Pulpal response to Er:YAG laser drilling of dentine in healthy human third molars
Background and Objectives Maintenance of pulpal health is a critical prerequisite for successful application of light amplification by stimulated emission of radiations (lasers) in the hard tissue management of vital teeth. The purpose of this study was to investigate the short‐ and long‐term pulpal...
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Published in | Lasers in surgery and medicine Vol. 32; no. 3; pp. 203 - 209 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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New York
Wiley Subscription Services, Inc., A Wiley Company
01.01.2003
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Abstract | Background and Objectives
Maintenance of pulpal health is a critical prerequisite for successful application of light amplification by stimulated emission of radiations (lasers) in the hard tissue management of vital teeth. The purpose of this study was to investigate the short‐ and long‐term pulpal effects to cavity‐preparations in healthy human teeth using erbium‐doped:yttrium, aluminum, and garnet (Er:YAG) laser.
Materials and Methods
A total of seven healthy third molars that were to be removed due to space‐problem were used. Following the laser excavation, the cavities in dentine were closed temporarily and the teeth were extracted after 7 days (n = 5) and 3 months (n = 2) post‐operation. The specimens were fixed, decalcified, subdivided, and processed for light and transmission electron microscopy.
Results
In the short‐term group, four of the five laser‐drilled teeth did not reveal any pathological changes in the pulp–dentine complex. One tooth showed mild disruption of odontoblasts (OB) and vascular dilatation subjacent to the deepest point of the cavity‐preparation with a remaining dentine thickness (RDT) of less than 80 μm. The two teeth under long‐term observation revealed distinct apposition of tertiary dentine (TD), lined predominantly with cuboidal cells on its pulpal aspect.
Conclusions
These results would allow a conclusion to be drawn that the Er:YAG laser under investigation is a pulp preserving hard‐tissue drilling tool when used with the specific energy settings and emitting radiation at a wavelength of 2.94 μm. Lasers Surg. Med. 32:203–209, 2003. © 2003 Wiley‐Liss, Inc. |
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AbstractList | Maintenance of pulpal health is a critical prerequisite for successful application of light amplification by stimulated emission of radiations (lasers) in the hard tissue management of vital teeth. The purpose of this study was to investigate the short- and long-term pulpal effects to cavity-preparations in healthy human teeth using erbium-doped:yttrium, aluminum, and garnet (Er:YAG) laser. A total of seven healthy third molars that were to be removed due to space-problem were used. Following the laser excavation, the cavities in dentine were closed temporarily and the teeth were extracted after 7 days (n = 5) and 3 months (n = 2) post-operation. The specimens were fixed, decalcified, subdivided, and processed for light and transmission electron microscopy. In the short-term group, four of the five laser-drilled teeth did not reveal any pathological changes in the pulp-dentine complex. One tooth showed mild disruption of odontoblasts (OB) and vascular dilatation subjacent to the deepest point of the cavity-preparation with a remaining dentine thickness (RDT) of less than 80 mu m. The two teeth under long-term observation revealed distinct apposition of tertiary dentine (TD), lined predominantly with cuboidal cells on its pulpal aspect. These results would allow a conclusion to be drawn that the Er:YAG laser under investigation is a pulp preserving hard-tissue drilling tool when used with the specific energy settings and emitting radiation at a wavelength of 2.94 mu m. Background and Objectives Maintenance of pulpal health is a critical prerequisite for successful application of light amplification by stimulated emission of radiations (lasers) in the hard tissue management of vital teeth. The purpose of this study was to investigate the short‐ and long‐term pulpal effects to cavity‐preparations in healthy human teeth using erbium‐doped:yttrium, aluminum, and garnet (Er:YAG) laser. Materials and Methods A total of seven healthy third molars that were to be removed due to space‐problem were used. Following the laser excavation, the cavities in dentine were closed temporarily and the teeth were extracted after 7 days (n = 5) and 3 months (n = 2) post‐operation. The specimens were fixed, decalcified, subdivided, and