Journal of Prevention and Treatment for Stomatological Diseases ›› 2019, Vol. 27 ›› Issue (4): 212-218.doi: 10.12016/j.issn.2096-1456.2019.04.002

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The applications of Nd：YAG laser and Er：YAG laser in endodontics

WEI Xi(),LIU Hongyan,HAN Yuqing   

  1. Department of Operative Dentistry and Endodontics, Hospital of Stomatology, Guanghua School of Stomatology, Sun Yat-sen University, Guangdong Provincial Key Laboratory of Stomatology, Guangzhou 510055, China
  • Received:2018-09-20 Revised:2018-11-13 Online:2019-04-20 Published:2019-04-28
  • Contact: Xi WEI E-mail:weixi@mail.sysu.edu.cn

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Abstract:

With the gradual maturity of laser technology, it has become widely considered a new method for disease treatment. Nd：YAG laser and Er：YAG laser are two representative solid-state lasers. These lasers are easy to use, comfortable and safe, and thus, they have recently become a research hotspot in dental treatment. Nd：YAG laser and Er：YAG laser have been used for the treatment of dentin hypersensitivity and dental caries, root canal therapy, pulp preservation and apical surgery. They are effective adjuvant methods for the treatment of dental pulp diseases and provide new avenues for clinical treatment. In this paper, the application of Nd：YAG laser and Er：YAG laser in the treatment of dental pulp disease is described to provide a reference for clinical treatment options.

Key words: Nd： YAG laser, Er： YAG laser, Dentin hypersensitivity, Dental decay, Root canal treatment, Vital pulp therapy, Apical surgery

CLC Number: 

  • R781

Figure 1

Photon-induced photoacoustic streaming"

Figure 2

Nd:YAG laser irradiation for root canal disinfection"

