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Photomedicine and Laser Surgery
Change of Enamel after Er:YAG and CO2 Laser Irradiation and Fluoride Treatment

To cite this article:
Yong Hoon Kwon, Jin-Soo Lee, Youn-Hee Choi, Jae-Mok Lee, Keun-Bae Song. Photomedicine and Laser Surgery. August 2005, 23(4): 389-394. doi:10.1089/pho.2005.23.389.

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Yong Hoon Kwon, Ph.D.
Department of Dental Materials, College of Dentistry and Medical Research Institute, Pusan National University, Pusan, South Korea.
Jin-Soo Lee, D.D.S., M.S.D.
Departments of Preventive Dentistry, School of Dentistry, Kyungpook National University, Daegu, South Korea.
Youn-Hee Choi, D.D.S., Ph.D.
Departments of Preventive Dentistry, School of Dentistry, Kyungpook National University, Daegu, South Korea.
Jae-Mok Lee, D.D.S., Ph.D.
Periodontics, School of Dentistry, Kyungpook National University, Daegu, South Korea.
Dr. Keun-Bae Song, D.D.S., Ph.D.
Departments of Preventive Dentistry, School of Dentistry, Kyungpook National University, Daegu, South Korea.

Objective: Our aim was to compare acquired acid resistance in dental enamel after Er:YAG and CO2 laser irradiation in vitro with additional fluoride treatment. Background data: The application of lasers in dental hard tissue can impact dental constituents and fluoride with complex interactions. Methods: Bovine enamels were divided into four groups according to their surface condition: unlased, Er:YAG laser-ablated, fluoridetreated after Er:YAG laser ablation, and CO2 laser-irradiated after Er:YAG laser and fluoride treatment. Calcium distribution in enamel after pH-cycling process and crystallographical change after laser treatment were evaluated. Results: The crystallinity of enamel was much improved after Er:YAG laser ablation. The CO2 laser irradiation in the fluoride-treated laser enamel formed α-TCP and fluorapatite. The change of calcium distribution in enamel was least in the CO2 laser-irradiated specimens; the fluoride-treated specimen after Er:YAG laser ablation was next. Additional fluoride treatment both after Er:YAG and before CO2 laser irradiation improved the acid resistance of enamel. Conclusion: Both external treatment of fluoride and irradiation of CO2 laser after Er:YAG laser ablation greatly reduced calcium loss in enamel during the pHcycling process.

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