Operative Dentistry (DES400) - Lasers in Dentistry

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Questions and Answers

What does the acronym LASER stand for?

  • Laser Application in Stimulated Emission Reaction
  • Laser Amplification through Spontaneous Emission of Rays
  • Light Amplification by Stimulated Emission of Radiation (correct)
  • Light Activation by Sinusoidal Emission of Radiation

What is one of the main advantages of using laser technology in dentistry?

  • Lower cost of procedures
  • Increased precision in treatment (correct)
  • Longer treatment times
  • Reduction of equipment needed

Who is credited with the foundational theories leading to the development of LASER technology?

  • Marie Curie
  • Isaac Newton
  • Albert Einstein (correct)
  • Nikola Tesla

Which of the following is NOT an application of lasers in dentistry?

<p>Pulmonary surgery (A)</p> Signup and view all the answers

What historical principle did Einstein propose that is essential for the functioning of lasers?

<p>Stimulated emission of light (D)</p> Signup and view all the answers

What issue often prevents patients from regularly visiting the dentist, which laser technology aims to address?

<p>Fear of pain or discomfort (A)</p> Signup and view all the answers

Which component of the LASER device contributes to the amplification of light?

<p>The stimulated medium (B)</p> Signup and view all the answers

What is the main disadvantage of using hollow fiber as a delivery system for lasers?

<p>High energy loss over time (D)</p> Signup and view all the answers

What is a commonly cited disadvantage of using laser technology in dental procedures?

<p>Potential for thermal damage to surrounding tissues (A)</p> Signup and view all the answers

Which delivery system is known for using articulated mirrors to minimize energy dispersion?

<p>Articulated arm (C)</p> Signup and view all the answers

What type of laser primarily utilizes optic fibers for delivery?

<p>Visible and near-infrared lasers (D)</p> Signup and view all the answers

Which factor should be considered when using an articulated arm delivery system?

<p>Alignment of the mirror system (B)</p> Signup and view all the answers

What aspect makes the near-infrared diode laser distinct in its delivery system?

<p>It has a fiber optic with disposable tips (D)</p> Signup and view all the answers

What characterizes the ideal handpiece for laser delivery systems?

<p>Small and lightweight with easy handling (A)</p> Signup and view all the answers

What is a significant danger associated with the articulated arm delivery system?

<p>Vibrations causing misalignment of mirrors (A)</p> Signup and view all the answers

What is a common material used for optic fibers in laser delivery systems?

<p>Quartz (D)</p> Signup and view all the answers

What is the primary functionality of a noncontact handpiece?

<p>It uses a laser beam focused at a set distance from the target. (C)</p> Signup and view all the answers

Which type of handpiece uses tips designed for specific interaction with various tissues?

<p>Close contact handpiece (B)</p> Signup and view all the answers

What is a common risk when using a noncontact handpiece?

<p>Difficulty maintaining the correct distance from the target (D)</p> Signup and view all the answers

How do hollow handpieces enable laser operation?

<p>By allowing optic fibers to pass through and exit at a terminal angled tip (B)</p> Signup and view all the answers

What is essential for the stimulated emission process in lasers?

<p>Excitation of atoms by a pump source (D)</p> Signup and view all the answers

Which lasers are mentioned as having complex handpieces with angled mirrors?

<p>Er,Cr:YSGG, Er:YAG, and CO2 lasers (D)</p> Signup and view all the answers

What characterizes the laser output process?

<p>Partial reflection of emitted photons through a mirror (B)</p> Signup and view all the answers

What are disposable tips designed for in diode lasers?

<p>To provide various sizes for different treatments (B)</p> Signup and view all the answers

Which type of laser is most commonly used for soft tissue dental procedures?

<p>Diode lasers (D)</p> Signup and view all the answers

What is one of the applications of laser technology in cancer treatment?

<p>Destroying tumor cells in veins (A)</p> Signup and view all the answers

Which of the following statements about laser applications in dentistry is true?

