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2004 Part 2 Article 2 PDF
2004 Part 2 Article 2 PDF
¶ÂÚ›ÏË„Ë Summary
√È Û˘Û΢¤˜ laser ¯ÚËÛÈÌÔÔÈÔ‡ÓÙ·È Â‰Ò Î·È Ù¤ÛÛÂÚȘ Laser devices have been in use for more than four
‰ÂηÂٛ˜ ÛÙËÓ È·ÙÚÈ΋. ∆· ÙÂÏÂ˘Ù·›· ¯ÚfiÓÈ· ¤¯Ô˘Ó ·Ú¯›- decades in Medicine, replacing the scalpel in surgical
ÛÂÈ Ó· ·ÔÙÂÏÔ‡Ó Ì¤ÚÔ˜ Ù˘ ηıËÌÂÚÈÓ‹˜ Ô‰ÔÓÙÈ·ÙÚÈ΋˜ treatment. During the last decade they have also entered the
Ú·ÎÙÈ΋˜. ™ÎÔfi˜ ·˘Ù‹˜ Ù˘ ÂÚÁ·Û›·˜ Â›Ó·È Ë ÙÂÎÌËÚȈ- dental clinic and become part of the everyday clinical
̤ÓË ÂÓË̤ڈÛË ÙˆÓ Ô‰ÔÓÙÈ¿ÙÚˆÓ Á‡Úˆ ·fi ÙËÓ Ó¤·, ÁÈ· practice for some colleagues. The present paper aims at
Ù· Ô‰ÔÓÙÈ·ÙÚÈο ‰Â‰Ô̤ӷ, Ù¯ÓÔÏÔÁ›·. ∏ ·Ú·ÁˆÁ‹ ÙˆÓ informing dentists about this cutting-edge technology.
·ÎÙ›ÓˆÓ laser ÛÙËÚ›˙ÂÙ·È ÛÙËÓ ·Ú¯‹ Ù˘ ÂÍ·Ó·ÁηṲ̂Ó˘ The operation of a laser device is based on the
ÂÎÔÌ‹˜. ª›· Û˘Û΢‹ laser ÂÚÈÏ·Ì‚¿ÓÂÈ ÙÔ ÂÓÂÚÁfi stimulated emission of radiation, described by Einstein in
̤ÛÔ, ÙËÓ ÔÙÈ΋ ÎÔÈÏfiÙËÙ· Î·È ÙËÓ ·ÓÙÏ›·. µ·ÛÈο ¯·Ú·- 1917. A typical device consists of the active medium, the
ÎÙËÚÈÛÙÈο Ù˘ ·ÎÙÈÓÔ‚ÔÏ›·˜ laser Â›Ó·È Ë ÌÔÓԯڈ̷ÙÈÎfi- optical cavity and optical resonators and the pump. The
ÙËÙ·, Ë Û˘Ìʈӛ·, Ë ÌÂÁ¿ÏË Ï·ÌÚfiÙËÙ· Î·È Ë Î·Ù¢ı˘ÓÙÈ- continuous flow of external energy from the pump into the
ÎfiÙËÙ·. ™˘˙ËÙÔ‡ÓÙ·È, ›Û˘, Ë Ù·ÍÈÓfiÌËÛË ÙˆÓ ‰È·ÊfiÚˆÓ active medium results in a condition known as ‘inversion of
Û˘Û΢ÒÓ Î·È Ô ÙÚfiÔ˜ ÏÂÈÙÔ˘ÚÁ›·˜ ÙÔ˘˜. ∏ ·ÏÏËÏ›‰Ú·- population’. Photons are then emitted and, because of their
ÛË ·ÎÙÈÓÔ‚ÔÏ›·˜ Î·È ÈÛÙÒÓ ÔÊ›ÏÂÙ·È Î˘Ú›ˆ˜ ÛÙÔ ÔÛfi Ù˘ repeated reflection between the two optical resonators
·ÎÙÈÓÔ‚ÔÏ›·˜ Ô˘ ·ÔÚÚÔÊ¿Ù·È ·fi ÙÔ˘˜ ÈÛÙÔ‡˜ Î·È ÂÚÈ- (optical feedback), the radiation is amplified. The main
Ï·Ì‚¿ÓÂÈ ÊˆÙÔ¯ËÌÈο, ʈÙÔıÂÚÌÈο Î·È ÊˆÙÔÌ˯·ÓÈο characteristics of a laser beam are monochromaticity,
Ê·ÈÓfiÌÂÓ·. ∫›Ó‰˘ÓÔÈ Î·Ù¿ ÙËÓ ¯Ú‹ÛË ÙˆÓ laser ÂÏÏԯ‡- coherence, brightness and directionality. Devices are
Ô˘Ó Î˘Ú›ˆ˜ ÁÈ· ÙÔ˘˜ ÔÊı·ÏÌÔ‡˜ Î·È ‰Â˘ÙÂÚ¢fiÓÙˆ˜ ÁÈ· ÙÔ categorized by the type of the active medium (gas, solid
‰¤ÚÌ·. ∆· ‚·ÛÈο ̤ÙÚ· ·ÛÊ·Ï›·˜ ÂÚÈÏ·Ì‚¿ÓÔ˘Ó ÙË state, liquid or diode) or by their power features (Classes 1,
¯Ú‹ÛË ÂȉÈÎÒÓ ·ÔÚÚÔÊËÙÈÎÒÓ Á˘·ÏÈÒÓ Î·ıÒ˜ Î·È ÂÚÈÔÚÈ- 2, 3A, 3B and 4). Laser devices operate either in a
ÛÌÔ‡˜ ÛÙËÓ ÚfiÛ‚·ÛË ÛÙÔ ¯ÒÚÔ ÂÚÁ·Û›·˜. continuous wave mode or in a pulsed mode.
During the interaction between the laser beam and the
tissue, four distinct procedures take place: transmission,
reflection, scattering and absorption. The tissue effects are
produced almost exclusively by the amount of energy that is
absorbed. These effects include photothermal,
photochemical and photomechanical alteration of the tissue.
Eyes and skin are the organs most sensitive to laser
radiation. Safety precautions suggest the use of special eye-
glasses with adequate absorption of laser radiation of the
wavelength used and warning signs outside the working
area. Entrance sould be limited to staff specially trained.
§E•EI™ K§EI¢IA: AÏÏËÏ›‰Ú·ÛË, ·ÛÊ¿ÏÂÈ·, ÈÛÙfi˜, laser, KEY WORDS: Interaction, laser device, operation, safety,
ÏÂÈÙÔ˘ÚÁ›·. tissue.
™Ù¿ÏıËΠÛÙȘ 31.10.2003. ∂ÁÎÚ›ıËΠÛÙȘ 20.4.2004. Received on 31th Oct. 2003. Accepted on 20th April 2004.
