Effects of Er:YAG Laser Irradiation and Topical Fluoride Application on Inhibition of Enamel Demineralization

2013 ◽  
Vol 26 (1) ◽  
pp. 30-35
Author(s):  
Ayşe Burcu Altan ◽  
Aslı Baysal ◽  
Aysel Berkkan ◽  
Emine Gülşah Göktolga-Akın
Keyword(s):  
Laser Irradiation ◽  
Er:Yag Laser ◽  
Enamel Demineralization ◽  
Topical Fluoride

scholarly journals CO2Laser and Topical Fluoride Therapy in the Control of Caries Lesions on Demineralized Primary Enamel

2015 ◽  
Vol 2015 ◽  
pp. 1-6 ◽  
Author(s):  
R. A. Valério ◽  
C. T. Rocha ◽  
R. Galo ◽  
M. C. Borsatto ◽  
M. C. P. Saraiva ◽  
...  
Keyword(s):  
Energy Density ◽  
Laser Irradiation ◽  
Primary Teeth ◽  
Treatment Control ◽  
Additional Resource ◽  
Enamel Demineralization ◽  
Knoop Microhardness ◽  
Caries Progression ◽  
Topical Fluoride ◽  
Caries Lesions

This study evaluated the effect of CO2laser irradiation and topical fluoride therapy in the control of caries progression on primary teeth enamel. 30 fragments (3×3×2 mm) from primary canines were submitted to an initial cariogenic challenge that consisted of immersion on demineralizing solution for 3 hours and remineralizing solution for 21 hours for 5 days. Fragments were randomly assigned into three groups (n=10): L: CO2laser (λ=10.6 μm), APF: 1.23% acidulated phosphate fluoride, and C: no treatment (control). CO2laser was applied with 0.5 W power and 0.44 J/cm2energy density. Fluoride application was performed with 0.1 g for 1 minute. Cariogenic challenge was conducted for 5 days following protocol previously described. Subsurface Knoop microhardness was measured at 30 μm from the edge. Obtained data were subjected to analysis the variance (ANOVA) and Duncan test with significance of 5%. It was found that the L group showed greater control of deciduous enamel demineralization and were similar to those of APF group, while being statistically different from C group (P≤0.05) that showed the lowest microhardness values. It was concluded that CO2laser can be an additional resource in caries control progression on primary teeth enamel.

scholarly journals In VitroEffects of Two Topical Varnish Materials and Er:YAG Laser Irradiation on Enamel Demineralization around Orthodontic Brackets

2014 ◽  
Vol 2014 ◽  
pp. 1-7 ◽  
Author(s):  
Feyza Ulkur ◽  
Elif Sungurtekin Ekçi ◽  
Didem Nalbantgil ◽  
Nuket Sandalli
Keyword(s):  
Laser Irradiation ◽  
Er:Yag Laser ◽  
Orthodontic Brackets ◽  
Energy Output ◽  
Surface Microhardness ◽  
Sem Images ◽  
Treatment Groups ◽  
Enamel Demineralization ◽  
Group 1

The aim of thisin vitrowas to evaluate the effects of tricalcium phosphate (TCP) and amorphous calcium phosphate (ACP) containing varnish materials and Er:YAG laser irradiation on enamel demineralization around orthodontic brackets. Forty extracted human premolar teeth were randomly divided into four treatment groups (i.e., 10 in each group): (1) 5% NaF-ACP varnish, (2) 5% NaF-TCP varnish, (3) Er:YAG laser, and (4) control (no treatment). Er:YAG laser was operated at a wavelength of 2.94 μm and the energy output was 80 mJ per pulse; a pulse duration of 200 μsec and and a frequency of 2 Hz were used with water cooling. All samples were then put into pH cycles. Surface microhardness values and representative SEM images were assessed. Surface microhardness values were evaluated using Kruskal-Wallis and Mann-WhitneyUtests. The results revealed that demineralization was significantly lower in the TCP and ACP varnish groups, whereas mean surface microhardness values of the TCP varnish were found higher than the ACP(P<0.05). TCP and ACP varnish materials were found effective for reducing enamel demineralization around orthodontic brackets. Use of Er:YAG laser irradiation as described in this study for inhibition of demineralization was found not satisfactory.

