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Microstructural changes of enamel, dentin-enamel junction, and dentin induced by irradiating outer enamel surfaces
Yu-Chih Chiang1, Bor-Shiunn Lee, Yin-Lin Wang
1School of Dentistry and Graduate Institute of Clinical Dentistry, College of Medicine, National Taiwan University and National Taiwan University Hospital, Taipei, Taiwan, Republic of China.
Abstract:
The microstructural changes of enamel, dentin-enamel junction (DEJ), and dentin after CO(2) laser irradiation were studied. Buccal enamel surfaces of human third molars about 2 mm from the DEJ were irradiated, and the laser tip was moved 5 mm in a mesiodistal direction with 5 s of irradiation time. The output powers were 2 to 10 W in a continuous mode, and the average doses were approximately from 250 to 1,250 J/cm(2). All specimens were examined by a scanning electron microscope, and heat-transfer simulation was also applied to calculate temperature distribution. Surface ablation of enamel and separation of enamel and dentin along the DEJ were observed when the laser power output exceeded 3 W. Heat-transfer simulation indicated that dentin was prone to store more thermal energy than enamel. In conclusion, operation parameters of the CO(2) laser should be carefully selected to avoid thermal damage to the DEJ.