[1] Weichman JA, Johnson FM . Laser use in endodontics. A preliminary investigation[J]. Oral Surg Oral Med Oral Pathol, 1971,31(3):416-420.
doi: 10.1016/0030-4220(71)90164-2
[2] Shahriari S, Kasraei S, Roshanaei G , et al. Efficacy of sodium hypochlorite activated with laser in intracanal smear layer removal: an SEM study[J]. J Lasers Med Sci, 2017,8(1):36-41.
doi: 10.15171/jlms.2017.07
[3] Cebe F, Bulbul M, Simsek I , et al. Effect of Erbium:yttrium aluminum garnet laser on bond strength of a total-etch adhesive system to caries-affected dentin on gingival wall[J]. Niger J Clin Pract, 2017,20(6):734-740.
doi: 10.4103/1119-3077.181321
[4] Nogueira RD, Silva CB, Lepri CP , et al. Evaluation of surface roughness and bacterial adhesion on tooth enamel irradiated with high intensity lasers[J]. Braz Dent J, 2017,28(1):24-29.
doi: 10.1590/0103-6440201701190
[5] Raucci-Neto W, de Castro-Raucci L M, Lepri C P , et al. Nd: YAG laser in occlusal caries prevention of primary teeth: a randomized clinical trial[J]. Lasers Med Sci, 2015,30(2):761-768.
doi: 10.1007/s10103-013-1417-z
[6] Tosun S, Culha E, Aydin U , et al. The combined occluding effect of sodium fluoride varnish and Nd: YAG laser irradiation on dentinal tubules-A CLSM and SEM study[J]. Scanning, 2016,38(6):619-624.
doi: 10.1002/sca.v38.6
[7] Ozlem K, Esad GM, Ayse A , et al. Efficiency of lasers and a desensitizer agent on dentin hypersensitivity treatment: a clinical study[J]. Niger J Clin Pract, 2018,21(2):225-230.
[8] Valerio RA, Borsatto MC, Serra MC , et al. Caries removal in deciduous teeth using an Er: YAG laser: a randomized split-mouth clinical trial[J]. Clin Oral Investig, 2016,20(1):65-73.
doi: 10.1007/s00784-015-1470-z
[9] Karadas M, Çağlar ⅰ . The effect of Er: YAG laser irradiation on the bond stability of self-etch adhesives at different dentin depths[J]. Lasers Med Sci, 2017,32(5):967-974.
doi: 10.1007/s10103-017-2194-x
[10] Chiniforush N, Nokhbatolfoghahaei H, Monzavi A , et al. Surface treatment by different parameters of Erbium: Yttrium-Aluminum-Garnet (Er: YAG) laser: scanning electron microscope (SEM) evaluation[J]. J Lasers Med Sci, 2016,7(1):37-39.
doi: 10.15171/jlms.2016.08
[11] Sadeghi M, Davari A, Abolghasami MA , et al. Influence of different power outputs of Er: YAG laser on shear bond strength of a resin composite to feldspathic porcelain[J]. J Dent (Shiraz), 2015,16(1):30-36.
[12] Curylofo-Zotti FA, Tanta GS, Zucoloto ML , et al. Selective removal of carious lesion with Er:YAG laser followed by dentin biomodification with chitosan[J]. Lasers Med Sci, 2017,32(7):1595-1603.
doi: 10.1007/s10103-017-2287-6
[13] Baraba A, Kqiku L, Gabric D , et al. Efficacy of removal of cariogenic bacteria and carious dentin by ablation using different modes of Er: YAG lasers[J]. Braz J Med Biol Res, 2018,51(3); e6872.
[14] Valério RA, Borsatto MC, Serra MC , et al. Caries removal in deciduous teeth using an Er: YAG laser: a randomized split-mouth clinical trial[J]. Clin Oral Investig, 2016,20(1):65-73.
doi: 10.1007/s00784-015-1470-z
[15] Hasheminia SM, Feizi G, Razavi SM , et al. A comparative study of three treatment methods of direct pulp capping in canine teeth of cats: a histologic evaluation[J]. Lasers Med Sci, 2010,25(1):9-15.
doi: 10.1007/s10103-008-0584-9
[16] Stefanova VP, Tomov GT, Tsanova S . Morphological study of border area of pulp-capping materials and Er: YAG laser prepared hard dental surface[J]. Folia Med (Plovdiv), 2015,57(1):49-55.
doi: 10.1515/folmed-2015-0019
[17] Huth KC , Hajek-Al-Khatar N, Wolf P, et al. Long-term effectiveness of four pulpotomy techniques: 3-year randomised controlled trial[J]. Clin Oral Investig, 2012,16(4):1243-1250.
doi: 10.1007/s00784-011-0602-3
[18] Odabas ME, Bodur H, Baris E , et al. Clinical, radiographic, and histopathologic evaluation of Nd: YAG laser pulpotomy on human primary teeth[J]. J Endod, 2007,33(4):415-421.
doi: 10.1016/j.joen.2006.12.013
[19] Peters OA, Schonenberger K, Laib A . Effects of four Ni-Ti preparation techniques on root canal geometry assessed by micro computed tomography[J]. Int Endod J, 2001,34(3):221-230.
doi: 10.1046/j.1365-2591.2001.00373.x
[20] McComb D, Smith DC . A preliminary scanning electron microscopic study of root canals after endodontic procedures[J]. J Endod, 1975,1(7):238-242.
doi: 10.1016/S0099-2399(75)80226-3
[21] Mader CL, Baumgartner JC, Peters DD . Scanning electron microscopic investigation of the smeared layer on root canal walls[J]. J Endod, 1984,10(10):477-483.
