Effect of ER:YAG and diode laser irradiation on the root surface: morphological and thermal analysis.
BACKGROUND
The aim of the present study was to compare the effects of Er:YAG and diode laser treatments of the root surface on intrapulpal temperature after scaling and root planing with hand instruments.


METHODS
Fifteen extracted single-rooted teeth were scaled and root planed with hand instruments. The teeth were divided into 3 groups of 5 each and irradiated on their buccal and lingual surfaces: group A: Er:YAG laser, 2.94 microm/100 mJ/10 Hz/30 seconds; group B: diode laser, 810 nm/1.0 W/0.05 ms/30 seconds; group C: diode laser, 810 nm/1.4 W/0.05 ms/30 seconds. The temperature was monitored by means of a type T thermocouple (copper-constantan) positioned in the pulp chamber to assess pulpal temperature during and before irradiation. Afterwards, the specimens were longitudinally sectioned, and the buccal and lingual surfaces of each root were analyzed by scanning electron microscopy.


RESULTS
In the Er:YAG laser group, the thermal analysis revealed an average temperature of -2.2 +/- 1.5 degrees C, while in the diode laser groups, temperatures were 1.6 +/- 0.8 degrees C at 1.0 W and 3.3 +/- 1.0 degrees C at 1.4 W. Electronic micrographs revealed that there were no significant morphological changes, such as charring, melting, or fusion, in any group, although the specimens were found to be more irregular in the Er:YAG laser group.


CONCLUSIONS
The application of Er:YAG and diode lasers at the utilized parameters did not induce high pulpal temperatures. Root surface irregularities were more pronounced after irradiation with an Er:YAG laser than with a diode laser.
Theodoro
Letícia H
LH
Department of Periodontology, Araraquara Dental School, State University of São Paulo, Araraquara, SP, Brazil. perio@foar.unesp.br
Haypek
Patrícia
P
Bachmann
Luciano
L
Garcia
Valdir G
VG
Sampaio
José E C
JE
Zezell
Denise M
DM
Eduardo
Carlos de P
Cde P
D000538:Aluminum Silicates; D001831:Body Temperature / Q000528:radiation effects; D003739:Dental Cementum / Q000528:radiation effects / Q000648:ultrastructure; D003782:Dental Pulp / Q000503:physiopathology / Q000528:radiation effects; D003786:Dental Pulp Cavity / Q000503:physiopathology; D012534:Dental Scaling; D004871:Erbium; D006801:Humans; D053685:Laser Therapy; D007834:Lasers / Q000145:classification; D008855:Microscopy, Electron, Scanning; D016745:Root Planing; D016369:Smear Layer; D013816:Thermodynamics; D013821:Thermometers; D014092:Tooth Root / Q000528:radiation effects* / Q000648:ultrastructure; D015019:Yttrium
D000538:Aluminum Silicates; D015019:Yttrium; D004871:Erbium