Dentinal surface-cutting efficiency using a high-speed diamond bur,ultrasound and laser

We compare an ultrasound bur with a conventional one and an Er:YAG laser for cavity preparations. Human molars were embedded in resin and sliced for this study. The surface abrasion was performed by a high-speed instrument and ultrasound. The cavity preparation was initially performed with a high-speed diamond bur. After this, a 2.94-μm laser with 400 mJ/pulse at 4 Hz, and a pulse width from 250–500 μs was applied to the tooth surface for 30 s in a sweeping motion. The samples were analyzed by SEM. The abrasion surface with a conventional bur showed structure removal with different grooves, a smear-layer presence, and occluded dentinal tubules. The abraded surface with the CVD bur suggested a removal process in layers. The laser-irradiated surface showed a rough aspect with opened tubules and the absence of a smear layer. The results of this study suggest that a high-speed diamond bur, ultrasound, and laser were able to perform cavity preparation. However, the CVD bur presented a higher surface quality.     

Effect of Er:YAG laser energy on the morphology of enamel/adhesive system interface

The aim of this study was to evaluate in vitro the influence of Er:YAG laser energy variation to cavity preparation on the morphology of enamel/adhesive system interface, using SEM. Eighteen molars were used and the buccal surfaces were flattened without dentine exposure. The specimens were randomly assigned to two groups, according to the adhesive system (conventional total-etching or self-etching), and each group was divided into three subgroups (bur carbide in turbine of high rotation, Er:YAG laser 250 mJ/4 Hz and Er:YAG laser 300 mJ/4 Hz) containing six teeth each. The enamel/adhesive system interface was serially sectioned and prepared for SEM. The Er:YAG laser, in general, produced a more irregular adhesive interface than the control group. For Er:YAG laser 250 mJ there was formation of a more regular hybrid layer with good tag formation, mainly in the total-etching system. However, Er:YAG laser 300 mJ showed a more irregular interface with amorphous enamel and fused areas, for both adhesive systems. It was concluded that cavity preparation with Er:YAG laser influenced on the morphology of enamel/adhesive system interface and the tissual alterations were more evident when the energy was increased.     

Q-switched Er:YAG lasers resonantly pumped by Erbium fiber laser

The study describes efficient, acousto-optic Q-switching of Er:YAG laser at the 1645 nm eye-safe wavelength. For longitudinal pumping at wavelength 1532 nm, linear-polarized 10 W Erbium fiber laser radiation was used. The investigated Er:YAG crystals were 25 and 40 mm long and their Erbium concentration was 0.20 and 0.25%, respectively. For giant pulse generation, a fused silica acousto-optic modulator was inserted inside the Er:YAG laser oscillator. For a maximum incident pump power of 7.95 W, pulse energy up to 4.1 mJ was generated with pulse duration 34 ns at 500-Hz repetition rate; the corresponding peak power was 119 kW.     

High-energy directly diode-pumped Q-switched 1617 nm Er:YAG laser at room temperature

We describe high-energy Erbium-doped yttrium aluminum garnet (Er:YAG) lasers operating at 1617?nm, resonantly pumped using 1532?nm fiber-coupled laser diodes. A maximum continuous wave output power of 4.3?W at 1617?nm was achieved with an output coupler of 20% transmission under incident pump power of 29.7?W, resulting in an optical conversion of 14% with respect to the incident pump power. In Q-switched operation, the pulse energy of 11.8?mJ at 100?Hz pulse repetition frequency and 81?ns pulse duration was obtained. This energy is the highest pulse energy reported for a directly diode-pumped Q-switched Er:YAG laser operating at 1617?nm.     