processed for light and transmission electron microscopy. Results In the short‐term group, four of the five laser‐drilled teeth did not reveal any pathological changes in the pulp–dentine complex. One tooth showed mild disruption of odontoblasts (OB) and vascular dilatation subjacent to the deepest point of the cavity‐preparation with a remaining dentine thickness (RDT) of less than 80 μm. The two teeth under long‐term observation revealed distinct apposition of tertiary dentine (TD), lined predominantly with cuboidal cells on its pulpal aspect. Conclusions These results would allow a conclusion to be drawn that the Er:YAG laser under investigation is a pulp preserving hard‐tissue drilling tool when used with the specific energy settings and emitting radiation at a wavelength of 2.94 μm. Lasers Surg. Med. 32:203–209, 2003. © 2003 Wiley‐Liss, Inc. Maintenance of pulpal health is a critical prerequisite for successful application of light amplification by stimulated emission of radiations (lasers) in the hard tissue management of vital teeth. The purpose of this study was to investigate the short- and long-term pulpal effects to cavity-preparations in healthy human teeth using erbium-doped:yttrium, aluminum, and garnet (Er:YAG) laser. A total of seven healthy third molars that were to be removed due to space-problem were used. Following the laser excavation, the cavities in dentine were closed temporarily and the teeth were extracted after 7 days (n = 5) and 3 months (n = 2) post-operation. The specimens were fixed, decalcified, subdivided, and processed for light and transmission electron microscopy. In the short-term group, four of the five laser-drilled teeth did not reveal any pathological changes in the pulp-dentine complex. One tooth showed mild disruption of odontoblasts (OB) and vascular dilatation subjacent to the deepest point of the cavity-preparation with a remaining dentine thickness (RDT) of less than 80 microm. The two teeth under long-term observation revealed distinct apposition of tertiary dentine (TD), lined predominantly with cuboidal cells on its pulpal aspect. These results would allow a conclusion to be drawn that the Er:YAG laser under investigation is a pulp preserving hard-tissue drilling tool when used with the specific energy settings and emitting radiation at a wavelength of 2.94 microm. BACKGROUND AND OBJECTIVESMaintenance of pulpal health is a critical prerequisite for successful application of light amplification by stimulated emission of radiations (lasers) in the hard tissue management of vital teeth. The purpose of this study was to investigate the short- and long-term pulpal effects to cavity-preparations in healthy human teeth using erbium-doped:yttrium, aluminum, and garnet (Er:YAG) laser.MATERIALS AND METHODSA total of seven healthy third molars that were to be removed due to space-problem were used. Following the laser excavation, the cavities in dentine were closed temporarily and the teeth were extracted after 7 days (n = 5) and 3 months (n = 2) post-operation. The specimens were fixed, decalcified, subdivided, and processed for light and transmission electron microscopy.RESULTSIn the short-term group, four of the five laser-drilled teeth did not reveal any pathological changes in the pulp-dentine complex. One tooth showed mild disruption of odontoblasts (OB) and vascular dilatation subjacent to the deepest point of the cavity-preparation with a remaining dentine thickness (RDT) of less than 80 microm. The two teeth under long-term observation revealed distinct apposition of tertiary dentine (TD), lined predominantly with cuboidal cells on its pulpal aspect.CONCLUSIONSThese results would allow a conclusion to be drawn that the Er:YAG laser under investigation is a pulp preserving hard-tissue drilling tool when used with the specific energy settings and emitting radiation at a wavelength of 2.94 microm. Abstract Background and Objectives Maintenance of pulpal health is a critical prerequisite for successful application of light amplification by stimulated emission of radiations (lasers) in the hard tissue management of vital teeth. The purpose of this study was to investigate the short‐ and long‐term pulpal effects to cavity‐preparations in healthy human teeth using erbium‐doped:yttrium, aluminum, and garnet (Er:YAG) laser. Materials and Methods A total of seven healthy third molars that were to be removed due to space‐problem were used. Following the laser excavation, the cavities in dentine were closed temporarily and the teeth were extracted after 7 days (n = 5) and 3 months (n = 2) post‐operation. The specimens were fixed, decalcified, subdivided, and processed