Laser restorative dentistry in children and adolescents

Abstract

BACKGROUND: The idea of substituting a drill with a laser light, has led to its introduction in dentistry. Besides being more accepted to patients, in paediatric dentistry the laser has demonstrated safety compared with rotating instruments. REVIEW: A review of the past 20 years of the dental literature concerning laser use in dentistry, including paediatric dentistry was completed. The findings of that review are presented. TECHNIQUES: The various types of lasers and their uses for caries detection, tooth sealing and caries removal are described. RESULTS: Laser caries detection demonstrated a good reproducibility, reliability and predictability to monitor the caries process over time. Erbium lasers have been found to be efficient for caries removal, tooth cleaning and decontamination. CONCLUSION: The laser erbium technology represents a safe device to effectively and selectively remove carious tissues from decayed teeth. For children, all the recognized advantages of this technique play a decisive role in the successful day-to-day treatment of dental caries.

This is a preview of subscription content, log in to check access.

References

  1. Apel C, Meister J, Ioana RS, et al. The ablation threshold of Er:YAG and Er:YSGG laser radiation in dental enamel. Lasers Med Sci 2002;17:246–252.

    PubMed  Article  Google Scholar 

  2. Apel C, Meister J, Schmitt N, et al. Calcium solubility of dental enamel following sub-ablative Er:YAG and Er:YSGG laser irradiation in vitro. Lasers Surg Med 2002;30:337–341.

    PubMed  Article  Google Scholar 

  3. Apel C. Birker L, Meister J, et al. The caries-preventive potential of subablative Er:YAG and Er:YSGG laser radiation in an intraoral model: A pilot study. Photomed Laser Surg 2004;22:312–317.

    Google Scholar 

  4. Barberia E, Maroto M, Arenas M, Silva CC. A clinical study of caries diagnosis with a laser fluorescence system. J Am Dent Assoc 2008;139:572–579.

    PubMed  Google Scholar 

  5. Benedicenti A. Laser therapy ability in the trigeminal neuralgia treatment. (article in italian) (Le possibilità della laser terapia nella cura della nevralgia del trigemino). Parodontologia e Stomatologia Nuova 1979;3:21.

    Google Scholar 

  6. Benedicenti A. Laser Atlas (Atlante di Laser), ed. Villa Carcina, Italy: Teamwork, 2005.

  7. Bengtson AL, Gomes AC, Mendes FM, et al. Influence of examiner’s clinical experience in detecting occlusal caries lesions in primary teeth. Pediatr Dent 2005;27:238–243.

    PubMed  Google Scholar 

  8. Boj J, Galofre N, Espana A, Espasa E. Pain perception in paediatric patients undergoing laser treatments. J Oral Laser Applications,2005;2:85–89

    Google Scholar 

  9. Borsatto MC, Corona SA, Ramos RP, et al. Microleakage at sealant/enamel interface of primary teeth: Effect of Er:YAG laser ablation of pits and fissures. J Dent Child 2004;71:143–147.

    Google Scholar 

  10. Borsatto MC, Corona SA, Chinelatti MA, et al. Comparison of marginal micro-leakage of flowable composite restorations in primary molars prepared by high-speed carbide bur, Er:YAG laser, and air abrasion. J Dent Child. 2006 May–Aug;73(2):122–6.

    Google Scholar 

  11. Borsatto MC, Corona SA, de Araújo FP, et al. Effect of Er:YAG laser on tensile bond strength of sealants in primary teeth. J Dent Child (Chic) 2007;74:104–108.

    Google Scholar 

  12. Braga M, Nicolau J, Rodriguez CR, et al. Laser fluorescence devise does not perform well in detection of early caries lesions in primary teeth: An in vitro study. Oral Health Prev Dent 2008;6:165–169.

    PubMed  Google Scholar 

  13. Burin C, Burin C, Loguerciao AD, et al. Occlusal caries detection: Acomparison of a laser fluorescence system and conventional methods. Pediatr Dent 2005;27:307–312.

    PubMed  Google Scholar 

  14. Caprioglio C, Olivi G, Genovese MD. I laser in Traumatologia Dentale. Ed.Martina, 2010, Bologna, Italia.

  15. Chu CH, Lo EC, You DS. Clinical diagnosis of fissure caries with conventional and laser-induced fluorescence techniques. Lasers Med Sci 2010 May;25:355–362.

    PubMed  Article  Google Scholar 

  16. Costa AM, Paula LM, Bezerra AC. Use of diagnodent for diagnosis of non-cavitated occlusal dentine caries. J Appl Oral Sci 2008; 16:18–23.

    PubMed  Article  Google Scholar 

  17. Dostálová T, Jelínková H, Krejsa O, et al. Dentine and pulp response to Erbium:YAG laser ablation: a preliminary evaluation of human teeth. J Clin Laser Med Surg. 1997;15(3):117–21.

