Yoshishige Yamada

Effects of Copper Vapor Laser Irradiation in Human Enamel and Dentin: Ablation and Morphological Studies

OBJECTIVE This investigation was performed to determine the ranges of ablation quantitatively and to evaluate the morphological changes in human enamel and dentine irradiated by a green copper vapor laser. SUMMARY BACKGROUND DATA Recently, green copper vapor laser (CVL), which is said to have characteristics similar to the argon laser has been introduced in dentistry. METHODS Extracted noncarious human teeth were used in this study. A CVL was used to ablate human dental hard tissues with the output powers of 2.0 W. Ablation extent without water spray using red or black ink was measured, and the morphological changes on enamel and dentin were also investigated by stereoscopy and scanning electron microscopy (SEM). RESULTS In the samples, irradiated by a CVL after painting red ink on the surface, the ablation depth was increased more than that of irradiation after painting with black ink. Morphological findings by SEM indicated that when irradiated with red ink, brown carbonization was recognized on enamel and dentin surfaces. In addition, cavities with a molten lava-like appearance were produced and an irregular structure with many microholes was observed in the enamel and dentin. Alternatively, a shallow cavity with little carbonization was produced with black ink. CONCLUSIONS Removal of dental hard tissues appears to be possible using the CVL. However, further studies should be performed on the selection of radiation conditions that achieve the desired ablation with minimal side effects.

A study on acquired acid resistance of enamel and dentin irradiated by Er,Cr:YSGG laser.

OBJECTIVE This investigation was performed to evaluate the acid resistance of lased enamel and dentin by Er,Cr:YSGG laser to artificial caries-like lesions by spectrophotometry, and the ultrastructure of lased areas was investigated by scanning electron microscopy (SEM) in vitro. BACKGROUND DATA In recent years, many studies have been performed to evaluate the effects of Er,Cr:YSGG laser on dental hard tissues. However, there have been only a few studies to determine if this laser is suitable for caries preventive treatments. METHODS An Er,Cr:YSGG laser was used to irradiate the enamel or dentin samples from 30 extracted human molars at 6 W (67.9 J/cm2) or 5 W (56.6 J/cm2) pulse energy, respectively, with or without water mist. Samples were subjected to 2 microl of 0.1 M lactic acid solution (pH 4.8) for 24 h at 36 degrees C. The parts per million (ppm) of calcium ion (Ca2+) dissolved in each solution was determined by atomic absorption spectrophotometery, and the morphological changes were investigated by SEM. RESULTS The lowest mean Ca2+ ppm was recorded in the lased samples. SEM observation showed that the lased areas were melted and seemed to be thermally degenerated. After acid demineralization, the thermally degenerated enamel or dentin surfaces were almost unchanged. CONCLUSIONS The results of this study suggested that Er,Cr:YSGG laser irradiation with and without water mist appears to be effective for increasing acid resistance.

A study on surface roughness and microleakage test in cavities prepared by Er:YAG laser irradiation and etched bur cavities.

Abstract The purposes of this study were to investigate the surface morphology, suface roughness of cavities prepared by Er:YAG laser irradiation, and compared the microleakage degree after composite resin restoration with etched bur cavities, in vitro. In each of the 30 human extracted teeth, two shallow cavities were prepared; one prepared with the Er:YAG laser system on the buccal surface, and one produced on the lingual (palatal) surface with a high-speed turbine. Five cavities from each group were investigated by scanning electron microscopy (SEM), and five were subjected to surface roughness analysis by a colour laser three-dimensional (3D) microscope. The remaining cavities were filled with a composite resin and subjected to a microleakage test under thermocycling. Only bur cavities were acid-etched before filling. Statistical analysis was performed using the Mann-Whitney U test; a value of p <0.01 was considered significant. Morphologically, the prepared cavities showed an irregular surface with the absence of a debris-like smear layer; enamel prisms and opening of dentinal tubules were recognised. Surface roughness was significantly increased with the laser system. Microleakage test revealed no significant differences between the laser and bur cavities. Crosscut sections of the cavities with no microleakage showed no gap at the interface. Laser cavity may facilitate good adaptation of composite resin with enamel and dentine, because an increase of surface roughness and the openings of dentinal tubules may facilitate the formation of a hybrid zone, since a primer and an adhesive can penetrate the surface better when the smear layer is removed. It can be concluded that shallow cavity prepared by Er:YAG laser is capable of decreasing microleakage of composite resin restorations, and its efficiency is similar to etched bur cavities.

Effect of pulsed Nd:YAG laser irradiation on acid demineralization of enamel and dentin.

