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Clinical Studies | Convergent Dental

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Effectiveness of carbonate removal and demineralization inhibition in primary teeth using a 9.3-μm carbon dioxide laser

 Ali Badreddine, PhD Vijayashankar Ramareddy, PhD and Charles Kerbage, PhD

ABSTRACT (Click here for full study)

Objectives:

Studies on permanent dental enamel have shown that irradiation with a 9.3-μm carbon dioxide (CO2) laser can safely inhibit caries progression in vivo and carieslike lesion formation in vitro. The authors conducted a study to investigate whether 9.3-μm CO2 laser irradiation could safely inhibit carieslike lesion formation in primary teeth in vitro.

Methods:

Teeth were irradiated with a 9.3-μm CO2 laser at a pulse fluence of 0.8 J/cm2 and scanned automatically over a target area of 5.8 mm2. Two test groups of 15 extracted human molars each were used: (1) laser-irradiated and (2) laser-irradiated plus additional fluoride. Both groups used nonirradiated areas as nonlaser-treated controls. After irradiation, artificial carieslike lesions were generated through a validated pH-cycling protocol. Relative mineral loss (ΔZ) was determined by cross-sectional microhardness testing in depth. Fourier transform infrared spectroscopy was performed on additional 10 irradiated samples to investigate the removal of acid-soluble carbonate groups from the mineral.

Results:

Inhibition of carieslike lesion formation relative to untreated enamel was (1) laser-irradiated alone: 56.2%, (2) fluoride alone: 55.0%, (3) laser plus fluoride: 76.5% (significantly different from 1 and 2; P < 0.01). Carbonate removal by laser irradiation (SD) was 50.4% (7.7%) at the surface and detectable to a depth of at least 14 μm.

Conclusion:

Irradiation with 9.3-μm CO2 laser on primary teeth reduced the formation of carieslike lesions and was associated with significant removal of acid-soluble carbonate groups from the enamel mineral. This inhibition was accomplished without an unsafe rise in pulpal temperature and without significant microscopic or visible damage to the enamel surface.

Effectiveness of carbonate removal and demineralization...

 Ali Badreddine, PhD Vijayashankar Ramareddy, PhD and Charles Kerbage, PhD

1 min read

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