Skip to main content

Advertisement

Log in

Removal of organic debris with Er:YAG laser irradiation and microleakage of fissures sealants in vitro

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

Abstract

The current study was conducted to improve fissure sealing by pre-treatment with Er:YAG laser irradiation in order to remove organic debris. The surface morphology, surface roughness of fissure cavities, and the degree of microleakage after laser treatment were compared with those after bristle brush treatment in vitro. Sixty extracted human teeth were used in this study. The teeth were randomly divided into two groups of 30 each. Artificial fissures were prepared in all teeth into which artificial organic debris was placed. The debris in 30 teeth of one group was removed by means of Er:YAG laser system and the remaining 30 teeth were cleaned using a bristle brush with prophylaxis paste. Surface morphology and surface roughness of were analyzed in ten samples from each group by color laser three-dimensional (3D) microscopy and by scanning electron microscopic examination. The remaining samples were then filled with sealant and subjected to a microleakage test under thermocycling. Statistical analysis was performed using the Mann–Whitney U test; a value of p < 0.05 was considered significant. Morphologically, most of the debris was removed by Er:YAG laser treatment, whereas some fissures were not cleaned by bristle brush. However, microleakage test of both laser and etched brush methods showed similar results. Laser technique might facilitate good adaptation of resin sealant to enamel, because of an increase in surface roughness and favorable surface characteristics.

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

Access this article

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

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4

Similar content being viewed by others

References

  1. Duangthip D, Lussi A (2004) Effects of application techniques and fissure types on the in vitro performance of two fissure sealants. Am J Dent 17:137–142

    PubMed  Google Scholar 

  2. Srinivasan V, Deery C, Nugent Z (2005) In-vitro microleakage of repaired fissure sealants: a randomized, controlled trial. Int J Paediatr Dent 15:51–60

    Article  PubMed  CAS  Google Scholar 

  3. Futatsuki M, Kubota K, Yeh YC, Park K, Moss SJ (1995) Early loss of pit and fissure sealant: a clinical and SEM study. J Clin Pediatr Dent 19:99–104

    PubMed  CAS  Google Scholar 

  4. Burrow MF, Makinson OF (1990) Pits and fissures: remnant organic debris after acid-etching. ASDC J Dent Child 57:348–351

    PubMed  CAS  Google Scholar 

  5. Burrow JF, Burrow MF, Makinson OF (2003) Pits and fissures: relative space contribution in fissures from sealants, prophylaxis pastes and organic remnants. Aust Dent J 48:175–179

    Article  PubMed  CAS  Google Scholar 

  6. Hossain M, Nakamura Y, Kimura Y, Yamada Y, Ito M, Matsumoto K (2000) Caries-preventive effect of Er:YAG laser irradiation with or without water mist. J Clin Laser Med Surg 18:61–65

    PubMed  CAS  Google Scholar 

  7. Aoki A, Ishikawa I, Yamada T, Otsuki M, Watanabe H, Tagami J et al (1992) Comparison between Er:YAG laser and conventional technique for root surface caries treatment in vitro. Lasers Surg Med 12:625–630

    Article  Google Scholar 

  8. Hossain M, Yamada Y, Nakamura Y, Murakami Y, Tamaki Y, Matsumoto K (2003) A study on surface roughness and microleakage test in cavities prepared by Er:YAG laser irradiation and etched bur cavities. Lasers Med Sci 18:25–31

    Article  PubMed  CAS  Google Scholar 

  9. Matsumoto K, Nakamura Y, Mazeki K, Kimura Y (1996) Clinical dental application of Er:YAG laser for class V cavity preparation. J Clin Laser Med Surg 14:123–127

    PubMed  CAS  Google Scholar 

  10. Keller U, Hibst R, Geurtsen W, Schilke R, Heidemann D, Klaiber B et al (1998) Erbium:YAG laser application in caries therapy evaluation of patient perception and acceptance. J Dent 26:649–656

    Article  PubMed  CAS  Google Scholar 

  11. Aoki A, Miura M, Akiyama F, Nakagawa N, Tanaka J, Oda S et al (2000) In vitro evaluation of Er:YAG laser scaling of subgingival calculus in comparison with ultrasonic scaling. J Periodontal Res 35:266–277

    Article  PubMed  CAS  Google Scholar 

  12. Yamaguchi H (1997) Effects of irradiation of an erbium:YAG laser on the root surface. J Periodontol 68:1151–1155

    Article  PubMed  CAS  Google Scholar 

  13. Aoki A, Ando Y, Watanabe H, Ishikawa I (1994) In vitro studies on laser scaling of subgingival calculus with erbium:YAG laser. J Periodontol 65:1097–1106

    Article  PubMed  CAS  Google Scholar 

  14. Folwaczny M, Mehl A, Haffner C, Benz C, Hickel R (2000) Root substance removal with Er:YAG laser radiation at different parameters using a new delivery system. J Periodontol 71:147–155

    Article  PubMed  CAS  Google Scholar 

  15. Ando Y, Aoki A, Watanabe H, Ishikawa I (1996) Bactericidal effect of erbium:YAG laser on periodontopathic bacteria. Lasers Surg Med 19:190–200

    Article  PubMed  CAS  Google Scholar 

  16. Crespi R, Barone A, Covani U (2006) Er:YAG laser scaling of diseased root surfaces: a histologic study. J Periodontol 77:218–222

    Article  PubMed  Google Scholar 

  17. do Rego MA, de Araujo MAM (1999) Microleakage evaluation of pit and fissure sealants done with different procedures, materials, and laser after invasive technique. J Clinic Pediat Dent 24:63–68