<p>Lasers can diagnose specific dental diseases. (D)</p> Signup and view all the answers

What is a common use for laser technology in eye surgeries?

<p>For LASIK procedures (A)</p> Signup and view all the answers

What is a benefit of using laser technology in skin applications?

<p>Improves accuracy in skin resurfacing (C)</p> Signup and view all the answers

Which laser type is most effective for hard tissue dental procedures?

<p>ND:YAG lasers (B)</p> Signup and view all the answers

What is one application of laser technology for treating cold sores?

<p>Laser treatment for cold sores (B)</p> Signup and view all the answers

What role does laser technology play in preventive dentistry?

<p>Laser technology provides advantages when used alongside traditional methods. (A)</p> Signup and view all the answers

What is one of the primary advantages of using lasers in dental procedures?

<p>Minimally invasive and selectively targets carious tissues (C)</p> Signup and view all the answers

Which of the following is NOT a possible outcome of laser interaction with dental tissue?

<p>Ionization (B)</p> Signup and view all the answers

What is referred to as 'chromophores' in the context of laser-tissue interaction?

<p>Components of tissue such as water and collagen (A)</p> Signup and view all the answers

Which wavelength is primarily associated with effective laser use on dental hard tissues?

<p>2,940 nm (A)</p> Signup and view all the answers

What is one of the clinical applications of CO2 lasers in dentistry?

<p>Gingivectomy (B)</p> Signup and view all the answers

What type of laser is classified as a hard tissue laser?

<p>Erbium laser (C)</p> Signup and view all the answers

Why is laser treatment considered to provide a favorable psychological impact on patients?

<p>It minimizes discomfort through non-contact techniques. (B)</p> Signup and view all the answers

Which feature of laser technology aids in enhancing bonding retention on tooth surfaces?

<p>Generation of macrocraters (C)</p> Signup and view all the answers

Which component of a laser unit is responsible for transporting the laser energy to the tissue?

<p>Delivery system (D)</p> Signup and view all the answers

Which laser was first developed in 1960?

<p>First laser (D)</p> Signup and view all the answers

What is the primary function of the active medium in a laser?

<p>To supply electrons for photon generation (A)</p> Signup and view all the answers

Which pumping source characteristic is crucial for generating high peak power in lasers?

<p>Duration of the energy pulse (A)</p> Signup and view all the answers

What type of laser action does the term 'inversion of the population' refer to?

<p>Excitation of atoms leading to photon generation (C)</p> Signup and view all the answers

Which laser is associated with the active medium Nd:YAG?

<p>1993 Nd:YAG Laser (C)</p> Signup and view all the answers

Which part of the optical cavity is partially reflective?

<p>One of the mirrors (A)</p> Signup and view all the answers

Flashcards

MASER

Microwave Amplification by Stimulated Emission of Radiation, a process used to amplify microwave frequencies.

First laser

The first laser created, marking the beginning of laser technology.

CO2 Laser

A type of laser commonly used in dentistry, emitting a specific wavelength.

Nd:YAG Laser

A type of laser commonly used in dentistry, emitting a specific wavelength.

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Optical Cavity

A hollow cavity that contains the active medium and two mirrors which reflect light back and forth, amplifying it.

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Active Medium

The heart of the laser, a material that produces laser light.

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Pumping Source

Provides energy to excite the active medium, causing it to emit laser light.

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Controller

Controls the characteristics of the laser output, like power and mode.

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Pulse Repetition Rate (PRR)

The rate at which a laser emits pulses, measured in pulses per second (Hz).

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Pulse Duration

The duration of time a single laser pulse is emitted.

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Laser Cooling System

A system used to remove heat generated during laser operation, ensuring safe and efficient laser performance.

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Laser Delivery System

A method of delivering laser energy to the target tissue.

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Optic Fiber

A flexible and thin cable made of quartz, commonly used to transmit laser light in the visible and near infrared spectrum.

