Under the investigated parameters, infrared LLLT proved to be a valuable alternative for BMS treatment, providing a significant and lasting reduction in symptoms.
This study was a long-term clinical trial of home and in-office LED and laser bleaching systems comparing for the first time interdental color differences (differences between the central labial surfaces of the canine and the central incisor). A total of 90 patients were divided into three groups of 30 each. One group received day guard vital bleaching, and the other two groups received one bleaching session for 20 min accelerated by a diode laser for 30 s per tooth or a blue LED for 3 min per tooth, and both groups received additionally day guard for 7 days. A total of four color measurements were carried out during the study period of 3 months and 3 weeks. The group treated with the LED tended to show the highest degree of equalization of lightness, chroma and hue. A significantly stronger overall increase in lightness was observed for canines after treatment when compared with incisors resulting in more homogeneous lightness values.
Objective: This investigation evaluated the variation of the intrapulpal temperature when dentine was irradiated by the Er:YAG laser. Background Data: The effect of preparation with the Er:YAG laser on the intrapulpal temperature is probably the biggest problem in using the laser for preparation of dental hard tissue. Materials and Methods: Seventy-two bovine incisors were studied that had the enamel and dentine of the buccal surface polished to a thickness of 2.0 mm. The teeth were divided into three groups, according to the repetition rate used (Group I = 2 Hz, Group II = 4 Hz, and Group III = 6 Hz), and irradiated, with or without water cooling, using 250, 300, and 350 mJ of energy per pulse. Thermocouples were introduced inside the pulp chamber through the palatine opening of the samples and fixed to the vestibular wall of the pulp chamber using a thermal paste. Results: It was verified that there was a decrease of the intrapulpal temperature for all of the parameters in the Group I irradiated with water cooling and for the parameters of 350 mJ/4 Hz with water cooling. The other irradiations showed an increase of the intrapulpal temperature, varying from 0.03°t o 2.5°C. Conclusion: We conclude that the use of the Er:YAG laser promoted acceptable temperature increases inside the pulp chamber. However, we do not recommend this procedure without water cooling because macroscopic observations of the dentine irradiated without water cooling showed dark lesions, suggesting carbonization of this tissue. 182
The results of many investigations on low-level laser therapy are contradictory and this is due to the large number of illumination parameters as well as the inability to measure the possible effects after irradiation with the necessary objectivity and the fact that the light needs to pass thorough barriers (usually the plastic of the culture dish/plate and culture medium) to reach the cells. In this manner, the objective of this study was to determine the absorption coefficient, penetration depth and effective transmission in materials commonly used in cell cultures. Among the most commonly used wavelengths in low-level laser therapy, the lowest absorption coefficients were reached by DMEM and RPMI (α = 0.03 cm(-1)), from 633 to 690 nm, which reach an effective transmission of 93% of incident radiation and penetration depth of 33 cm. Among the solid materials in the same range of the electromagnetic spectrum, the lowest absorption coefficient was obtained for the polystyrene (Petri dish and well plate), with α = 1.31 cm(-1), 78% of effective transmission and 0.76 cm of penetration depth. This article also presents a simple equation for estimating the amount of energy that will actually reach the sample.
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