Laser-activated irrigation: Cavitation and streaming effects from dental lasers

IntroductionThe aim of the present study was to assess the generation of laser-activated irrigation (LAI) with a 9,300-nm CO2 laser, a 455- and 970-nm diode laser as well as an 810- and 980-nm diode laser with and without carbon-coated “hot-tips” for improved irrigation in endodontics. Therefore, th...

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Main Authors: Clara Isabel Anton y Otero, Laurine Marger, Enrico Di Bella, Albert Feilzer, Ivo Krejci
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-02-01
Series:Frontiers in Dental Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fdmed.2022.1010916/full
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author Clara Isabel Anton y Otero
Laurine Marger
Enrico Di Bella
Enrico Di Bella
Albert Feilzer
Ivo Krejci
author_facet Clara Isabel Anton y Otero
Laurine Marger
Enrico Di Bella
Enrico Di Bella
Albert Feilzer
Ivo Krejci
author_sort Clara Isabel Anton y Otero
collection DOAJ
description IntroductionThe aim of the present study was to assess the generation of laser-activated irrigation (LAI) with a 9,300-nm CO2 laser, a 455- and 970-nm diode laser as well as an 810- and 980-nm diode laser with and without carbon-coated “hot-tips” for improved irrigation in endodontics. Therefore, the formation of cavitation bubbles at the laser tip-ends in different liquids was evaluated and compared to the traditionally applied Er:YAG laser.MethodsThe CO2 laser was applied at different power settings at a repetition rate of 14 Hz, SIROLASE for each wavelength at 10% Duty Cycle, and WISER with both wavelengths at different power settings and wavelengths. The LAI was videotaped with a high-speed camera. To measure the streaming velocity due to cavitation, all lasers were loosely coated with carbon particles and activated in pure water. Then, due to LAI, moving particles were videotaped with the same high-speed camera set-up. To determine the streaming velocities, the movement of one carbon particle was tracked with the help of a measuring tool in ImageJP software and streaming velocities were calculated.ResultsWith both diode laser devices at four wavelengths, it was only possible to introduce clear cavitation bubbles with low-power parameters (180 mW for the SIROLASE and 200 mW average power for the WISER laser), with the black coating of the laser tips. The 9,300-nm CO2 laser produced clear cavitation bubbles with all tested parameters. Consequently, all tested lasers produced streaming of the liquid, with decreasing velocities at increasing distances from the laser tip: Er:YAG laser 6.4 m/s, CO2 laser up to 5 m/s, and diode lasers in the range of 0.01–0.09 m/s. LIA with the Er:YAG and 9,300-nm CO2 laser generated high and similar streaming velocities. The diode lasers tested generated significantly lower streaming velocities.
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spelling doaj.art-9bc9a93fed364cc4ada918a89ff2f5bf2023-02-24T07:59:21ZengFrontiers Media S.A.Frontiers in Dental Medicine2673-49152023-02-01310.3389/fdmed.2022.10109161010916Laser-activated irrigation: Cavitation and streaming effects from dental lasersClara Isabel Anton y Otero0Laurine Marger1Enrico Di Bella2Enrico Di Bella3Albert Feilzer4Ivo Krejci5Division of Cariology and Endodontology, CUMD—University Clinics of Dental Medicine, Faculty of Medicine, University of Geneva, Geneva, SwitzerlandDivision of Cariology and Endodontology, CUMD—University Clinics of Dental Medicine, Faculty of Medicine, University of Geneva, Geneva, SwitzerlandDivision of Cariology and Endodontology, CUMD—University Clinics of Dental Medicine, Faculty of Medicine, University of Geneva, Geneva, SwitzerlandDepartment of Political Sciences, University of Genoa, Genoa, ItalyDepartment of Dental Material Sciences, Academic Center for Dentistry Amsterdam (ACTA), University of Amsterdam and Vrije Universiteit Amsterdam, Amsterdam, NetherlandsDivision of Cariology and Endodontology, CUMD—University Clinics of Dental Medicine, Faculty of Medicine, University of Geneva, Geneva, SwitzerlandIntroductionThe aim of the present study was to assess the generation of laser-activated irrigation (LAI) with a 9,300-nm CO2 laser, a 455- and 970-nm diode laser as well as an 810- and 980-nm diode laser with and without carbon-coated “hot-tips” for improved irrigation in endodontics. Therefore, the formation of cavitation bubbles at the laser tip-ends in different liquids was evaluated and compared to the traditionally applied Er:YAG laser.MethodsThe CO2 laser was applied at different power settings at a repetition rate of 14 Hz, SIROLASE for each wavelength at 10% Duty Cycle, and WISER with both wavelengths at different power settings and wavelengths. The LAI was videotaped with a high-speed camera. To measure the streaming velocity due to cavitation, all lasers were loosely coated with carbon particles and activated in pure water. Then, due to LAI, moving particles were videotaped with the same high-speed camera set-up. To determine the streaming velocities, the movement of one carbon particle was tracked with the help of a measuring tool in ImageJP software and streaming velocities were calculated.ResultsWith both diode laser devices at four wavelengths, it was only possible to introduce clear cavitation bubbles with low-power parameters (180 mW for the SIROLASE and 200 mW average power for the WISER laser), with the black coating of the laser tips. The 9,300-nm CO2 laser produced clear cavitation bubbles with all tested parameters. Consequently, all tested lasers produced streaming of the liquid, with decreasing velocities at increasing distances from the laser tip: Er:YAG laser 6.4 m/s, CO2 laser up to 5 m/s, and diode lasers in the range of 0.01–0.09 m/s. LIA with the Er:YAG and 9,300-nm CO2 laser generated high and similar streaming velocities. The diode lasers tested generated significantly lower streaming velocities.https://www.frontiersin.org/articles/10.3389/fdmed.2022.1010916/fulllaser-activated irrigationendodontics and laser therapy (MeSH)streaminglasercavitationEr:YAG and erbium-based solid state lasers
spellingShingle Clara Isabel Anton y Otero
Laurine Marger
Enrico Di Bella
Enrico Di Bella
Albert Feilzer
Ivo Krejci
Laser-activated irrigation: Cavitation and streaming effects from dental lasers
Frontiers in Dental Medicine
laser-activated irrigation
endodontics and laser therapy (MeSH)
streaming
laser
cavitation
Er:YAG and erbium-based solid state lasers
title Laser-activated irrigation: Cavitation and streaming effects from dental lasers
title_full Laser-activated irrigation: Cavitation and streaming effects from dental lasers
title_fullStr Laser-activated irrigation: Cavitation and streaming effects from dental lasers
title_full_unstemmed Laser-activated irrigation: Cavitation and streaming effects from dental lasers
title_short Laser-activated irrigation: Cavitation and streaming effects from dental lasers
title_sort laser activated irrigation cavitation and streaming effects from dental lasers
topic laser-activated irrigation
endodontics and laser therapy (MeSH)
streaming
laser
cavitation
Er:YAG and erbium-based solid state lasers
url https://www.frontiersin.org/articles/10.3389/fdmed.2022.1010916/full
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AT albertfeilzer laseractivatedirrigationcavitationandstreamingeffectsfromdentallasers
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