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Effects of cavity preparation using a nanosecond-pulsed Nd-YAG laser on tooth-restoration interface

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Abstract

This study evaluated the tooth-restoration interface between composite resin or glass ionomer cement and the tooth surface in teeth where caries removal and cavity preparation were performed either with the dental drill, the dental drill and laser irradiation, or laser irradiation alone. A nanosecond-pulsed Nd-YAG laser was used at energy densities of 2–8 J cm-2. After tooth restoration, microleakage tests were performed using methylene blue. Using general linear model procedures, no significant differences in microleakage were determined between ‘drill’ and ‘drill and laser’-prepared groups (p< 0.01) in resinand in glass-ionomer-restored teeth. These specimens showed significantly less dye penetration than the ‘laser only’ group (p< 0.0001). No correlation was found between fluence and microleakage using either restorative material (p = 0.8). Dye penetration was significantly greater in the composite-filled than in the glass-ionomer group (p< 0.05). Mechanisms influencing laser effects on bonding require further investigation before clinical application of lasers as an alternative to the dental drill can become viable.

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References

  1. Wigdor HA, Walsh JT Jr, Featherstone JD, Visuri SR, Fried D, Waldvogel JL. Lasers in dentistry.Lasers Surg Med 1995,16:103–33

    Article  PubMed  CAS  Google Scholar 

  2. Zakariasen KL, MacDonald R, Boran T. Spotlight on lasers. A look at potential benefits.J Am Dent Assoc 1991,122:58–62

    PubMed  CAS  Google Scholar 

  3. White JM, Goodis HE, Setcos JC, Eakle S, Hulscher BE, Rose CL. Effects of pulsed Nd:YAG laser energy on human teeth: a three-year follow-up study.J Am Dent Assoc 1993,4:45–51.

    Google Scholar 

  4. Gordon TE. Single surface cutting of normal tooth with ruby laser.J Am Dent Assoc 1967,74:398–402

    PubMed  Google Scholar 

  5. Brune D. Interaction of pulsed carbon dioxide laser beams with teeth in vitro.Scand J Dent Res 1980,88:301–5

    PubMed  CAS  Google Scholar 

  6. Stern RH, Sognnaes RF. Laser beam effect on dental hard tissues.J Dent Res 1964,43:873

    Google Scholar 

  7. Melcer J, Chaumette MT. Treatment of dental decay by CO2 laser beam: Preliminary results.Laser Surg Med 1984,4:311–21

    Article  CAS  Google Scholar 

  8. Matsumoto K, Nakamura Y, Wakabayashi H, Arima M, Yamada Y, Kikuchi K. A morphological research on the cavity preparation by ArF:excimer laser.Jpn J Conserv Dent 1980,33:1139–42

    Google Scholar 

  9. Neev J, Liaw LH, Raney D, Fujishige J, Ho P, Berns M. Selectivity, efficiency, and surface characteristics of hard dental tissues ablated with ArF pulsed excimer lasers.Lasers Surg Med 1991,11:499–510

    Article  PubMed  CAS  Google Scholar 

  10. Frentzen M, Koort H, Thiensiri J. Excimer lasers in dentistry: future possibilities with advanced technology.New Tech Dev 1992,23:117–33

    CAS  Google Scholar 

  11. Lee J, Cheung E, Wilder-Smith P, Desai TJ, Liaw LH, Berns MW. Thermal, ablative and physicochemical effects of XeCl laser on dentin.Biomed Optics 1995,2394:188–95

    CAS  Google Scholar 

  12. Machida T, Wilder-Smith P, Arrastia AM, Liaw LH, Berns MW. Root canal preparation using the second harmonic KTP:YAG laser: a thermographic and scanning electron microscopic study.J Endodontics 1995,21(2):88–91

    Article  CAS  Google Scholar 

  13. Wilder-Smith P, Lin S, Nguyen A et al. Morphological effects of ArF excimer laser irradiation on enamel and dentin.Lasers Surg Med (in press)

  14. Hibst R, Keller U. Experimental studies of the application of the Er:YAG laser on dental hard substances.Lasers Surg Med 1989,9:338–51

    Article  PubMed  CAS  Google Scholar 

  15. Kelsey WP III, Blankenau RJ, Powell GL. Application of the argon laser to dentistry.Lasers Surg Med 1991,11:495–8

    Article  PubMed  Google Scholar 

  16. Zach L, Cohen G. Pulp response to externally applied heat.Endodontics 1965,19:515–30

    CAS  Google Scholar 

  17. Boehm R, Rich J, Webster J, Janke S. Thermal stress effects and surface cracking associated with laser use on human teeth.J Biomech Eng 1977,77:189–94

