Caries removal in deciduous teeth using an Er:YAG laser: a randomized split-mouth clinical trial

Valério, Rodrigo Alexandre; Borsatto, Maria Cristina; Serra, Mônica Campos; Polizeli, Silvana Aparecida Fernandes; Nemezio, Mariana Alencar; Galo, Rodrigo; Aires, Carolina Patrícia; Santos, Ana Maria dos; Corona, Silmara Aparecida Milori

doi:10.1007/s00784-015-1470-z

Cited by 30 publications

(50 citation statements)

References 37 publications

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“…Therefore, it can be said that the LC Varnish helps to prevent the microinfiltration between the tooth interface and glass ionomer cement at the occlusal level or any other surface. This can be considered a possible key factor to prevent percolation [17,19]. Yazici [8] evaluated the clinical performance of different laser preparations techniques and the classical preparation via high speed piece of class I cavity preparation and obtained a marginal percolation rate under 5%.…”

Section: Resultsmentioning

confidence: 99%

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Evaluation of Marginal Percolation of the Glass Ionomer Fillings at Temporary Teeth

Cirdei¹,

Mocuta²,

Ogodescu³

et al. 2018

Mat.Plast.

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The purpose of this in vitro study is to evaluate the marginal percolation-micro leakage by comparing the possible infiltration of ionomer cement filling which was used to restore a class I cavity prepared by classic conventional method - diamond bur versus Er:YAG laser irradiation treatment. Ten molars were included in this study. The molars were random divided in two groups: group 1 - laser treatment and group 2- classic conventional treatments. The teeth were immersed in methylene blue solution for 24 h. Afterwards, the molars were vestibulo-oral sectioned through the centre of each restoration in order to see any signs of marginal percolation. The marginal percolation observed was more significant in conventional preparations group than in laser�s group. The glass ionomer cement remains one of the most adequate restorative materials to be used on deciduous molars when micro infiltration is questionable.

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Section: Resultsmentioning

confidence: 99%

“…3). A Class I cavity was prepared on each molar according to the two groups [17,18]. The size of the cavities was also recorded.…”

Section: Experimental Part Materials and Methodsmentioning

confidence: 99%

Evaluation of Marginal Percolation of the Glass Ionomer Fillings at Temporary Teeth

Cirdei¹,

Mocuta²,

Ogodescu³

et al. 2018

Mat.Plast.

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“…O laser de Er:YAG atua promovendo a ablação eficaz do tecido cariado (Aoki et al, 1998), e remove-o por meio de micro explosões, podendo ser utilizado para remoção de lesões de cárie em dentes permanentes (Aoki et al, 1998;Dommisch et al, 2008;Hamidi, 2015) e decíduos (Keller, Hibst, 1997;Evans et al, 2000;Kato et al, 2003;Liu et al, 2006;Jacobson;Asgari, 2008;Kornblit et al, 2008;Tanboga et al, 2011;Valério et al, 2015;Polizeli et al, 2016), eliminando o desconforto promovido pela vibração, ruídos e pressão resultantes do uso de aparelhos rotatórios convencionais durante a remoção das lesões de cárie Hibst, 1997;Cozean et al, 1997;Evans et al, 1998;Bohari et al, 2012), especialmente no atendimento odontológico de crianças, as quais relacionam esse medo com experiências subjetivas de dor e trauma e não com a patologia dental propriamente dita (Townend et al, 2000;Montedori et al, 2016;Soares et al, 2016). O tratamento com laser Er:YAG não afeta os pesos percentuais médios de Ca, K, Mg, Na, e P presentes nos dentes decíduos, sendo considerado seguro para preparação da cavidade nesses dentes (Guler et al, 2014), bem como as restaurações realizadas em cavidades tratadas com Laser de Er:YAG demonstraram uma performance clínica aceitável de acordo com os critérios USPHS (Valério et al, 2015) A aquisição e constância de atitudes negativas diante do tratamento odontológico é um processo que muitas vezes tem início na infância (Abreu et al, 2011), e pode persistir na adolescência, levando o indivíduo a apresentar um comportamento inadequado até a idade adulta, evitando o tratamento odontológico (Chapman;Kirby-Tumer, 1999).…”

Section: Introdução E Justificativaunclassified

“…A utilização dessa tecnologia tende a eliminar o desconforto produzido pelo ruído e vibração dos instrumentos rotatórios convencionais e muitas vezes torna menor a necessidade do uso de anestesia local infiltrativa Hibst, 1997;Pelagalli et al, 1997;Kato et al, 2003;Takamori et al, 2003;Krause et al, 2008). A utilização do laser de Er:YAG tem sido bem aceita pelos pacientes para a remoção de tecido cariado (Cozean et al, 1997;Hibst, 1997), apesar de resultar num maior tempo de trabalho (Aoki et al, 1998;Valério et al, 2015).…”