1 √‰ÔÓÙ›·ÙÚÔ˜, ÌÂÙ·Ù˘¯È·Îfi˜ ÊÔÈÙËÙ‹˜ 1 Dentist, postgraduate student
2 ∂›ÎÔ˘ÚÔ˜ ∫·ıËÁËÙ‹˜ / ‹ÙÚÈ· 2 Assistant Professor
100 ªÔ˘ÙÛÈԇ΢ Î·È Û˘Ó
● Ë ÔÙÈ΋ ÎÔÈÏfiÙËÙ·, Ô˘ Â›Ó·È Ô ¯ÒÚÔ˜ ̤۷ ÛÙÔÓ Ì ·ÔÙ¤ÏÂÛÌ· ÙËÓ ÔÙÈ΋ ÂÓ›Û¯˘Û Ë Ù˘ ·ÎÙÈÓÔ‚Ô-
ÔÔ›Ô ‰ËÌÈÔ˘ÚÁÂ›Ù·È Ë ·ÎÙÈÓÔ‚ÔÏ›· laser. ™Ù· ¿ÎÚ· Ï›·˜1,11. ∏ fiÏË ‰È·‰Èηۛ· Û˘Ì‚·›ÓÂÈ Ì¤Û· Û ¯ÚÔÓÈÎfi
Ù˘ ‚Ú›ÛÎÔÓÙ·È ÔÈ ÔÙÈÎÔ› ·Ó·ÎÏ·ÛÙ‹Ú˜ (οÙÔ- ‰È¿ÛÙËÌ· ÔÚÈÛÌ¤ÓˆÓ nsec, ‰Â‰Ô̤ÓÔ˘ fiÙÈ Ù· ʈÙfiÓÈ·
ÙÚ·)4,8,21,22,24,25. ÎÈÓÔ‡ÓÙ·È ÌÂٷ͇ ÙˆÓ Î·ÙfiÙÚˆÓ Ì ÙËÓ Ù·¯‡ÙËÙ· ÙÔ˘
ªÈ· ·ÏÔÔÈË̤ÓË ‰È¿Ù·ÍË laser ·ÚÔ˘ÛÈ¿˙ÂÙ·È ÊˆÙfi˜3.
ÛÙËÓ ∂ÈÎfiÓ· 2. ŒÓ·˜ ΢ÏÈÓ‰ÚÈÎfi˜ ۈϋӷ˜ ·ÔÙÂÏ› ∂›Ó·È ÚÔÊ·Ó¤˜ fiÙÈ ÌfiÓÔ ÊˆÙfiÓÈ· Ô˘ ÎÈÓÔ‡ÓÙ·È
ÙËÓ ÔÙÈ΋ ÎÔÈÏfiÙËÙ·, ̤۷ ÛÙËÓ ÔÔ›· ‚Ú›ÛÎÂÙ·È ÙÔ ·Ú¿ÏÏËÏ· ÚÔ˜ ÙÔÓ ÂÈÌ‹ÎË ¿ÍÔÓ· ÙÔ˘ Î˘Ï›Ó‰ÚÔ˘ ηÈ
ÂÓÂÚÁfi ̤ÛÔ. ™Ù· ¿ÎÚ· ÙÔ˘ ۈϋӷ ‚Ú›ÛÎÔÓÙ·È Ù· ›- ¤¯Ô˘Ó Û˘ÁÎÂÎÚÈ̤ÓÔ Ì‹ÎÔ˜ ·̷ÙÔ˜ Û˘ÓÙÂÏÔ‡Ó ÛÙËÓ
‰· οÙÔÙÚ· ∫1 Î·È ∫2, ·fiÏ˘Ù· ·Ú¿ÏÏËÏ· ÌÂٷ͇ ÂÓ›Û¯˘ÛË Ù˘ ·ÎÙÈÓÔ‚ÔÏ›·˜3. µ¤‚·È·, Ë ·Ú·‰Ô¯‹ Ù˘
ÙÔ˘˜ (Û˘Óı‹ÎË, ÂÍ·ÈÚÂÙÈο, ‰‡ÛÎÔÏË ÛÙËÓ ÂÊ·ÚÌÔÁ‹ ·fiÏ˘Ù˘ ·Ú·ÏÏËÏfiÙËÙ·˜ ÙˆÓ ÂȤ‰ˆÓ ηÙfiÙÚˆÓ
Ù˘3, ·ÏÏ¿ ¯Ú‹ÛÈÌË ÁÈ· ÙËÓ ÂÂÍ‹ÁËÛË ÙˆÓ Ê·ÈÓÔ̤- Â›Ó·È ÌfiÓÔ ıˆÚËÙÈ΋ Î·È ÂÈϤÔÓ ‰›ÓÂÈ ÙË ‰˘Ó·ÙfiÙËÙ·
ÓˆÓ). ∏ ·fiÛÙ·ÛË ÌÂٷ͇ ÙˆÓ Î·ÙfiÙÚˆÓ (d) Â›Ó·È ÛÙ·- ·ÏÈÓ‰ÚfiÌËÛ˘ ÙˆÓ ÊˆÙÔÓ›ˆÓ Û ÔÏÏÔ‡˜ ÂÈÌ‹ÎÂȘ
ıÂÚ‹ Î·È Î·ıÔÚÈṲ̂ÓË Ì ·ÎÚ›‚ÂÈ·, ÂÍ·ÚÙ¿Ù·È ‰Â ·fi ÙÔ ¿ÍÔÓ˜, fiÏÔ˘˜ ·Ú¿ÏÏËÏÔ˘˜ ÌÂٷ͇ ÙÔ˘˜. ™ÙËÓ Ú¿ÍË,
Ì‹ÎÔ˜ ·̷ÙÔ˜ Ù˘ ·ÎÙÈÓÔ‚ÔÏ›·˜ Ô˘ ÂÈı˘Ìԇ̠ӷ Ù· οÙÔÙÚ· ηٷÛ΢¿˙ÔÓÙ·È ÎԛϷ21 Î·È ·Ú¤¯Ô˘Ó
·Ú¿ÁÂÈ Ë Û˘Û΢‹ (Â›Ó·È ›ÛË Ì ·Î¤Ú·ÈÔ ·ÚÈıÌfi ËÌÈ΢- ÙËÓ ‰˘Ó·ÙfiÙËÙ· Û˘ÁΤÓÙÚˆÛ˘ ۯ‰fiÓ fiÏˆÓ ÙˆÓ
Ì¿ÙˆÓ (m), d = mÏ/2 )1,3. ʈÙÔÓ›ˆÓ Û ̛· ‰È‡ı˘ÓÛË (¤Ó·Ó ¿ÍÔÓ·), ·ÎfiÌ· Î·È ·Ó
Ù· οÙÔÙÚ· ‰ÂÓ Â›Ó·È ·fiÏ˘Ù· ·Ú¿ÏÏËÏ· ÌÂٷ͇
ÙÔ˘˜ 3,11,24. ∞ÎfiÌË, Ù· ¯ÚËÛÈÌÔÔÈÔ‡ÌÂÓ· οÙÔÙÚ·
¤¯Ô˘Ó Û˘ÁÎÂÎÚÈ̤Ó˜ ‰È·ıÏ·ÛÙÈΤ˜ ȉÈfiÙËÙ˜, ÒÛÙ ٷ
·Ó·ÎÏÒÌÂÓ· ʈÙfiÓÈ· Ó· ‚Ú›ÛÎÔÓÙ·È Û ¯ˆÚÈ΋ Î·È ¯ÚÔ-
ÓÈ΋ Û˘Ìʈӛ·3,24.
