• Title/Summary/Keyword: laser dentistry

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Low-Level Laser Therapy in Dentistry (임상가를 위한 특집3 - 치과 영역에서의 저출력레이저요법)

  • Im, Yeong-Gwan;Kim, Ji-Yeon;Kim, Byung-Gook
    • The Journal of the Korean dental association
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    • v.49 no.11
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    • pp.679-687
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    • 2011
  • Low-level laser therapy (LLLT) is the application of light to pathology to promote tissue regeneration, reduce inflammation, and relieve pain. LLLT has a photochemical effect whereby the light is absorbed and exerts a chemical change. The clinical applications of LLLT include improvement in wound and bone healing processes, control of pain and tooth hypersensitivity, modulation of periodontal inflammation, the prevention and treatment of cancer therapy-induced oral mucositis, management of burning mouth syndrome, and improvement in temporomandibular disorder symptoms. Further research is needed to better elucidate the cellular mechanisms of LLLT and provide a solid scientific basis for the clinical application of LLLT in dentistry.

Orthodontic bonding to acid- or laser-etched prebleached enamel

  • Ozdemir, Fulya;Cakan, Umut;Gonul, Nese;Cakan, Derya Germec
    • The korean journal of orthodontics
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    • v.43 no.3
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    • pp.141-146
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    • 2013
  • Objective: Bonding forces of brackets to enamel surfaces may be affected by the procedures used for bleaching and enamel etching. The aim of this study was to investigate the bonding strength of orthodontic brackets to laser-etched surfaces of bleached teeth. Methods: In a nonbleached control group, acid etching (group A) or Er:YAG laser application (group B) was performed prior to bracket bonding (n = 13 in each group). Similar surface treatments were performed at 1 day (groups C and D; n = 13 in each subgroup) or at 3 weeks (groups E and F; n = 13 in each subgroup) after 38% hydrogen peroxide bleaching in another set of teeth. The specimens were debonded after thermocycling. Results: Laser etching of bleached teeth resulted in clinically unacceptable low bonding strength. In the case of acid-etched teeth, waiting for 3 weeks before attachment of brackets to the bleached surfaces resulted in similar, but not identical, bond strength values as those obtained with nonbleached surfaces. However, in the laser-etched groups, the bonding strength after 3 weeks was the same as that for the nonbleached group. Conclusions: When teeth bleached with 38% hydrogen peroxide are meant to be bonded immediately, acid etching is preferable.

Effects of Acid-etching, CO2 and Nd:YAG Lasing on the Dentin Surface (산부식과 CO2 및 Nd:YAG 레이저 조사에 따른 상아질 표면의 변화)

  • Lee, Jae-Hak;Park, June-Sang;Ko, Myung-Yun
    • Journal of Oral Medicine and Pain
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    • v.25 no.1
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    • pp.129-144
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    • 2000
  • The purpose of this study was to examine dentin surface changes of extracted sound third molar specimens which were etched with 10% maleic acid and irradiated at $7-140J/cm^2$ with $CO_2$ and at $156-280J/cm^2$ with Nd:YAG laser. The results were as follows. 1. Dentin surfaces etched with 10% maleic acid and then irradiated at below of $42J/cm^2$ with $CO_2$ laser showed the retentive morphology for resin restoration. 2. Dentin surfaces irradiated at below of $42J/cm^2$ with $CO_2$ laser showed the increased acid-resistance. 3. Dentin surfaces irradiated at $218-280J/cm^2$ with Nd:YAG laser showed the retentive morphology. 4. Dentin surfaces irradiated at $218-280J/cm^2$ with Nd:YAG laser and etched 10% maleic acid and then $218-280J/cm^2$ with Nd:YAG laser showed the increased acid-resistance.

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

  • Sapra, Ashita;Darbar, Arun;George, Roy
    • Medical Lasers
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    • v.10 no.4
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    • pp.214-219
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    • 2021
  • 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.

