Effect of the usage of Er,Cr:YSGG laser with and without different remineralization agents on the enamel erosion of primary teeth View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2020-05-29

AUTHORS

Nagehan Yilmaz, Ezgi Baltaci, Ozgul Baygin, Tamer Tüzüner, Serdar Ozkaya, Aykut Canakci

ABSTRACT

The aim of the present study was to evaluate the effects of different remineralization agents associated with erbium, chromium:yttrium-scandium-gallium-garnet (Er,Cr:YSGG) (0.5 W power, 20 Hz frequency, 60% water, 40% air, 25 mJ pulse energy, 8.84 J/cm2 fluence, 60 μs pulse duration, 600 μm tip diameter, and an approximate 1–1.5 mm distance to the target) laser irradiation on erosion induced by the consumption of carbonated drinks in human primary enamel. There were 8 groups and 10 primary teeth in each g0roup. The distribution was as follows: group 1, casein phosphopeptide-amorphous calcium phosphate with fluoride (CPP-ACPF); group 2, Er,Cr:YSGG laser+CPP-ACPF; group 3, fluor varnish; group 4, Er,Cr:YSGG Laser+fluoride varnish; group 5, ROCS® medical mineral gel; group 6, Er,Cr:YSGG laser + ROCS® medical mineral gel; group 7, Er,Cr:YSGG laser; and group 8, artificial saliva. The samples in the groups were submerged in artificial saliva and acid twice a day for 6 s at 6-h intervals and were then exposed to an erosion cycle 15 times. In the groups in which the Er,Cr:YSGG laser was applied in combination with the remineralization agents, the laser application was made first, and then the remineralization agents were applied for 4 min in each group. The Friedman and Wilcoxon signed-rank tests and the Bonferroni correction were used in statistical analyses, and the significance level was taken as p < 0.05. According to the results, all agents had a statistically significant difference (groups 1, 2, 3, 4, and 6: p = 0.005, p < 0.017; groups 5 and 7: p = 0.007, p < 0.017) between BL-RM periods. However, all agents had a statistically significant remineralization effect on primary teeth enamel (groups 1, 2, 3, 6, and 7: p = 0.005, p < 0.017; group 4: p = 0.011, p < 0.017) except that group 5 (p = 0.074, p < 0.017) between DM-RM periods. The coadministration of an agent with the laser did not make any difference at a statistical level (p = 0.804, p > 0.05). The results were supported by scanning electron microscopy (SEM) and X-ray diffraction (XRD) analysis. As a result of this study, CPP-ACPF had a notable impact in terms of the remineralization effect on eroded enamel, and the Er,Cr:YSGG laser alone may be an alternative method, which may be related to the modified hydroxyapatite structure, 38.5% H0.56Ca4.56O13P3Y0.44, that was determined in XRD analysis. More... »

PAGES

1607-1620

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10103-020-03015-0

DOI

http://dx.doi.org/10.1007/s10103-020-03015-0

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1128023500

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/32472426


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103 primary teeth
104 primary tooth enamel
105 ray diffraction analysis
106 remineralization agents
107 remineralization effect
108 results
109 saliva
110 samples
111 signed-rank test
112 significance level
113 significant differences
114 significant remineralization effect
115 statistical analysis
116 statistical level
117 structure
118 study
119 teeth
120 terms
121 test
122 time
123 tooth enamel
124 usage
125 usage of Er
126 varnish
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