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Decontamination of deep dentin by means of erbium, chromium:yttrium-scandium-gallium-garnet laser irradiation

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Abstract

The aim of this in vitro study was to evaluate the depth of effectiveness of erbium, chromium:yttrium-scandium-gallium-garnet (Er,Cr:YSGG) laser irradiation on microorganism reduction. From human roots, dentin slices of 100 μm to 1,000 μm thickness were prepared. These specimens were sterilized and then inoculated with 1 μl of Enterococcus faecalis suspension. The backs of the specimens were then irradiated with Er,Cr:YSGG radiation at a pulse energy of 3.13 mJ, delivered at an incidence angle of 5° to the dentin slice surface. A control group was left without irradiation. The remaining bacteria were collected in 1 ml sterilized NaCl solution, serially diluted and seeded in Columbia-Agar plates. Despite the low pulse energy of 3.13 mJ, the Er,Cr:YSGG laser irradiation resulted in significant bacterial reduction up to a dentin thickness of 500 μm (P < 0.05). Scanning electron microscopy (SEM) micrographs of the contaminated and irradiated surfaces showed the absence of a smear layer and opened dentinal tubules.

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Acknowledgments

The authors would to thank Biolase (San Clemente, CA, USA) for providing a Waterlase Millennium laser system and would like to express their gratitude to the German Academic Exchange Service (Deutsche Akademische Austauschdienst, DAAD) and CAPES. Grants process A/05/50718.

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Correspondence to René Franzen.

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Franzen, R., Esteves-Oliveira, M., Meister, J. et al. Decontamination of deep dentin by means of erbium, chromium:yttrium-scandium-gallium-garnet laser irradiation. Lasers Med Sci 24, 75–80 (2009). https://doi.org/10.1007/s10103-007-0522-2

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  • DOI: https://doi.org/10.1007/s10103-007-0522-2

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