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Chemical changes associated with increased acid resistance of Er:YAG laser irradiated enamel
Jennifer Manuela Díaz-Monroy1, Rosalía Contreras-Bulnes1, Oscar Fernando Olea-Mejía2
1Facultad de Odontología, Centro de Investigación y Estudios Avanzados en Odontología (CIEAO), Universidad Autónoma del Estado de México, Jesús Carranza Esq. Paseo Tollocan, Col. Universidad, 50130 Toluca, MEX, Mexico.
Background:
An increase in the acid resistance of dental enamel, as well as morphological and structural changes produced by Er:YAG laser irradiation, has been reported.
Purpose:
To evaluate the chemical changes associated with acid resistance of enamel treated with Er:YAG laser. Methods. Forty-eight enamel samples were divided into 4 groups (n = 12). Group I (control); Groups II, III, and IV were irradiated with Er:YAG at 100 mJ (12.7 J/cm(2)), 200 mJ (25.5 J/cm(2)), and 300 mJ (38.2 J/cm(2)), respectively.
Results:
There were significant differences in composition of irradiated groups (with the exception of chlorine) and in the amount of calcium released.
Conclusions:
Chemical changes associated with an increase in acid resistance of enamel treated with Er:YAG laser showed a clear postirradiation pattern characterized by a decrease in C at.% and an increase in O, P, and Ca at.% and no changes in Cl at.%. An increased Ca/P ratio after Er:YAG laser irradiation was associated with the use of higher laser energy densities. Chemical changes produced by acid dissolution showed a similar trend among experimental groups. Stable or increased Ca/P ratio after acid dissolution was observed in the irradiated groups, with reduction of Ca released into the acid solution.

