Randomized prospective parallel controlled study of the safety and effectiveness of Er:YAG laser use in children for caries removal

Besten, Pam K. Den; White, Joel M.; Pelino, José Eduardo Pelizon; Lee, Kisup; Parkins, Frederick M.

doi:10.1117/12.380824

Cited by 7 publications

(6 citation statements)

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“…Two [ 26 , 27 ] included studies followed a cross-over trial design, while eighteen [ 10 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 ] had a split-mouth design. One study [ 45 ] followed a two parallel-arms trial, five studies [ 46 , 47 , 48 , 49 , 50 ] provided one treatment per patient while five studies [ 15 , 51 , 52 , 53 , 54 ] had one or more treatment per patient. In six studies [ 12 , 55 , 56 , 57 , 58 , 59 ] it was not possible to identify the study design, or the provided information was not enough to qualify them.…”

Section: Resultsmentioning

confidence: 99%

“…Thirteen included studies [ 10 , 28 , 31 , 32 , 39 , 40 , 42 , 44 , 46 , 47 , 52 , 57 , 58 ] showed laser caries removal systems: two studies [ 31 , 52 ] involved the use of the Er,Cr:YSGG laser system and 11 [ 10 , 28 , 32 , 39 , 40 , 42 , 44 , 46 , 47 , 56 , 57 , 58 ] the use of the Er:YAG laser system.…”

Section: Resultsmentioning

confidence: 99%

“…In two studies [ 46 , 47 ] using the Er:YAG laser, the energy needed for caries treatment in the deciduous dentition was significantly less than that required for the permanent dentition.…”

Section: Resultsmentioning

confidence: 99%

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Efficacy and Patient’s Acceptance of Alternative Methods for Caries Removal—A Systematic Review

Cardoso

Coelho

Lima

et al. 2020

JCM

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Dental caries is a disease of dental hard tissues, considered the most common non-communicable disease worldwide. Conventional treatments for caries removal are often associated with pain and fear, so different therapeutic approaches have been developed towards more conservative and pleasant treatments. This systematic review aimed to assess the efficacy and patient’s acceptance of alternative methods for caries removal compared to conventional methods. The Cochrane Library, Embase, Medline/Pubmed, Web of Science, and Clinical Trials databases were searched. Clinical trials of primary dental caries treated with alternative methods were included. The last search was performed on 5 August 2020. The Population, Intervention, Comparison, and Outcome (PICO) strategy was followed. Thirty-seven clinical trials were included, reporting caries removal using alternative (chemomechanical—Brix 3000, Carie-care, Carisolv and Papacarie, laser—Er:YAG (Erbium-doped Yttrium Aluminium Garnet) and Er,Cr:YSGG (Erbium, Chromium-doped Yttrium, Scandium, Gallium and Garnet), and a system combining air and sono-abrasion—Vector® System) and conventional methods. Alternative methods tended to prolong treatment time and lessen anesthesia need. All treatments were effective in reducing cariogenic flora, and the restoration’s performance did not differ significantly. Chemomechanical solutions seemed to be the best option towards minimally invasive treatments, with good control during application and action and good treatment experiences for patients. Papacarie was demonstrated to be an effective method for caries removal with less pain, and superior acceptance by patients when compared to conventional treatments.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Efficacy and Patient’s Acceptance of Alternative Methods for Caries Removal—A Systematic Review

Cardoso

Coelho

Lima

et al. 2020

JCM

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“…Lasers are also less likely to require anesthesia and induce less noise and pain. [7][8][9][10] Therefore they are advantageous for treating children, and patients with dental phobias. Thus, lasers are ideally suited for minimally invasive surgical intervention and have the potential of markedly reducing or eliminating the loss of adjacent healthy tissue during the removal of carious tissue or the removal of existing composite restorations.…”

Section: Introductionmentioning

confidence: 99%

Ablation of dental hard tissues with a microsecond pulsed carbon dioxide laser operating at 9.3-μm with an integrated scanner

2008

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Pulsed carbon dioxide lasers operating at the highly absorbed 9.3 and 9.6-μm wavelengths with pulse durations in the microsecond range are ideally suited for dental hard tissue modification and removal. The purpose of these studies was to demonstrate that a low cost 9.3-μm CO 2 laser system utilizing low-energy laser pulses (1-5 mJ /pulse) delivered at a high repetition rate (400-Hz) is feasible for removing dental hard tissues. The laser beam was focused to a small spot size to achieve ablative fluence and an integrated/programmable optical scanner was used to scan the laser beam over the desired area for tissue removal. Pulse durations of 35, 60 and 75-μs were employed and the enamel and dentin ablation rate and ablation efficiency were measured. Laser irradiated human and bovine samples were assessed for peripheral thermal and mechanical damage using polarized light microscopy. The heat accumulation during rapid scanning ablation with water-cooling at 400-Hz was monitored using micro-thermocouples. The laser was able to ablate both enamel and dentin without excessive peripheral thermal damage or heat accumulation. These preliminary studies suggest that a low-cost RF excited CO 2 laser used in conjunction with an integrated scanner has considerable potential for application to dental hard tissues.