    PubMed  Google Scholar 

  18. Eversole LR, Rizoiu I, Kimmel AI. Pulpal response to cavity preparation by an erbium, chromium:YSGG laser-powered hydrokinetic system. J Am Dent Assoc. 1997Aug;128(8):1099–106.

    PubMed  Google Scholar 

  19. Francescut P, Lussi A. Correlation between fissure discolouration, Diagnodent measurements, and caries depth: An in vitro study. Pediatr Dent 2003;25:559–564.

    PubMed  Google Scholar 

  20. Featherstone JDB, Fried D, Bitten ER. Mechanism of laser-induced solubility reduction of dental enamel. In: Wigdor HA, Featherstone JDB, Rechmann P (eds). Lasers in Dentistry III. Proceedings Volume 2973. Bellingham, WA: SPIE, 1997:112–116.

    Google Scholar 

  21. Featherstone JDB, Barrett-Vespone NA, Fried D, Kantorowitz Z, Seka W. CO2 laser inhibition of artificial caries-like lesion progression in dental enamel. J Dent Res 1998;77:1397–1403.

    PubMed  Article  Google Scholar 

  22. Francescut P, Lussi A. Performance of a conventional sealant and a flow-able composite on minimally invasive prepared fissures. Oper Dent 2006;31:543–550.

    PubMed  Article  Google Scholar 

  23. Genovese MD, Olivi G. Laser in paediatric dentistry: patient acceptance of hard and soft tissue therapy. Eur J Paediatr Dent. 2008;9(1):13–7.

    PubMed  Google Scholar 

  24. Glockner K, Rumpler J, Ebeleseder K, Städtler P. Intrapulpal temperature during preparation with the Er:YAG laser compared to the conventional burr: an in vitro study. J Clin Laser Med Surg. 1998;16(3):153–7.

    PubMed  Google Scholar 

  25. Gutknecht N, Franzen R, Vanweersch L, Lampert F. Lasers in Pediatric Dentistry—A Review. J Oral Laser Applications 5 (2005), No. 4, Page 207–218.

  26. Hadley J, Young DA, Eversole LR, Gornbein JA. A laser-powered hydrokinetic system for caries removal and cavity preparation. J Am Dent Assoc 2000;131:777–785.

    PubMed  Google Scholar 

  27. Hirota F, Furumoto K. Temperature rise caused by laser (CO2,Nd:YAG, Er:YAG) irradiation of teeth. Int Congress Ser 2003;1248:301–304.

    Article  Google Scholar 

  28. Huth KC, Neuhaus KW, Gygax M, et al. Clinical performance of a new laser fluorescence device for detection of occlusal caries lesions in permanent molars. J Dent 2008;36:1033–1040.

    PubMed  Article  Google Scholar 

  29. Keller U, Hibst R. Effects of Er:YAG laser in caries treatment: a clinical pilot study. Lasers Surg Med. 1997;20(1):32–8.

    PubMed  Article  Google Scholar 

  30. Keller U, Hibst R, Geurtsen W, et al. Erbium:YAG laser application in caries therapy. Evaluation of patient perception and acceptance. J Dent. 1998 Nov;26(8):649–56.

    PubMed  Article  Google Scholar 

  31. Khalife MA, Boynton JR, Dennison JB, et al. In vivo evaluation of DIAGNOdent for the quantification of occlusal dental caries. Oper Dent 2009;34:136–141.

    PubMed  Article  Google Scholar 

  32. Kohara EK, Hossain M, Kimura Y, et al. Morphological and microleakage studies of the cavities prepared by Er:YAG laser irradiation in primary teeth. J Clin Laser Med Surg. 2002 Jun;20(3):141–7.

    PubMed  Article  Google Scholar 

  33. Krmek SJ, Miletic I, Simeon P, et al. The temperature changes in the pulp chamber during cavity preparation with the Er:YAG laser using a very short pulse. Photomed Laser Surg. 2009 Apr;27(2):351–5.

    PubMed  Article  Google Scholar 

  34. Iwami Y, Shimizu A, Narimatsu M, et al. Relationship between bacterial infection and evaluation using a laser fluorescence device, DIAGNOdent. Eur J Oral Sci 2004;112:419–423.

    PubMed  Article  Google Scholar 

  35. Lepri TP, Souza-Gabriel AE, Atoui JA, et al. Shear bond strength of a sealant to contaminated-enamel surface: Influence of erbium:yttrium-aluminum-garnet laser pretreatment. J Esthet Restor Dent 2008;20:386–392.