doi: 10.1016/S0099-2399(84)80204-6
[22] Shahriari S, Kasraei S, Roshanaei G , et al. Efficacy of sodium hypochlorite activated with laser in intracanal smear layer removal: an SEM study[J]. J Lasers Med Sci, 2017,8(1):36-41.
doi: 10.15171/jlms.2017.07
[23] da Costa Lima GA, Aguiar CM, Câmara AC , et al. Comparison of smear layer removal using the Nd: YAG laser, ultrasound, ProTaper Universalsystem, and CanalBrush methods: an in vitro study.[J]. J Endod, 2015,41(3):400-404.
doi: 10.1016/j.joen.2014.11.004
[24] Suman S, Verma P, Prakash-Tikku A , et al. A comparative evaluation of smear layer removal using apical negative pressure (EndoVac), sonic irrigation (EndoActivator) and Er: YAG laser -an in vitro SEM study[J]. J Clin Exp Dent, 2017,9(8):e981-e987.
[25] Keles A, Kamalak A, Keskin C , et al. The efficacy of laser, ultrasound and self-adjustable file in removing smear layer debris from oval root canals following retreatment: a scanning electron microscopy study[J]. Aust Endod J, 2016,42(3):104-111.
doi: 10.1111/aej.2016.42.issue-3
[26] Khoshbin E, Donyavi Z, Atibeh EA , et al. Effect of Nd: YAG and Diode lasers on apical seal of root canals filled with AH plus and mineral trioxide aggregate-based sealers[J]. J Dent (Tehran), 2018,15(1):30-40.
[27] Guglielmi CAB, Müller Ramalho K, Scaramucci T , et al. Evaluation of the furcation area permeability of deciduous molars treated by neodymium: yttrium-aluminum-garnet laser or adhesive[J]. Lasers Med Sci, 2010,25(6):873-880.
doi: 10.1007/s10103-009-0730-z
[28] Meire MA, Coenye T, Nelis HJ , et al. In vitro inactivation of endodontic pathogens with Nd: YAG and Er: YAG lasers[J]. Lasers Med Sci, 2012,27(4):695-701.
doi: 10.1007/s10103-011-0940-z
[29] Akyuz Ekim SN, Erdemir A . Effect of different irrigant activation protocols on push-out bond strength[J]. Lasers Med Sci, 2015,30(8):2143-2149.
doi: 10.1007/s10103-015-1772-z
[30] Keles A, Kamalak A, Keskin C , et al. The efficacy of laser, ultrasound and self-adjustable file in removing smear layer debris from oval root canals following retreatment: a scanning electron microscopy study[J]. Aust Endod J, 2016,42(3):104-111.
doi: 10.1111/aej.2016.42.issue-3
[31] Turkel E, Onay E O, Ungor M . Comparison of three final irrigation activation techniques: effects on canal cleanness, smear layer removal, and dentinal tubule penetration of two root canal sealers[J]. Photomed Laser Surg, 2017,35(12):672-681.
doi: 10.1089/pho.2016.4234
[32] Verstraeten J, Jacquet W, De Moor RJG , et al. Hard tissue debris removal from the mesial root canal system of mandibular molars with ultrasonically and laser-activated irrigation: a micro-computed tomography study[J]. Lasers Med Sci, 2017,32(9):1965-1970.
doi: 10.1007/s10103-017-2297-4
[33] Cheng X, Tian T, Tian Y , et al. Erbium: Yttrium Aluminum Garnet laser-activated sodium hypochlorite irrigation: a promising procedure for minimally invasive endodontics[J]. Photomed Laser Surg, 2017,35(12):695-701.
[34] Ozses OB, Gulsahi K, Ungor M , et al. A comparison of Er: YAG laser with photon-initiated photoacoustic streaming, Nd: YAG laser, and conventional irrigation on the eradication of root dentinal tubule infection by enterococcus faecalis biofilms: a scanning electron microscopy study[J]. Scanning, 2017,2017:6215482.
[35] Wang X, Cheng X, Liu X , et al. Bactericidal effect of various laser irradiation systems on enterococcus faecalis biofilms in dentinal tubules: a confocal laser scanning microscopy study[J]. Photomed Laser Surg, 2018,36(9):472-479.
doi: 10.1089/pho.2017.4430
[36] Kasić S, Knezović M, Beader N , et al. Efficacy of three different lasers on eradication of Enterococcus faecalis and Candida albicans biofilms in root canal system[J]. Photomed Laser Surg, 2017,35(7):372-377.
doi: 10.1089/pho.2016.4258
[37] Golob BS, Olivi G, Vrabec M , et al. Efficacy of photon-induced photoacoustic streaming in the reduction of Enterococcus faecalis within the root canal: different settings and different sodium hypochlorite concentrations[J]. J Endod, 2017,43(10):1730-1735.
doi: 10.1016/j.joen.2017.05.019
[38] Kourti E, Pantelidou O . Comparison of different agitation methods for the removal of calcium hydroxide from the root canal: scanning electron microscopy study[J]. J Conserv Dent, 2017,20(6):439-444.
doi: 10.4103/JCD.JCD_273_17