∞Ó Î·È Ù· ‰‡Ô οÙÔÙÚ· (∫1, ∫2) ›¯·Ó ·Ó·ÎÏ·ÛÙÈ΋
ÈηÓfiÙËÙ· R=100%, ÙfiÙÂ Ë ¤ÍÔ‰Ô˜ Ù˘ ‰¤ÛÌ˘ ·fi ÙËÓ
ÔÙÈ΋ ÎÔÈÏfiÙËÙ· ı· ‹Ù·Ó ·‰‡Ó·ÙË. °È’·˘Ùfi, ÙÔ ¤Ó· ·fi
Ù· οÙÔÙÚ· (∫2) ηٷÛ΢¿˙ÂÙ·È Ì ·Ó·ÎÏ·ÛÙÈ΋ Èη-
ÓfiÙËÙ· R2<100%, ÔfiÙ ÙÔ 100%-R2 Ù˘ ‰¤ÛÌ˘ ʈÙÔ-
Ó›ˆÓ ÂͤگÂÙ·È Ì ÙË ÌÔÚÊ‹ Ù˘ ‰¤ÛÌ˘
laser1,3,8,11,22,23. ∆Ô 100%-R2 ›Ûˆ˜ Ó· Ê·›ÓÂÙ·È ÌÈÎÚfi
ÔÛÔÛÙfi, fï˜ Â›Ó·È ··Ú·›ÙËÙÔ ¤Ó· ÈηÓfi ̤ÚÔ˜ Ù˘
∂ÈÎ. 2. ™¯ËÌ·ÙÈ΋ ·ÂÈÎfiÓÈÛË ÌÈ·˜ Û˘Û΢‹˜ laser.
‰¤ÛÌ˘ ÙˆÓ ÊˆÙÔÓ›ˆÓ Ó· ·ÏÈÓ‰ÚÔÌ› ̤۷ ÛÙËÓ ÔÙÈ-
΋ ÎÔÈÏfiÙËÙ· ÒÛÙ ӷ Û˘ÓÙËÚÂ›Ù·È Ë ·Ú·ÁˆÁ‹ Ù˘
∏ ‰È¤ÁÂÚÛË ÙÔ˘ ÂÓÂÚÁÔ‡ ̤ÛÔ˘ Á›ÓÂÙ·È Ì ÚÔÛÊÔ-
·ÎÙÈÓÔ‚ÔÏ›·˜3,8 Î·È Ó· ˘ÂÚηχÙÔÓÙ·È ÔÈ ·ÒÏÂȘ
Ú¿ Â͈ÙÂÚÈ΋˜ ÂÓ¤ÚÁÂÈ·˜ ·fi ÙËÓ ·ÓÙÏ›· ›Ù ÌÂ Û˘ÓÂ-
(·ÔÚÚfiÊËÛË ·fi ÌË ‰ÈÂÁÂṲ́ӷ ¿ÙÔÌ· ÙÔ˘ ÂÓÂÚÁÔ‡
¯‹ ›Ù Ì ·ÏÌÈÎfi ÙÚfiÔ, ÔfiÙ ‰ËÌÈÔ˘ÚÁÂ›Ù·È Ë ·Ó·-
̤ÛÔ˘, ·ÒÏÂȘ ÙˆÓ Î·ÙfiÙÚˆÓ Î.·.) Î·È ÙÔ ÔÛÔÛÙfi
ÛÙÚÔÊ‹ ÏËı˘ÛÌÒÓ Î·È ·Ú¿ÁÔÓÙ·È ÊˆÙfiÓÈ·1,3,11,23.
ÙˆÓ ÊˆÙÔÓ›ˆÓ Ô˘ ÂͤگÔÓÙ·È ·fi ÙËÓ ÔÙÈ΋ ÎÔÈÏfiÙË-
∞Ú¯Èο, Ù· ·Ú·ÁfiÌÂÓ· ʈÙfiÓÈ· ÚÔ¤Ú¯ÔÓÙ·È ·fi
Ù· Ì ÙË ÌÔÚÊ‹ ‰¤ÛÌ˘3,11,23.
·˘ıfiÚÌËÙË ÂÎÔÌ‹ Î·È ¤¯Ô˘Ó Ù˘¯·›Â˜ ‰È¢ı‡Ó-
µ¤‚·È·, Ë Û¯¤ÛË d = mÏ/2, ÁÈ· ‰Â‰Ô̤ÓË ·fiÛÙ·ÛË
ÛÂȘ3,8,23 Î·È ÂӉ¯Ô̤ӈ˜ ÔÈΛϷ Ì‹ÎË Î‡Ì·ÙÔ˜8,23.
ÌÂٷ͇ ÙˆÓ Î·ÙfiÙÚˆÓ (d), ÚԂϤÂÈ ¿ÂÈÚÔ ·ÚÈıÌfi
ŸÛ· ηÙ¢ı‡ÓÔÓÙ·È ÚÔ˜ Ù· ÙÔȯÒÌ·Ù· ÙÔ˘ Î˘Ï›Ó‰ÚÔ˘
‰˘Ó·ÙÒÓ ÌËÎÒÓ Î‡Ì·ÙÔ˜ ÁÈ· ‰È¿ÊÔÚ˜ ÙÈ̤˜ ÙÔ˘ m.