    Google Scholar 

  18. Sandford MA, Walsh LJ. Differential thermal effects of pulsed vs. continuous CO2 laser radiation on human molar teeth.J Clinical Las Med Sur 1994,12:139–42

    Google Scholar 

  19. Cox CJ, Pearson GJ, Palmer G. Preliminary in vitro investigation of the effects of pulsed Nd:YAG laser radiation on enamel and dentine.Biomaterials 1994,15:1145–51

    Article  PubMed  CAS  Google Scholar 

  20. Anic I, Vidovic D, Luic M, Tudja M. Laser induced molar tooth pulp chamber temperature changes.Caries Res 1992,26:165–9

    PubMed  CAS  Google Scholar 

  21. Shariati S, Pogrel MA, Marshall GW, White JM. Structural changes in dentin induced by high energy, continuous wave carbon dioxide laser.Lasers Surg Med 1993,13:543–7

    Article  PubMed  CAS  Google Scholar 

  22. Kimura Y, Arrastia-Jitosho AM, Wilder-Smith et al. Thermal, microstructural and physicochemical effects of nanosecond pulsed Nd:YAG laser irradiation on dentin.Lasers Surg Med (in press).

  23. Neev J, Rubenchik A, Da Silva L et al. Dentin and enamel ablation with ultrashort pulse laser: considerations for a practical drilling deviceJ Dent Res (in press)

  24. Wilder-Smith P, Arrastia AM, Grill G, Liaw L-H, Berns MW. Thermal microstructural effects of nanosecond pulsed Nd:YAG laser irradiation on tooth root surface.SPIE Proc 1995,2394:18

    Google Scholar 

  25. Wilder-Smith P, Arrastia A, Schell MJ, Liaw LH, Berns MW. Effect of Nd-YAG laser irradiation and root planing on the root surface—structural and thermal effects.J Periodontol 1995,66:1032–9

    PubMed  CAS  Google Scholar 

  26. Kimura Y, Arrastia AM, Wilder-Smith P, Matsumoto K, Berns MW. Effect of nanosecond pulsed Nd:YAG laser irradiation on temperature, microstructure and caries susceptibility of dentine.SPIE Proc 1995,2394:19

    Google Scholar 

  27. Nelson DGA, Wefel JS, Jongebloed WL, Featherstone JDB. Morphology, histology, and crystallography of human dental enamal treated with pulsed low-eneregy infrared laser radiation.Caries Res 1987,21:411–26

    Article  PubMed  CAS  Google Scholar 

  28. Kantola S, Laine E, Tarna T. X-ray diffraction study of dental enamel exposed to a CO2 laser. Laser-induced effects on tooth structure.J Dent Res 1973,31:366–79

    Google Scholar 

  29. Dzubur AA, Vidovic D, Tudja M. Temperature and surface changes of dentine and cementum induced by CO2 laser exposure.Inter Endodontic J 1993,26:284–93

    Article  Google Scholar 

  30. Arcoria CJ, Lippas MG, Vitasek BA. Enamel surface roughness analysis after laser ablation and acidetching.J Oral Rehab 1993,20:213–24

    Article  CAS  Google Scholar 

  31. Spencer P, Trylovich DJ, Cobb CM. Chemical characterization of laser root surfaces using Fourier transform infrared photoacoustic spectroscopy.J Periodontol 1992,63:633–6

    PubMed  CAS  Google Scholar 

  32. Liberman R, Eli I, Imber S, Shlezinger I. Glass ionomer cement restorations: the effects of lasing the cavity walls on marginal microleakage.Clin Prevent Dent 1990,12:5–8

    CAS  Google Scholar 

  33. Scherman L, Zeboulon S, Goldberg M. Use of the CO2 laser in enamel-dentin bonding procedures: experimental findings.Actualities Odonto-Stomatologiques 1990,44:365–82

    CAS  Google Scholar 

  34. Silberman JJ, Dederich DN, Vargas M, Denehy GE. SEM comparison of acid-etched, CO2 laser-irradiated, and combined treatment on dentin surfaces.Lasers Surg Med 1994,15:269–76

    Article  PubMed  CAS  Google Scholar 

  35. White JM, Goodis HE, Rose CM, Khosrovi, Hormberger B. Shear bond strength of Nd:YAG laser treated dentin.J Dent Res 1992,70:397

    Google Scholar 

  36. Dederich DN, Hinkleman KW, Albert A, Tulip J. Effects of carbon dioxide laser on dentin bonding.J Dent Res 1989,68:868

