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The evaluation of the effect of carbon dioxide laser radiation on dentine tissue

Ryniewicz J., Ryniewicz W. I., Loster J. E., Wieczorek A., Pytko-Polończyk J.

Acta of Bioengineering and Biomechanics

2017

Vol. 19, no. 1

181--188

Purpose: Tissue constitution and construction determine the scope of the structural changes that develop under laser light. The aim of this study was to analyze the effects of carbon dioxide (CO2) laser light on the structure and elemental composition of dentine. Methods: The evaluation was conducted on samples from extracted teeth. The surface of the dentine was exposed to the radiation from a CTL 1401 CO2 laser (Centre of Laser Technology, Poland). The radiation and frequency parameters were as follows: group I with 5 W and 1 Hz, group II with 10 W and 1 Hz, group III with 5 W and 5 Hz, and group IV with 10 W and 5 Hz. The altered dentine structure was macroscopically and microscopically evaluated using a Nova NanoSEM 200 Scanning Electron Microscope (FEI Europe) with integrated microanalysis X-ray system for elemental analysis in points. Results: There were significant differences between groups in the macro- and microstructure of laser defects. Conclusions: CO2 laser radiation causes irreversible, destructive changes in dentine. The structural dentine lesions developed under the influence of the CO2 laser radiation may hinder proper adhesion of bonding systems with the damaged tissue. Laser defects in the structure should be treated like defects of noncarious origin requiring preparation and filling with composite materials in accordance with the procedures.