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Caries resistance of lased human root surface with 10.6 μm CO2 laser-thermal, morphological, and microhardness analysis
Ist Teil von
Laser physics, 2010-02, Vol.20 (2), p.537-543
Ort / Verlag
Dordrecht: SP MAIK Nauka/Interperiodica
Erscheinungsjahr
2010
Beschreibungen/Notizen
Although the cariostatic effects of CO
2
laser on enamel have been shown, its effects on root surface demineralization remains uncertain. The objectives of this in vitro research was to establish safe parameters for a pulsed 10.6 μm CO
2
laser and to evaluate its effect on morphological features of the root surface, as well as on the reduction of root demineralization. Ninety-five human root surfaces were randomly divided into five groups: G1-No treatment (control); G2—2.5 J/cm
2
; G3—4.0 J/cm
2
; G4—5.0 J/cm
2
; and G5—6.0 J/cm
2
. Intrapulpal temperature was evaluated during root surface irradiation by a thermocouple and morphological changes were evaluated by SEM. After the surface treatment, the specimens were submitted to a 7-day pH-cycling model. Subsequently, the cross-sectional Knoop microhardness values were measured. For all irradiated groups, intrapulpal temperature changes were less than 1.5°C. Scanning electron microscopy images indicated that fluences as low as 4.0 J/cm
2
were sufficient to induce morphological changes in the root surface. Additionally, for fluences reaching or exceeding 4.0 J/cm
2
, laser-induced inhibitory effects on root surface demineralization were observed. It was concluded that laser energy density in the range of 4.0 to 6.0 J/cm
2
could be applied to a dental root to reduce demineralization of this surface without compromising pulp vitality.