A method for rapid measurement of laser ablation rate of hard dental tissue

The aim of the study reported here is the development of a new method which allows rapid and accurate in-vitro measurements of three-dimensional (3D) shape of laser ablated craters in hard dental tissues and the determination of crater volume, ablation rate and speed. The method is based on the optical triangulation principle. A laser sheet projector illuminates the surface of a tooth, mounted on a linear translation stage. As the tooth is moved by the translation stage a fast digital video camera captures series of images of the illuminated surface. The images are analyzed to determine a 3D model of the surface. Custom software is employed to analyze the 3D model and to determine the volume of the ablated craters. Key characteristics of the method are discussed as well as some practical aspects pertinent to its use. The method has been employed in an in-vitro study to examine the ablation rates and speeds of the two main laser types currently employed in dentistry, Er:YAG and Er,Cr:YSGG. Ten samples of extracted human molar teeth were irradiated with laser pulse energies from 80 mJ to the maximum available energy (970 mJ with the Er:YAG, and 260 mJ with the Er,Cr:YSGG). About 2000 images of each ablated tooth surface have been acquired along a translation range of 10 mm, taking about 10 s and providing close to 1 million surface measurement points. Volumes of 170 ablated craters (half of them in dentine and the other half in enamel) were determined from this data and used to examine the ablated volume per pulse energy and ablation speed. The results show that, under the same conditions, the ablated volume per pulse energy achieved by the Er:YAG laser exceeds that of the Er,Cr:YSGG laser in almost all regimes for dentine and enamel. The maximum Er:YAG laser ablation speeds (1.2 mm³/s in dentine and 0.7 mm³/s in enamel) exceed those obtained by the Er,Cr:YSGG laser (0.39 mm³/s in dentine and 0.12 mm³/s in enamel). Since the presented method proves to be easy to use and allows quite rapid measurements it may become a valuable tool to study the influence of various laser parameters on the outcome of laser ablation of dental tissues.     

Free-running and Q-switched operation of a diode pumped Er:YSGG laser at the 3 μm transition

A study is made of a diode pumped Er³⁺:YSGG laser crystal operating at 2.797 μm. Lasers were constructed in the bounce geometry, using a transversely cooled 50 at.% Er:YSGG slab and a face-cooled 38 at.% Er:YSGG slab. Results from these are compared with those from a 50 at.% Er³⁺:YAG laser, also in the bounce geometry. With quasi-continuous wave diode pumping, free-running pulse energies of up to ~55 mJ and a slope efficiency of 20.5% are obtained from 50 at.% Er:YSGG. Better thermal performance is obtained from the face-cooled 38 at.% Er:YSGG slab, allowing average power of ~2 W to be obtained at a repetition rate and pump pulse duration of 140 Hz and 500 μs, respectively. Both Er:YSGG systems perform better than Er:YAG. Numerical modelling of the free-running 50 at.% Er:YSGG and Er:YAG systems is undertaken with good qualitative agreement with experimental results. Electro-optic Q-switching of the 50 at.% Er:YSGG laser using a LiNbO₃ crystal yields ~0.5 mJ pulses with ~77 ns duration.     

Comparative ablation rate from a Er: YAG laser on enamel and dentin of primary and permanent teeth

This study was conducted to analyze the ablation rate and micromorphological aspects of microcavities in enamel and dentin of primary and permanent teeth using a Er: YAG laser system. Micromorphological evaluation has been performed in terms of permanent teeth; however, little information about Er: YAG laser interaction with primary teeth can be found in the literature. Because children have been the most beneficiary patients with laser therapy in our offices, it is extremely necessary to compare the effects of this kind of laser system on the enamel and dentin of permanent and primary teeth. In this study, we used eleven intact primary anterior exfoliated teeth and six extracted permanent molar teeth. We used a commercial laser system: a Er: YAG Twin Light laser system (Fotona Medical Lasers, Slovenia) at 2940 nm, changing average energy levels per pulse (100, 200, 300, and 400 mJ) producing 48 microcavities in enamel and dentin of primary and permanent teeth. Primary teeth are more easily ablated than are permanent teeth, when related to enamel or dentin. However, while this laser system is capable of slowly revealing the enamel’s microstructure, in dentin only the lowest laser energies permit this kind of observation, more easily decomposing the original tissue aspect, when related to primary or permanent teeth. Statistically, the only different factor at the 5% level was an energy per pulse of 400 mJ, confirming the results found in SEM. Our results showed that dentin in both primary and permanent teeth is less resistant to Er: YAG laser ablation; this fact is easily observed under SEM observation and through the ablation rate evaluation.     

Voltage-on-Type RTP Pockels Cell for <Emphasis Type="Italic">Q</Emphasis>-switch of an Er:YAG Laser at 1,617 nm

We report a resonantly diode-pumped electro-optic Q-switched Er:YAG laser operating at 1,617 nm using a voltage-on-type rubidium titanyl phosphate (RTP) Pockels cell as the modulator. The Er:YAG laser operates at a very stable Q-switching mode with a per pulse energy yield of 1.5 mJ and a pulse duration of 114 ns at 1 kHz PRF under an incident pump power of 21.6 W.     