[39] Lloyd A, Navarrete G, Marchesan M A , et al. Removal of calcium hydroxide from Weine Type II systems using photon-induced photoacoustic streaming, passive ultrasonic, and needle irrigation: a microcomputed tomography study[J]. J Appl Oral Sci, 2016,24(6):543-548.
doi: 10.1590/1678-775720160234
[40] Kamalak A, Uzun I, Arslan H , et al. Fracture resistance of endodontically retreated roots after retreatment using self-adjusting file, passive ultrasonic irrigation, photon-induced photoacoustic streaming, or laser[J] Photomed Laser Surg, 2016,34(10):467-472.
doi: 10.1089/pho.2016.4121
[41] Suk M, Bago I, Katić M , et al. The efficacy of photon-initiated photoacoustic streaming in the removal of calcium silicate-based filling remnants from the root canal after rotary retreatment [J]. Lasers Med Sci, 2017,32(9):2055-2062.
doi: 10.1007/s10103-017-2325-4
[42] de Paz LC . Redefining the rersistent infection in root canals: possible role of biofilm communities[J]. J Endod, 2007,33(6):652-662.
doi: 10.1016/j.joen.2006.11.004
[43] Franzen R, Gutknecht N, Falken S , et al. Bactericidal effect of a Nd: YAG laser on Enterococcus faecalis at pulse durations of 15 and 25 ms in dentine depths of 500 and 1,000 μm[J]. Lasers Med Sci, 2011,26(1):95-101.
doi: 10.1007/s10103-010-0826-5
[44] Vatkar N, Hegde V, Sathe S . Vitality of Enterococcus faecalis inside dentinal tubules after five root canal disinfection methods[J]. J Conserv Dent, 2016,19(5):445-449.
doi: 10.4103/0972-0707.190019
[45] Pirnat S, Lukac M, Ihan A . Study of the direct bactericidal effect of Nd: YAG and diode laser parameters used in endodontics on pigmented and nonpigmented bacteria[J]. Lasers Med Sci, 2011,26(6):755-761.
doi: 10.1007/s10103-010-0808-7
[46] Esteves-Oliveira M, de Guglielmi CAB, Ramalho KM , et al. Comparison of dentin root canal permeability and morphology after irradiation with Nd: YAG, Er: YAG, and diode lasers[J]. Lasers Med Sci, 2010,25(5):755-760.
doi: 10.1007/s10103-010-0775-z
[47] Saydjari Y, Kuypers T, Gutknecht N . Laser application in dentistry: irradiation effects of Nd: YAG 1064 nm and Diode 810 nm and 980 nm in infected root canals-a literature overview[J]. Biomed Res Int, 2016: 8421656.
[48] Lietzau M, Smeets R, Hanken H , et al. Apicoectomy using Er: YAG laser in association with microscope: a comparative retrospective investigation[J]. Photomed Laser Surg, 2013,31(3):110-115.
doi: 10.1089/pho.2012.3393
[49] Bodrumlu E, Keskiner I, Sumer M , et al. Temperature variation during apicectomy with Er: YAG laser[J]. Photomed Laser Surg, 2012,30(8):425-428.
doi: 10.1089/pho.2012.3256
[50] Angiero F, Benedicenti S, Signore A , et al. Apicoectomies with the erbium laser: a complementary technique for retrograde endodontic treatment[J]. Photomed Laser Surg, 2011,29(12):845-849.
doi: 10.1089/pho.2011.3046
[51] Pozza DH, Fregapani PW, Xavier CB , et al. CO2, Er: YAG and Nd: YAG lasers in endodontic surgery[J]. J Appl Oral Sci, 2009,17(6):596-599.
doi: 10.1590/S1678-77572009000600011
[52] Nammour S, Kowaly K, Powell GL , et al. External temperature during KTP-Nd: YAG laser irradiation in root canals: an in vitro study[J]. Lasers Med Sci, 2004,19(1):27-32.
doi: 10.1007/s10103-004-0303-0
[53] Eriksson AR, Albrektsson T . Temperature threshold levels for heat-induced bone tissue injury: a vital-microscopic study in the rabbit.[J]. J Prosthet Dent. 1983,50(1):101-107.
doi: 10.1016/0022-3913(83)90174-9
[54] Sauk JJ, Norris K, Foster R , et al. Expression of heat stress proteins by human periodontal ligament cells[J]. J Oral Pathol, 1988,17(9-10):496-499.
doi: 10.1111/jop.1988.17.issue-9-10
[55] Strakas D, Franzen R, Kallis A , et al. A comparative study of temperature elevation on human teeth root surfaces during Nd: YAG laser irradiation in root canals[J]. Lasers Med Sci, 2013,28(6):1441-1444.
doi: 10.1007/s10103-012-1203-3
[56] Matys J, Flieger R, Dominiak M . Assessment of temperature rise and time of alveolar ridge splitting by means of Er: YAG laser, piezosurgery, and surgical saw: an ex vivo study[J]. Biomed Res Int, 2016,2016:9654975.
[57] Yaneva BK, Zagorchev PI, Firkova EI , et al. In Vitro study of temperature changes in pulp chamber during root planing procedure using Er: YAG laser[J]. Folia Med (Plovdiv), 2016,58(3):206-210.
doi: 10.1515/folmed-2016-0022
[58] Kimura Y, Tanabe M, Imai H , et al. Histological examination of experimentally infected root canals after preparation by Er: YAG laser irradiation[J]. Lasers Med Sci, 2011,26(6):749-754.
doi: 10.1007/s10103-010-0804-y
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