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Hollow Fiber

A type of fiber used to transmit laser energy for Er:YAG and CO2 lasers, utilizing reflective internal walls.

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Articulated Arm

A system that uses a series of interconnected articulated mirrors to deliver laser energy with minimal dispersion, ensuring efficient energy transfer. It's often used for CO2 and Er:YAG lasers.

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Handpiece

A device attached to the laser delivery system, which directs and focuses the laser beam onto the target tissue. They can be straight or angled.

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What is LASER?

LASER stands for Light Amplification by Stimulated Emission of Radiation. It's a device that creates a focused, intense beam of light using a process called stimulated emission.

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History of Laser Technology

Einstein's theories on stimulated emission laid the groundwork for laser technology. He proposed that electrons can be stimulated to emit light of a specific wavelength, paving the way for controlled light amplification.

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Components of a Laser Device

A laser device has multiple components, including a gain medium (which amplifies light), an energy source (to pump the medium), an optical resonator (to create a coherent beam), and a laser beam output.

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How a Laser Works

Lasers work by stimulating atoms in a gain medium to emit photons (light particles). This process is called stimulated emission, where excited atoms release photons when stimulated by external energy. These photons then trigger more emissions, leading to amplification of light.

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Laser Classification

Lasers are categorized based on the wavelength of their emitted light. Different wavelengths have specific applications in medicine and dentistry. Common classifications include CO2, Er:YAG, and Diode lasers.

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Advantages of Lasers in Dentistry

Laser technology offers benefits in dentistry, such as precise treatment, reduced pain and discomfort, minimized bleeding and swelling, and faster healing. It also allows for less invasive procedures, leading to faster recovery times for patients.

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Disadvantages of Lasers in Dentistry

While lasers offer advantages, there are limitations. Factors like cost, limited tissue penetration, potential for thermal damage, and lack of widespread availability can be drawbacks.

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Laser Applications in Medicine

Lasers have various applications in medicine, including surgery, dermatology, ophthalmology, and oncology. Their ability to target specific tissues with precision makes them invaluable for treating various conditions.

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Non-contact handpiece

A type of laser handpiece that uses a sapphire lens to focus the beam at a specific distance from the target, typically 5-10 mm. It is efficient but susceptible to wear and requires precision due to the amplification of any movement.

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Close contact handpiece

A type of laser handpiece that works with various tips of different sizes, shapes, lengths, and angles designed for specific tissue interactions. The laser beam is emitted in close contact or directly on the target tissue, improving precision.

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Hollow handpiece

A type of laser handpiece that allows the fiber to pass through a hollow interior and exit from an angled tip. This type is used with lasers like KTP, some diodes, and neodymium:YAG.

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Stimulated emission

The process by which atoms are stimulated to emit photons of light, leading to the amplification of light in a laser.

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Exciting of atoms

The process of providing energy to the atoms of a laser medium (gas, liquid, or solid) to activate them and prepare them for light emission.

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Emission of light photons

The emission of photons of light by excited atoms, forming the basis of laser operation.

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Stimulation of emission

The process by which an incoming photon triggers the emission of another photon by an excited atom, leading to the amplification of light in a laser.

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Amplification of light

The process by which a laser beam is amplified as it bounces back and forth between two mirrors inside the laser cavity, leading to a concentrated beam of light.

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Laser Brain Cancer Treatment

Using lasers to destroy cancerous cells in the brain.

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Laser Melanoma Treatment

Using lasers to target and destroy cancerous cells in veins, especially in patients with melanoma.

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Laser Skin Resurfacing

A laser procedure used to remove layers of skin to improve its appearance, often addressing wrinkles and scars.

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Laser Tattoo Removal

Using lasers to remove unwanted tattoos by targeting and breaking down the ink particles.

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LASIK Eye Surgery

A common laser eye surgery for correcting nearsightedness (myopia), farsightedness (hyperopia), and astigmatism by reshaping the cornea.