    PubMed  Article  Google Scholar 

  36. Lessa FC, Mantovani CP, Barroso JM, et al. Shear bond strength to primary enamel: influence of Er:YAG laser irradiation distance. J Dent Child (Chic).2007 Jan–Apr;74(1):26–9.

    Google Scholar 

  37. Liu JF, Lai YL, Shu WY, Lee SY. Acceptance and efficiency of Er:YAG laser for cavity preparation in children. Photomed Laser Surg. 2006 Aug;24(4):489–93.

    PubMed  Article  Google Scholar 

  38. Lupi-Pégurier L, Bertrand MF, Genovese O, et al. Microleakage of resin-based sealants after Er:YAG laser conditioning. Lasers Med Sci 2007;22:183–188.

    PubMed  Article  Google Scholar 

  39. Lussi A, Francescut P. Performance of conventional and new methods for the detection of occlusal caries in deciduous teeth. Caries Res 2003;37:2–7.

    PubMed  Article  Google Scholar 

  40. Lussi A, Reich E. The influence of toothpastes and prophylaxis pastes on fluorescence measurements for caries detection in vitro. Eur J Oral Sci 2005;113:141–144.

    PubMed  Article  Google Scholar 

  41. Manton DJ, Messer LB. The effect of pit and fissure sealants on the detection of occlusal caries in vitro. Eur Arch Paediatr Dent 2007 Mar;8:43–48.

    PubMed  Article  Google Scholar 

  42. Martens LC. Laser-assisted Paediatric Dentistry: Review and Outlook, J Oral Laser Applications 2003, Vol 3, No 4, pp. 203–209.

    Google Scholar 

  43. Martens LC. Laser physics and a review of laser applications in dentistry for children. EuropArchs Paediatr Dept 2011; 12:61–67

    Google Scholar 

  44. Matson JR, Matson E, Navarro RS, et al. Er:YAG laser effects on enamel occlusal fissures: An in vitro study. J Clin Laser Med Surg 2002;20:27–35.

    PubMed  Article  Google Scholar 

  45. Matsumoto K, Hossain M, Hossain MM, et al. Clinical assessment of Er,Cr:YSGG laser application for cavity preparation. J Clin Laser Med Surg. 2002 Feb;20(1):17–21.

    PubMed  Article  Google Scholar 

  46. Mendes FM, Nicolau J, Duarte DA. Evaluation of the effectiveness of laser fluorescence in monitoring in vitro remineralization of incipient caries in primary teeth. Caries Res 2003;37;442–444.

    PubMed  Article  Google Scholar 

  47. Mendes FM, Hissadomi M, Imparato JC. Effects of drying time and the presence of plaque on the in vitro performance of laser fluorescence in occlusal caries of primary teeth. Caries Res 2004;38:104–108.

    PubMed  Article  Google Scholar 

  48. Mendes FM, Ganzerla E, Nunes AF, et al. Use of high-powered magnification to detect occlusal caries in primary teeth. Am J Dent 2006;19;19–22.

    PubMed  Google Scholar 

  49. Monghini EM, Wanderley RL, Pécora JD, et al. Bond strength to dentine of primary teeth irradiated with varying Er:YAG laser energies and SEM examination of the surface morphology. Lasers Surg Med. 2004;34(3):254–9.

    PubMed  Article  Google Scholar 

  50. Moritz A, Schoop U, Goharkhay K, Sperr W. Advantages of a pulsed CO2 laser in direct pulp capping: a long-term in vivo study. Lasers Surg Med. 1998a; 22(5):288–93.

    PubMed  Article  Google Scholar 

  51. Moritz A, Schoop U, Goharkhay K, Sperr W. The CO2 laser as an aid in direct pulp capping. J Endod. 1998b Apr;24(4):248–51.

    PubMed  Article  Google Scholar 

  52. Moritz A. Oral Laser Application. Berlin: Quintessence, 2006.

    Google Scholar 

  53. Moshonov J, Stabholz A, Zyskind D, et al. Acid-etched and erbium:yttrium aluminium garnet laser-treated enamel for fissure sealants: A comparison of microleakage. Int J Paediatr Dent 2005;15:205–209.

    PubMed  Article  Google Scholar 

  54. Novaes TF, Matos R, Braga MM, et al. Performance of a pen-type laser fluorescence device and conventional methods in detecting approximal caries lesions in primary teeth—In vivo study. Caries Res 2009;43:36–42.

    PubMed  Article  Google Scholar 

  55. Olivi G, Genovese MD. Erbium Chromium Laser in Pulp Capping Treatment. Journal of Oral Laser Application Vol 6 No 4:2006; 291–299.

    Google Scholar 

  56. Olivi G, Genovese MD, Maturo P. Docimo R. Pulp capping: advantages of using laser technology. Europ Paediat Dent. 2007 Jun;8(2):89–95.