EFFECTS OF THE ER,CR:YSGG LASER ON BONE BED PREPARATION WITH VARIOUS LASER TIPS

  • Kim, Seong-Kyun;Heo, Seong-Joo;Koak, Jai-Young;Hong, Seong-Doo;Lee, Shin-Jae;Lee, Joo-Hee
    • The Journal of Korean Academy of Prosthodontics
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    • v.46 no.3
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    • pp.255-260
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    • 2008
  • STATEMENT OF PROBLEM: Preparation of implant beds with lasers is considered a safe and reliable method, but the accuracy of this technique has not been examined. PURPOSE: The purpose of this study was to evaluate the accuracy and effectiveness of implant bed preparation using an Er,Cr:YSGG laser. MATERIAL AND METHODS: An Er,Cr:YSGG laser was applied to pig rib bone. The laser was employed at a 5.75 W power setting, 30 Hz/sec pulse repetition, and 70 ${\mu}s$ pulse duration with 50 % water and 60% air spray. According to laser tips the groups were divided as follows; Group 1: paralleled - shaped sapphire tip (0.6 mm${\Phi}$), Group 2: paralleled - shaped zirconia tip (0.6 mm${\Phi}$), Group 3: tapered sapphire tip (0.4 mm${\Phi}$). The Er,Cr:YSGG laser tip was separated by 1 mm from the bone and applied for 15 seconds in a non-contact mode. After the application, the bone was sectioned for specimens. Histologic measurements were determined by computerized morphometry. The length of the prepared bone surface was measured and the width of the entrance was measured. The results were analyzed with one-way ANOVA (P<0.05). RESULTS: The prepared length of group 3 was longer than that of group 2. The prepared bone width was larger than the width of the laser tip in every group. Additional bone removal was observed adjacent to the prepared area and displayed an irregular surface. CONCLUSION & DISCUSSION: Different cutting effects were observed according to the laser tip, emphasizing the importance of proper tip selection in the clinical setting. This preliminary study supported the existence of hydrokinetic effects.

Current concepts of Laser dentistry (임상가를 위한 특집2 - Current concepts of Laser dentistry)

  • Eun, Hee-Jong
    • The Journal of the Korean dental association
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    • v.49 no.11
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    • pp.670-678
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    • 2011
  • Various sorts of dental devices for the dental treatment have been introduced and adopted during past several years. Dental Laser, among all devices, seems to be possible for applying to over the whole treatments and widely employed. Furthermore, this article is to introduce that Dental Laser is intended to care patients secured with the effectual treatment against Conventional procedures based upon its studies. The advantages of Dental Laser treatment-along with LLLT (Low Level Laser Therapy) effect, biostimulation effect, and minimal invasive technique - make the patients reduce their fear of the operation, lighten the inconvenience of post operation, and shorten the treatment period. In particular, it is worth considering that the use of laser-assisted therapies is associated with a marked reduction in the use of analgesics and anti-inflammatory medications compared with conventional procedures. This article is to state advantages and differences of Dental Laser treatment compared with Conventional procedures, and to emphasize to become well-acquainted with the precautions for safety and effective Dental Laser treatment. In case of operating Dental Laser with lack of the instructions, it will cause the unpredicted fatal results; therefore this treatment requires special care in its operation. Henceforward, it is anticipated that infinite treatment protocols will be introduced by applying Dental Laser, and this is to address the utilization of Dental Laser.

ANALYSIS OF ER:YAG LASER IRRADIATION ON CUTTING EFFICACY OF ENAMEL AND DENTIN (Er:YAG 레이저의 법랑질 및 상아질의 삭제효과 비교)

  • Hong, Seong-Su;Lee, Sang-Ho;Lee, Chang-Seop;Kim, Su-Gwan
    • Journal of the korean academy of Pediatric Dentistry
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    • v.28 no.4
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    • pp.728-734
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    • 2001
  • The purpose of this study was to investigate the effects of Er:YAG laser on cutting of efficacy of enamel and dentin in primary and permanent teeth. We used the enamel and dentin specimens of human teeth which contain the physiologic saline and maintain the pulpal pressure in dentinal tubules. Each specimen was exposed to Er:YAG laser with non-contact mode under different treatment condition of irradiation energy, pulse repetition rate. We investigated the cutting efficacy of Er:YAG laser by Scanning Intensity Microscopy, and obtained following results. 1. Cutting volume of enamel and dentin in primary and permanent teeth were increased by increasing the irradiation energy, pulse repetition rate. 2. Cutting volume of primary teeth was larger than that of permanent teeth. 3. Cutting volume of dentin was larger than that of enamel in primary and permanent teeth. From these results, Er:YAG laser would be more effective in cutting dentin than enamel, and in cutting primary teeth than permanent teeth for clinical application.

