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Evolution of surface morphology of Er:YAG laser-machined human bone

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Abstract

The extensive research on the laser machining of the bone has been, so far, restricted to drilling and cutting that is one- and two-dimensional machining, respectively. In addition, the surface morphology of the laser machined region has rarely been explored in detail. In view of this, the current work employed three-dimensional laser machining of human bone and reports the distinct surface morphology produced within a laser machined region of human bone. Three-dimensional laser machining was carried out using multiple partially overlapped pulses and laser tracks with a separation of 0.3 mm between the centers of consecutive laser tracks to remove a bulk volume of the bone. In this study, a diode-pumped pulse Er:YAG laser (λ = 2940 nm) was employed with continuously sprayed chilled water at the irradiation site. The resulting surface morphology evolved within the laser-machined region of the bone was evaluated using scanning electron microscopy, energy dispersive spectroscopy, and X-ray micro-computed tomography. The distinct surface morphology involved cellular/channeled scaffold structure characterized by interconnected pores surrounded by solid ridges, produced within a laser machined region of human structural bone. Underlying physical phenomena responsible for evolution of such morphology have been proposed and explained with the help of a thermokinetic model.

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References

  1. S. Stübinger, Advances in bone surgery: the Er: YAG laser in oral surgery and implant dentistry, Clinical, Cosmetic and Investigational Dentistry, vol. 2, p. 47, 2010

  2. Dahotre NB, Joshi S (2016) Machining of bone and hard tissues. Springer

  3. N. B. Dahotre and S. Santhanakrishnan, Laser-assisted machining (LAM) of hard tissues and bones, Jul. 12 2016, US Patent 9,387,041

  4. Dahotre NB, Santhanakrishnan S, Joshi SS, Khan RJ, Fick DP, Robertson WB, Sheh RK, Ironside CN (2018) Integrated experimental and computational approach to laser machining of structural bone. Med Eng Phys 51:56–66

    Article  Google Scholar 

  5. N. B. Dahotre and S. Santhanakrishnan, Laser-assisted machining (LAM) of hard tissues and bones, Jan. 29 2019, CIP, US Patent 10,188,519

  6. Pantawane MV, Dahotre NB (2019) Challenges and advances in osteotomy. Annals of Bone and Joint Surgery 2(1):1–4

    Google Scholar 

  7. M. V. Pantawane, W. B. Robertson, R. J. Khan, D. P. Fick, and N. B. Dahotre, Fundamentals of three-dimensional Yb-fiber Nd: YAG laser machining of structural bone, Journal of Applied Physics, vol. 126, no. 12, p. 124901, 2019

  8. Blaskovic M, Gabrić D, Coleman NJ, Slipper IJ, Mladenov M, Gjorgievska E (2016) Bone healing following different types of osteotomy: scanning electron microscopy (SEM) and three-dimensional SEM analyses. Microsc Microanal 22(6):1170–1178

    Article  CAS  Google Scholar 

  9. Gabrić D, Blašković M, Gjorgijevska E, Mladenov M, Tašič B, Jurič IB, Ban T (2016) Evaluation of bone healing after osteotomies prepared with Er: YAG laser in contact and noncontact modes and piezosurgery—an animal study. J Oral Maxillofac Surg 74(1):18–28

    Article  Google Scholar 

  10. Martins GL, Puricelli E, Baraldi CE, Ponzoni D (2011) Bone healing after bur and Er: YAG laser ostectomies. J Oral Maxillofac Surg 69(4):1214–1220

    Article  Google Scholar 

  11. Mitsuishi M, Warisawa S, Sugita N, Suzuki M, Moriya H, Hashizume H, Fujiwara K, Abe N, Inoue H, Kuramoto K et al (2005) A study of bone micro-cutting characteristics using a newly developed advanced bone cutting machine tool for total knee arthroplasty. CIRP Ann 54(1):41–46

    Article  Google Scholar 

  12. N. Bertollo and W. R. Walsh, Drilling of bone: practicality, limitations and complications associated with surgical drill-bits, in Biomechanics in applications. IntechOpen, 2011