    Google Scholar 

  57. Olivi G, Costacurta M, Perugia C. Docimo R. Erbium Chromium laser in restorative therapy (article in italian). Il laser Erbium Chromium in terapia conservativa. Dental Cadmos. 2007;7:91–8.

    Google Scholar 

  58. Olivi G, Iaria G, Genovese MD. Laser in Aesthetic Dentistry: scientific basis for the use in Restorative Dentistry (article in italian). Laser in Odontoiatria Estetica: basi scientifiche dell’utilizzo in Conservativa. Cosmetic Dentistry. vol,2, Mag;2008;22–28

    Google Scholar 

  59. Olivi G, Genovese MD, Caprioglio C. Evidence-based dentistry on laser paediatric dentistry: review and outlook. Eur J Paediatr Dent. 2009;10(1):29–40. Review.

    PubMed  Google Scholar 

  60. Olivi G, Caprioglio C, Genovese MD. Lasers in dental traumatology. Eur J Paediatr Dent. 2010;11(2):71–6.

    PubMed  Google Scholar 

  61. Olivi G, Margolis FS, Genovese MD. Pediatric Laser Dentistry. A user’s guide; pg.73–76. Chicago, IL, USA; 2011. Quintessence Publishing Co.

  62. Parker SPA, Darbar AA, Featherstone JDB, et al. The use of laser energy for therapeutic ablation of intraoral hard tissues. J Laser Dent 2007;15:78–86.

    Google Scholar 

  63. Parkins F. Lasers in pediatric and adolescent dentistry. Dent Clin North Am. 2000;44(4):821–30.

    PubMed  Google Scholar 

  64. Perhavec T, Diaci J. Comparison of Er:YAG and Er,Cr:YSGG den-tal lasers. J Oral Laser Appl 2008:8:87–94.

    Google Scholar 

  65. Sung EC, Lin CN, Harada V, et al. Composite bond strength to primary dentine prepared with Er,Cr:YSGG laser IADR 84th General Session, Brisbane, Australia, June 28–July 1, 2006 J Dent Res 85(Spec.Issue B): Abstract 0043. Sungurtekin

  66. E, Ozta N. The effect of erbium, chromium:yttriumscandium-gallium-garnet laser etching on marginal integrity of a resin-based fissure sealant in primary teeth. Lasers Med Sci 2009 Aug 5. [Epub ahead of print]

  67. Takamori K, Furukawa H, Morikawa Y, et al. Basic study on vibrations during tooth preparations caused by high-speed drilling and Er:YAG laser irradiation.Lasers Surg Med. 2003;32(1):25–31.

    PubMed  Article  Google Scholar 

  68. Quo BC, Drummond JL, Koerber A, et al. Glass ionomer microleakage from preparations by an Er/YAG laser or a high-speed handpiece. J Dent. 2002 May;30(4):141–6.

    PubMed  Article  Google Scholar 

  69. Virajsilp V, Thearmontree A, Aryatawong S, Paiboonwarachat D. Comparison of proximal caries detection in primary teeth between laser fluorescence and bitewing radiography. Pediatr Dent. 2005; 27(6):493–9.

    PubMed  Google Scholar 

  70. Wanderley RL, Monghini EM, Pecora JD, et al. Shear bond strength to enamel of primary teeth irradiated with varying Er:YAG laser energies and SEM examination of the surface morphology: an in vitro study. Photomed Laser Surg. 2005 Jun;23(3):260–7.

    PubMed  Article  Google Scholar 

  71. Wigdor H. Patients’ perception of lasers in dentistry. Lasers Surg Med. 1997;20(1):47–50.

    PubMed  Article  Google Scholar 

  72. Yamada Y, Hossain M, Nakamura Y, et al. Microleakage of composite resin restoration in cavities prepared by Er:YAG laser irradiation in primary teeth. Eur J Paediatr Dent. 2002 Mar;3(1):39–45.

    PubMed  Google Scholar 

  73. Youssef MN, Youssef FA, Souza-Zaroni WC, et al. Effect of enamel preparation method on in vitro marginal microleakage of a flowable composite used as pit and fissure sealant. Int J Paediatr Dent 2006;16:342–347.

    PubMed  Google Scholar 

Download references

Author information

Affiliations

Authors

Corresponding author

Correspondence to Prof. G. Olivi.

Rights and permissions

Reprints and Permissions

About this article

Cite this article

Olivi, G., Genovese, M.D. Laser restorative dentistry in children and adolescents. Eur Arch Paediatr Dent 12, 68–78 (2011). https://doi.org/10.1007/BF03262782

Download citation

Key words

  • Laser
  • erbium
  • laser fluorescence
  • sealant
  • cavity preparation