Skip to main content

Advertisement

SpringerLink
Log in

Evaluation of Nd:YAG laser on partial oxygen saturation of pulpal blood in anterior hypersensitive teeth

  • Original Article
  • Published:
Lasers in Medical Science Aims and scope Submit manuscript

Abstract

Dentine hypersensitivity has of long been known to be a common clinical problem in dental practices. Lasers have recently come to play a prominent role in the treatment of this disorder. They might, however, cause dental pulp damage. This study was conducted to evaluate the effect of Nd:yttrium–aluminum–garnet (YAG) laser on partial oxygen saturation of pulpal blood in sensitive anterior teeth. In this clinical trial, 65 hypersensitive teeth were selected and randomly allocated to two groups. The study group involved Nd:YAG laser treatment, while no treatment was employed for the control group. Using a pulse oximetry system, evaluations were preformed of the partial oxygen saturation in the pulpal blood before, immediately after, 1 week after, and 1 month after the treatment. The results were analyzed using the SPSS software and repeated-measures analysis of variance and paired-samples t tests. The mean partial oxygen saturation of the blood was found to be 85.4% in the study group, which was not significantly different from that of the control group. No significant differences were observed in the control group between the means obtained from pretreatment and post-treatment intervals (P > 0.05). The Post-treatment partial oxygen saturation mean rose to 89.3% (P = 0.001) and remained constant throughout the following week after it. However, no significant differences were found between the pretreatment partial oxygen saturation mean and the same measurement 1 month after treatment (P = 0.702). Nd:YAG laser therapy for dentine desensitization of anterior teeth caused no persistent changes in the partial oxygen saturation of pulpal blood. It may, therefore, be concluded that the diffusion of heat induced by the Nd:YAG laser into the pulp within the limit of the desensitization parameters cause no irreversible damages in the dental pulp.

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

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Gillam DG, Aris A, Bulman JS, Newman HN, Ley F (2002) Dentine hypersensitivity in subjects recruited for clinical trials: clinical evaluation, prevalence and intra‑ oral distribution. J Oral Rehabil 29(3):226–231

    Article  PubMed  CAS  Google Scholar 

  2. Rees JS, Addy M (2002) A cross-sectional study of dentine hypersensitivity. J Clin Periodontol 29(11):997–1003

    Article  PubMed  CAS  Google Scholar 

  3. Holland GR, Narhi MN, Addy M, Gangarosa L, Orchardson R (1997) Guidelines for the design and conduct of clinical trials on dentine hypersensitivity. J Clin Peridontol 24(11):808–813

    Article  CAS  Google Scholar 

  4. Berman LH (1985) Dentinal sensation and hypersensitivity. A review of mechanisms and treatment alternatives. J Periodontol 56(4):216–222

    PubMed  CAS  Google Scholar 

  5. Branstrom M (1986) The hydrodynamic theory of dentinal pain: sensation in preparations, caries, and the dentinal crack syndrome. J Endod 12(10):453–457

    Article  Google Scholar 

  6. Gillam DG, Mordan NJ, Newman HN (1997) The Dentin Disc surface: a plausible model for dentin physiology and dentin sensitivity evaluation. Adv Dent Res 11(4):487–501

    Article  PubMed  CAS  Google Scholar 

  7. Kimura Y, Wilder-Smith P, Yonaga K, Matsumoto K (2000) Treatment of dentine hypersensitivity by lasers: a review. J Clin Periodontol 27(10):715–721

    Article  PubMed  CAS  Google Scholar 

  8. Gutknecht N, Moritz A, Dercks HW, Lampert F (1997) Treatment of hypersensitive teeth using neodymium: yttrium‑aluminum‑garnet lasers: a comparison of the use of various settings in an in vivo study. J Clin Laser Med Surg 15(4):171–174

    PubMed  CAS  Google Scholar 

  9. Yonaga K, Kimura Y, Matsumoto K (1999) Treatment of cervical dentin hypersensitivity by various methods using pulsed Nd:YAG laser. J Clin Laser Med Surg 17(5):205–210

    PubMed  CAS  Google Scholar 

  10. Renton-Harper P, Midda M (1992) Nd:YAG laser treatment of dentinal hypersensitivity. Br Dent J 172:13–16

    PubMed  CAS  Google Scholar 

  11. Lan WH, Lee BS, Liu HC, Lin CP (2004) Morphologic study of Nd:YAG laser usage in treatment of dentinal hypersensitivity. J Endod 30(3):131–134

    Article  PubMed  Google Scholar 

  12. Zach L, Cohen G (1965) Pulp response to externally applied heat. Oral Surg Oral Med Oral Pathol 19:515–530

    Article  PubMed  CAS  Google Scholar 

  13. Launay Y, Mordon S, Cornil A, Brunetaud JM, Moschetto Y (1987) Thermal effects of lasers on dental tissues. Lasers Surg Med 7(6):473–477

