Application of er

yag laser in the treatment of endodontics

| Posted in: Science

Journal name: World Journal of Pharmaceutical Research
Original article title: Application of er
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Subtitle: yag laser in the treatment of endodontics

Original source:

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Author:

Lihua Hong, Jiafeng Wang, Li Liu, Shan Jiao and Yu Wang


World Journal of Pharmaceutical Research:

(An ISO 9001:2015 Certified International Journal)

Full text available for: Application of er

Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research

Doi: 10.20959/wjpr20207-17965


Download the PDF file of the original publication


Summary of article contents:

1) Introduction

The advancement of laser technology has opened new avenues for disease treatment across various medical fields, including dentistry. Among the most promising innovations is the Erbium-doped Yttrium Aluminum Garnet (Er:YAG) laser, which is gaining recognition for its ease of use, safety, and effectiveness in dental procedures. This laser operates at a wavelength that is optimally absorbed by dental hard tissues, making it an attractive option for treating conditions such as dentin hypersensitivity, dental caries, root canal therapy, pulp preservation, and apical surgery.

2) Treatment of Dentin Sensitivity

Dentin hypersensitivity is a condition characterized by pain due to the exposure of dentin tubules to external stimuli. The Er:YAG laser effectively addresses this issue by promoting the melting and recrystallization of dental hard tissues, resulting in a reduction of dentin permeability. Studies have demonstrated that the laser can enhance the sealing ability of fluoride treatments on dentin tubules, leading to significant desensitization without adverse reactions. This positions the Er:YAG laser as a safe and effective modality for managing dentin sensitivity.

3) Caries Removal and Minimal Invasiveness

The Er:YAG laser offers advantages in the minimally invasive removal of carious tissue. By utilizing a micro-blasting effect, it can effectively and painlessly eliminate carious lesions without the risk of creating micro-cracks, which can occur with traditional handpieces. Research has shown that the use of this laser not only aids in caries removal but also improves the microhardness of the remaining dentin and enhances the adhesion of composite resin materials. While its clinical application remains somewhat debated, the overall potential of the Er:YAG laser in caries management is promising, although it may not completely replace conventional tools at this stage.

4) Root Canal Treatment and Disinfection

The complexity of root canal anatomy often prevents effective cleaning and infection control using traditional mechanical and chemical methods. The Er:YAG laser has proven valuable in this domain by enhancing root canal disinfection through effective removal of the smear layer, which serves as a protective barrier for bacteria. Advanced techniques like Laser-activated irrigation (LAI) and Photon-induced photoacoustic streaming (PIPS) facilitate thorough cleaning and disinfection of dentin tubules. Studies indicate that Er:YAG laser treatment significantly reduces microbial presence within the canal, thus improving the prospects for successful endodontic procedures.

5) Conclusion

In summary, the application of the Er:YAG laser in endodontics showcases its potential as an innovative method for treating dental issues. From pain management in dentin sensitivity and minimally invasive caries treatment to enhancing root canal disinfection, this laser technology presents numerous benefits that could reshape various dental practices. However, further clinical research is essential to establish a comprehensive understanding of its efficacy and safety across different dental conditions. Continued exploration into the use of the Er:YAG laser may provide a solid scientific foundation for its integration as a standard therapeutic tool in endodontics.

FAQ section (important questions/answers):

What is the Er:YAG laser used for in endodontics?

The Er:YAG laser is used for treating dentin hypersensitivity, dental caries, root canal therapy, pulp preservation, and apical surgery, serving as an effective adjuvant method.

How does the Er:YAG laser affect dentin hypersensitivity?

It effectively reduces hypersensitivity by sealing dentin tubules, which decreases hydrodynamic factors, leading to increased comfort and reduced sensitivity after treatment.

What advantages does the Er:YAG laser have over traditional methods?

The Er:YAG laser offers precise cutting, minimizes pain, avoids micro-cracks, and enhances adhesion for dental restorations, making it safer and more effective than traditional turbine handpieces.

What role does the Er:YAG laser play in root canal treatment?

