Effect of CO2 laser (10.6 μm) and Remin Pro on microhardness of enamel white spot lesions. 2020

Elahe Rafiei, and Pooya Fadaei Tehrani, and Soghra Yassaei, and Alireza Haerian
Department of Orthodontics, Faculty of Dentistry, Shahid Sadoughi University of Medical Sciences, Yazd, Iran.

This study investigated the combined effect of CO2 laser irradiation and Remin Pro paste on microhardness of enamel white spot lesions (WSLs). Seventy-eight intact premolars were randomly assigned into six groups and then stored in a demineralizing solution to create WSLs. Afterwards, the teeth in group 6 (negative control) remained untreated, while groups 1 and 4 were exposed to CO2 laser irradiation (20 Hz, 1 W, 30 s) and Remin Pro paste, respectively. In groups 2 and 3, the teeth were exposed to laser either before (group 2) or after (group 3) Remin Pro application. The teeth in groups 1 to 5 were then immersed in artificial saliva for 90 days while subjected to fluoride mouthwash and weekly brushing. Finally, the teeth were sectioned, and Vickers microhardness was measured at the enamel surface and at 50, 100, and 150 μm from the surface. One sample of each group was also examined with scanning electron microscope (SEM). Data were analyzed by two-way analysis of variance (ANOVA) and Tukey's test. The significance was set at 0.05. Laser irradiation followed by Remin Pro application (group 2) caused a significant increase in total WSLs' microhardness compared with laser alone (group 1) and control groups (P < 0.05). Microhardness at depths of 100 and 150 μm was also significantly greater in group 2 compared with those of group 3 and control groups (P < 0.05). Combined application of CO2 laser with Remin Pro paste, when laser is irradiated before the paste, is suggested for re-hardening of WSLs in deep layers of enamel.

UI MeSH Term Description Entries
D003731 Dental Caries Localized destruction of the tooth surface initiated by decalcification of the enamel followed by enzymatic lysis of organic structures and leading to cavity formation. If left unchecked, the cavity may penetrate the enamel and dentin and reach the pulp. Caries, Dental,Carious Lesions,Dental Cavities,Dental Cavity,Dental Decay,Dental White Spots,Carious Dentin,Decay, Dental,Dental White Spot,White Spot, Dental,White Spots, Dental,Carious Dentins,Carious Lesion,Cavities, Dental,Cavity, Dental,Dentin, Carious,Dentins, Carious,Lesion, Carious,Lesions, Carious,Spot, Dental White,Spots, Dental White
D003743 Dental Enamel A hard thin translucent layer of calcified substance which envelops and protects the dentin of the crown of the tooth. It is the hardest substance in the body and is almost entirely composed of calcium salts. Under the microscope, it is composed of thin rods (enamel prisms) held together by cementing substance, and surrounded by an enamel sheath. (From Jablonski, Dictionary of Dentistry, 1992, p286) Enamel,Enamel Cuticle,Dental Enamels,Enamel, Dental,Enamels, Dental,Cuticle, Enamel,Cuticles, Enamel,Enamel Cuticles,Enamels
D006244 Hardness The mechanical property of material that determines its resistance to force. HARDNESS TESTS measure this property. Hardnesses
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D014100 Toothpastes Dentifrices that are formulated into a paste form. They typically contain abrasives, HUMECTANTS; DETERGENTS; FLAVORING AGENTS; and CARIOSTATIC AGENTS. Toothpaste
D054020 Lasers, Gas Lasers in which a gas lasing medium is stimulated to emit light by an electric current or high-frequency oscillator. Argon Ion Lasers,CO2 Lasers,Carbon Dioxide Lasers,Copper Vapor Lasers,Gas Lasers,Gold Vapor Lasers,Helium Lasers,Helium Neon Gas Lasers,Metal Vapor Lasers,Nitrogen Lasers,Xenon Ion Lasers,HeNe Lasers,Lasers, Argon Ion,Lasers, CO2,Lasers, Carbon Dioxide,Lasers, Copper Vapor,Lasers, Gold Vapor,Lasers, Helium,Lasers, Helium Neon Gas,Lasers, Metal Vapor,Lasers, Nitrogen,Lasers, Xenon Ion,Argon Ion Laser,CO2 Laser,Carbon Dioxide Laser,Copper Vapor Laser,Dioxide Laser, Carbon,Dioxide Lasers, Carbon,Gas Laser,Gold Vapor Laser,HeNe Laser,Helium Laser,Ion Laser, Argon,Ion Laser, Xenon,Ion Lasers, Argon,Ion Lasers, Xenon,Laser, Argon Ion,Laser, CO2,Laser, Carbon Dioxide,Laser, Copper Vapor,Laser, Gas,Laser, Gold Vapor,Laser, HeNe,Laser, Helium,Laser, Metal Vapor,Laser, Nitrogen,Laser, Xenon Ion,Lasers, HeNe,Metal Vapor Laser,Nitrogen Laser,Vapor Laser, Copper,Vapor Laser, Gold,Vapor Laser, Metal,Vapor Lasers, Copper,Vapor Lasers, Gold,Vapor Lasers, Metal,Xenon Ion Laser

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