingival whitening treatment using a low power LED laser. Materials and Methods: The laser was irradiated on pork meat then the safety of output power, temperature change and skin denaturalization was measured. Bison 365 nm LED laser was irradiated on oral mucosal pigment of a 15 - 20 kg beagle for 15 min for 1 - 2 weeks, one or two times each. Any pigment loss was checked through Hematoxyline-Eosin staining. Results: The melanin pigments at the area of 365 nm LED Laser irradiation were decreased. Conclusion: The 365 nm LED Laser proposed in this study is considered to compensate the bleaching effect achieved by either using Diode laser or surgical methods.

키워드

참고문헌

  1. Yousuf A, Hossain M, Nakamura Y, Yamada Y, Kinoshita J, Matsumoto K. Removal of gingival melanin pigmentation with the semiconductor diode laser: a case report. J Clin Laser Med Surg 2000;18:263-6.
  2. Patil KP, Joshi V, Waghmode V, Kanakdande V. Gingival depigmentation : a split mouth comparative study between scalpel and cryosurgery. Contemp Clin Dent 2015;6:S97-S101. https://doi.org/10.4103/0976-237X.152964
  3. Monteiro LS, Costa JA, da Camara MI, Albuquerque R, Martins M, Pacheco JJ, Salazar F, Figueira F. Aesthetic depigmentation of gingival smoker's melanosis using carbon dioxide lasers. Case Rep Dent 2015;2015:510589.
  4. Chandna S, Kedige SD. Evaluation of pain on use of electrosurgery and diode lasers in the management of gingival hyperpigmentation: a comparative study. J Indian Soc Periodontol 2015;19:49-55. https://doi.org/10.4103/0972-124X.145823
  5. Fekrazad R, Chiniforush N. One visit providing desirable smile by laser application. J Lasers Med Sci 2014;5:47-50.
  6. Berk G, Atici K, Berk N. Treatment of gingival pigmentation with Er, Cr:YSGG Laser. J Oral Laser Applications 2005;5:249-53.
  7. Soliman MM, Al Thomali Y, Al Shammrani A, El Gazaerly H. The use of soft tissue diode laser in the treatment of oral hyper pigmentation. Int J Health Sci 2014;8:133-140. https://doi.org/10.12816/0006079