for light and transmission electron microscopy. Results In the short‐term group, four of the five laser‐drilled teeth did not reveal any pathological changes in the pulp–dentine complex. One tooth showed mild disruption of odontoblasts (OB) and vascular dilatation subjacent to the deepest point of the cavity‐preparation with a remaining dentine thickness (RDT) of less than 80 μm. The two teeth under long‐term observation revealed distinct apposition of tertiary dentine (TD), lined predominantly with cuboidal cells on its pulpal aspect. Conclusions These results would allow a conclusion to be drawn that the Er:YAG laser under investigation is a pulp preserving hard‐tissue drilling tool when used with the specific energy settings and emitting radiation at a wavelength of 2.94 μm. Lasers Surg. Med. 32:203–209, 2003. © 2003 Wiley‐Liss, Inc. |
Author | Baltensperger, Marc M. Luder, Hans-Ulrich Eyrich, Gerold K.H. Nair, P.N. Ramachandran |
Author_xml | – sequence: 1 givenname: P.N. Ramachandran surname: Nair fullname: Nair, P.N. Ramachandran email: nair@zzmk.unizh.ch organization: Department of Oral Structural Biology, Center of Dental and Oral Medicine, University of Zurich, Zurich, Switzerland – sequence: 2 givenname: Marc M. surname: Baltensperger fullname: Baltensperger, Marc M. organization: Cranio-Maxillofacial Surgery, University Hospital, University of Zurich, Zurich, Switzerland – sequence: 3 givenname: Hans-Ulrich surname: Luder fullname: Luder, Hans-Ulrich organization: Department of Oral Structural Biology, Center of Dental and Oral Medicine, University of Zurich, Zurich, Switzerland – sequence: 4 givenname: Gerold K.H. surname: Eyrich fullname: Eyrich, Gerold K.H. organization: Cranio-Maxillofacial Surgery, University Hospital, University of Zurich, Zurich, Switzerland |
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Keywords | Short term Dentin Drilling Human pulpal effects YAG laser Volunteer ablation Instrumentation therapy Dentistry dental lasers Long term Wavelength Phototherapy Dose activity relation cavity-preparations ENT disease Tooth Biological effect Dental pulp |
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References_xml | – volume: 127 start-page: 26 year: 1969 end-page: 28 article-title: Laser effects on vital dental pulps publication-title: Br Dent J – volume: 20 start-page: 32 year: 1997 end-page: 38 article-title: Effects of Er:YAG laser in caries treatment: A clinical pilot study publication-title: Lasers Surg Med – volume: 9 start-page: 314 year: 1989 end-page: 326 article-title: Er:YAG laser ablation of tissue: Effect of pulse duration and tissue type on thermal damage publication-title: Lasers Surg Med – volume: 222 start-page: 289 year: 1988 end-page: 300 article-title: Inflammation of rat molar pulp and periodontium causes increased calcitonin gene‐related peptide and axonal sprouting publication-title: Anat Rec – volume: 76 start-page: 1818 year: 1997 end-page: 1824 article-title: A structural and functional association between substance P and calcitonin gene‐related peptideimmunoreactive nerves and accessory cells publication-title: J Dent Res – volume: 128 start-page: 1080 year: 1997 end-page: 1087 article-title: Dentistry for the 21st century. 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Maintenance of pulpal health is a critical prerequisite for successful application of light amplification by stimulated emission of... Maintenance of pulpal health is a critical prerequisite for successful application of light amplification by stimulated emission of radiations (lasers) in the... Abstract Background and Objectives Maintenance of pulpal health is a critical prerequisite for successful application of light amplification by stimulated... BACKGROUND AND OBJECTIVESMaintenance of pulpal health is a critical prerequisite for successful application of light amplification by stimulated emission of... |
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SubjectTerms | ablation Biological and medical sciences cavity-preparations dental lasers Dental Pulp - pathology Dental Pulp - radiation effects Dentin - radiation effects Dentin Permeability Ent and stomatology Humans Laser Therapy Medical sciences Microscopy, Electron, Scanning Molar, Third Neodymium pulpal effects Radiotherapy. Instrumental treatment. Physiotherapy. Reeducation. Rehabilitation, orthophony, crenotherapy. Diet therapy and various other treatments (general aspects) Root Canal Preparation - methods Sensitivity and Specificity Stomatology Time Factors |
Title | Pulpal response to Er:YAG laser drilling of dentine in healthy human third molars |
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