Valoración clínica y microbiológica del láser Er, Cr: YSGG en la terapia periodontal no quirúrgica

Se observa en la literatura una gran controversia alrededor de la capacidad del láser para aportar mejorías al tratamiento periodontal no quirúrgico. El objetivo de este estudio es valorar si, en el tratamiento periodontal básico, el láser es más eficaz que el raspado y alisado radicular en cuanto a la mejoría de parámetros tanto clínicos (profundidad de sondaje, sangrado al sondaje y nivel de inserción) como microbiológicos (presencia o ausencia de A. actinomycetemcomitans, P. gingivalis, T. forsythia). 10.3. MATERIALES Y MÉTODOS Se seleccionan 36 pacientes con enfermedad periodontal crónica generalizada de grado moderado-severo y se reparten en dos grupos: 18 pacientes para el grupo control, en el que se realiza el tratamiento periodontal convencional con instrumentación manual, y 18 pacientes para el grupo experimental, en el que se realiza el tratamiento con el láser Er,Cr:YSGG. Los datos clínicos analizados son: el índice de placa, el índice gingival, la recesión gingival, el nivel de inserción y la profundidad de sondaje. En el laboratorio se analiza, por medio de la PCR, la muestra microbiológica del surco gingival. Los participantes también rellenan un cuestionario sobre la hipersensibilidad dental y las molestias en general percibidas durante el tratamiento. Todos los datos se toman al principio del estudio y a las seis semanas de haber finalizado el tratamiento. Se utiliza el método UNIANOVA para el análisis estadístico entre los dos grupos...

Model for the Evaluation of Root Wear by Histometric Analysis

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Resistência de união ao microcisalhamento de sistemas adesivos autocondicionates com graus de acidez distintos: efeito de diferentes tratamentos em substrato dentinário normal e hipermineralizado artificialmente

Pós-graduação em Ciências Odontológicas - FOAR

Effect of different root caries treatments on the sealing ability of conventional glass ionomer cement restorations

In this study we compared the microleakage of conventional glass ionomer cement (GIC) restorations following the use of different methods of root caries removal. In vitro root caries were induced in 75 human root dentin samples that were divided in five groups of 15 each according to the method used for caries removal: in group 1 spherical carbide burs at low speed were used, in group 2 a hand-held excavator was used, and in groups 3 to 5 an Er,Cr:YSGG laser was used at 2.25 W, 40.18 J/cm(2) (group 3), 2.50 W, 44.64 J/cm(2) (group 4) and 2.75 W, 49.11 J/cm(2) (group 5). The air/water cooling during irradiation was set to 55%/65% respectively. All cavities were filled with GIC. Five samples from each group were evaluated by scanning electron microscopy (SEM) and the other ten samples were thermocycled and submitted to a microleakage test. The data obtained were compared by ANOVA followed by Fisher's test (pa parts per thousand currency sign0.05). Group 4 showed the lowest microleakage index (56.65 6.30; p < 0.05). There were no significant differences among the other groups. On SEM images samples of groups 1 and 2 showed a more regular interface than the irradiated samples. Demineralized dentin below the restoration was observed, that was probably affected dentin. Group 4 showed the lowest microleakage values compared to the other experimental groups, so under the conditions of the present study the method that provided the lowest microleakage was the Er,Cr:YSGG laser with a power output of 2.5 W yielding an energy density of 44.64 J/cm(2).

Efeito da clorexidina e laser sobre a adaptação externa de resina a base de silorano em cavidade hígida e afetada por cárie

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Periodontal and peri-implant wound healing following laser therapy

Laser irradiation has numerous favorable characteristics, such as ablation or vaporization, hemostasis, biostimulation (photobiomodulation) and microbial inhibition and destruction, which induce various beneficial therapeutic effects and biological responses. Therefore, the use of lasers is considered effective and suitable for treating a variety of inflammatory and infectious oral conditions. The CO2 , neodymium-doped yttrium-aluminium-garnet (Nd:YAG) and diode lasers have mainly been used for periodontal soft-tissue management. With development of the erbium-doped yttrium-aluminium-garnet (Er:YAG) and erbium, chromium-doped yttrium-scandium-gallium-garnet (Er,Cr:YSGG) lasers, which can be applied not only on soft tissues but also on dental hard tissues, the application of lasers dramatically expanded from periodontal soft-tissue management to hard-tissue treatment. Currently, various periodontal tissues (such as gingiva, tooth roots and bone tissue), as well as titanium implant surfaces, can be treated with lasers, and a variety of dental laser systems are being employed for the management of periodontal and peri-implant diseases. In periodontics, mechanical therapy has conventionally been the mainstream of treatment; however, complete bacterial eradication and/or optimal wound healing may not be necessarily achieved with conventional mechanical therapy alone. Consequently, in addition to chemotherapy consisting of antibiotics and anti-inflammatory agents, phototherapy using lasers and light-emitting diodes has been gradually integrated with mechanical therapy to enhance subsequent wound healing by achieving thorough debridement, decontamination and tissue stimulation. With increasing evidence of benefits, therapies with low- and high-level lasers play an important role in wound healing/tissue regeneration in the treatment of periodontal and peri-implant diseases. This article discusses the outcomes of laser therapy in soft-tissue management, periodontal nonsurgical and surgical treatment, osseous surgery and peri-implant treatment, focusing on postoperative wound healing of periodontal and peri-implant tissues, based on scientific evidence from currently available basic and clinical studies, as well as on case reports.