  13. K. Ishii, A. Kimura, and K. Awazu, Optical properties of tissues after laser treatments in the wavelength range of 350-1000 nm, in Biophotonics: Photonic Solutions for Better Health Care, vol. 6991. International Society for Optics and Photonics, 2008, p. 69912F

  14. Zakariasen K, Dederich D (1991) Dental lasers and science. Journal (Canadian Dental Association) 57(7):570–573

    CAS  Google Scholar 

  15. Ivanenko M, Fahimi-Weber S, Mitra T, Wierich W, Hering P (2002) Bone tissue ablation with sub-μs pulses of a Q-switch CO2 laser: histological examination of thermal side effects. Lasers Med Sci 17(4):258–264

    Article  CAS  Google Scholar 

  16. Charlton A, Dickinson M, King T, Freemont A (1990) Erbium-YAG and holmium-YAG laser ablation of bone. Lasers Med Sci 5(4):365–373

    Article  Google Scholar 

  17. C.-A. Tulea, J. Caron, N. Gehlich, A. Lenenbach, R. Noll, and P. Loosen, Laser cutting of bone tissue under bulk water with a pulsed ps-laser at 532 nm, Journal of Biomedical Optics, vol. 20, no. 10, p. 105007, 2015

  18. Wallace R, Whitters C, McGeough J, Muir A (2004) Experimental evaluation of laser cutting of bone. J Mater Process Technol 149(1–3):557–560

    Article  Google Scholar 

  19. Wang X, Zhang C, Matsumoto K (2005) In vivo study of the healing processes that occur in the jaws of rabbits following perforation by an Er, Cr:YSGG laser. Lasers Med Sci 20(1):21–27

    Article  Google Scholar 

  20. Peavy GM, Reinisch L, Payne JT, Venugopalan V (1999) Comparison of cortical bone ablations by using infrared laser wavelengths 2.9 to 9.2 μm. Lasers in Surgery and Medicine: The Official Journal of the American Society for Laser Medicine and Surgery 25(5):421–434

    Article  CAS  Google Scholar 

  21. E. Bornstein and M. Lomke, The safety and effectiveness of dental Er:YAG lasers. A literature review with specific reference to bone. Dentistry today, vol. 22, no. 10, p. 129, 2003

  22. G. Kesler, G. Romanos, and R. Koren, Use of Er: YAG laser to improve osseointegration of titanium alloy implants–a comparison of bone healing. International Journal of Oral & Maxillofacial Implants, vol. 21, no. 3, 2006

  23. Pourzarandian A, Watanabe H, Aoki A, Ichinose S, Sasaki KM, Nitta H, Ishikawa I (2004) Histological and TEM examination of early stages of bone healing after Er: YAG laser irradiation. Photomed Laser Ther 22(4):342–350

    Article  Google Scholar 

  24. Stübinger S, Ghanaati S, Saldamli B, Kirkpatrick C, Sader R (2009) Er:YAG laser osteotomy: preliminary clinical and histological results of a new technique for contact-free bone surgery. Eur Surg Res 42(3):150–156

    Article  Google Scholar 

  25. G. Kesler, D. K. Shvero, Y. S. Tov, and G. Romanos, Platelet derived growth factor secretion and bone healing after Er:YAG laser bone irradiation, Journal of Oral Implantology, vol. 37, no. sp1, pp. 195–204, 2011

  26. Augello M, Deibel W, Nuss K, Cattin P, Jürgens P (2018) Comparative microstructural analysis of bone osteotomies after cutting by computer-assisted robot-guided laser osteotome and piezoelectric osteotome: an in vivo animal study. Lasers Med Sci 33(7):1471–1478

    Article  Google Scholar 

  27. Y. Ohsugi, A. Aoki, K. Mizutani, S. Katagiri, M. Komaki, M. Noda, T. Takagi, S. Kakizaki, W. Meinzer, and Y. Izumi, Evaluation of bone healing following Er:YAG laser ablation in rat calvaria compared with bur drilling, Journal of biophotonics, vol. 12, no. 3, p. e201800245, 2019

  28. Rajitha Gunaratne G, Khan R, Fick D, Robertson B, Dahotre N, Ironside C (2017) A review of the physiological and histological effects of laser osteotomy. Journal of medical engineering & technology 41(1):1–12

