The Rate of Demineralization in the Teeth Prepared by Bur and Er:YAG Laser
Journal of Lasers in Medical Sciences,
Vol. 9 No. 2 (2018),
27 April 2018
,
Page 82-86
Abstract
Introduction: The present in vitro study evaluated the recurrence rate of caries following cavity preparations with bur (conventional technique) and irradiation by Erbium:Yttrium–Aluminum–Garnet (Er:YAG) laser through micro hardness test.Methods: A total of 72 human extracted molars were randomly divided into 3 groups and class 5 cavities were prepared on them with 3 different methods: G1) conventional bur, G2) Er:YAG laser irradiation alone and G3) laser irradiation + laser treatment. The specimens were immersed in the artificial caries solution with pH of 2.0 and 5.0 (12 days) and then immersed in re-mineralizing solution with pH of 7.0 (25 days). The specimens were longitudinally sectioned and their Vickers micro hardness was determined. Data were statistically analyzed by means of three-way analysis of variance (ANOVA) and Tukey multiple comparisons tests.
Results: The micro hardness of the samples was affected by substrate type (enamel and dentin) and low values were achieved in dentin (P < 0.001). Moreover, no significant difference was observed between preparation methods by bar and laser irradiation alone (P ≤ 0.499). Although laser irradiation + laser treatment decreased micro hardness of enamel compared to other methods. In dentin samples, different methods of preparation showed no significant effect on micro hardness (P ≤ 0.874).
Conclusion: Due to the similar values of micro hardness following G1 and G2, it seems that Er:YAG laser alone is as much effective as the conventional bur to prevent recurrence caries. However, because of the high prices of laser instruments, bur preparations can be done commonly.
- bur preparation
- Er
- YAG laser
- microhardness
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References
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