ÂͤگÔÓÙ·È ·fi ÙËÓ ÔÙÈ΋ ÎÔÈÏfiÙËÙ·22,25 ‹ ·ÔÚÚÔ-
¶·ÚfiÏ· ·˘Ù¿, ÌfiÓÔ ÁÈ· ÔÚÈṲ̂ӷ Ì‹ÎË Î‡Ì·ÙÔ˜ (Û˘Ó‹-
ÊÔ‡ÓÙ·È ·fi ÌË ‰ÈÂÁÂṲ́ӷ ¿ÙÔÌ· ÙÔ˘ ÂÓÂÚÁÔ‡ ̤ÛÔ˘
ıˆ˜ 2 ‹ 3 Ì‹ÎË Î‡Ì·ÙÔ˜8) ÙÔ Î¤Ú‰Ô˜ ·fi ÙËÓ ÔÙÈ΋
‹ ·ÎfiÌË Î·È ·fi Ù· ÙÔȯÒÌ·Ù·3,22. ∞fi ·˘Ù¿ Ô˘ ÎÈÓÔ‡-
ÂÓ›Û¯˘ÛË Â›Ó·È ÌÂÁ·Ï‡ÙÂÚÔ ·fi ÙȘ ·ÒÏÂȘ, ÔfiÙÂ
ÓÙ·È Û ‰È‡ı˘ÓÛË ·Ú¿ÏÏËÏË Ì ÙÔÓ ÂÈÌ‹ÎË ¿ÍÔÓ·
¢ÓÔÂ›Ù·È Ë ·ÏÈÓ‰ÚfiÌËÛË ÙˆÓ ÊˆÙÔÓ›ˆÓ Î·È Ë ÂÍ·Ó·-
ÙÔ˘ Î˘Ï›Ó‰ÚÔ˘, fiÛ· ʈÙfiÓÈ· ‰ÂÓ ¤¯Ô˘Ó ÙÔ Û˘ÁÎÂÎÚÈ̤-
ÁηṲ̂ÓË ÂÎÔÌ‹8. ∞fi ·˘Ù¿ Ù· Ì‹ÎË Î‡Ì·ÙÔ˜, ÛÂ
ÓÔ Ì‹ÎÔ˜ ·̷ÙÔ˜ ‰È·ÚÚ¤Ô˘Ó ¤Íˆ ·fi ÙËÓ ÔÙÈ΋ ÎÔÈÏfi-
ÔÚÈṲ̂Ó˜ ÂÚÈÙÒÛÂȘ ÌÔÚ› Ó· Á›ÓÂÈ ÂÈÏÔÁ‹ ÙÔ˘
ÙËÙ· ÂÍ·ÈÙ›·˜ ÙˆÓ ‰È·ıÏ·ÛÙÈÎÒÓ È‰ÈÔÙ‹ÙˆÓ ÙˆÓ Î·Ùfi-
ÂÓfi˜ Ì ηٿÏÏËÏË ÙÚÔÔÔ›ËÛË ÙÔ˘ ΤډԢ˜ ·fi ÙËÓ
ÙÚˆÓ 3 , ÂÓÒ ÌfiÓÔ fiÛ· ¤¯Ô˘Ó Û˘ÁÎÂÎÚÈ̤ÓÔ Ì‹ÎÔ˜
ÔÙÈ΋ ÂÓ›Û¯˘ÛË, ÂÓÒ Û ÂÚÈÙÒÛÂȘ fiÔ˘ ·˘Ùfi ‰ÂÓ
·̷ÙÔ˜ (Ô˘ ÈηÓÔÔÈ› ÙË Û˘Óı‹ÎË d = mÏ/2) ·Ó·ÎÏÒ-
Â›Ó·È ‰˘Ó·Ùfi, Ë ÂÊ·ÚÌÔÁ‹ ÌÂıfi‰ˆÓ Ì ˘„ËÏ‹ ÂÈÏÂÎÙÈ-
ÓÙ·È ‰È·‰Ô¯Èο ÛÙ· οÙÔÙÚ· ∫1, ∫2 Î·È ÂÎÙÂÏÔ‡Ó ÌÈ·
ÎfiÙËÙ· (fiˆ˜ mode-locking 11 , ‚Ï. ·Ú·Î¿Ùˆ) ÛÙËÓ
·ÏÈÓ‰ÚÔÌÈ΋ ΛÓËÛË (Ù·Ï¿ÓÙˆÛË) ÌÂٷ͇ ÙˆÓ Î·Ùfi-
·Ú·ÁfiÌÂÓË ‰¤ÛÌË Ô‰ËÁ› ÛÙËÓ ·Ú·ÁˆÁ‹ ÌÔÓԯڈ̷-
ÙÚˆÓ3,8.
ÙÈ΋˜ ·ÎÙÈÓÔ‚ÔÏ›·˜ ÙÔ˘ ÂÈı˘ÌËÙÔ‡ Ì‹ÎÔ˘˜ ·̷ÙÔ˜26.
§fiÁˆ Ù˘ ·Ó·ÛÙÚÔÊ‹˜ ÏËı˘ÛÌÒÓ, Ù· ʈÙfiÓÈ·
·˘Ù¿ ·ÏÏËÏÂȉÚÔ‡Ó Ì ‰ÈÂÁÂṲ́ӷ ¿ÙÔÌ· ÚÔηÏÒ-
ÓÙ·˜ ÙËÓ ÂÍ·Ó·ÁηṲ̂ÓË ·Ô‰È¤ÁÂÚÛ‹ ÙÔ˘˜ Î·È Ó¤·
µ·ÛÈΤ˜ ȉÈfiÙËÙ˜ Ù˘ ·ÎÙÈÓÔ‚ÔÏ›·˜ laser
ʈÙfiÓÈ· ÙÔ˘ ›‰ÈÔ˘ Ì‹ÎÔ˘˜ ·̷ÙÔ˜ Î·È Û ¯ˆÚÈ΋ Î·È 1. ªÔÓԯڈ̷ÙÈÎfiÙËÙ·: ÙÔ Ì‹ÎÔ˜ ·̷ÙÔ˜ Ù˘
¯ÚÔÓÈ΋ Û˘Ìʈӛ· ÌÂٷ͇ ÙÔ˘˜ ·Ú¿ÁÔÓÙ·È Û˘Ó¯Ҙ, ·ÎÙÈÓÔ‚ÔÏ›·˜ ηχÙÂÈ Ì›· ÂÍ·ÈÚÂÙÈο ÛÙÂÓ‹ ÂÚÈÔ¯‹
Laser: ∞Ú¯¤˜ ÏÂÈÙÔ˘ÚÁ›·˜, ·ÏÏËÏ›‰Ú·ÛË Ì ÙÔ˘˜ ÈÛÙÔ‡˜, ΛӉ˘ÓÔÈ Î·È ·ÛÊ¿ÏÂÈ· ηٿ ÙË ¯Ú‹ÛË ÙÔ˘˜ 103
(Ù˘Èο <<1nm) Î·È fi¯È ¤Ó· ¢ڇ Ê¿ÛÌ·, fiˆ˜ ÙÔ Êˆ˜ ● Laser ËÌÈ·ÁˆÁÒÓ (Semiconductor or Diode): ÙÔ ÂÓÂÚ-
Ô˘ ·Ú¿ÁÂÙ·È ·fi ¤Ó·Ó ÎÔÈÓfi Ï·ÌÙ‹Ú· ˘Ú·ÎÙÒ- Áfi ̤ÛÔ ·ÔÙÂÏÂ›Ù·È ·fi ‰È·‰Ô¯Èο ÛÙÚÒÌ·Ù· ËÌÈ·-
Ûˆ˜11. ŒÙÛÈ, Ë ÂÓ¤ÚÁÂÈ· Ù˘ ·ÎÙÈÓÔ‚ÔÏ›·˜ Â›Ó·È Û˘ÁÎÂ- ÁˆÁÒÓ (.¯. GaAlAs)1,8,11,23,27,29.
ÓÙڈ̤ÓË Û ̛· Ôχ ÌÈÎÚ‹ ÂÚÈÔ¯‹ Û˘¯ÓÔًوÓ1,8,23 ™ÙËÓ ÎÏÈÓÈ΋ Ô‰ÔÓÙÈ·ÙÚÈ΋ Ú¿ÍË ¯ÚËÛÈÌÔÔÈÔ‡ÓÙ·È
Î·È Ì ·˘Ùfi ÙÔÓ ÙÚfiÔ ÌÔÚԇ̠ӷ ÚԂϤ„Ô˘Ì Ì ۋÌÂÚ· ΢ڛˆ˜ Ù· laser Er:YAG, Nd:YAG, ËÌÈ·ÁˆÁÒÓ
·ÎÚ›‚ÂÈ· ÙËÓ ·ÏÏËÏ›‰Ú·ÛË Ù˘ ·ÎÙÈÓÔ‚ÔÏ›·˜ laser Ì (Diode), CO2, KTP, Er,Cr:YSGG, Ar, He-Ne29,30.
