Niccoli-Filho Walter, da Silveira Maria Cláudia Garcia, Vieira Nilson Dias, Riva Rudimar
Academic Group of Studies and Research with Lasers in Dentistry, Sao Paulo State University, School of Dentistry, Sao Jose dos Campos, Sao Paulo, Brazil. niccolifosjc.unesp.br
Photomed Laser Surg. 2005 Jun;23(3):317-23. doi: 10.1089/pho.2005.23.317.
The aim of this study is to analyze the effects of copper vapor laser radiation on the radicular wall of human teeth.
Immediately after the crowns of 10 human uniradicular teeth were cut along the cement-enamel junction, a chemical-surgical preparation of the radicular canals was completed. Then the roots were longitudinally sectioned to allow for irradiation of the surfaces of the dentin walls of the root canals. The hemi-roots were separated into two groups: one (control) with five hemi-roots that were not irradiated, and another (experimental) with 15 hemi-roots divided into three subgroups that were submitted to the following exposure times: 0.02, 0.05, and 0.1 s. A opper vapor laser (510.6 nm) with a total average power of 6.5 W in green emission, frequency of 16.000 Hz, and pulse duration of 30 ns was used.
The results obtained by scanning electron microscope analysis showed the appearance of a cavity in the region of laser beam impact, with melting, recrystallization, and cracking on the edges of the dentin of the cavity due to heat diffusion.
We determined that the copper vapor laser produces significant morphologic changes in the radicular wall of human teeth when using the parameters in this study. However, further research should be done to establish parameters that are compatible with dental structure in order to eliminate thermal damages.
本研究旨在分析铜蒸气激光辐射对人牙根壁的影响。
将10颗人单根牙的牙冠沿牙骨质-釉质界切断后,立即完成根管的化学-外科预备。然后将牙根纵向切开,以便对根管牙本质壁表面进行照射。半根分为两组:一组(对照组)为5个未照射的半根,另一组(实验组)为15个半根,分为三个亚组,分别接受以下照射时间:0.02、0.05和0.1秒。使用一台总平均功率为6.5W、绿色发射波长为510.6nm、频率为16000Hz、脉冲持续时间为30ns的铜蒸气激光。
扫描电子显微镜分析结果显示,在激光束照射区域出现一个空洞,由于热扩散,空洞边缘的牙本质出现熔化、再结晶和开裂。
我们确定,在本研究中使用这些参数时,铜蒸气激光会在人牙根壁上产生显著的形态学变化。然而,应进一步开展研究以确定与牙齿结构相适应的参数,从而消除热损伤。