The effect of fractional CO2 laser irradiation on remineralization of enamel white spot lesions

This study investigated the combined effect of fractional CO 2 laser irradiation and fluoride on treatment of enamel caries. Sixty intact premolars were randomly assigned into four groups and then stored in a demineralizing solution to induce white spot lesions. Tooth color was determined at baselin...

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Veröffentlicht in:Lasers in medical science 2014-07, Vol.29 (4), p.1349-1355
Hauptverfasser: Poosti, Maryam, Ahrari, Farzaneh, Moosavi, Horieh, Najjaran, Hoda
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Ahrari, Farzaneh
Moosavi, Horieh
Najjaran, Hoda
description This study investigated the combined effect of fractional CO 2 laser irradiation and fluoride on treatment of enamel caries. Sixty intact premolars were randomly assigned into four groups and then stored in a demineralizing solution to induce white spot lesions. Tooth color was determined at baseline (T1) and after demineralization (T2). Afterwards, the teeth in group 1 remained untreated (control), while group 2 was exposed to an acidulated phosphate fluoride (APF) gel for 4 min. In groups 3 and 4, a fractional CO 2 laser was applied (10 mJ, 200 Hz, 10 s) either before (group 3) or through (group 4) the APF gel. The teeth were then immersed in artificial saliva for 90 days while subjected to daily fluoride mouthrinse and weekly brushing. Color examinations were repeated after topical fluoride application (T3) and 90 days later (T4). Finally, the teeth were sectioned, and microhardness was measured at the enamel surface and at 30 and 60 μ from the surface. In both lased groups, the color change between T1 and T4 stages (∆ E T1–T4 ) was significantly lower than those of the other groups ( p  
doi_str_mv 10.1007/s10103-013-1290-9
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Laser irradiation followed by fluoride application (group 3) caused a significant increase in surface microhardness compared to APF alone and control groups ( p  &lt; 0.05). Microhardness at depths of 30 and 60 μ was also significantly greater in group 3 compared to those of all other groups ( p  &lt; 0.05). 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Sixty intact premolars were randomly assigned into four groups and then stored in a demineralizing solution to induce white spot lesions. Tooth color was determined at baseline (T1) and after demineralization (T2). Afterwards, the teeth in group 1 remained untreated (control), while group 2 was exposed to an acidulated phosphate fluoride (APF) gel for 4 min. In groups 3 and 4, a fractional CO 2 laser was applied (10 mJ, 200 Hz, 10 s) either before (group 3) or through (group 4) the APF gel. The teeth were then immersed in artificial saliva for 90 days while subjected to daily fluoride mouthrinse and weekly brushing. Color examinations were repeated after topical fluoride application (T3) and 90 days later (T4). Finally, the teeth were sectioned, and microhardness was measured at the enamel surface and at 30 and 60 μ from the surface. In both lased groups, the color change between T1 and T4 stages (∆ E T1–T4 ) was significantly lower than those of the other groups ( p  &lt; 0.05). 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Laser irradiation followed by fluoride application (group 3) caused a significant increase in surface microhardness compared to APF alone and control groups ( p  &lt; 0.05). Microhardness at depths of 30 and 60 μ was also significantly greater in group 3 compared to those of all other groups ( p  &lt; 0.05). Application of a fractional CO 2 laser before fluoride therapy is suggested for recovering the color and rehardening of demineralized enamel.</abstract><cop>London</cop><pub>Springer London</pub><pmid>23519913</pmid><doi>10.1007/s10103-013-1290-9</doi><tpages>7</tpages></addata></record>
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subjects Carbon dioxide
Color
Dental care
Dental caries
Dental Caries - pathology
Dental Caries - surgery
Dental Enamel - pathology
Dental Enamel - radiation effects
Dentistry
Hardness
Humans
Laser surgery
Lasers
Lasers, Gas
Medicine
Medicine & Public Health
Optical Devices
Optics
Original Article
Photonics
Quantum Optics
Tooth Remineralization
title The effect of fractional CO2 laser irradiation on remineralization of enamel white spot lesions
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