scholarly journals Aplicação do Laser na Cariologia: diagnóstico, prevenção e tratamento

2019 ◽  
Vol 8 (6) ◽  
Author(s):  
Ana Luzia Araújo Batista ◽  
Thamyres Maria Silva Simões ◽  
Maria das Graças Barbosa da Silva ◽  
Maria Helena Chaves de Vasconcelos Catão
Keyword(s):  
Systematic Review ◽  
Laser Irradiation ◽  
Primary Teeth ◽  
Er:Yag Laser ◽  
Meta Analysis ◽  
Laser Fluorescence ◽  
Caries Detection ◽  
Permanent Teeth ◽  
Topical Fluoride

Nas últimas décadas, um dos grandes avanços na Área da Saúde foi o desenvolvimento dos aparelhos de Laser, que possibilitou uma nova abordagem nos procedimentos odontológicos. A Laserterapia tem diversas aplicabilidades na Cariologia, seja como método de diagnóstico, como auxiliar nas medidas preventivas ou como tratamento da cárie dentária. Portanto, o objetivo desta revisão é proporcionar uma leitura atualizada da aplicabilidade da Laserterapia na Cariologia e, para tanto, foi realizada uma revisão literária sistematizada, na base de dados MEDLINE – Pubmed, abrangendo os últimos anos. Mediante esse estudo literário e considerando a evolução dos estudos científicos, ainda existem controvérsias a respeito da eficácia clínica do Laser na Cariologia.Descritores: Lasers; Cárie Dentária; Flúor.ReferênciasSichani AV, Javadinejad S, Ghafari R. Diagnostic value of DIAGNOdent in detecting caries under composite restorations of primary molars. Dent Res J. 2016;13(4):327-32.Montedori A, Abraha I, Orso M, D'errico PG, Pagano S, Lombardo G. Lasers for caries removal in deciduous and permanent teeth. Cochrane Database Syst Rev. 2016;26(9):CD010229.Nagata JY, Hioka N, Kimura E, Batistela VR, Terada RS, Graciano AX et al. Antibacterial photodynamic therapy for dental caries: evaluation of the photosensitizers used and light source properties. Photodiagnosis Photodyn Ther. 2012;9(2):122-31.Bahrololoomi Z, Fotuhi  Ardakani F, Sorouri M. In vitro comparison of the effects of diode laser and co2 laser on topical fluoride uptake in primary teeth. J Dent (Tehran). 2015;12(8):585-91.Nokhbatolfoghahaie H, Alikhasi M, Chiniforush N, Khoei F, Safavi N, Yaghoub Zadeh B. Evaluation of Accuracy of DIAGNOdent in Diagnosis of Primary and Secondary Caries in Comparison to Conventional Methods. J Lasers Med Sci. 2013; 4(4):159-67.Melo M, Pascual A, Camps I, Del Campo Á, Ata-Ali J. Caries diagnosis using light fluorescence devices in comparison with traditional visual and tactile evaluation: a prospective study in 152 patients. Odontology. 2017;105(3):283-90.Gimenez T, Braga MM, Raggio DP, Deery C, Ricketts DN, Mendes FM. Fluorescence-based methods for detecting caries lesions: systematic review, meta-analysis and sources of heterogeneity. PLoS One. 2013;8(4):e60421.Kositbowornchai S, Sukanya C, Tidarat T, Chanoggarn T. Caries detection under composite restorations by laser fluorescence and digital radiography. Clin Oral Investig. 2013; 17(9):2079-84.Rosa MI, Schambeck VS, Dondossola ER, Alexandre MC, Tuon L, Grande AJ, Hugo F. Laser fluorescence of caries detection in permanent teeth in vitro: a systematic review and meta-analysis. J Evid Based Med. 2016;  9(4):213-24.Heravi F, Ahrari F, Mahdavi M, Basafa S. Comparative evaluation of the effect of Er:YAG laser and low level laser irradiation combined with CPP-ACPF cream on treatment of enamel caries. J Clin Exp Dent. 2014;6(2):e121-26.Mang TS, Tayal DP, Baier R. Photodynamic therapy as an alternative treatment for disinfection of bacteria in oral biofilms. Lasers Surg Med. 2012;44(7):588-96.Fornaini C, Brulat N, Milia G, Rockl A, Rocca JP. The use of sub-ablative Er:YAG laser irradiation in  prevention of dental caries during orthodontic treatment. Laser Ther. 2014;23(3):173-81.Karandish M. The efficiency of laser application on the enamel surface: a systematic review. J Lasers Med Sci. 2014;5(3):108-14.Twetman S, Axelsson S, Dahlén G, Espelid I, Mejàre I, Norlund A et al. Adjunct methods for caries detection: a systematic review of literature. Acta Odontol Scand. 2013;71(3-4):388-97.Bahrololoomi Z, Lotfian M. Effect of diode laser irradiation combined with topical fluoride on enamel microhardness of primary teeth. J Dent (Tehran). 2015;12(2):85-9.Ramos-Oliveira TM, Ramos TM, Esteves-Oliveira M, Apel C, Fischer H, Eduardo CP et al. Potential of CO2 lasers (10.6 µm) associated with fluorides in inhibiting human enamel erosion. Braz Oral Res. 2014;28(1):1-6.Souza-Gabriel AE, Turssi CP, Colucci V, Tenuta LM, Serra MC, Corona SA. In situ study of the anticariogenic potential of fluoride varnish combined with CO2 laser on enamel. Arch Oral Biol. 2015;60(6):804-10.