OBJECTIVE The purpose of this study was to investigate the effect of Nd:YAG laser irradiation on the acid demineralization of enamel and dentin by spectrophotometry. A mechanism of acquired acid resistance is also proposed. SUMMARY BACKGROUND DATA The ability of Nd:YAG laser irradiation to the enhanced resistance to artificial caries formation is still controversial. METHODS A pulsed Nd:YAG laser at 1.064-micron wavelength was used to irradiate the human enamel and dentin samples from 20 extracted human molars at the parameters of 1, 2, and 3 W and 20 pps for a total of 9 sec after painting with black ink. Samples were then subjected to 2 microliters of 0.1 M lactic acid solution (pH 4.8) for 24 h at 36 degrees C. The parts per million (ppm) of calcium ion (Ca2+) dissolved in each solution was determined by atomic absorption spectrophotometry and the morphological changes were also investigated by scanning electron microscopy (SEM). RESULTS The lowest mean Ca2+ ppm was recorded in the samples irradiated at 3 W, in those by irradiated at 2 W and 1 W. The unlased samples showed the highest Ca2+ ppm. SEM observation showed that in the lased areas, the smear layer was partially melted and the underlying primary enamel or dentin seemed to be thermally degenerated. CONCLUSIONS The results of this study suggested that melted smear layer and underlying enamel or dentin degenerated thermally by the heat treatment of Nd:YAG laser might play a major role to enhance resistance to artificial caries-like formation.

Functional basis for the overlap in ligand interactions and substrate specificities of matrix metalloproteinases-9 and -2

The MMPs (matrix metalloproteinases) MMP-9 and -2 each possess a unique CBD (collagen-binding domain) containing three fibronectin type II-like modules. The present experiments investigated whether the contributions to ligand interactions and enzymatic activities by the CBD of MMP-9 (CBD-9) corresponded to those of CBD in MMP-2 (CBD-2). The interactions of recombinant CBD-9 with a series of collagen types and extracellular matrix molecules were characterized by protein-protein binding assays. CBD-9 bound native and denatured type I, II, III, IV and V collagen, as well as Matrigel and laminin, with apparent K(d) values of (0.1-6.8)x10(-7) M, which were similar to the K(d) values for CBD-2 [(0.2-3.7)x10(-7) M]. However, CBD-9 bound neither native nor denatured type VI collagen. We also generated two modified MMPs, MMP-9(E402A) and MMP-2(E404A), by site-specific mutations in the active sites to obtain enzymes with intact ligand binding, but abrogated catalytic properties. In subsequent competitive binding assays, CBD-9 and MMP-9(E402A) inhibited the interactions of MMP-2(E404A) and, conversely, CBD-2 and MMP-2(E404A) competed with MMP-9(E402A) binding to native and denatured type I collagens, pointing to shared binding sites. Importantly, the capacity of CBD-9 to disrupt the MMP-9 and MMP-2 binding of collagen translated to inhibition of the gelatinolytic activity of the enzymes. Collectively, these results emphasize the essential contribution of CBD-9 to MMP-9 substrate binding and gelatinolysis, and demonstrate that the CBDs of MMP-9 and MMP-2 bind the same or closely positioned sites on type I collagen.

Analysis of surface roughness of enamel and dentin after Er, Cr : YSGG laser irradiation

OBJECTIVE The purpose of this investigation was to compare the surface roughness of enamel and dentin following the Er,Cr:YSGG laser irradiation and acid etching. BACKGROUND DATA Laser-roughened enamel or dentin surfaces have been expected to enhance restorative materials bond strength. MATERIALS AND METHODS Er,Cr:YSGG laser irradiation was performed in one half of each polished enamel or dentin sample at 3 W (33.9 J/cm2, with air 70% and water 20%,) pulse energy for 6 sec. Then the other half was treated with 37% phosphoric acid for 30 sec. Surface roughness and morphological studies were performed. RESULTS It was found that surface roughness was significantly increased with the laser system. Scanning electron microscopy analysis showed that irradiated surface produces a rough surface that was completely lacking of a smear layer; there was also no cracking of enamel or dentin. CONCLUSION Er,Cr:YSGG laser irradiation could provide an effective and alternative method to the acid etch technique.

