[Cavity preparation using an Er:YAG laser in the adult dentition].

Abstract

Many lasers (i.e., different wavelengths) are available today for clinical applications. Not all lasers are to be used for cavity preparation and removal of carious tissues. Erbiumlasers (Er:YAG and Er,Cr:YSGG) are suitable for these purposes (the wavelengths coincide with the highest absorption peaks of water and hydroxyapatite). The advantages during cavity preparation and caries removal are smear layer free cavity walls, selective and localised removal of tooth substance, a restricted need or the absence of anaesthesia, and cavity walls with a higher acid resistance resulting in a better protection against secondary decay. Possible side effects of erbium lasers with water cooling and used with respect for correct power setting are minimal and can be compared with those of rotary instruments. Erbium laser tooth preparation is now one of the options in the minimal invasive approach. The needs for acid etching has been debated for long. At present it has become clear that acid etching is mandatory to obtain a good adhesion and retention with resin composites.

• Authors: K Delmé, M Meire, M De Bruyne, S Nammour, R De Moor
• Journal: Revue belge de medecine dentaire (Rev Belge Med Dent (1984)) Vol. 64 Issue 2 Pg. 71-80 ( 2009) ISSN: 0775-0293 [Print] Belgium
• Vernacular Title: La préparation de cavités à l'aide du laser Er:YAG dans la denture adulte.
• PMID: 19681348 (Publication Type: Comparative Study, English Abstract, Journal Article, Review)

Chemical References

• Dental Materials

Topics

• Adult
• Dental Bonding (methods)
• Dental Caries (therapy)
• Dental Cavity Preparation (instrumentation, methods)
• Dental Materials (chemistry)
• Dental Restoration, Permanent (methods)
• Dentin (ultrastructure)
• Humans
• Laser Therapy
• Lasers, Solid-State (therapeutic use)
• Smear Layer