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Background and Objectives The employability of the non‐invasive femtosecond laser ablation technique for dental treatment has been severely limited by its low ablation rate despite the advantage of minimal tissue damage. The study explores a means of improving the femtosecond laser ablation rate and efficiency by physiochemical surface modification. Materials and Methods Surface modification of dental hard tissues has been carried out by food graded orthophosphoric acid and Carie care gel pretreatment. The laser ablation characteristics were studied by using a Ti:Sapphire laser (10 kHz, 10 mm/s, 100 fs, 800 nm) to ascertain the influence of pretreatment. Surface morphology and chemical composition were obtained by using an optical profiler, SEM and EDAX. Results The ablation threshold fluence decreased by almost one‐third whereas the ablation rate and ablation efficiency nearly tripled upon pretreatment. The microstructural and compositional analysis clearly reveals that surface modification and demineralization reduce the threshold fluence and increase the ablation rate by effective utilization of the laser beam energy. The pretreatment effect is more pronounced in orthophosphoric acid as compared with Carie care gel. Conclusions Physiochemical surface modification can be an efficient method to improve the laser ablation rate and ablation efficiency. Compositional analysis can be an elegant tool for pre‐surgery determination of laser ablation characteristics. Clinical Significances Pretreatment surface modification can be an effective way to overcome the limitation of the femtosecond laser for tooth preparation in the clinical setting by strongly enhancing the ablation rate. An enhanced ablation rate along with de nova prediction of ablation characteristics will enable the clinician to perform dental surgery in real time with minimal tissue damage. Lasers Surg. Med. © 2019 Wiley Periodicals, Inc.

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To avoid excessive tissue removal and collateral damage, the high‐power density laser is apt for dental surgery also need to have high precision. For high‐precision dental surgery with minimal tissue damage, the present work frames a method to predict laser ablation profile based on surface morphology and chemical composition of dentin. The surface morphology and chemical composition were studied on different dentin samples using scanning electron microscope (SEM) and Energy Dispersive X‐ray Analysis (EDAX), respectively. The key laser ablation parameters (ω0, Deff, and Fth) were determined by laser irradiation study using 800 nm, Ti:Sapphire femtosecond laser at processing condition of 100 fs, 10 kHz and 10 mm/s. The dentin samples show a strong linear correlation between physiochemical characteristics and laser ablation parameters. The surface morphology exhibits a negative linear correlation with threshold fluence, whereas the converse is true for chemical composition. The laser ablation parameters of a random dentin sample are derived from the knowledge of linearity data. From the obtained laser ablation parameters, the complete theoretical ablation profile is constructed and validated with experimental ablation profile. Even though the surface morphology of dentin shows high linearity, the concentration of Ca and P can be used as the most feasible probe in clinical settings. Furthermore, the laser ablation rate and ablation efficiency are predicted by the method to optimize the laser processing condition for any specific teeth. The versatility of the method overcomes the problem of heterogeneity on various teeth and simplifies the method of finding optimal laser processing condition for immaculate laser surgery.