    CAS  Google Scholar 

  18. Yamada Y, Hossain M, Shimizu Y, Kimura Y, Masuda Y, Nakamura Y, Matsumoto K (2008) Analysis of surface roughness and microleakage of fissure sealants following organic debris removal with Carisolv. J Dent 36:130–137

    Article  PubMed  CAS  Google Scholar 

  19. Rahman S, Whitworth JM, Dummer PMH (2005) Carisolv TM: an alternative to NaOCl in immature root canals? Int Endo J 38:448–455

    Article  CAS  Google Scholar 

  20. Cavalcanti AN, Lobo MM, Fontes CM, Liporoni P, Mathias P (2005) Microleakage at the composite–repair interface; effects of different surface treatment methods. Oper Dent 30:113–117

    PubMed  Google Scholar 

  21. Li ZZ, Code JE, Van de Merwe WP (1992) Er:YAG laser ablation of enamel and dentin of human teeth: determination of ablation rates at various fluence and pulse repetition rates. Lasers Surg Med 12:625–630

    Article  PubMed  CAS  Google Scholar 

  22. Symons AL, Chu CY, Meyers IA (1996) The effect of fissure morphology and pretreatment of the enamel surface on penetration and adhesion of fissure sealants. J Oral Rehabill 23:791–798

    Article  CAS  Google Scholar 

  23. Garcia-Godoy F, Araujo FB (1994) Enhancement of fissure sealant penetration and adaptation. The enameloplasty technique. J Clin Pediatr Dent 19:13–18

    PubMed  CAS  Google Scholar 

  24. Tratjenberg CP, Pereira PNR, Powers JM (2004) Resin bond strength and micromorphology of human teeth prepared with an erbium:YAG laser. Am J Dent 17:331–336

    Google Scholar 

  25. Smith DC (1982) A milestone in dentistry. Oper Dent 7:14–25

    PubMed  CAS  Google Scholar 

  26. Visuri SR, Gilbert JL, Wright DD, Wigdor HA, Walsh JT (1996) Shear strength of composite bonded to Er:YAG-prepared dentin. J Dent Res 75:599–605

    Article  PubMed  CAS  Google Scholar 

  27. Marinez-Inzua A, da Silva-Dominiquez L, Guitian-Rivera F, Santana-Penin UA (2000) Difference in bonding to acid-etched or Er:YAG laser-treated enamel and dentin surfaces. J Prosthet Dent 84:280–287

    Article  Google Scholar 

  28. Caballos L, Osorio R, Toledano M, Marshall GW (2001) Microleakage of composite restorations after acid or Er:YAG laser cavity treatments. Dent Mater 17:340–346

    Article  Google Scholar 

  29. Stavridakis MM, Favez V, Campos EA, Krejci I (2003) Marginal integrity of pit and fissure sealants. Qualitative and quantitative evaluation of the marginal adaptation before and after in vitro thermal and mechanical stressing. Oper Dent 28:403–414

    PubMed  Google Scholar 

  30. Irinoda Y, Matsumura Y, Kito H, Nakano T, nakagaki H, Tsuchiya T (2000) Effects of sealant viscosity on the penetration of resin into etched human enamel. Oper Dent 25:274–282

    PubMed  CAS  Google Scholar 

  31. Francescut P, Lussi A (2006) Performance of a conventional sealant and flowable composite on minimally invasive prepared fissures. Oper Dent 31:543

    Article  PubMed  Google Scholar 

  32. Moshonov J, Stabholz A, Zyskind D, Sharlin E, Peretz B (2005) Acid-etched and erbium:yttrium aluminium garnet laser-treated enamel for fissure sealants; a comparison of microleakage. Int J Paediatr Dent 15:205–209

    Article  PubMed  CAS  Google Scholar 

  33. Borsatto MC, Corona SA, Ramos RP, Liporaci JL, Pëcora JD, Palma-Dibb RG (2004) Microleakage at sealant/enamel interface of primary teeth: effect of Er:YAG laser ablation of pits and fissures. J Dent Child (Chic) 71:143–147

    Google Scholar 

  34. Sungurtekin E, Oztaş N (2010) The effect of erbium, chromium:yttrium-scandium-gallium-garnet laser etching on marginal integrity of a resin-based fissure sealant in primary teeth. Lasers Med Sci 25(6):841–847

    Article  PubMed  Google Scholar 

  35. Borsatto MC, Corona SA, de Araújo FP, de Souza-Gabriel AE, Pécora JD, Palma-Dibb RG (2007) Effect of Er:YAG laser on tensile bond strength of sealants in primary teeth. J Dent Child (Chic) 74(2):104–108

    Google Scholar 

  36. Lupi-Pégurier L, Bertrand MF, Genovese O, Rocca JP, Muller-Bolla M (2007) Microleakage of resin-based sealants after Er:YAG laser conditioning. Lasers Med Sci 22(3):183–188

    Article  PubMed  Google Scholar 

  37. Youssef MN, Youssef FA, Souza-Zaroni WC, Turbino ML, Vieira MM (2006) Effect of enamel preparation method on in vitro marginal microleakage of a flowable composite used as pit and fissure sealant. Int J Paediatr 16(5):342–347

    CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mozammal Hossain.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Hossain, M., Yamada, Y., Masuda-Murakami, Y. et al. Removal of organic debris with Er:YAG laser irradiation and microleakage of fissures sealants in vitro. Lasers Med Sci 27, 895–902 (2012). https://doi.org/10.1007/s10103-011-0994-y

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10103-011-0994-y

Keywords

Navigation