ÙËÓ ‡ÏË3,23. ø˜ ÂÓÂÚÁfi ̤ÛÔ ÌÔÚ› Ó· ¯ÚËÛÈÌÔÔÈËı› οıÂ
2. ™˘Ìʈӛ·: ∆· ʈÙfiÓÈ· Ô˘ ·ÔÙÂÏÔ‡Ó ÙËÓ Ô˘Û›· Ô˘ ¤¯ÂÈ ÙË ‰˘Ó·ÙfiÙËÙ· Ó· ˘Ê›ÛÙ·Ù·È ‰È·‰Ô¯ÈΤ˜
·ÎÙÈÓÔ‚ÔÏ›· laser ‚Ú›ÛÎÔÓÙ·È Û ¯ˆÚÈ΋ Î·È ¯ÚÔÓÈ΋ ‰ÈÂÁ¤ÚÛÂȘ Î·È ·Ô‰ÈÂÁ¤ÚÛÂȘ ÙˆÓ ·ÙfiÌˆÓ Ù˘ ¯ˆÚ›˜ Ó·
Û˘Ìʈӛ· ÌÂٷ͇ ÙÔ˘˜1,8,23,25. ∏ ȉÈfiÙËÙ· ·˘Ù‹ ÚÔ·- ÚÔηÏÔ‡ÓÙ·È ·ÏÏ·Á¤˜ ÛÙË ‰ÔÌ‹ Ù˘ Î·È Ù·˘Ùfi¯ÚÔÓ·
ÙÂÈ ·fi ÙËÓ ‰È·‰Èηۛ· Ù˘ ÂÍ·Ó·ÁηṲ̂Ó˘ ÂÎÔÌ‹˜ Ó· ‰È·ÙËÚ› ÙËÓ ·Ó·ÛÙÚÔÊ‹ ÏËı˘ÛÌÒÓ [‡·ÚÍË ÂÓÂÚ-
Î·È Ù˘ ÔÙÈ΋˜ ÂÓ›Û¯˘Û˘3,8, fiˆ˜ ÂÚÈÁÚ¿ÊËΠ·Ú·- ÁÂÈ·ÎÒÓ ÛÙ·ıÌÒÓ ˘„ËÏfiÙÂÚˆÓ ·fi ÙË ıÂÌÂÏÈÒ‰Ë Î·È
¿Óˆ. ∞ÔÙ¤ÏÂÛÌ· ·˘Ù‹˜ Ù˘ ȉÈfiÙËÙ·˜ Â›Ó·È Ë Â‡ÎÔÏË ÂӉȿÌÂÛˆÓ (ÌÂÙ·ÛÙ·ıÂÚÒÓ) ÂÓÂÚÁÂÈ·ÎÒÓ ÛÙ·ı-
ÂÛÙ›·ÛË Ù˘ ‰¤ÛÌ˘ Ì ÙË ‚Ô‹ıÂÈ· ÂÓfi˜ Ê·ÎÔ‡ Û ÌÈ· ÌÒÓ]3,11. ∫¿ıÂ Û˘Û΢‹ laser ·Ú¿ÁÂÈ ·ÎÙÈÓÔ‚ÔÏ›· ‰È·-
ÎԢΛ‰· (spot) Ôχ ÌÈÎÚÔ‡ ÂÌ‚·‰Ô‡8,21, Ô˘ ıˆÚËÙÈο ÊÔÚÂÙÈÎÔ‡ Ì‹ÎÔ˘˜ ·̷ÙÔ˜, ·Ó¿ÏÔÁ· Ì ÙÔ ÂÓÂÚÁfi
ÌÔÚ› Ó· ¤¯ÂÈ ‰È¿ÌÂÙÚÔ ›ÛË Ì ÙÔ Ì‹ÎÔ˜ ·̷ÙÔ˜ Ù˘ ̤ÛÔ Ô˘ ‰È·ı¤ÙÂÈ (∂ÈÎ. 3), ÙÔ ÔÔ›Ô Û˘Ó‹ıˆ˜ ‰›ÓÂÈ Î·È
·ÎÙÈÓÔ‚ÔÏ›·˜ (ÔÚÈṲ̂ӷ Ìm)3. ÙËÓ ÔÓÔÌ·Û›· ÛÙËÓ Û˘Û΢‹3. ∂›Û˘, ·Ó¿ÏÔÁ· Ì ÙÔ
3. ªÂÁ¿ÏË Ï·ÌÚfiÙËÙ·: ÙÔ laser Â›Ó·È ÌÈ· Ôχ ÂÓÂÚÁfi ̤ÛÔ Â›Ó·È ‰È·ÊÔÚÂÙÈÎfi˜ Î·È Ô Ì˯·ÓÈÛÌfi˜ ÚÔ-
ÈÛ¯˘Ú‹ ËÁ‹ ʈÙfi˜ Î·È ÂΤÌÂÈ Ôχ ÌÂÁ¿ÏÔ ÔÛfi
ÛÊÔÚ¿˜ ÂÓ¤ÚÁÂÈ·˜ ÛÙÔ Û‡ÛÙËÌ· (Ë ·ÓÙÏ›· ÌÔÚ› Ó·
ÂÓ¤ÚÁÂÈ·˜ ·Ó¿ ÌÔÓ¿‰· ÂÈÊ¿ÓÂÈ·˜ (ÂÓÂÚÁÂȷ΋ ˘ÎÓfi-
Â›Ó·È .¯. Ì›· ËÏÂÎÙÚÈ΋ ËÁ‹ Ô˘ ‰ËÌÈÔ˘ÚÁ› ËÏÂÎÙÚÈ-
ÙËÙ·, Joule/cm2)8,23. ∞ӷʤÚÂÙ·È fiÙÈ ¤Ó· laser He-Ne
Τ˜ ÂÎÎÂÓÒÛÂȘ, ¤Ó·˜ ÈÛ¯˘Úfi˜ Ï·ÌÙ‹Ú·˜ Xe ‹ ·ÎfiÌ·
ÈÛ¯‡Ô˜ 1mW ÂÌÊ·Ó›˙ÂÈ Ï·ÌÚfiÙËÙ· ÂÚ›Ô˘ 10-50
Î·È ÌÈ· ¿ÏÏË Û˘Û΢‹ laser)1,11,21. ÕÏϘ Ù·ÍÈÓÔÌ‹ÛÂȘ
ÊÔÚ¤˜ ÌÂÁ·Ï‡ÙÂÚË ·fi ÙÔÓ ◊ÏÈÔ11,21. ∏ ȉÈfiÙËÙ· ·˘Ù‹
ÙˆÓ Û˘Û΢ÒÓ laser Ï·Ì‚¿ÓÔ˘Ó ˘’fi„ÈÓ ÙËÓ ÈÛ¯‡ ÂÍfi-
ÚÔ·ÙÂÈ ·fi ÙËÓ Û˘Ìʈӛ· Ù˘ ‰¤ÛÌ˘3.
‰Ô˘ ‹ ÙÔ Ì‹ÎÔ˜ ·̷ÙÔ˜ Ù˘ ·ÎÙÈÓÔ‚ÔÏ›·˜3,8.