    Article  CAS  Google Scholar 

  29. Baek K-w, Deibel W, Marinov D, Griessen M, Dard M, Bruno A, Zeilhofer H-F, Cattin P, Juergens P (2015) A comparative investigation of bone surface after cutting with mechanical tools and Er:YAG laser. Lasers Surg Med 47(5):426–432

    Article  Google Scholar 

  30. de Mello EDA, Pagnoncelli RM, Munin E, Sant’Ana Filho M, de Mello GPS, Arisawa EAL, de Oliveira MG (2008) Comparative histological analysis of bone healing of standardized bone defects performed with the Er:YAG laser and steel burs. Lasers Med Sci 23(3):253–260

    Article  Google Scholar 

  31. Muschler GF, Raut VP, Patterson TE, Wenke JC, Hollinger JO (2010) The design and use of animal models for translational research in bone tissue engineering and regenerative medicine. Tissue Eng B Rev 16(1):123–145

    Article  Google Scholar 

  32. Sasaki KM, Aoki A, Ichinose S, Ishikawa I (2002) Ultrastructural analysis of bone tissue irradiated by Er:YAG laser. Lasers in Surgery and Medicine: The Official Journal of the American Society for Laser Medicine and Surgery 31(5):322–332

    Article  Google Scholar 

  33. Nelson JS, Yow L, Liaw L-H, Macleay L, Zavar RB, Orenstein A, Wright WH, Andrews JJ, Berns MW (1988) Ablation of bone and methacrylate by a prototype mid-infrared erbium:YAG laser. Lasers Surg Med 8(5):494–500

    Article  CAS  Google Scholar 

  34. Choi B, Welch AJ (2001) Analysis of thermal relaxation during laser irradiation of tissue. Lasers in Surgery and Medicine: The Official Journal of the American Society for Laser Medicine and Surgery 29(4):351–359

    Article  CAS  Google Scholar 

  35. M. F. Vaz, H. Canhão, and J. E. Fonseca, Bone: a composite natural material, Advances in Composite Materials—Analysis of Natural and Man-Made Materials, 2011

  36. Mangesh V. Pantawane, Sameehan S. Joshi, and Narendra B. Dahotre, Laser Beam Machining of Aluminum and Aluminum Alloys, ASM Specialty Handbook: Aluminum Science & Technology, Eds: Kevin Anderson, John Weritz and J Gilbert Kaufman, Volume 2A, American Society for Materials (ASM) International, Materials Park, Ohio, 2018.

  37. Lu JZ, Joshi SS, Pantawane MV, Ho Y-H, Wu T-C, Dahotre NB (2019) Optimization of biocompatibility in a laser surface treated Mg-AZ31B alloy. Mater Sci Eng C 105:110028

    Article  CAS  Google Scholar 

  38. Marques, M. P. M., et al. Heat-induced bone diagenesis probed by vibrational spectroscopy. Scientific Reports, vol. 8, no. 1, 2018

  39. Nakayama S, Otsuka R, Aoki H, Akao M, Miura N, Yamamoto T (1990) Thermal expansion of hydroxyapatite-β-tricalcium phosphate ceramics. Thermocheimica Acta 165(1):52–72

    Google Scholar 

  40. Hibst R, Keller U (1989) Experimental studies of the application of the Er:YAG laser on dental hard substances: I. measurement of the ablation rate. Lasers Surg Med 9(4):338–344

    Article  CAS  Google Scholar 

Download references

Acknowledgments

The authors acknowledge the assistance of Associate Professor Peta Clode of the Centre for Microscopy, Characterization and Microanalysis, University of Western Australia in conducting microanalysis of the laser-machined bone samples.

Funding

The current work was partially funded by Australian Institute of Robotics Orthopedics Pty Ltd. (Grant number GF70046).

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Correspondence to Narendra B. Dahotre.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of Ramsay Health Care WA|SA human research ethics committee, Hollywood Private Hospital, Monash Avenue, Nedlands, Perth, Western Australia (ID# HPH435), and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Pantawane, M.V., Chipper, R.T., Robertson, W.B. et al. Evolution of surface morphology of Er:YAG laser-machined human bone. Lasers Med Sci 35, 1477–1485 (2020). https://doi.org/10.1007/s10103-019-02927-w

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