THERMAL CHANGE OF THE DENTIN BY USE OF PULSED Nd : YAG LASER

Pulsed Nd : YAG 레이저 조사에 의한 상아질의 온도변화에 대한 연구

This study was performed to evaluate the possibility of pulpal damage by measuring temperature change occured in dentin according to the thickness of dentin, the time of irradiation and the output of laser energy when the dentin surfaces were irradiated with Nd-YAG laser under water coolant and no water coolant. Sound upper and lower molar teeth were sectioned with 1mm, 1.5mm and 2mm thickness of dentin discs and divided into 4 groups by dentin thiness. 0.5 watt, 1 watt, 1.5 watt and 2 watt-energied beam of pulsed 10 p.p.s of Nd : YAG laser was applied respectively to dentin surfaces for 8 secs and 16 secs when water coolant is used or not.Ant then the temperature changes occurd in dentin were measured at opposite surfaces of laser-irradiated dentin surfaces with digital thermometer. The results were as follow. 1. When the amount of irradiated energy was same, the temperatue changes of dentin were higher as the thickness of dentin discs was thinner(p<0.01). 2. When the amount of irradiated energy and the thickness of dentins were same, The temperature changes of dentin were lower under water coolant than under no water coolant in all groups(p<0.01). 3. With the increase of time of irradiation, the temperature changes of Dentin became higher in all groups and were steeply increased at initial period of irradiation of laser. 4. Under the same thickness of dentin, the temperature changes of dentin became higher as irradiated energy was increased. These results suggest that when the beam of Nd : YAG Laser is irradiated to dential hard tissue, amount of irradiating energy, thickness of dentin, using water coolant must be considered in order to minimize thermal damage of the pulp.