Evaluation of Ultrasonic and ErCr:YSGG Laser Retrograde Cavity Preparation

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Influência do tratamento de superfície na adaptação externa de cavidade classe V hígida e afetada por cárie submetidas á ciclagem térmica

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Multi-kilowatt peak power nanosecond Er-doped fiber laser

We report a two-stage diode-pumped Er-doped fiber amplifier operating at the wavelength of 1550 nm at the repetition rate of 10-100 kHz with an average output power of up to 10 W. The first stage comprising Er-doped fiber was core-pumped at the wavelength of 1480 nm, whereas the second stage comprising double-clad Er/Yb-doped fiber was clad-pumped at the wavelength of 975 nm. The estimated peak power for the 0.4-nm full-width at half-maximum laser emission at the wavelength of 1550 nm exceeded 4-kW level. The initial 100-ns seed diode laser pulse was compressed to 3.5 ns as a result of the 34-dB total amplification. The observed 30-fold efficient pulse compression reveals a promising new nonlinear optical technique for the generation of high power short pulses for applications in eye-safe ranging and micromachining.

Cr^3＋，Yb^3＋，Er^3＋共掺磷酸盐铒玻璃转镜调Q激光性质研究

研究了Cr^3＋，Yb^3＋，Er^3＋共掺磷酸盐铒玻璃转镜调Q激光性质．三种Er2O3掺杂浓度的激光实验结果表明，在Er2O3名义掺杂浓度为0．5wt％时，玻璃的综合激光性质最好，重复频率为0．1Hz时，它的激光阈值功率为14．5mJ，最大输出能量为9．6mJ，斜率效率为0．55％．在同种实验条件下，比较了Cr14和Kigre公司生产的QE-7S激光性质参数，实验表明，前者激光阈值功率稍低，而后者的斜率效率和最大输出功率略高．

Bond strength of adhesive restorations to Er : YAG laser-treated dentin

Background and Objective: evaluate the adhesion of adhesive restorations with and without a base of resin-modified glass-ionomer cement (RMGIC) to dentin irradiated with Er:YAG laser.Study Design/Materials and Methods: Twenty-four human molar teeth were divided into 6 groups (n=4): G1) 37% Phosphoric acid (PA) + Adhesive system (Ad) + Composite resin (CR); G2) RMGIC + CR; G3) Laser (60mJ-5Hz-20s) + PA + Ad + CR; G4) Laser (60 mJ-5 Hz-20 s) + RMGIC + CR; G5) Laser (100mJ-5Hz-20s) + PA + Ad + CR; G6) Laser (100mJ-5Hz-20s) + RMGIC + CR. Teeth were prepared, restored and cut into specimens, according to the treatment proposed and to methodology for microtensile test. Data were submitted to ANOVA and Tukey statistical tests (alpha=5%).Results:. The mean values for adhesion (MPa) and standard deviation (+/- SD) were: G1) 26.30(+/- 4.50), G2) 5.34(+/- 2.87), G3) 21.16(+/- 6.01), G4) 5.22(+/- 1.52), G5) 22.23(+/- 4.98), G6) 5.25(+/- 3.08).Conclusion: the use of Er:YAG laser did not influence on the restorations adhesion.

Avaliação do efeito do laser de Er:YAG no tratamento da doença periodontal crônica: análise clínica e imunológica

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Stable dual-wavelength oscillation of an Er-doped fiber ring laser at room temperature

We propose a simple Er-doped fiber laser configuration for achieving stable dual-wavelength oscillation at room temperature, in which a high birefringence fiber Bragg grating was used as the wavelength-selective component. Stable dual-wavelength oscillation at room temperature with a wavelength spacing of 0.23 nm and mutually orthogonal polarization stages was achieved by utilizing the polarization hole-burning effect. An amplitude variation of less than 0.7 dB over an 80 s period was obtained for both wavelengths.

Laser‐Induced Turbulence

In a recent experiment on laser beam transmission through an absorbing gas, the critical Reynold's number for the flow, induced by the heating of the gas, to become turbulent was found to be less than 30, which is many orders of magnitude smaller than that for pure shear flow in pipes. It is shown here that a Rayleigh number is the more appropriate criterion to characterize the stability of flow in this situation, and its value estimated in two limiting cases is found to bracket the expected critical Rayleigh number for vertical concentric cylinders.