Effects of the Er:YAG Laser Irradiation on Titanium Implant Materials and Contaminated Implant Abutment Surfaces

2003 ◽  
Vol 21 (1) ◽  
pp. 7-17 ◽  
Author(s):  
Tomoko Matsuyama ◽  
Akira Aoki ◽  
Shigeru Oda ◽  
Takayuki Yoneyama ◽  
Isao Ishikawa
Keyword(s):  
Laser Irradiation ◽  
Er:Yag Laser ◽  
Titanium Implant ◽  
Implant Materials ◽  
Implant Abutment

Surface temperature during cavity preparation on human tooth by Er:YAG laser irradiation

CIRP Annals ◽  
2011 ◽  
Vol 60 (1) ◽  
pp. 555-558 ◽  
Author(s):  
T. Furumoto ◽  
T. Ueda ◽  
A. Kasai ◽  
A. Hosokawa
Keyword(s):  
Surface Temperature ◽  
Laser Irradiation ◽  
Er:Yag Laser ◽  
Human Tooth ◽  
Cavity Preparation

scholarly journals Er:YAG laser-induced damage to a dental composite in simulated clinical scenarios for inadvertent irradiation: an in vitro study

2021 ◽  
Author(s):  
Katharina Kuhn ◽  
Carmen U. Schmid ◽  
Ralph G. Luthardt ◽  
Heike Rudolph ◽  
Rolf Diebolder
Keyword(s):  
Laser Irradiation ◽  
Laser Fluence ◽  
Ablation Threshold ◽  
Er:Yag Laser ◽  
In Vitro Study ◽  
Vitro Study ◽  
Crater Diameter ◽  
Clinical Scenarios ◽  
Laser Induced Damage