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Laser Cold Sore Treatment

Using lasers to treat cold sores, often by targeting and destroying the virus responsible for the infection.

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Laser Aphthous Ulcer Treatment

Using lasers to treat aphthous ulcers, commonly known as canker sores, by targeting the ulcers and stimulating healing.

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Laser Nerve Repair

Using lasers to repair and regenerate damaged nerves, potentially aiding in nerve function recovery.

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Transmission

The ability of laser light to pass through a material, such as dental tissue.

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Reflection

The bouncing back of laser light from a surface, like a mirror reflecting light.

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Absorption

The absorption of laser energy by a material, causing a change in the material, such as heating or tissue removal.

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Scatter

The scattering of laser light in multiple directions, causing a less focused beam.

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Chromophore

The ability of a substance to attract light energy of a specific wavelength.

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Soft Tissue Laser

A type of laser used for soft tissue procedures in dentistry, such as gingivectomy or frenectomy.

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Hard Tissue Laser

A type of laser used for hard tissue procedures in dentistry, such as tooth preparation or caries removal.

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Dental Hard Tissues

The primary target tissues in restorative dentistry, including enamel, dentin, and decayed tissue, which are composed of hydroxyapatite, water, and collagen.

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Study Notes

Course Title and Code

  • Operative Dentistry (DES400)

Course Description

  • Lasers in Dentistry
  • Anas Aaqel Salim DDS, PhD
  • Assistant Professor, Operative Dentistry
  • Department of Dentistry, School of Dentistry
  • European University Cyprus

Objectives

  • Understand what a LASER is
  • Understand the history of LASER technology
  • Understand the components of a LASER device
  • Understand how lasers work in dentistry
  • Understand the advantages and disadvantages of LASER
  • Understand the classification of lasers
  • Understand laser applications in medicine
  • Understand laser applications in dentistry:
    • Operative dentistry
    • Restorative dentistry
    • Other dental fields

Pediatric Patients

  • Using local anesthetic (LA) can be traumatic for pediatric patients
  • Pediatric patients may be uncooperative after the sensation of LA

Adult Patients

  • Fears
  • Anxieties
  • Pain/Discomfort

Laser Technology Advantages

  • Precise treatment
  • Reduced pain and discomfort
  • Reduced bleeding and swelling
  • Improved healing

What is LASER?

  • LASER is an acronym for Light Amplification by Stimulated Emission of Radiation
  • LASER light is different from ordinary light
  • Amplification creates an intense beam of light
  • Stimulated emission amplifies photons by simulating atoms
  • Emission of photons occurs when excited atoms release photons by absorbing energy
  • Radiation is the process of giving or omitting photons

Laser Device Components

  • Optical cavity (resonator) including the active medium
  • Active medium characterizing different wavelengths of specific lasers
  • Pumping source providing energy for stimulation
  • Controller handling modality and parameters of the laser emission
  • Delivery system transporting laser energy to the tissue

Laser History

  • Newton (1704) - characterized light as particles
  • Young's interference (1803) - discovered light's wave-like nature
  • Maxwell (1880) - postulated electromagnetic theory of light
  • Plank (1900) - developed black body radiation theory
  • Einstein (1917) - proposed stimulated emission
  • Lamb and Retherford (1947) - invented the first MASER.
  • Other scientists extended MASER to the optical portion of the electromagnetic field
  • Townes (1957) - amplified microwave frequencies (developed MASER)
  • Gordon Gould (1956) - proposed that optical pumping could be used for lasers
  • Various inventions of specific lasers and laser types throughout the 1950s and 1960s

History of Different Lasers

  • 1960 - first laser
  • 1993 Nd:YAG Laser
  • 1993 Kinetic Cavity Preparation
  • 1994 CO2 Laser, Argon Laser
  • 1996 Laser welder
  • 1997 Nd:YAP Laser
  • 1998 Er:YAG Laser