Absorption and thermal study of dental enamel when irradiated with Nd:YAG laser with the aim of caries prevention

It is widely recognized that Nd:YAG can increase enamel resistance to demineralization; however, the safe parameters and conditions that enable the application of Nd:YAG laser irradiation in vivo are still unknown. The aim of this study was to determine a dye as a photoabsorber for Nd:YAG laser and to verify in vitro a safe condition of Nd:YAG irradiation for caries prevention. Fifty-eight human teeth were selected. In a first morphological study, four dyes (waterproof India ink., iron oxide, caries indicator and coal paste) were tested before Nd:YAG laser irradiation, under two different irradiation conditions: 60 mJ/pulse and 10 Hz (84.9 J/cm²); 80 mJ/pulse and 10 Hz (113.1 J/cm²). In a second study, the enamel surface and pulp chamber temperatures were evaluated during laser irradiations. All dyes produced enamel surface melting, with the exception of the caries indicator, and coal paste was the only dye that could be completely removed. All irradiation conditions produced temperature increases of up to 615.08°C on the enamel surface. Nd:YAG laser irradiation at 60 mJ/pulse, 10 Hz and 84.9 J/cm² promoted no harmful temperature increase in the pulp chamber (ANOVA, p < 0.05). Among all dyes tested, the coal paste was an efficient photoabsorber for Nd:YAG irradiation, considered feasible for clinical practice. Nd:YAG laser at 84.9 J/cm² can be indicated as a safe parameter for use in caries prevention.     

Highly efficient electro-optically Q-switched 473 nm blue laser

An external frequency doubling electro-optically Q-switched neodymium-doped yttrium aluminum garnet(Nd:YAG) 473 nm blue laser was demonstrated. With absorbed pump energy of 48 mJ at 100 Hz repetition rate, about 2 mJ of 473 nm blue laser pulse energy was achieved by cascade frequency doubling. The second harmonic conversion efficiency was 64.5%, and overall optical-optical efficiency was 4.2%, respectively. The blue laser pulse width was less than 10 ns, and beam quality factor was less than 2.4.     

Resonantly pumped,high peak power Er:YAG laser

The high peak power hybrid Er:YAG laser, resonantly pumped at the wavelength of 1532 nm was developed. The fused silica acousto-optic modulator driven by 10 W of RF power was deployed as the Q-switch for such a laser. For the best case of Q-switching regime the pulses of 110 kW peak power (4 mJ, 37 ns) were reached at the pump power of 7.8 W and the repetition rate of 500 Hz.     

A compact 1.06/1.32/2.94 μm pulsed laser for dentistry

A three-wavelength pulsed laser for dental application is developed. The laser houses the Nd:YAG resonator (1.06/1.32 μm) for soft-tissue treatment and Er:YAG resonator (2.94 μm) for caries removal and fits and fissure treatment. Two heads share the cooling unit and two identical high-voltage power supply modules in order to achieve compactness. The Nd:YAG laser has 10 W at 1.06 μm and 7 W at 1.32 μm with a pulse duration of 100 μs. An Er:YAG laser of 2.94 μm has 3.5 W, 20 Hz and a pulse duration of 250 μs. The beams are delivered through fibers and the laser size is 75×55×32.5 cm.     

30 mJ, TEM00, high repetition rate, mechanically Q-switched Er:YAG laser operating at 2940 nm

The 2940 nm Er:YAG laser Q-switched mechanically by means of a rotating mirror was developed. It generated the output pulses of up to 30 mJ energy, below 300 ns duration and record repetition rate of 25 Hz. The developed laser was effectively used for the investigation of laser beam interaction with selected organic matter simulants.     

Laser diode pumped high-energy single-frequency Er:YAG laser with hundreds of nanoseconds pulse duration

We demonstrated a high-energy single-frequency erbium-doped yttrium aluminum garnet(Er:YAG)laser.With1470 nm laser diodes(LDs)as pumping sources,single-frequency laser pulses with energy of 28.6 m J,21.6 m J,and 15.0 m J are obtained at pulse repetition frequency of 200 Hz,300 Hz,and 500 Hz,respectively.As far as we know,this is the highest single-frequency pulse energy with the Er:YAG gain medium.With the ring cavity design,pulse duration is maintained at hundreds of nanoseconds.This high-energy single-frequency laser with hundreds of nanoseconds pulse duration is a prospective laser source for light detection and ranging applications.     

