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Near-infrared Laser Energy Transmission through Teeth with Crack Lines: An In-vitro Study

  • Sapra, Ashita (School of Medicine and Dentistry, Griffith University) ;
  • Darbar, Arun (School of Medicine and Dentistry, Griffith University) ;
  • George, Roy (School of Medicine and Dentistry, Griffith University)
  • Received : 2021.08.30
  • Accepted : 2021.10.27
  • Published : 2021.12.31

Abstract

Background and Objectives To evaluate the difference in near-infrared (810 nm) laser energy transmission through teeth with and without cracks. Materials and Methods Extracted teeth were sectioned and examined visually for the presence of cracks with the aid of photographs and a trans-illuminator. Fourteen sections, each with cracks (Group A) and no cracks (Group B) were identified and placed 15 mm from the tip of a 300 micron fiber, prior to activation with an 810 nm diode laser (0.1W, 50 ms interval,100 ms duration). A power meter positioned behind the tooth recorded the average energy that was transmitted through the samples. Unpaired t-test analysis was used to determine if the tooth sections with cracks allowed higher power passage compared to sound teeth. Results The mean power recording for the cracked teeth (Group A) was significantly greater (p = 0.0005) than that for the non-cracked teeth (Group B). Conclusion Within the limitations of this study, it is evident that significantly higher laser energy passes through teeth with cracks in comparison to teeth without cracks. A recent clinical study has also shown that lasers could be used to assess symptomatic cracked teeth. Hence, further research is required to determine the relative increase in energy required to identify symptomatic cracked teeth.

Keywords

References

  1. Rivera E, Walton RE. Endodontics: colleagues for excellence newsletter. Cracking the cracked tooth code: detection and treatment of various longitudinal tooth fractures. Chicago: American Association of Endodontists; 2008.
  2. Kahler W. The cracked tooth conundrum: terminology, classification, diagnosis, and management. Am J Dent 2008;21:275-82.
  3. Albers HF. Tooth colored restoratives: principles & techniques. Shelton: People's Medical Publishing House USA Ltd.; 2002. p.302.
  4. Culjat MO, Singh RS, Brown ER, Neurgaonkar RR, Yoon DC, White SN. Ultrasound crack detection in a simulated human tooth. Dentomaxillofac Radiol 2005;34:80-5. https://doi.org/10.1259/dmfr/12901010
  5. Pop I, Manoharan A, Zanini F, Tromba G, Patel S, Foschi F. Synchrotron light-based μCT to analyse the presence of dentinal microcracks post-rotary and reciprocating NiTi instrumentation. Clin Oral Investig 2015;19:11-6. https://doi.org/10.1007/s00784-014-1206-5
  6. Patel S, Dawood A, Ford TP, Whaites E. The potential applications of cone beam computed tomography in the management of endodontic problems. Int Endod J 2007;40:818-30. https://doi.org/10.1111/j.1365-2591.2007.01299.x
  7. Alassaad SS. Incomplete cusp fractures: early diagnosis and communication with patients using fiber-optic transillumination and intraoral photography. Gen Dent 2011;59:132-5.
  8. Mathew S, Thangavel B, Mathew CA, Kailasam S, Kumaravadivel K, Das A. Diagnosis of cracked tooth syndrome. J Pharm Bioallied Sci 2012;4(Suppl 2):S242-4.
  9. Shakibaie F, George R, Walsh LJ. Applications of laser induced fluorescence in dentistry. Int J Dent Clin 2011;3:38-44.
  10. George R. Laser in dentistry- review. Int J Dent Clin 2009:1:13-9.
  11. Walsh LJ. The current status of laser applications in dentistry. Aust Dent J 2003;48:146-55; quiz 198. https://doi.org/10.1111/j.1834-7819.2003.tb00025.x
  12. Sapra A, Darbar A, George R. Laser-assisted diagnosis of symptomatic cracks in teeth with cracked tooth: a 4-year in-vivo follow-up study. Aust Endod J 2020;46:197-203. https://doi.org/10.1111/aej.12391
  13. Seo DG, Yi YA, Shin SJ, Park JW. Analysis of factors associated with cracked teeth. J Endod 2012;38:288-92. https://doi.org/10.1016/j.joen.2011.11.017
  14. Sun K, Yuan L, Shen Z, Xu Z, Zhu Q, Ni X, et al. Scanning laser-line source technique for nondestructive evaluation of cracks in human teeth. Appl Opt 2014;53:2366-74. https://doi.org/10.1364/AO.53.002366
  15. Landrigan MD, Flatley JC, Turnbull TL, Kruzic JJ, Ferracane JL, Hilton TJ, et al. Detection of dentinal cracks using contrast-enhanced micro-computed tomography. J Mech Behav Biomed Mater 2010;3:223-7. https://doi.org/10.1016/j.jmbbm.2009.10.003
  16. Trost L, Kaiser K. Emerging applications for the soft-tissue diode laser. Nashville: Endeavor Business Media, LLC.; 2009.
  17. Klunboot U, Arayathanitkul K, Chitaree R, Emarat N. The temperature effects of diode laser on pulpal tissues for the teeth whitening treatment. Proced Eng 2012;32:722-6. https://doi.org/10.1016/j.proeng.2012.02.003
  18. Artes-Ribas M, Arnabat-Dominguez J, Puigdollers A. Analgesic effect of a low-level laser therapy (830 nm) in early orthodontic treatment. Lasers Med Sci 2013;28:335-41. https://doi.org/10.1007/s10103-012-1135-y
  19. De Moor RJ, Verheyen J, Diachuk A, Verheyen P, Meire MA, De Coster PJ, et al. Insight in the chemistry of laser-activated dental bleaching. ScientificWorldJournal 2015;2015:650492.
  20. Viapiana R, Sousa-Neto MD, Souza-Gabriel AE, Alfredo E, Silva-Sousa YT. Microhardness of radicular dentin treated with 980-nm diode laser and different irrigant solutions. Photomed Laser Surg 2012;30:102-6. https://doi.org/10.1089/pho.2011.3109
  21. Gutknecht N, van Gogswaardt D, Conrads G, Apel C, Schubert C, Lampert F. Diode laser radiation and its bactericidal effect in root canal wall dentin. J Clin Laser Med Surg 2000;18:57-60. https://doi.org/10.1089/clm.2000.18.57
  22. Kilinc E, Drukteinis S, Roshkind DM, Hardigan PC. Thermal absorption of CO2, Nd:YAG, diode lasers in dental materials. In: International Association of Dental Research (IADR) 89th General Session and Exhibition; 2011 Mar 14-19; San Diego. 2011.
  23. Kilinc E, Rothrock J, Migliorati E, Drukteinis S, Roshkind DM, Bradley P. Potential surface alteration effects of laser-assisted periodontal surgery on existing dental restorations. Quintessence Int 2012;43:387-95.
  24. Ratcliff S, Becker IM, Quinn L. Type and incidence of cracks in posterior teeth. J Prosthet Dent 2001;86:168-72. https://doi.org/10.1067/mpr.2001.116578