Principle of Laser Action

  • Stimulated emission
  • Exciting atoms in a medium (gas, liquid, or solid)
  • Light photons emission
  • Stimulation of photon emission
  • Light amplification within the optical cavity containing the mirrors
  • LASER output via the partially reflective mirrors

Medical Applications of Laser Technology

  • Cancer treatment
  • Dermatology (tattoo removal, resurfacing)
  • Eye surgeries
  • Cold sores/aphthous ulcers treatment
  • Nerve repairs and regeneration

Laser Application in Dentistry

  • Operative
    • Uses of diode lasers.
    • Cutting and coagulation of soft tissue.
  • Restorative
    • Diagnostic purposes (e.g., caries detection)
    • Operative applications (e.g., cavity preparation, restoration, teeth whitening)
    • Other dental applications

Advantages of Lasers in Dentistry

  • Minimally invasive
  • Selective for carious tissue
  • Decontaminating effect
  • Comfortable and painless experience
  • No contact and reduced vibration
  • Reduction of the need for local anaesthetics
  • Improve aesthetic outcomes

Possible Laser Outcomes on Tissue

  • Transmission
  • Reflection
  • Absorption
  • Scattering

Target Tissue

  • Water, hydroxyapatite, collagen
  • Melanin and hemoglobin are represented in oral hard and soft tissue
  • Dental hard tissues (enamel, dentin, and decayed tissue)
  • Different percentages of hydroxyapatite, water, and collagen matrix
  • Chromophores have selective affinity for wavelengths

Laser Classification in Dentistry

  • Soft-tissue lasers
  • Hard-tissue lasers
  • All-tissue lasers

Classification of Laser Wavelengths

  • Includes specific wavelength parameters (e.g., 445 nm, 532 nm, 810-1064nm, 1,064 nm, 1,340 nm, 10,600 nm, 2,780 nm, 2,940nm, 9300nm, 532 nm, 635-675, 810, 940, 970, 1,064, 405, 655)
  • Used for diagnostic and therapeutic applications
  • Categorized by different wavelengths, modes, and clinical uses

Types of Lasers for Specific Applications

  • CO2, Diode lasers
  • Gingivectomy
  • Frenectomy
  • Flap incision
  • Gingical contouring
  • Crown lengthening

Hard Tissue Lasers

  • ERBIUM LASER
  • Hard tissue ablation
  • Cutting of resin fillings
  • Carious tissue removal

Nonsurgical/Diagnostic Lasers

  • Argon, DIAGOdent
  • Caries detection
  • Composite curing
  • CAD/CAM impression
  • Photodisinfection

Laser Handpieces and Tips

  • Angular or straight-ended
  • Small, lightweight, handy
  • Different shapes/sizes for specific interaction with tissue
  • Tip-less or noncontact handpiece
  • Close-contact handpiece
  • Hollow handpieces
  • Sterilizable tips
  • Disposable tips

Noncontact Handpiece

  • Uses sapphire lens for focalization
  • Efficient
  • Requires close attention due to wear issues
  • Patient/operator movements cause variations in the treatment
  • The distance from the treatment area amplifies errors in direction/angulation

Delivery Systems

  • Optic fibers (deliver energy to the target) are used in certain wavelength ranges (e.g., visible light, near-infrared)

  • Hollow fibers are used in other wavelengths

  • Articulated arms are most efficient systems due to their minimal wavelength dispersion

Additional Information

  • Different laser types (e.g., Diode, Er:YAG, CO2) have various applications and characteristics for dental procedures
  • Different laser wavelengths have varying effects on different types of tissues.
  • Clinical advantages of using lasers in dentistry: minimize discomfort, minimal invasiveness, faster healing and recovery

Example of Laser Applications

  • Biolase soft tissue laser (Diode laser) (Epic X, EpicX, Epic pro)
  • Biolase waterlase iPlus
  • CO2 laser unit equipped with articulated arm (Solea, USA)
  • Lasers for caries detection

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