Precision ablation of dental enamel using a subpicosecond pulsed laser.

In this study we report the use of ultra-short-pulsed near-infrared lasers for precision laser ablation of freshly extracted human teeth. The laser wavelength was approximately 800nm, with pulsewidths of 95 and 150fs, and pulse repetition rates of 1kHz. The laser beam was focused to an approximate diameter of 50microm and was scanned over the tooth surface. The rise in the intrapulpal temperature was monitored by embedded thermocouples, and was shown to remain below 5 degrees C when the tooth was air-cooled during laser treatment. The surface preparation of the ablated teeth, observed by optical and electron microscopy, showed no apparent cracking or heat effects, and the hardness and Raman spectra of the laser-treated enamel were not distinguishable from those of native enamel. This study indicates the potential for ultra-short-pulsed lasers to effect precision ablation of dental enamel.

[1]  R Z LeGeros,et al.  Calcium phosphates in oral biology and medicine. , 1991, Monographs in oral science.

[2]  Michael D. Perry,et al.  Physical characterization of ultrashort laser pulse drilling of biological tissue , 1997 .

[3]  B. Luther-Davies,et al.  Ablation of solids by femtosecond lasers: ablation mechanism and ablation thresholds for metals and dielectrics , 2002 .

[4]  H. Tsuda,et al.  Raman Spectroscopy in Dental Research: A Short Review of Recent Studies , 1997, Advances in dental research.

[5]  K. Matsumoto,et al.  Morphological changes of human teeth with Er:YAG laser irradiation. , 1999, Journal of clinical laser medicine & surgery.

[6]  S. Kantola Laser-induced effects on tooth structure. VII. X-ray diffraction study of dentine exposed to a CO2 laser. , 1973, Acta odontologica Scandinavica.

[7]  A M Rubenchik,et al.  Influence of pulse duration on ultrashort laser pulse ablation of biological tissues. , 2001, Journal of biomedical optics.

[8]  Boris N. Chichkov,et al.  Precise laser ablation with ultrashort pulses , 1997 .

[9]  P. Wilder-Smith,et al.  Laser‐induced thermal events in empty and pulp‐filled dental pulp chambers , 1998, Lasers in surgery and medicine.

[10]  I Cernavin,et al.  A comparison of the effects of Nd:YAG and Ho:YAG laser irradiation on dentine and enamel. , 1995, Australian dental journal.

[11]  J. Featherstone,et al.  Laser Effects On Dental Hard Tissues , 1987, Advances in dental research.

[12]  I. Anić,et al.  Laser induced molar tooth pulp chamber temperature changes. , 1992, Caries research.

[13]  J. Gornbein,et al.  A laser-powered hydrokinetic system for caries removal and cavity preparation. , 2000, Journal of the American Dental Association.

[14]  D Heidemann,et al.  Erbium:YAG laser application in caries therapy. Evaluation of patient perception and acceptance. , 1998, Journal of dentistry.

[15]  Raimund Hibst,et al.  Experimental studies of the application of the Er:YAG laser on dental hard substances: I. Measurement of the ablation rate , 1989, Lasers in surgery and medicine.

[16]  M. Niemz,et al.  Investigation and spectral analysis of the plasma-induced ablation mechanism of dental hydroxyapatite , 1994 .

[17]  Ward Small,et al.  Plasma mediated ablation of biological tissues with nanosecond-to-femtosecond laser pulses: relative role of linear and nonlinear absorption , 1996 .

[18]  A. Scheinin,et al.  LASER-INDUCED EFFECTS ON TOOTH STRUCTURE , 1968 .

[19]  Michael D. Perry,et al.  Ultrashort pulse lasers for hard tissue ablation , 1996 .

[20]  J Pelagalli,et al.  Investigational study of the use of Er:YAG laser versus dental drill for caries removal and cavity preparation--phase I. , 1997, Journal of clinical laser medicine & surgery.

[21]  K. Matsumoto,et al.  Effects of erbium,chromium:YSGG laser irradiation on canine mandibular bone. , 2001, Journal of periodontology.

[22]  Daniel Fried,et al.  Lasers in dentistry , 1995, Lasers in surgery and medicine.

[23]  M. Niemz,et al.  Cavity Preparation with the Nd:YLF Picosecond Laser , 1995, Journal of dental research.

[24]  R. Z. LeGeros,et al.  1. Introduction — Scope , 1991 .

[25]  Josef F. Bille,et al.  Laser-induced optical breakdown on hard and soft tissues and its dependence on the pulse duration: experiment and model , 1996 .

[26]  Paghdiwala Af,et al.  Evaluation of erbium:YAG laser radiation of hard dental tissues: analysis of temperature changes, depth of cuts and structural effects. , 1993 .

[27]  Judith M. Dawes,et al.  Subpicosecond laser ablation of dental enamel , 2002 .

[28]  H. Wigdor Patients' perception of lasers in dentistry , 1997, Lasers in surgery and medicine.

[29]  L. Reinisch,et al.  Laser ablation as a function of the primary absorber in dentin , 1997, Lasers in surgery and medicine.

[30]  M. Wolbarsht,et al.  Wet versus dry enamel ablation by Er:YAG laser. , 1992, The Journal of prosthetic dentistry.

[31]  L ZACH,et al.  PULP RESPONSE TO EXTERNALLY APPLIED HEAT. , 1965, Oral surgery, oral medicine, and oral pathology.

[32]  G. Altshuler,et al.  A laser‐abrasive method for the cutting of enamel and dentin , 2001, Lasers in surgery and medicine.

[33]  R Hibst,et al.  Experimental studies of the application of the Er:YAG laser on dental hard substances: II. Light microscopic and SEM investigations , 1989, Lasers in surgery and medicine.

[34]  G. Levy,et al.  Cutting efficiency of a mid-infrared laser on human enamel. , 1998, Journal of endodontics.

[35]  G. Bergenholtz Pathogenic mechanisms in pulpal disease. , 1990, Journal of endodontics.