Effect of a novel Er:YAG laser in caries removal and cavity preparation: a clinical observation.

摘要

OBJECTIVE: We evaluated the applicability of a novel Er:YAG laser under clinical conditions. BACKGROUND DATA: The Er:YAG laser has been demonstrated to be a safe and effective alternative to the conventional turbine bur, but the relatively low cutting speed prevented the wide application of Er:YAG laser in clinical cavity preparation. METHODS: A Smart 2940 D laser developed by Deka Corporation was used for cavity preparation in 95 teeth of 45 patients. Parameters were as follows: wavelength 2.94 microm, pulse energy 700 mJ, repetition rate 8 Hz. Pain, discomfort, assessment during cavity preparation, prognosis factor, and overall clinical evaluation were assessed during or after treatment. RESULTS: No adverse reaction was observed in any tooth. No intraoperative pain or only slight intraoperative pain was described in 85 teeth (89.5%). Cavity preparation was completed with the laser system alone in 90 teeth (94.7%). Overall clinical evaluation showed no safety problems, with a very good or good rating in 86 teeth (90.5%). The overall operation time was 49 sec on average. CONCLUSION: The Smart 2940 D is an efficient, effective, safe, and suitable instrument for caries removal and for cavity preparation. It greatly shortens operation time.