Microstructural changes of enamel, dentin-enamel junction, and dentin induced by irradiating outer enamel surfaces with CO2 laser.
The microstructural changes of enamel, dentin-enamel junction (DEJ), and dentin after CO(2) laser irradiation were studied. Buccal enamel surfaces of human third molars about 2 mm from the DEJ were irradiated, and the laser tip was moved 5 mm in a mesiodistal direction with 5 s of irradiation time. The output powers were 2 to 10 W in a continuous mode, and the average doses were approximately from 250 to 1,250 J/cm(2). All specimens were examined by a scanning electron microscope, and heat-transfer simulation was also applied to calculate temperature distribution. Surface ablation of enamel and separation of enamel and dentin along the DEJ were observed when the laser power output exceeded 3 W. Heat-transfer simulation indicated that dentin was prone to store more thermal energy than enamel. In conclusion, operation parameters of the CO(2) laser should be carefully selected to avoid thermal damage to the DEJ.
Chiang
Yu-Chih
YC
School of Dentistry and Graduate Institute of Clinical Dentistry, College of Medicine, National Taiwan University and National Taiwan University Hospital, Taipei, Taiwan, Republic of China.
Lee
Bor-Shiunn
BS
Wang
Yin-Lin
YL
Cheng
Ya-An
YA
Chen
Yen-Ling
YL
Shiau
Jia-Shyan
JS
Wang
Da-Ming
DM
Lin
Chun-Pin
CP
D002245:Carbon Dioxide; D003743:Dental Enamel / Q000528:radiation effects* / Q000648:ultrastructure; D003804:Dentin / Q000528:radiation effects* / Q000648:ultrastructure; D006801:Humans; D066298:In Vitro Techniques; D007834:Lasers; D008855:Microscopy, Electron, Scanning; D008964:Molar, Third / Q000000981:diagnostic imaging* / Q000648:ultrastructure; D011859:Radiography; D013499:Surface Properties
D002245:Carbon Dioxide