Optimal Er:YAG laser energy for preventing enamel demineralization
Objectives: The purpose of this study was to identify the optimal laser energy range of Er:YAG laser irradiation for laser-induced caries prevention (LICP). Methods: Twenty-one human non-carious molars were selected. The teeth were covered with nail varnish, except two 4 mm×1 mm windows on both the...
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Veröffentlicht in: | Journal of dentistry 2006, Vol.34 (1), p.62-66 |
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Sprache: | eng |
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Zusammenfassung: | Objectives: The purpose of this study was to identify the optimal laser energy range of Er:YAG laser irradiation for laser-induced caries prevention (LICP).
Methods: Twenty-one human non-carious molars were selected. The teeth were covered with nail varnish, except two 4
mm×1
mm windows on both the buccal and lingual surfaces. The windows were randomly assigned to groups A, B, C and D, receiving no irradiation, 100, 200 and 300
mJ irradiation, respectively. The pulse width 10
pps (pulse per second) with a 1.0
mm spot size was used. After the laser treatment, each tooth was cut into two halves longitudinally. Then a two-day pH-cycling was performed, with an 18-hour demineralization followed by a 6-hour remineralization. Sections of 120±20
μm in thickness were obtained from each window. Lesion depth was measured using polarized light microscope coupled with an image analysis software. One-way ANOVA and
post-hoc Tukey tests were used for evaluation of treatment effects.
Results: The laser treatments of 100 and 200
mJ have demonstrated significant protection of enamel demineralization (
p=0.01 and 0.001, respectively), but not the treatment with 300
mJ (
p=0.106). A smaller lesion depth was observed for the 200
mJ group (97.1
μm) than that of the 100
mJ group (105.6
μm). Compared with the control, a lesion reduction of 32.78 and 26.93% for the 200
mJ group and the 100
mJ group were obtained, respectively.
Conclusion: Caries prevention may be achieved by using Er:YAG laser treatment if the optimal range of laser parameters for LICP can be employed. |
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ISSN: | 0300-5712 1879-176X |
DOI: | 10.1016/j.jdent.2005.03.005 |