Sher Bryan Martin, Mulder Riaan, Gutknecht Norbert
Department of Conservative Dentistry, Periodontology and Preventive Dentistry, RWTH University Hospital Aachen, Aachen, Germany.
Department of Restorative Dentistry, University of the Western Cape, Cape Town, South Africa.
J Lasers Med Sci. 2021 Aug 30;12:e48. doi: 10.34172/jlms.2021.48. eCollection 2021.
An increase in dentine thickness could result in an inadequate depth of laser energy penetration. This study aimed to evaluate the effect of a 940 nm laser on through varying thicknesses of human root dentin slices. Thirty-five dentin slices of root dentin with thicknesses ranging between 500 and 3000 µm were produced. Six experimental groups (500, 1000, 1500, 2000, 2500, and 3000 µm (n=5 each) were lased and the seventh, non-lased group served as the positive control with a dentine thickness of 2000 µm. The slices were inoculated with 2 µL of suspension of 1.5 × 10 cells/mL. All the lased slices were lased from the opposing side of the inoculation. A non-initiated 200 μm bare end fibre at the power of 1 W, in a continuous wave was used. Four doses of laser irradiation of 5 seconds with a side to side movement with the tip held at a 5º angle to the dentine slice were performed. The colony-forming units of were determined and the bacterial photobiomodulation effect analysed using one-way ANOVA with a Bonferroni and Holm post hoc test at a significance level of > 0.05. There were statistical differences between the dentin slices of 500, 1000, and 1500 μm treated with the laser compared to the positive control ( < 0.01). However, there were no statistical differences between the lased 2000 and 2500 μm slices compared to the positive control. There was significantly more photobiomodulation of the for the dentine slices of 3000 μm than the positive control ( < 0.01). Laser treatment through dentine slices of 2000 μm and thinner significantly reduced bacterial growth. The photobiomodulation effects started to occur in dentine slices thicker than 2500 μm compared to the positive control.
牙本质厚度增加可能导致激光能量穿透深度不足。本研究旨在评估940纳米激光对不同厚度人牙根牙本质切片的影响。制作了35片厚度在500至3000微米之间的牙根牙本质切片。六个实验组(500、1000、1500、2000、2500和3000微米,每组n = 5)接受激光照射,第七组未照射作为阳性对照,牙本质厚度为2000微米。将切片接种2微升浓度为1.5×10个细胞/毫升的悬浮液。所有接受激光照射的切片均从接种的对侧进行照射。使用一根未启动的200微米裸端光纤,以1瓦的功率连续波照射。进行四次剂量为5秒的激光照射,照射时光纤尖端与牙本质切片保持5°角并左右移动。测定菌落形成单位,并使用单因素方差分析及Bonferroni和Holm事后检验分析细菌光生物调节作用,显著性水平设定为P>0.05。与阳性对照相比,接受激光治疗的500、1000和1500微米牙本质切片之间存在统计学差异(P<0.01)。然而,与阳性对照相比,接受激光照射的2000和2500微米切片之间没有统计学差异。3000微米牙本质切片的光生物调节作用明显强于阳性对照(P<0.01)。通过2000微米及更薄的牙本质切片进行激光治疗可显著减少细菌生长。与阳性对照相比,光生物调节作用在厚度超过2500微米的牙本质切片中开始出现。