4. ∫·Ù¢ı˘ÓÙÈÎfiÙËÙ·: ∏ ‰¤ÛÌË ÛÙËÓ ÔÚ›· Ù˘
·ÔÎÏ›ÓÂÈ Ôχ Ï›ÁÔ ·fi ÙËÓ ·Ú·ÏÏËÏfiÙËÙ· 1,8,11.
∆˘Èο, ÁÈ· Ó· ·ÓÔ›ÍÂÈ Ë ‰È¿ÌÂÙÚÔ˜ Ù˘ ‰¤ÛÌ˘ ηٿ 1m
Ú¤ÂÈ Ë ‰¤ÛÌË Ó· ‰È·Ó‡ÛÂÈ 1km8,11,22. ŒÙÛÈ, Ë ‰¤ÛÌË
‰È·ÙËÚ› ÙËÓ Ï·ÌÚfiÙËÙ¿ Ù˘, ·ÎfiÌ· Î·È Û ÌÂÁ¿ÏË
·fiÛÙ·ÛË ·fi ÙËÓ ËÁ‹3. ∫·È Ë È‰ÈfiÙËÙ· ·˘Ù‹ ÚÔ·-
ÙÂÈ ·fi ÙË Û˘Ìʈӛ· Ù˘ ‰¤ÛÌ˘3.
̤ÛÔ Â›Ó·È ÛÙÂÚÂfi [.¯. ÚÔ˘Ì›ÓÈ, Nd:YAG, Er:YAG, ● ÌÂÌÔÓˆÌ¤ÓˆÓ ‹ ·ӷϷ̂·ÓfiÌÂÓˆÓ ·ÏÌÒÓ ‚Ú·-
¶π¡∞∫∞™ π
ÓÔ˘˜ ÈÛÙÔ‡˜. ÙfiÛÔ ¯Ú‹ÛÈÌË Â›Ó·È Î·È ÂΛӘ Ô˘ ÂÈʤÚÔ˘Ó Ù· ÂÈ-
ŸÙ·Ó ÙÔ ÔÛfi Ù˘ ÂÓ¤ÚÁÂÈ·˜ Ô˘ ÌÂÙ·‚È‚¿˙ÂÙ·È ‚Ï·‚‹ ·ÔÙÂϤÛÌ·Ù¿ Ù˘3,11,21. √È ·Ú¿ÁÔÓÙ˜ Ô˘
ÛÙÔÓ ÈÛÙfi Â›Ó·È Û¯ÂÙÈο ÌÈÎÚfi, Ô ÈÛÙfi˜ ˘Ê›ÛÙ·Ù·È Î˘Ú›ˆ˜ Û˘ÓÙÂÏÔ‡Ó ÛÙËÓ ÚfiÎÏËÛË ·˘ÙÒÓ ÙˆÓ ‚Ï·‚ÒÓ Â›Ó·È
ʈÙÔËÍ›·, ‰ËÏ·‰‹ ÌÂÙÔ˘Û›ˆÛË ÙˆÓ ÚˆÙÂ˚ÓÒÓ (ÎÔÏ- ΢ڛˆ˜:
Ï·ÁfiÓÔ, ¤Ó˙˘Ì· Î.·.)3,21,27. ∏ ηٿÛÙ·ÛË ·˘Ù‹ ‰È·Ê¤ÚÂÈ ● ∂Ï·Ùو̷ÙÈΤ˜ Û˘Û΢¤˜ laser.
Û·ÊÒ˜ ·fi ÙÔ ¤Áη˘Ì·3. ªÂ ÙËÓ Â›‰Ú·ÛË ÌÂÁ·Ï‡ÙÂ- ● ŒÏÏÂÈ„Ë ÚÔÛٷ٢ÙÈÎÒÓ Ì¤ÙÚˆÓ.
1,3
ÚÔ˘ ÔÛÔ‡ ÂÓ¤ÚÁÂÈ·˜, ÙÔ ÂÓ‰Ô΢ÙÙ¿ÚÈÔ Î·È ÂÍˆÎ˘ÙÙ¿- ● §¿ıË Î·Ù¿ ÙËÓ ¯Ú‹ÛË ÙˆÓ Û˘Û΢ÒÓ .
ÚÈÔ ˘ÁÚfi ÂÍ·ÙÌ›˙ÂÙ·È Ù·¯‡Ù·Ù· Î·È Ô ÈÛÙfi˜ ˘Ê›ÛÙ·Ù·È ∏ ¤ÎÙ·ÛË Ù˘ ıÂÚÌÈ΋˜ ‚Ï¿‚˘ Û ¤Ó·Ó ÈÛÙfi ÂÍ·Ú-
ʈÙÔÂÍ¿¯ÓˆÛË (photovaporization)3,27. Ù¿Ù·È ÙfiÛÔ ·fi Ù· ¯·Ú·ÎÙËÚÈÛÙÈο Ù˘ ‰¤ÛÌ˘1,3,21,42,
π‰È·›ÙÂÚ· ÛËÌ·ÓÙÈÎfi Â›Ó·È ÙÔ ÁÂÁÔÓfi˜ fiÙÈ ·Ó ¯ÚËÛÈ- fiÛÔ Î·È ·fi Ù· ¯·Ú·ÎÙËÚÈÛÙÈο ÙÔ˘ ÈÛÙÔ‡ (ÔÙÈΤ˜ ȉÈfi-
ÌÔÔÈËı› ·ÎÙÈÓÔ‚ÔÏ›· Ì ÙË ÌÔÚÊ‹ ·ÏÌÒÓ ‚Ú·¯Â›·˜ ÙËÙ˜ ÙÔ˘ ÈÛÙÔ‡1,3, ‰˘Ó·ÙfiÙËÙ· ··ÁˆÁ‹˜ ıÂÚÌfiÙËÙ·˜,
‰È¿ÚÎÂÈ·˜ Î·È ˘„ËÏ‹˜ ÈÛ¯‡Ô˜, ÙÔ ·ÔÙ¤ÏÂÛÌ· Â›Ó·È .¯. ̤ۈ ÙˆÓ ·ÁÁ›ˆÓ1,3,42). ∆· ÈÔ Â˘¿ÏˆÙ· fiÚÁ·Ó·
ʈÙÔÂÍ¿¯ÓˆÛË ÙÔ˘ ÈÛÙÔ‡ ÛÙÔ ÛËÌÂ›Ô ÚfiÙˆÛ˘ Ù˘ ÛÙËÓ ·ÎÙÈÓÔ‚ÔÏ›· laser Â›Ó·È ÔÈ ÔÊı·ÏÌÔ› ηÈ, ‰Â˘ÙÂÚ¢-
·ÎÙÈÓÔ‚ÔÏ›·˜ ¯ˆÚ›˜ Ó· ·Ú·ÙËÚÔ‡ÓÙ·È ÛËÌ·ÓÙÈΤ˜ ıÂÚ- fiÓÙˆ˜, ÙÔ ‰¤ÚÌ·1,3,11,25,32.
