Wu Cheng-Chei, Roan Rong-Tai, Chen Jeng-Huey
Graduate Institute of Dental Science, College of Dental Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan.
Lasers Surg Med. 2002;31(5):333-8. doi: 10.1002/lsm.10124.
Laser has been reported as a heat source for melting and re-crystallization. Occurring at about 1100 degrees C, the melting of surface dental enamel along with re-crystallization might have an assistant role in the therapy of hypersensitive tooth, apical sealing of endodontic surgery in dentistry, preventive dentistry for pit and fissure sealing, and fluoridation. For laser to be accepted in clinical applications, it is desired that, studies must show the incorporation of CaF(2) into hydroxyapatite could reduce the sintering temperature for the sake of safety.
STUDY DESIGN/MATERIALS AND METHODS: In this study, the Sharplan 20XJ CO(2) laser with 10.6- microm wavelength was set under the following parameters: power, 5 W; repetitive mode, 0.1 second; beam, focused. Fluorite was added to hydroxyapatite as a synthetic compound to lower the sintering temperature. Human dental enamel without caries was used for in vitro sintering test. Scanning electron microscopy (SEM), X-ray diffractometer (XRD), Fourier transforming infrared spectroscopy (FTIR), and differential thermal analysis/thermogravimetric analysis (DAT/TGA) were used for the investigation of sintering mechanism of CaF(2).
Fusion between hexagonal shape crystals and cubic shape crystals (CaF(2)) were observed under SEM study. Hexagonal shape crystals indicated the formation of fluorapatite under XRD analysis. Under FTIR study, we examined reductions of water (3445 cm(-1)) and hydroxyl bands (3567 and 627 cm(-1)) in irradiated compounds. From the DTA pattern of synthetic compound, it showed the endothermic reaction reaching its peak point around 1180 +/- 20 degrees C. It was attributed to the phase transformation and/or initial melting.
In this study, we proposed the interrelationship of the eutectics between initiator (CaF(2)) and the reaction product (calcium hydroxide) that reduced the sintering temperature. It appeared that the co-eutectics interacted to reduce the sintering temperature of hydroxyapatite below 800 degrees C and that the key eutectic was calcium hydroxide. The clinical feasibility of the melting and re-crystallization of hydroxyapatite under 10.6-microm CO(2) laser would be therefore enhanced.
据报道,激光可作为一种用于熔化和再结晶的热源。在约1100摄氏度时发生的牙釉质表面熔化及再结晶,可能在牙齿过敏症治疗、牙科牙髓手术根尖封闭、窝沟封闭预防牙科以及氟化处理中发挥辅助作用。为使激光能被临床应用所接受,期望研究表明将CaF₂掺入羟基磷灰石可降低烧结温度以确保安全。
研究设计/材料与方法:在本研究中,将波长为10.6微米的Sharplan 20XJ CO₂激光设置为以下参数:功率5瓦;重复模式0.1秒;光束聚焦。将萤石作为合成化合物添加到羟基磷灰石中以降低烧结温度。使用无龋的人牙釉质进行体外烧结试验。采用扫描电子显微镜(SEM)、X射线衍射仪(XRD)、傅里叶变换红外光谱仪(FTIR)以及差示热分析/热重分析(DAT/TGA)来研究CaF₂的烧结机制。
在SEM研究中观察到六方晶体与立方晶体(CaF₂)之间的融合。XRD分析表明六方晶体表明形成了氟磷灰石。在FTIR研究中,我们检测了辐照化合物中水分(3445 cm⁻¹)和羟基带(3567和627 cm⁻¹)的减少。从合成化合物的DTA图谱来看,其显示吸热反应在约1180±20摄氏度达到峰值,这归因于相变和/或初始熔化。
在本研究中,我们提出引发剂(CaF₂)与反应产物(氢氧化钙)之间共晶的相互关系降低了烧结温度。似乎共晶相互作用将羟基磷灰石的烧结温度降低至800摄氏度以下,且关键共晶为氢氧化钙。因此,10.6微米CO₂激光作用下羟基磷灰石熔化和再结晶的临床可行性将得到提高。