Lasers in Medical Science

, Volume 34, Issue 6, pp 1089–1097 | Cite as

Evaluation of a clinical preventive treatment using Er,Cr:YSGG (2780 nm) laser on the susceptibility of enamel to erosive challenge

  • Dimitrios DionysopoulosEmail author
  • Kosmas Tolidis
  • Dimitrios Strakas
  • Thrasyvoulos Sfeikos
Original Article


The purpose of this in vitro study was to evaluate the effect of a clinical preventive treatment using Er,Cr:YSGG laser irradiation on bovine enamel susceptibility after erosive challenge. Twelve sound bovine incisors were used and twenty-four enamel specimens were prepared in total. Two experimental groups (n = 12) were assigned as follows: Group 1 was the control group and in Group 2, the enamel specimens were irradiated with an Er,Cr:YSGG (2780 nm) laser system for 20 s, with average output power of 0.25 W, pulse repetition rate at 20 Hz without water or air flow and the pulse duration was fixed at 140 μsec. The tip diameter was 600 μm, the tip to tissue distance was 1 mm, the speed of handpiece movement was 2 mm/s, the power density was 88.34 W/cm2, and the fluence was 31.25 J/cm2. The specimens were submitted to erosive challenge using a common soft drink. Surface microhardness changes, surface roughness changes, and surface loss were evaluated after erosive challenge. The data were statistically analyzed using one-way ANOVA and Tukey’s post-hoc test at a level of significance a = 0.05. Er,Cr:YSGG laser-treated enamel exhibited significantly less decrease in surface microhardness and significant less surface loss compared to control enamel after the erosive challenge (p < 0.05). The experimental groups did not show significant differences in surface roughness increase after the erosive challenge (p > 0.05). Er,Cr:YSGG laser treatment may be promising for the limitation of enamel erosive tooth wear induced by excessive consumption of soft drinks. Clinical studies are needed to clarify whether this protective effect is clinically significant.


Er,Cr:YSGG laser Enamel erosion Soft drinks Surface loss Surface microhardness Surface roughness 



The authors would like to thank Dr. Stavros Oikonomidis for his technical support to SEM observations and EDS analysis of the enamel specimens for the purposes of this study, which were performed at Solid State Physics Division, Department of Physics, Aristotle University of Thessaloniki, Greece. In addition, the authors acknowledge with thanks Dr. Alexandros Nikolaidis for his help with surface roughness and loss measurements, which were implemented at the Department of Basic Dental Sciences, Division of Dental Tissues Pathology and Therapeutics, School of Dentistry, Aristotle University of Thessaloniki, Greece.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Research involving human participants and/or animals

There are no human participants or animals in this study.

Informed consent

For this type of study, formal consent is not required.


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Copyright information

© Springer-Verlag London Ltd., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Operative Dentistry, School of DentistryAristotle University of ThessalonikiThessalonikiGreece

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