ÌÈΤ˜ ÂȉڿÛÂȘ ÛÙÔ˘˜ ·Ú·Î›ÌÂÓÔ˘˜ ÈÛÙÔ‡˜. ∏ ÂÓÙÔ- µÏ¿‚Ë ÛÙÔ ÎÂÓÙÚÈÎfi ‚ÔıÚ›Ô Ù˘ ˆ¯Ú‹˜ ÎËÏ›‰·˜ ÙÔ˘
ÈṲ̂ÓË ·˘Ù‹ ›‰Ú·ÛË ÂÍ·ÚÙ¿Ù·È ·fi ÙËÓ ÈηÓfiÙËÙ· ·ÌÊÈ‚ÏËÛÙÚÔÂȉ‹, Ô˘ Â›Ó·È ˘Â‡ı˘ÓÔ ÁÈ· ÙËÓ ÎÂÓÙÚÈ΋
„‡Í˘ ÙˆÓ ÈÛÙÒÓ ·˘ÙÒÓ ·ÏÏ¿ Î·È ÙËÓ ‡·ÚÍË ÈηÓÔ‡ fiÚ·ÛË, ÌÔÚ› Ó· Ô‰ËÁ‹ÛÂÈ Û ·ÒÏÂÈ· ·˘Ù‹˜3. µÏ¿‚Ë
¯ÚÔÓÈÎÔ‡ ‰È·ÛÙ‹Ì·ÙÔ˜ ËÚÂÌ›·˜ ÌÂٷ͇ ÙˆÓ ·ÏÌÒÓ3. ÛÙÔ ÂÚÈÊÂÚÈÎfi ÙÌ‹Ì· ÙÔ˘ ·ÌÊÈ‚ÏËÛÙÚÔÂȉ‹ Â›Ó·È Û˘Ó‹-
ªÂ ÙÔÓ ÙÚfiÔ ·˘Ùfi ÂÈÙ˘Á¯¿ÓÔ˘Ì ÙÔÌ‹ ÙˆÓ ÈÛÙÒÓ21. ıˆ˜, ÎÏÈÓÈο, ÌË ÛËÌ·ÓÙÈ΋21. ∏ ÂÍ·Ûı¤ÓËÛË Î·È Ë ÌÂÙ¿-
∫·Ù¿ ÙËÓ Â›‰Ú·ÛË ‰¤ÛÌ˘ laser ˘„ËÏ‹˜ ÂÓ¤ÚÁÂÈ·˜ ‰ÔÛË Ù˘ ·ÎÙÈÓÔ‚ÔÏ›·˜ laser ̤ۈ ÙÔ˘ ÔÊı·ÏÌÔ‡ fiˆ˜
ηٿ ÂÍ·ÈÚÂÙÈο ‚Ú·¯Â›˜ ·ÏÌÔ‡˜ Û ¤Ó·Ó ÈÛÙfi, Â›Ó·È Î·È ÙÔ ÙÌ‹Ì· ÙÔ˘ ÔÊı·ÏÌÔ‡ Ô˘ ÎÈÓ‰˘Ó‡ÂÈ ·fi ˘Â-
‰˘Ó·Ùfi Ó· ÚÔÎÏËıÔ‡Ó Î·È ÊˆÙÔÌ˯·ÓÈο Ê·ÈÓfiÌÂÓ·. Ú¤ÎıÂÛË ÂÍ·ÚÙÒÓÙ·È ·fi ÙÔ Ì‹ÎÔ˜ ·̷ÙÔ˜3,11,21. ∞ÎÙÈ-
∏ Û˘ÁΤÓÙÚˆÛË ˘„ËÏ‹˜ ÂÓ¤ÚÁÂÈ·˜ Û ÌÈÎÚfi fiÁÎÔ ÈÛÙÔ‡ ÓÔ‚Ôϛ˜ Ù˘ ÂÚÈÔ¯‹˜ ÙÔ˘ ̤ÛÔ˘ (IRB) Î·È ¿ˆ (IRC)
¤¯ÂÈ ˆ˜ ·ÔÙ¤ÏÂÛÌ· ÙËÓ ‰ËÌÈÔ˘ÚÁ›· ÌÈ·˜ ·ÚÔ‰È΋˜ ˘ÂÚ‡ıÚÔ˘ (1400nm – 1nm) Î·È ÙÔ˘ ̤ÛÔ˘ ˘ÂÚÈÒ‰Ô˘˜
ηٿÛÙ·Û˘ Ï¿ÛÌ·ÙÔ˜ (ÔÙÈÎfi Ï¿ÛÌ·, optical plasma) (UVB, 180nm – 315nm) ÂËÚ¿˙Ô˘Ó ÙÔÓ ÎÂÚ·ÙÔÂȉ‹
ÛÙÔ ÌÈÎÚfi ·˘Ùfi ÙÌ‹Ì· ÙÔ˘ ÈÛÙÔ‡. ∫·Ù¿ ÙËÓ Î·Ù¿ÚÚ¢ÛË ¯ÈÙÒÓ·11. ∞ÎÙÈÓÔ‚Ôϛ˜ ÙÔ˘ ÂÁÁ‡˜ ˘ÂÚÈÒ‰Ô˘˜ (UVA,
ÙÔ˘ Ï¿ÛÌ·ÙÔ˜ ·Ú¿ÁÂÙ·È ıÂÚÌÔÎÚÔ˘ÛÙÈÎfi ·̷ Ô˘ 315nm – 400nm) ·ÔÚÚÔÊÒÓÙ·È Î·È ÂȉÚÔ‡Ó Î˘Ú›ˆ˜
ÌÔÚ› Ó· ηٷÛÙÚ¤„ÂÈ Ì˯·ÓÈο ÙÔ˘˜ ÂÁÁ‡˜ ÈÛÙÔ‡˜ ÛÙÔÓ Ê·Îfi ÙÔ˘ ÔÊı·ÏÌÔ‡11, ÂÓÒ Ë ÂÚÈÔ¯‹ ÙÔ˘ ÔÚ·ÙÔ‡
(photodisruption)3,21,22,27,37. ∞ÎfiÌË, ÂÍ·ÈÙ›·˜ Ù˘ ıÂÚÌÈ- Î·È ÙÔ˘ ÂÁÁ‡˜ ˘¤Ú˘ıÚÔ˘ (IRA) (400nm - 1400nm) ›ӷÈ
΋˜ ‰È·ÛÙÔÏ‹˜ ÂÓfi˜ ÙÌ‹Ì·ÙÔ˜ ÙÔ˘˜ ÈÛÙÔ‡ Î·È Ù˘ Ù·¯Â›- ȉȷÈÙ¤Úˆ˜ ÂÈΛӉ˘ÓË, ÁÈ·Ù› Ë ·ÎÙÈÓÔ‚ÔÏ›· ‰È·ÂÚÓ¿
·˜ ·‡ÍËÛ˘ ÙÔ˘ fiÁÎÔ˘ ÙÔ˘, ÌÔÚ› Ó· ·Ú·¯ı› ʈÙÔ·- ÙÔÓ ÎÂÚ·ÙÔÂȉ‹ Î·È ÙÔÓ Ê·Îfi Î·È ÂÛÙÈ¿˙ÂÙ·È ÛÙÔÓ ·ÌÊÈ-
ÎÔ˘ÛÙÈÎfi ·̷ Ì ·ÚfiÌÔÈ· ·ÔÙÂϤÛÌ·-Ù·1,36,37. ‚ÏËÛÙÚÔÂȉ‹11,25. ∂›Ó·È ¯·Ú·ÎÙËÚÈÛÙÈÎfi ÙÔ fiÙÈ Ù· ‚Ϥ-
∆· ·Ú·¿Óˆ Ê·ÈÓfiÌÂÓ· ‰ÂÓ Â›Ó·È ·ÓÂÍ¿ÚÙËÙ· Ê·Ú· ‰ÂÓ ·Ú¤¯Ô˘Ó ÚÔÛÙ·Û›· ÛÙÔ˘˜ ÔÊı·ÏÌÔ‡˜3,11.