AbstractInadvertent Er:YAG laser irradiation occurs in dentistry and may harm restorative materials in teeth. The aim of this in vitro study was to quantify Er:YAG laser-induced damage to a nanohybrid composite in simulated clinical scenarios for inadvertent direct and indirect (reflection) laser irradiation. The simulation was performed by varying the output energy (OE;direct˃indirect) reaching the specimen and the operating distance (OD;direct˂indirect). Composite specimens were irradiated by an Er:YAG laser. The ablation threshold was determined and clinically relevant parameters were applied (n = 6 for each OE/OD combination) for direct (OE: 570 mJ/OD: 10 mm, OE: 190 mJ/OD: 10 mm) and indirect irradiation (OE: 466 mJ/OD: 15 mm, OE: 57 mJ/OD: 15 mm, OE: 155 mJ/OD: 15 mm, OE: 19 mJ/OD: 15 mm). The extent of damage in the form of craters was evaluated using a laser scanning microscope (LSM) and a conventional light microscope (LM). The ablation threshold was determined to be 2.6 J/cm2. The crater diameter showed the highest value (LM: 1075 ± 18 µm/LSM: 1082 ± 17 µm) for indirect irradiation (reflectant:dental mirror) (OE: 466 mJ/OD: 15 mm). The crater depth showed the highest and comparable value for direct (OE: 570 mJ/OD: 10 mm; LSM: 89 ± 2 µm) and indirect irradiation (OE: 466 mJ/OD: 15 mm; LSM: 90 ± 4 µm). For each OD, the crater diameter, depth, and volume increased with higher laser fluence. However, the OD—and thus the laser spot diameter—also had an enlarging effect. Thus, indirect irradiation (reflectant:dental mirror) with only 47% of the laser fluence of direct irradiation led to a larger diameter and a comparable depth. The three-dimensional extent of the crater was large enough to cause roughening, which may lead to plaque accumulation and encourage caries, gingivitis, and periodontitis under clinical conditions. Clinicians should be aware that reflected irradiation can still create such craters.

scholarly journals Human Dental Enamel and Dentin Structural Effects after Er:yag Laser Irradiation

2014 ◽  
Vol 15 (3) ◽  
pp. 283-287 ◽  
Author(s):  
Mateus Rodrigues Tonetto ◽  
Marcelo Ferrarezi de Andrade ◽  
Shelon Cristina Souza Pinto ◽  
Darlon Martins Lima ◽  
José Roberto Cury Saad ◽  
...  
Keyword(s):  
Laser Irradiation ◽  
Soft Tissues ◽  
Er:Yag Laser ◽  
Laser System ◽  
Dental Enamel ◽  
Target Tissue ◽  
Structural Effects ◽  
Ablation Process ◽  
Dental Tissues ◽  
Laser Systems

ABSTRACT Ideally projected to be applied on soft tissues, infrared lasers were improved by restorative dentistry to be used in hard dental tissues cavity preparations — namely enamel and dentin. This paper evidentiates the relevant aspects of infrared Erbium laser's action mechanism and its effects, and characterizes the different effects deriving from the laser's beams emission. The criteria for use and selection of optimal parameters for the correct application of laser systems and influence of supporting factors on the process, such as water amount and its presence in the ablation process, protection exerted by the plasma shielding and structural factors, which are indispensable in dental tissues cavity preparation related to restorative technique, are subordinated to optical modifications caused by the interaction of the energy dissipated by these laser light emission systems in the targeted tissue substrate. Clinical relevance Differences in the action of infrared Erbium laser system in regard to the nature of the ablation process and variations on the morphological aspects observed in the superficial structure of the target tissue irradiated, may be correlated to the structural optical modifications of the substrate produced by an interaction of the energy propagated by laser systems. How to cite this article Lima DM, Tonetto MR, de Mendonça AAM, Elossais AA, Saad JRC, de Andrade MF, Pinto SCS, Bandéca MC. Human Dental Enamel and Dentin Structural Effects after Er:yag Laser Irradiation. J Contemp Dent Pract 2014;15(3):283-287.

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