    Google Scholar 

  37. Shaw PR, Dummett CO Jr, Sarkar NK, Lancaster DM. Effect of a Nd:YAG laser treatment on dentin-resin shear bond.J Dent Res 1993,72:131

    Google Scholar 

  38. Marshall GW, Watanabe L, Strawn SE, Marshall SJ, White JM, Goodis HE. Adhesion of new bond agents to lased and unlased dentin.J Dent Res 1993,72:133

    Google Scholar 

  39. Laurell K, Dodd B, Johnston W. Nd:YAG laser effects on dentinal bonding.J Dent Res 1993,72:137

    Google Scholar 

  40. Cooper LF, Myers ML, Nelson DGA, Mowery AS. Shear strength of composite bonded to laser pre-treated dentin.J Prosthet Dent 1988,60:45–9

    Article  PubMed  CAS  Google Scholar 

  41. Walsh LJ, Abood D, Brockhurst PJ. Bonding of resin composite to carbon dioxide laser-modified human enamel.Dent Materials 1994,10:162–6

    Article  CAS  Google Scholar 

  42. Pashley DH. In vitro simulations of in vivo bonding conditions.Am J Dent 1991,4:237–40

    PubMed  CAS  Google Scholar 

  43. Myers Td, Myers Wd. The use of a laser for debridement of incipient caries.J Prosthet Dent 1985,53: 776–9

    Article  PubMed  CAS  Google Scholar 

  44. Parkins FM, Miller RL, Furnish GM, O’Toole TJ. A preliminary report: YAG laser treatment in pediatric dentistry.J Calif Dent Assoc 1991,19(ll):43–4, 46–8, 50

    PubMed  CAS  Google Scholar 

  45. Niemz MH. Cavity preparation with the Nd:YLF picosecond laser.J Dent Res 1995,74:1194–9

    Article  PubMed  CAS  Google Scholar 

  46. Tran B, Wilder-Smith P, Arrastia AM, Grill G, Liaw L-H, Berns MW. Nanosecond pulsed Nd:YAG laser irradiation effects on radicular surface.Am Soc Laser Med Surg 1995,79:A376

    Google Scholar 

  47. Ehudin DZ, Thompson VP. Tensile bond strength of dental adhesives bonded to simulated caries-exposed dentin.J Prosth Dent 1994,71:165–73

    Article  CAS  Google Scholar 

  48. Perdigao J, Swift EJ Jr, Denehy GE, Wefel JS, Donly KJ. In vitro bond strengths and SEM evaluation of dentin bonding systems to different dentin substrates.J Dent Res 1994,73:44–55

    PubMed  CAS  Google Scholar 

  49. Kaplan I, Mincer HH, Harris EF, Cloyd JS. Microleakage of composite resin and glass ionomer cement restorations in retentive and nonretentive cervical cavity preparations.J Prosth Dent f 1992,68:616–23

    Article  CAS  Google Scholar 

  50. White JM, Goodis HE, Marshall GW Jr, Marshall SJ. Identification of the physical modification threshold of dentin induced by neodymium and holmium YAG lasers using scanning electron microscopy.Scanning Microsc 1993,7:239–45; discussion 245–6

    PubMed  CAS  Google Scholar 

  51. Spencer P, Trylovich DJ, Cobb CM. Chemical characterization of laser root surfaces using FTIR spectroscopy.J Periodontol 1992,63:633–6

    PubMed  CAS  Google Scholar 

  52. Melendez EJ, Arcoria CJ, Dewald JP, Wagner MJ. Effect of laser-etch on bond strengths of glass ionomers.J Prosthet Dent 1992,67:307–12

    Article  PubMed  CAS  Google Scholar 

  53. Roberts-Harry DP. Laser etching of teeth for orthodontic bracket placement: a preliminary clinical study.Lasers Surg Med 1992,12:467–70

    Article  PubMed  CAS  Google Scholar 

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Authors and Affiliations

  1. Beckman Laser Institute and Medical Clinic, University of California, 1002 Health Science Road East, 92612, Irvine, CA, USA

    P. Wilder-Smith (Director of Dentistry and Assistant Professor), A. Nguyen, S. Lin & M. W. Berns

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  1. P. Wilder-Smith
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  2. A. Nguyen
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  3. S. Lin
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  4. M. W. Berns
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Wilder-Smith, P., Nguyen, A., Lin, S. et al. Effects of cavity preparation using a nanosecond-pulsed Nd-YAG laser on tooth-restoration interface. Laser Med Sci 12, 11–19 (1997). https://doi.org/10.1007/BF02763917

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