In vitro study of the variable square pulse Er:YAG laser cutting efficacy for apicectomy.

Abstract:

BACKGROUND AND OBJECTIVES:Variable square pulse (VSP) Er:YAG laser should be quicker than older Er:YAG lasers. The objectives were: (1) comparison of VSP laser and mechanical handpiece efficacy for apicectomy and (2) determination of optimal pulse width/energy/frequency combination. STUDY DESIGN/MATERIALS AND METHODS:Sixty extracted, single-rooted mature human teeth with round apical parts were instrumented, root filled, cleaned, and divided into four groups. Apical 2 mm of each root were apicectomized with mechanical handpiece and Er:YAG laser with three different settings (LaserA = 200 mJ/300 microseconds/ 8 Hz; LaserB = 200 mJ/100 microseconds/8 Hz; LaserC = 380 mJ/100 microseconds/20 Hz). Timing results were statistically compared. RESULTS:LaserC was the most efficient setting. Differences between groups were significant except between LaserC-Mechanical and LaserA-LaserC (P < 0.05). CONCLUSIONS:VSP Er:YAG laser used for apicectomy is slower by a factor of 7-31 than mechanical handpiece, but treatment outcome is acceptable. Optimal settings for apicectomy with VSP laser are 380 mJ/100 microseconds/20 Hz.

journal_name

Lasers Surg Med

authors

Grgurević J,Grgurević L,Miletić I,Karlović Z,Krmek SJ,Anić I

doi

10.1002/lsm.20168

subject

Has Abstract

pub_date

2005-06-01 00:00:00

pages

347-50

issue

5

eissn

0196-8092

issn

1096-9101

journal_volume

36

pub_type

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