Section: Introdução E Justificativaunclassified

“…A utilização dessa tecnologia para remoção de tecido dentário cariado (Cozean et al, 1997;Hibst, 1997;Aoki et al, 1998;Evans et al, 2000;Kato et al, 2003;Liu et al, 2006;Dommisch et al, 2008;Jacobson;Asgari, 2008;Kornblit et al, 2008;Krause et al, 2008;Tanboga et al, 2011;) tem levado a um aumento no número de pesquisas com a utilização do laser de Er:YAG (Armengol et al, 2000;Corona et al, 2001;Benjamin, 2002;Bohari et al, 2012;Zhang et al, 2013;Valério et al, 2015;Correa et. al, 2016;Polizeli et al, 2016;Galafassi et.…”

Section: Introdução E Justificativaunclassified

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Remoção seletiva de lesões de cárie em molares decíduos utilizando laser de Er:YAG: avaliação clínica das restaurações e dos níveis de cortisol salivar

Polizeli¹

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Minimally invasive dentistry suggests that during the preparation of cavity preparations, lesser amount of healthy dental substrate associated with the use of adhesive materials is removed, with the purpose of offering less anxiety and greater patient comfort during dental treatment. This study aimed to evaluate the salivary cortisol levels of the child during the selective removal of cáries lesions using Er:YAG laser and later longitudinal analysis of the restorations performed. Children between 7 and 10 years of age were selected to present two lesions of active cáries in dentin located on the occlusal and proximal surfaces (class II) of decíduous molars. The teeth of each child were distributed in two groups randomly: 1) Er:YAG laser (250mJ / 4 Hz) and 2) Conventional method (low rotation). The dosage of the hormone cortisol was performed by means of immunoenzymatic analysis of the saliva in 2 moments: 7 days before the procedures and during the removal of the cáries lesions. Indirect pulp protection was performed using calcium hydroxide cement and glass ionomer cement in the deep wells and only glass ionomer cement in the medium wells. The wells were prepared and then restored using the Adper Single Bond 2 / Filtek Supreme (3M) restorative system. For clínical analysis of the restorations, three calibrated and experienced professionals used the modified US Public Health Service criteria and photographic examination. For the analysis of the réplica of the restoration the teeth were cast and cast with epoxy resin. The marginal adaptation was analyzed by SEM. Clínical and réplicate analyzes were performed in the 7 day, 6 and 12 month periods after the restoration. Data were analyzed by ANOVA and Tukey's test (α = 5%). Cortisol levels were higher during the selective removal of cáries, regardless of the method used (p> 0.05). After 12 months, there was no evidence of difference in retention, marginal adaptation, discoloration, axial contour and secondary cáries of restorations performed in wells prepared by both methods. SEM analysis revealed that the laser irradiated teeth presented 10% of the total length of the restoration. For teeth prepared by the conventional method, 20% of the slits were found in the cavosuperficial margin. The use of the Er:YAG laser did not increase the levels of salivary cortisol when compared to the conventional method and did not influence the clínical performance of class II restorations, being an alternative method for the removal of cáries lesions in children.

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Interventions for treating cavitated or dentine carious lesions

Schwendicke

Walsh

Lamont

et al. 2021

Cochrane Database of Systematic Reviews

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This is a protocol for a Cochrane Review (Intervention). The objectives are as follows:To determine the clinical and cost-effectiveness of interventions (non-selective, selective or stepwise carious tissue removal, sealing of carious lesions using sealant materials or preformed metal crowns, or NRCC) to treat carious lesions conventionally considered to require restorations (cavitated or micro-cavitated lesions, or occlusal lesions that are clinically non-cavitated but clinically/radiographically extend into dentine) in primary or permanent teeth with vital (sensitive) pulps.

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Caries removal in deciduous teeth using an Er:YAG laser: a randomized split-mouth clinical trial

Abstract: Irradiation with an Er:YAG laser is appropriate for caries removal in primary teeth.

Cited by 30 publications

References 37 publications

Evaluation of Marginal Percolation of the Glass Ionomer Fillings at Temporary Teeth

Evaluation of Marginal Percolation of the Glass Ionomer Fillings at Temporary Teeth

Remoção seletiva de lesões de cárie em molares decíduos utilizando laser de Er:YAG: avaliação clínica das restaurações e dos níveis de cortisol salivar

Interventions for treating cavitated or dentine carious lesions

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