It aids in root canal cleaning and disinfection, effectively removing debris, killing bacteria, and enhancing the penetration of disinfectant drugs into dentin tubules.

Is there a risk of thermal damage when using the Er:YAG laser?

While the Er:YAG laser produces heat, appropriate parameters and cooling methods can minimize the risk of thermal damage to surrounding tissues during treatment.

What is needed for further validation of Er:YAG laser applications?

Despite its potential, more clinical research is necessary to establish sound scientific evidence for the Er:YAG laser's application and effectiveness in endodontic treatments.

Glossary definitions and references:

Scientific and Ayurvedic Glossary list for “Application of er”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.

1) Surface:
The term 'surface' refers to the external aspect of tissues, which is significant in dentistry as the condition of the dental hard tissue surface affects treatments such as laser applications. For instance, laser-induced microscopic changes on the surface can enhance the adhesion of restorative materials, impacting dental procedures.

2) Water:
Water plays a crucial role as a medium for Er:YAG laser interactions in dental treatments. The laser's wavelength is optimally absorbed by water, which produces a photothermal effect, effectively cleaning and disinfecting root canals. This characteristic aids in minimally invasive procedures, allowing for precise tissue removal.

3) Drug:
Drugs refer to therapeutic agents that can be used to treat or manage dental conditions. They are vital in endodontic procedures, particularly in combination with laser treatments, where disinfectants and local anesthetics improve patient comfort and the likelihood of successful treatment.

4) Disease:
This term encompasses various pathological conditions affecting dental health, particularly pulp diseases that require treatment. The application of Er:YAG lasers represents a novel approach in managing such diseases, offering effective removal of infected tissue while preserving healthy structures through precise, minimally invasive methods.

5) Wall:
In dental contexts, 'wall' refers to the inner surfaces of teeth or cavities. The condition of the walls, particularly in root canals, is crucial for effective cleansing and treatment. Laser technologies aim to modify these walls to enhance the penetration of disinfecting agents for better clinical outcomes.

6) Inflammation:
Inflammation is a bodily response to injury or infection that can affect dental tissues. The management of inflammation is pivotal in endodontics, particularly post-surgery. Er:YAG lasers can help minimize inflammation during procedures, promoting faster healing and better postoperative results in dental therapies.

7) Filling (Filled):
Filled pertains to the state of a tooth after a cavity has been treated. The effectiveness of filling procedures can depend on surface preparation methods, including those employed by laser treatments, which can enhance adhesion and improve filling longevity and performance.

8) Cutting:
In dentistry, 'cutting' refers to the removal of hard or soft tissues. The precision of cutting with lasers like Er:YAG is beneficial for preserving surrounding tissues while effectively addressing dental issues. This technology provides a minimally invasive alternative to traditional dental cutting methods.

9) Medium:
The term 'medium' describes the material through which a laser operates. Er:YAG lasers use a solid-state medium, which is vital for the laser's cutting ability. The selection of an appropriate medium affects the laser's efficiency in dental treatments by ensuring optimal absorption and delivery.

10) Pulse:
In the context of laser dentistry, 'pulse' relates to the energy delivery time of the laser. The duration and frequency of pulses affect the thermal effects and tissue interaction during procedures. Understanding pulse parameters is crucial for balancing effectiveness and minimizing thermal damage to tissues.

11) Cina:
China is relevant as it is a country where significant research into dental laser applications, specifically the Er:YAG laser, is conducted. The advancements in laser technology in China contribute to improving endodontic procedures and enhancing treatment outcomes for patients suffering from dental diseases.

12) Surrounding:
The term 'surrounding' refers to adjacent tissues in dental procedures. The safety of dental treatments using lasers relies on minimizing harm to surrounding structures. Techniques that effectively isolate the treatment area while using lasers are crucial for protecting healthy tissues during endodontic therapies.

13) Observation:
Observation is critical in clinical dentistry to evaluate the effectiveness of treatments. In studies involving lasers, careful observation of tissue responses and healing outcomes helps inform best practices and refine therapeutic approaches, thus enhancing the overall efficacy of endodontic procedures.