Acquired Acid Resistance of Enamel and Dentin by CO2 Laser Irradiation with Sodium Fluoride Solution

OBJECTIVE The purpose of this study was to investigate the caries-preventive effect of CO2 laser irradiation with or without sodium fluoride (NaF) solution at human dental enamel and dentin in vitro. BACKGROUND DATA The capability of caries prevention with CO2 laser irradiation has been reported in many previous studies, but few studies have been performed with regard to the combined effect of fluoride and laser. MATERIALS AND METHODS Forty extracted human incisor teeth were used for the enamel study, and 40 molar teeth were used for the dentin study. Samples were then divided into four categories: control (no treatment); CO2 laser irradiation only; NaF treatment only; and NaF treatment followed by CO2 laser irradiation. Each sample was immersed in 2 mL of lactic acid (0.1 M, pH 4.8) solution for 24 h at 37 degrees C in 100% humidity. The parts per million (ppm) of calcium ion (Ca2+) dissolved in each solution was determined by atomic absorption spectrophotometry. The samples were also observed by stereoscopy and scanning electron microscopy (SEM). RESULTS The lowest mean Ca2+ ppm was recorded at the enamel or dentin samples treated with NaF and laser. Statistical analysis of the data was considered significant (p < 0.01). SEM observation showed that surfaces were changed to melted, smooth, and mirror-like appearances when CO2 laser irradiation was applied with NaF solution. CONCLUSION It can be concluded that CO2 laser irradiation with NaF solution has more caries-preventive effect than CO2 laser irradiation only at the enamel and dentin surfaces.

Effects of mineral trioxide aggregate on the differentiation of rat dental pulp cells.

The effect of mineral trioxide aggregate (MTA) on the odontoblast-like differentiation of pulp cells was evaluated using heat-shock protein 25 (hsp25) as a marker for odontoblast differentiation. The cells were cultured with tooth-colored MTA or calcium hydroxide-containing cement (Dycal). The effects of the materials on the pulp cells were observed using a confocal laser scanning microscope. The cells were labelled immunocytochemically using polyclonal antibodies against hsp25 and actin. The mRNA expression of hsp25 and dspp in the pulp cells at 2 days were examined by quantitative reverse transcription-polymerase chain reaction (RT-PCR). Most of the cells cultured with MTA showed an intense immunolabelling for hsp25 and the mRNA expressions of hsp25 and dspp at 2 days were higher than those cultured with Dycal. These findings indicate that MTA is an effective pulp capping material and is able to induce the differentiation of odontoblast-like cells and the formation of reparative tertiary dentin with minimum apoptosis.

Comparison Between the Removal Effect of Mechanical, Nd:YAG, and Er:YAG Laser Systems in Carious Dentin

OBJECTIVE The purpose of this study was to compare the effectiveness of carious dentin removal by using an Er:YAG laser irradiation and Nd:YAG laser under a continuous water spray with that of the conventional mechanical treatment in vitro. BACKGROUND DATA Lasers are being considered as a potential replacement of conventional mechanical systems to remove diseased and healthy dental hard tissues. METHODS First, one half of the 10 carious lesions were treated with the round steel bur and then removed. The other half were treated with the Er:YAG laser at 200-mJ pulse energy at 2 Hz. After that, one half of another set of 10 teeth was subjected to the round steel bur in which the other half was removed using the Nd:YAG laser at 6-W output power, 20 pps, and under a continuous water spray (120 mL/min). Thermal change during each treatment and the time required for carious dentin removal was determined, and the surface characteristic was observed using the scanning electron microscopic (SEM). RESULTS The Er:YAG or Nd:YAG laser irradiation time was almost two or three times longer than the bur treatment, respectively. From the SEM study, it was found that the lased cavity surface revealed various patterns of microirregularity, and there was also no smear layer. CONCLUSIONS It can be suggested that under adequate water spray and with a careful irradiation technique, cavities without sign of thermal damage to the surrounding tissues as well as dental pulp could be produced with the Er:YAG and Nd:YAG laser.

A Comparative Study on Compositional Changes and Knoop Hardness Measurement of the Cavity Floor Prepared by Er:YAG Laser Irradiation and Mechanical Bur Cavity

OBJECTIVE This present study was performed to compare the compositional changes of human dentin and, Knoop hardness of the cavity floor prepared by Er:YAG laser irradiation with that of the conventional bur cavity. BACKGROUND DATA There are still no reports on the compositional changes of dental hard tissues and microhardness of the cavity floor prepared by Er:YAG laser irradiation. MATERIALS AND METHODS Fifteen laser and 15 bur cavities were cross-sectioned, and subjected to atomic analysis by SEM-EDX and Knoop hardness testing. Statistical analyses were performed using the Mann-Whitney U test; a value of p < 0.01 was considered significant. Cross sections of the remaining five laser and five bur cavities were examined by light microscopy and then by SEM. RESULTS The results showed that the quantities of Ca (Ca weight %) and P (P weight %) were increased significantly in the laser cavities, but no significant differences were found between the Ca/P ratio and Knoop hardness number of laser and bur cavities. The results of SEM observation revealed that the lased cavity surface was irregular, and there was also the absence of a smear layer; the orifice of dentinal tubules was exposed. CONCLUSION Er:YAG laser device produces minimal thermal induced changes of dental hard tissue compositions; Ca/P ratio and Knoop hardness of the lased cavity floor was almost similar to the bur cavities.