    Article  PubMed  CAS  Google Scholar 

  14. Zennyu K, Inoue M, Minami M, Kumazaki M, Fujii B, Lee CS (1996) Transmission of Nd:YAG laser through human dentin. J Jpn Soc Laser Dent 7:37–45

    Google Scholar 

  15. White JM, Goodis HE, Daniels TE (1991) Effects of Nd:YAG laser on pulps of extracted teeth. Lasers Life Sci 4(3):191–200

    Google Scholar 

  16. Srimaneepong V, Palamara JE, Wilson PR (2002) Pulpal space pressure and temperature changes from Nd:Y AG laser irradiation of dentin. J Dent 30(7–8):291–296

    Article  PubMed  CAS  Google Scholar 

  17. Gow AM, McDonald AV, Pearson GJ, Setchell DJ (1999) An in vitro investigation of the temperature rises produced in dentine by Nd:Y AG laser light with and without water cooling. Eur J Prosthodont Restor Dent 7(2):71–77

    PubMed  CAS  Google Scholar 

  18. Sunakawa M, Tokita Y, Suda H (2000) Pulsed Nd:Y AG laser irradiation of the tooth pulp in the cat: II Effect of scanning lasing. Lasers Surg Med 26(5):477–484

    Article  PubMed  CAS  Google Scholar 

  19. Tokita Y, Sunakawa M, Suda H (2000) Pulsed Nd:YAG laser irradiation of the tooth pulp in the cat: I. Effect of spot lasing. Lasers Surg Med 26(4):398–404

    Article  CAS  Google Scholar 

  20. Samraj RV, Indira R, Srinivasan MR, Kumar A (2003) Recent advances in pulp vitality testing. Endodontol 15:14–19

    Google Scholar 

  21. Rowe AHR, Pitt-Ford TR (1990) The assessment of pulp vitality. Int Endod J 23:77–83

    Article  PubMed  CAS  Google Scholar 

  22. Zach L, Cohen G (1965) Pulp response to externally applied heat. Oral Surg Oral Med Oral Pathol 19:515–530

    Article  PubMed  CAS  Google Scholar 

  23. Radhakrishnan S, Munshi AK, Hegde AM (2002) Pulse oximetry: a diagnostic instrument in pulpal vitality testing. J Clin Pediatr Dent 26(2):141–145

    PubMed  Google Scholar 

  24. Musselwhite JM, Klitzman B, Maixner W, Burkes EJ (1997) Laser Doppler flowmetry: a clinical test of pulpal vitality. Oral Surg Oral Med Oral Pathol Oral Radio Endod 84(4):411–419

    Article  CAS  Google Scholar 

  25. Yamaguchi H, Kobayashi K, Sato Y, Osada R, Sakuraba E et al (2000) Nd:YAG laser irradiation of the human dental pulp: implications as a predictor of pulp hemodynamics. Lasers Surg Med 26(3):270–276

    Article  PubMed  CAS  Google Scholar 

  26. Rusch TL, Sankar R, Scharf GE (1996) Signal processing methods for pulse oximetry. Comput Biol Med 26(2):143–159

    Article  PubMed  CAS  Google Scholar 

  27. Schnettler JM, Wallace JA (1991) Pulse oximetry as a diagnostic tool of pulpal vitality. J Endod 17(10):488–490

    Article  PubMed  CAS  Google Scholar 

  28. Goho C (1999) Pulse oximetry evaluation of vitality in primary and immature permanent teeth. Pediatr Dent 21(2):125–127

    PubMed  CAS  Google Scholar 

  29. White JM, Fagan MC, Goodis HE (1994) Intrapulpal temperatures during pulsed Nd: YAG laser treatment of dentin, in vitro. J Periodontol 65(3):255–259

    PubMed  CAS  Google Scholar 

  30. Lan WH, Liu Hc (1996) Treatment of dentin hypersensitivity by Nd:YAG laser. J Clin Laser Med Surg 14(2):89–92

    PubMed  CAS  Google Scholar 

  31. Gelskey SC, White JM, Pruthi VK (1993) The effectiveness of the Nd:YAG laser in the treatment of dental hypersensitivity. J Can Dent Assoc 59(4):377–378 383–386

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Department of Periodontics, Isfahan Dental School, Isfahan, Iran

    Reza Birang, Naser Kaviani, Mehdi Mohammadpour & Ahmad Moghareh Abed

  2. Department of Conservative Dentistry, RWTH Hospital, Aachen, Germany

    Norbert Gutknecht & Maziar Mir

Authors
  1. Reza Birang
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Naser Kaviani
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Mehdi Mohammadpour
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Ahmad Moghareh Abed
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Norbert Gutknecht
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Maziar Mir
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Maziar Mir.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Birang, R., Kaviani, N., Mohammadpour, M. et al. Evaluation of Nd:YAG laser on partial oxygen saturation of pulpal blood in anterior hypersensitive teeth. Lasers Med Sci 23, 291–294 (2008). https://doi.org/10.1007/s10103-007-0481-7

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10103-007-0481-7

Keywords

Search

Navigation