14) Killing (Killed):
Killed refers to the successful elimination of pathogenic microorganisms within dental tissues, especially in root canals. Laser technologies, such as Er:YAG lasers, demonstrate effective bactericidal capabilities that enhance the success rates of endodontic treatments by ensuring thorough disinfection.

15) Animal:
Animal studies play a role in validating dental treatments, providing insights into the safety and efficacy of procedures before clinical implementation. Research involving animal models helps assess the biological response to laser therapies and informs optimal parameters for human applications in endodontics.

16) Garnet:
Garnet, as part of the Er:YAG laser's name, refers to the chemical composition of the medium used in the laser system. It defines the laser's unique properties, including its efficient absorption in water, making it effective for precise dental applications in treating hard and soft tissues.

17) Irritation:
Irritation is a potential side effect from dental procedures. Managing irritation during treatments is vital for patient comfort and recovery. Laser application, when used appropriately, aims to minimize soft tissue irritation, providing a more pleasant experience compared to traditional mechanical interventions.

18) Science (Scientific):
Scientific approaches are integral to advancing dental practices, particularly in researching new technologies like Er:YAG lasers. The application of scientific methods ensures that clinical findings are robust, leading to evidence-based guidelines that enhance the efficacy and safety of endodontic treatments.

19) Composite:
Composite materials are commonly used in dental restorations. Their performance and adhesion can be enhanced by laser treatments, which modify the surface properties of the tooth. Understanding how lasers affect composite bonding is crucial for improving the durability of dental restorations.

20) Medicine:
Medicine refers broadly to the field concerning health care practices, including dental health. The integration of laser technology into dental medicine exemplifies innovative approaches to treatment, providing advancements that enhance patient outcomes by enabling minimally invasive and precise surgical procedures.

21) Entering:
Entering relates to the penetration of therapeutic agents into human tissues, particularly in endodontics. Enhancing the ability of disinfectants to enter dentin tubules is crucial for effective root canal treatments, and laser treatments can facilitate this penetration by altering the dentin structure.

22) Reason:
Reason pertains to the justification for employing innovative technologies like lasers in dentistry. The reason for using Er:YAG lasers involves their ability to improve treatment outcomes by offering superior disinfection and tissue preservation capabilities, which address traditional limitations in dental therapies.

23) Visit:
Visit refers to the appointment made by a patient to receive dental care. Each visit is an opportunity for assessment of ongoing treatment, ensuring that the application of methods like Er:YAG lasers is appropriate and effective in managing dental conditions.

24) Field:
In the context of dentistry, 'field' refers to the area of study or practice. The field of endodontics benefits from advancements in laser technology, allowing practitioners to adopt more effective treatment modalities that improve patient care by minimizing invasiveness and enhancing outcomes.

25) Glass:
Glass refers to the material used in certain laser systems, characterized by its ability to act as a medium for laser emission. The use of glass in dental lasers underlines the importance of material composition in determining the efficiency and effectiveness of laser treatments.

26) Death:
Death in a dental context may refer to the loss of dental pulp vitality. Preventing death of the pulp is critical in maintaining tooth health, and laser treatments provide methods to preserve living pulp during procedures, contributing to better long-term tooth preservation.

27) Study (Studying):
Study refers to the rigorous examination of methodologies and outcomes associated with dental treatments. Investigations into the efficacy of laser applications, including Er:YAG lasers, are crucial for establishing evidence-based practices that enhance patient care and clinical outcomes.

28) Shan (San):
Shan may refer to an author or researcher associated with the study of Er:YAG lasers in dentistry. Contributions from researchers like Shan add credibility and depth to the body of dental knowledge, fostering advancements in techniques that improve treatment options.

29) Line:
Line in a dental context can refer to the trajectory of laser emission. Understanding the implications of laser line and angle is critical in ensuring effective treatment application, particularly in targeting specific areas during procedures such as caries removal and tissue disinfection.

Other Science Concepts:

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Discover the significance of concepts within the article: ‘Application of er’. Further sources in the context of Science might help you critically compare this page with similair documents:

Calcium hydroxide, Dental caries, Root canal treatment, Bactericidal effect, Smear layer.

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