ÌÂٷ͇ ÙÔ˘˜. ∫·Ù¿ ÙËÓ Â›‰Ú·ÛË Ù˘ ·ÎÙÈÓÔ‚ÔÏ›·˜ laser π‰È·›ÙÂÚ· ÂÈΛӉ˘Ó˜ Â›Ó·È ÔÈ Û˘Û΢¤˜ Ô˘ ÂΤÌÔ˘Ó
Û ¤Ó·Ó ÈÛÙfi, ʈÙÔıÂÚÌÈο, ʈÙÔ¯ËÌÈο Î·È ÊˆÙÔÌË- ·fiÚ·ÙË ‰¤ÛÌË3,11,21. ∂›‰Ú·ÛË ·ÎÙÈÓÔ‚ÔÏ›·˜ laser ÛÂ
¯·ÓÈο Ê·ÈÓfiÌÂÓ· Û˘Ì‚·›ÓÔ˘Ó Û˘Á¯ÚfiÓˆ˜ Î·È Û˘¯Ó¿ ·Î¿Ï˘ÙÔ ‰¤ÚÌ· ÌÔÚ› Ó· ¤¯ÂÈ, ›Û˘, ÛÔ‚·Ú¤˜ Û˘Ó¤-
·ÏÏËÏÂȉÚÔ‡Ó ÌÂٷ͇ ÙÔ˘˜3,36. ÂȘ, fiˆ˜ ÂÒ‰˘Ó· ÂÁη‡Ì·Ù·11,21,25. ¶·ÚfiÏ· ·˘Ù¿,
ªÂ ÙËÓ ÌÂÛÔÏ¿‚ËÛË ÊˆÙÔıÂÚÌÈÎÒÓ, ʈÙÔÌ˯·ÓÈ- ··ÈÙÔ‡ÓÙ·È ÁÂÓÈο ˘„ËÏfiÙÂÚ· ›‰· ÂÓ¤ÚÁÂÈ·˜ ηÈ
ÎÒÓ ‹ Î·È ÊˆÙÔ¯ËÌÈÎÒÓ Ê·ÈÓÔÌ¤ÓˆÓ Â›Ó·È ‰˘Ó·ÙfiÓ Ó· Ù· ·ÔÙÂϤÛÌ·Ù· Â›Ó·È ÈÔ ‹È·3.
ÂÈÙ¢¯ı› ‰È·ÛÙڈ̷ÙÈ΋ ·Ê·›ÚÂÛË (ablation) ÂÓfi˜ ∏ ̤ÁÈÛÙË ÂÈÙÚÂÙ‹ ¤ÎıÂÛË (Maximum Permissible
ÈÛÙÔ‡. ∫·Ù¿ ÙË ‰È·‰Èηۛ· ·˘Ù‹, ¤ÓÙÔÓË ·ÔÚÚfiÊËÛË Exposure, MPE) ηıÔÚ›˙ÂÙ·È ˆ˜ ÙÔ fiÚÈÔ Ù˘ ·ÎÙÈÓÔ‚Ô-
Ù˘ ·ÎÙÈÓÔ‚ÔÏ›·˜ laser ·fi ¤Ó·Ó ÈÛÙfi ¤¯ÂÈ ˆ˜ ·ÔÙ¤ÏÂ- Ï›·˜ laser ÛÙÔ ÔÔ›Ô ÌÔÚ› Ó· ÂÎÙÂı› οÔÈÔ ¿ÙÔÌÔ
ÛÌ· ÙË Û˘ÁΤÓÙÚˆÛË Ù˘ ÂÓ¤ÚÁÂÈ·˜ ÛÙËÓ ÂÈÊ·ÓÂȷ΋, ˘fi Ê˘ÛÈÔÏÔÁÈΤ˜ Û˘Óı‹Î˜, ¯ˆÚ›˜ Ó· ˘ÔÛÙ› ‚Ï·ÙÈ-
οı ÊÔÚ¿, ÛÙÔÈ‚¿‰· ·˘ÙÔ‡ Î·È ÙËÓ ·fiÛ·Û‹ Ù˘. Îfi ·ÔÙ¤ÏÂÛÌ·. ∆· ›‰· MPE ÔÚ›˙ÔÓÙ·È Í¯ˆÚÈÛÙ¿
ŒÙÛÈ, ÂÈÙ˘Á¯¿ÓÂÙ·È ÛÙ·‰È·Î‹ ·Ê·›ÚÂÛË ÙÌËÌ¿ÙˆÓ ÙÔ˘ ÁÈ· ÙÔ˘˜ ÔÊı·ÏÌÔ‡˜ Î·È ÙÔ ‰¤ÚÌ· (¶ÈÓ. II). ∂Í·ÚÙÒÓÙ·È
ÈÛÙÔ‡30,37. ·fi ÙÔ Ì‹ÎÔ˜ ·̷ÙÔ˜, ÙË ‰È¿ÚÎÂÈ· ÂÎÔÌ‹˜ ηÈ, ÁÈ·
∂ÎÙfi˜ ·fi Ù· Ê·ÈÓfiÌÂÓ· Ô˘ ÂÚÈÁÚ¿ÊËηÓ, Ë Â›- Ì‹ÎÔ˜ ·̷ÙÔ˜ 400-1400nm, ·fi ÙÔ ÂÌ‚·‰fiÓ Ù˘ ·ÎÙÈ-
‰Ú·ÛË ·ÏÌÈ΋˜ ·ÎÙÈÓÔ‚ÔÏ›·˜ laser Û ¤Ó· ̤ÛÔ ÚÔη- ÓÔ‚ÔÏÔ‡ÌÂÓ˘ ÂÈÊ¿ÓÂÈ·˜ ÛÙÔÓ ·ÌÊÈ‚ÏËÛÙÚÔÂȉ‹21.
Ï› Î·È ÙËÓ ÂÌÊ¿ÓÈÛË ¿ÏÏˆÓ ÂÚ›ÏÔÎˆÓ Ê·ÈÓÔ̤- °È· ÙËÓ Î·Ï‡ÙÂÚË ÔÚÁ¿ÓˆÛË ÙˆÓ Ì¤ÙÚˆÓ ·ÛÊ·Ï›·˜ ÔÈ
ÓˆÓ21,32,40,41, Ë ÂÚÈÁÚ·Ê‹ ÙˆÓ ÔÔ›ˆÓ ÍÂʇÁÂÈ ·fi Û˘Û΢¤˜ laser ¯ˆÚ›˙ÔÓÙ·È Û ٿÍÂȘ, ·Ó¿ÏÔÁ· Ì ٷ
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