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“…tornar o tratamento menos traumático possível(BOJ et al, 2005;COZEAN et al, 1997;DEN BESTEN et al, 2000;EDUARDO, 2004;HADLEY et al, 2000;MATSUMOTO et al, 2002;PELAGALLI et al, 1997). 1200°C), podendo em determinados protocolos de irradiação e refrigeração atingir, e até ultrapassar este limiar, levando a áreas localizadas de fusão e ressolidificação da estrutura dental.…”

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Avaliação da perda mineral do esmalte adjacente a cavidades preparadas com laser de Er, Cr:YSGG e restauradas com diferentes materiais após desafio ácido

Navarro¹

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À DEUS, pela minha vida, pela proteção, por ter iluminado meu caminho, me dado saúde e forças e principalmente ter colocado pessoas especiais que me protegem e orientam, possibilitando que eu atinja meus ideais.Aos meus pais, DIVA e CLAÚDIO, pelo carinho, amor, paciência e incansável dedicação em todos esses anos. A vocês, que me ensinaram princípios como honestidade e responsabilidade, e sempre acreditaram em mim, a minha eterna gratidão. Só cheguei até aqui graças a vocês... Aos meus irmãos e grandes amigos, ROSANGÊLA e CLÁUDIO SÉRGIO, meus cunhados VALDIR e JAQUELINE pelo carinho, atenção e suporte em tudo que sempre precisei.As crianças ANDRÉ, ANA CAROLINA, THIAGO e VICTOR o meu carinho e esperança de um futuro e um mundo cada vez melhor para todos... AGRADECIMENTOS ESPECIAISAo Prof Dr. José Carlos P. Imparato por tudo que fez e faz por mim, desde antes da minha chegada à Odontopediatria. Ele simplesmente me adotou, no sentido original da palavra, sendo meu orientador, "chefe", conselheiro e acima de tudo amigo.Sempre abrindo as portas para mim e todos que o cercam, esta é uma marca do seu trabalho, me ensinou a ter paciência, tolerância e inteligência para vencer cada etapa almejada. Será sempre um exemplo de Mestre, Educação e Ética. Se no mundo existissem mais "Imparatos" tudo seria diferente, havendo mais justiça, respeito, oportunidades e valorização para o trabalho sério e responsável. É um prazer e um sonho realizado poder dizer: "sou assistente do Prof Imparato"... Tenho nas suas atitudes minhas referências, em busca de um mundo melhor, ter coragem em enfrentar desafios, lutar e mudar paradigmas... Eu serei eternamente grato por tudo! Muito Obrigado... Ao Prof Dr. Antonio Carlos Guedes-Pinto, por ter podido durante estes anos desfrutar dos seus conhecimentos, orientações, conversas e estórias, seu exemplo de Líder, agregando a todos que o cercam, valorizando o respeito, o trabalho sério e responsável e dando oportunidade a todos que a conquistam. Sinto-me privilegiado pela convivência e por tudo que aprendi que certamente servirá de guia para minha vida pessoal e profissional, no presente e principalmente no futuro... Obrigado professor pela oportunidade que me trouxe, e a partir desta, o crescimento e as mudanças em vários aspectos da minha vida. Ao Prof Dr. Fausto Medeiros Mendes, amigo e orientador, para mim um exemplo de profissional completo, que alia a didática do ensino, o raciocínio e a visão critica de um pesquisador e a competência de um clínico. Seus conhecimentos, orientações e participação foram fundamentais para realização deste trabalho. Peço a Deus que possamos trabalhar muito juntos, e aprender a "fazer ciência e tornar-me um cientista" como você. A Profa Clarissa C. Bonifácio pelo apoio e presença inestimáveis na minha vida... Sem sua força, amizade, capacidade profissional, inteligência e perseverança não teria chegado neste momento..."you are the best"! AGRADECIMENTOS , pelo carinho, amizade, ensinamentos que sempre me proporcionou em todos os momentos desde a minha vida acadêmica....

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Randomized prospective parallel controlled study of the safety and effectiveness of Er:YAG laser use in children for caries removal

Cited by 7 publications

References 0 publications

Efficacy and Patient’s Acceptance of Alternative Methods for Caries Removal—A Systematic Review

Efficacy and Patient’s Acceptance of Alternative Methods for Caries Removal—A Systematic Review

Ablation of dental hard tissues with a microsecond pulsed carbon dioxide laser operating at 9.3-μm with an integrated scanner

Avaliação da perda mineral do esmalte adjacente a cavidades preparadas com laser de Er, Cr:YSGG e restauradas com diferentes materiais após desafio ácido

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