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The effect of a diode laser and traditional irrigants on the bond strength of self-adhesive cement

  • Tuncdemir, Ali Riza;Yildirim, Cihan;Ozcan, Erhan;Polat, Serdar
    • The Journal of Advanced Prosthodontics
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    • v.5 no.4
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    • pp.457-463
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    • 2013
  • PURPOSE. The purpose of this study was to compare the effect of a diode laser and traditional irrigants on the bond strength of self-adhesive cement. MATERIALS AND METHODS. Fifty-five incisors extracted due to periodontal problems were used. All teeth were instrumented using a set of rotary root canal instruments. The post spaces were enlarged for a No.14 (diameter, 1.4 mm) Snowlight (Abrasive technology, OH, USA) glass fiber reinforced composite post with matching drill. The teeth were randomly divided into 5 experimental groups of 11 teeth each. The post spaces were treated with the followings: Group 1: 5 mL 0.9% physiological saline; Group 2: 5 mL 5.25% sodium hypochlorite; Group 3: 5 mL 17% ethylene diamine tetra acetic acid (EDTA), Group 4: 37% orthophosphoric acid and Group 5: Photodynamic diode laser irradiation for 1 minute after application of light-active dye solution. Snowlight posts were luted with self-adhesive resin cement. Each root was sectioned perpendicular to its long axis to create 1 mm thick specimens. The push-out bond strength test method was used to measure bond strength. One tooth from each group was processed for scanning electron microscopic analysis. RESULTS. Bond strength values were as follow: Group 1 = 4.15 MPa; Group 2 = 3.00 MPa; Group 3 = 4.45 MPa; Group 4 = 6.96 MPa; and Group 5 = 8.93 MPa. These values were analysed using one-way ANOVA and Tukey honestly significant difference test (P<.05). Significantly higher bond strength values were obtained with the diode laser and orthophosphoric acid (P<.05). There were no differences found between the other groups (P> .05). CONCLUSION. Orthophosphoric acid and EDTA were more effective methods for removing the smear layer than the diode laser. However, the diode laser and orthophosphoric acid were more effective at the cement dentin interface than the EDTA, Therefore, modifying the smear layer may be more effective when a self-adhesive system is used.

Assessment of the accuracy of laser-scanned models and 3-dimensional rendered cone-beam computed tomographic images compared to digital caliper measurements on plaster casts

  • Yousefi, Faezeh;Shokri, Abbas;Zahedi, Foozie;Farhadian, Maryam
    • Imaging Science in Dentistry
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    • v.51 no.4
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    • pp.429-438
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    • 2021
  • Purpose: This study investigated the accuracy of laser-scanned models and 3-dimensional(3D) rendered cone-beam computed tomography (CBCT) compared to the gold standard (plaster casts) for linear measurements on dental arches. Materials and Methods: CBCT scans and plaster models from 30 patients were retrieved. Plaster models were scanned by an Emerald laser scanner (Planmeca, Helsinki, Finland). Sixteen different measurements, encompassing the mesiodistal width of teeth and both arches' length and width, were calculated using various landmarks. Linear measurements were made on laser-scanned models using Autodesk Meshmixer software v. 3.0 (Autodesk, Mill Valley, CA, USA), on 3D-rendered CBCT models using OnDemand 3D v. 1.0 (Cybermed, Seoul, Korea) and on plaster casts by a digital caliper. Descriptive statistics, the paired t-test, and intra- and inter-class correlation coefficients were used to analyze the data. Results: There were statistically significant differences between some measurements on plaster casts and laser-scanned or 3D-rendered CBCT models (P<0.05). Molar mesiodistal width and mandibular anterior arch width deviated significantly different from the gold standard in both methods. The largest mean differences of laser-scanned and 3D-rendered CBCT models compared to the gold standard were 0.12±0.23 mm and 0.42±0.53 mm, respectively. Most of the mean differences were not clinically significant. The intra- and inter-class correlation results were acceptable for all measurements(>0.830) and between observers(>0.801). Conclusion: The 3D-rendered CBCT images and laser-scanned models were useful and accurate alternatives to conventional plaster models. They could be used for clinical purposes in orthodontics and prostheses.