Thermal damage in dental pulp during Nd:YAG laser irradiation have been studied by several researchers; but due to dentin inhomogeneous structure, laser interaction with dentin in the hypersensitivity treatment are not fully understood. In this work, heat distribution profile on human dentine samples irradiated with Nd:YAG laser was simulated at surface and subjacent layers. Calculations were carried out using the Crank-Nicolson's finite difference method. Sixteen dentin samples with 1,5 mm of thickness were evenly distributed into four groups and irradiated with Nd:YAG laser pulses, according to the following scheme: (I) 1 pulse of 900 mJ, (II) 2 pulses of 450 mJ, (III) 3 pulses of 300 mJ, (IV) 6 pulses of 150 mJ; corresponding to a total laser energy of 900 mJ. The pulse interval was 300ms, the pulse duration of 900 ms and irradiated surface area of 0,005 mm2. Laser induced morphological changes in dentin were observed for all the irradiated samples. The heat distribution throughout the dentin layer, from the external dentin surface to the pulpal chamber wall, was calculated for each case, in order to obtain further information about the pulsed Nd:YAG laser-oral hard tissue interaction. The simulation showed significant differences in the final temperature at the pulpal chamber, depending on the exposition time and the energy contained in the laser pulse.
Eduardo Moriyama, Renato Zangaro, Antonio G. J. Villaverde, Ii-Sei Watanabe, Egberto Munin, Luis Sasaki, Daniel Otsuka, Paulo Lobo, Marcos Pacheco, Durval Junior
Infrared lasers have been used for several clinical applications in dentistry, including laser ablation, oral surgeries and dentin hypersensitivity treatment. Despite of dentin low absorption coefficient in the near infrared spectrum, Nd:YAG laser radiation ((lambda) = 1064 nm) is able to melt the human dentin surface resulting in dentin tubules closure that can suppress the symptoms of dentin hypersensitivity pathology. Objectives: This study aims to analyze, through SEM technique, the morphological changes in dentin surface after Nd:YAG laser irradiation using different parameters in energy distribution. Materials and Methods: In this study sixteen human dentin samples were submitted to Nd:YAG laser radiation using a total energy of 900mJ distributed in one, two, three or six laser pulses with energy for each pulse of 900, 450, 300 or 150 mJ respectively. All the samples were irradiated with laser pulse width of 90ms, pulse intervals of 300 ms and spot size area of 0,005 cm2. Results: SEM analysis suggests that differences in energy distribution results in morphological differences even though the same energy is used for all the samples.
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