Laser radiation tunable within the range of 4.35–5.45 <Emphasis Type="Italic">μ</Emphasis>m in a ZnTe crystal doped with Fe<Superscript>2+</Superscript> ions

We realized laser generation on a Fe²⁺:ZnTe crystal for first time. The crystal was pumped at room temperature by 40 ns pulses of an Er:YAG laser operating at a wavelength of 2.94 μm in the Q-switching mode. The output energy of the Fe²⁺:ZnTe laser was 0.18 mJ at a slope efficiency of 2.4% with respect to absorbed pumping energy. We achieved tuning of the Fe²⁺:ZnTe laser generation wavelength within the range of 4.35–5.45 μm using a prism-dispersion cavity.     

Highly efficient in-band pumped Er:YAG laser with 60 W of output at 1645 nm

A high-power Er:YAG laser that is in-band pumped by a high-power cladding-pumped erbium-ytterbium codoped fiber laser operating at 1532 nm is reported. The Er:YAG laser produced 60.3 W of continuous-wave output at 1645.3 nm in a beam with M2 approximately equal to 3 for 82 W of incident pump power and 20 W of TEM00 output with M2 < 1.2 for 32.4 W of incident pump power. The slope efficiency with respect to incident pump power at pump powers of >20 W was approximately 81%. In the Q-switched mode of operation, a slightly modified resonator configuration incorporating an electro-optic Q switch produced pulses of approximately 4 mJ energy and approximately 100 ns (FWHM) duration, corresponding to a peak power of approximately 42 kW at a repetition rate of 1 kHz for an incident pump power of 16.8 W. The prospects for further improvement in continuous-wave and Q-switched performance are discussed.     

Single-frequency operation of a laser diode side-pumped Q-switched Tm:YAG laser using seeding injection technique

A laser diode (LD) side-pumped 2 μm single-frequency Q-switched Tm:YAG laser was demonstrated. The laser was injection seeded by a CW single frequency Tm:YAG laser with a twisted-mode cavity. The maximum single-frequency pulse energy was 16.3 mJ, with a pulse width of 570 ns and a pulse repetition rate of 10 Hz. The linewidth of the 2 μm single-frequency Q-switched laser was 0.68 MHz, measured by using the optical heterodyne technique. The M ² of the laser beam was measured to be 1.09 and 1.03 for x direction and y direction, respectively.     

Hundred mJ, sub-picoseconds, high temporal contrast OPCPA/Yb:YAG ceramic thin disk hybrid laser system

The authors have demonstrated an optical parametric chirped-pulse amplification (OPCPA)/Yb:YAG ceramic thin disk hybrid laser system having hundred mJ level pulse energy sub-picosecond pulse duration with high temporal contrast. At an input chirped-pulse energy of 3.8?mJ from an OPCPA preamplifier an output energy of 130?mJ has been generated from multipass diode-pumped Yb:YAG ceramic thin disk amplifier. A recompressed pulse duration of 450?fs with a contrast level of less than 7.2×10^?9 at ?150?ps before the main pulse has been obtained. The contrast level is the highest value achieved in Yb:YAG chirped-pulse amplification (CPA) laser system at 100?mJ level.     

Analysis of therapeutical effects of Er:YAG and CO2 laser post treatments of small hemangiomas

The main goal of our study was the evaluation of treatment efficiency of two types of ablative laser-CO₂ and Er:YAG (or ERB) treatment. 183 patients (Er:YAG—105 patients, CO₂—78 patients) were analyzed to compare the curative effects and adverse events, such as loss of pigment and appearance of scars caused by these two lasers. The results of the study showed the slightly better effectiveness of Er:YAG laser radiation in comparison with CO₂ laser in the case of treatment of small hemangiomas up to 3 mm in diameter. In the Er:YAG laser application the curative effect was in 99%, hypo-pigmentation occurred in 18%, and scars in 70% of all treatments. In the CO₂ laser application the curative effect was in 97%, hypo-pigmentation in 52%, and scars in 77% from all treatments.     

Passive Q-switching of the diode-pumped Er:YAG laser cavity with the Q-switch based on the Fe<Superscript>2+</Superscript>:ZnSe crystal

Repetitive-pulse generation of the diode-pumped Er:YAG laser (λ = 2.94 μm) in the free mode and in the mode of cavity passive Q-switching was achieved using a Q-switch based on the Fe²⁺:ZnSe crystal. When using pump pulses 3 ms long, the pulse-average output power of the Er:YAG laser in the free generation mode was 0.5W. In the passive Q-switching mode, giant pulses 180 ns long with an energy of 3 μJ were obtained.