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Effect of Nd:YAG laser combined with fluoride on the prevention of primary tooth enamel demineralization.
MedLine Citation:
PMID:  22666766     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Most studies dealing with the caries preventive action of Nd:YAG laser have been done in permanent teeth and studies on primary teeth are still lacking. The aim of this study was to evaluate in vitro the effect of Nd:YAG laser combined or not with fluoride sources on the acid resistance of primary tooth enamel after artificial caries induction by assessing longitudinal microhardness and demineralization depth. Sixty enamel blocks obtained from the buccal/lingual surface of exfoliated human primary molars were coated with nail polish/wax, leaving only a 9 mm² area exposed on the outer enamel surface, and randomly assigned to 6 groups (n=10) according to the type of treatment: C-control (no treatment); APF: 1.23% acidulated phosphate fluoride gel; FV: 5% fluoride varnish; L: Nd:YAG laser 0.5 W/10 Hz in contact mode; APFL: fluoride gel + laser; FVL: fluoride varnish + laser. After treatment, the specimens were subjected to a des-remineralization cycle for induction of artificial caries lesions. Longitudinal microhardness data (%LMC) were analyzed by the Kruskal-Wallis test and demineralization depth data were analyzed by oneway ANOVA and Fisher's LSD test (á=0.05). APFL and APF groups presented the lowest percentage of microhardness change (p<0.05). Demineralization depth was smaller in all treated groups compared with the untreated control. In conclusion, Nd:YAG laser combined or not with fluoride gel/varnish was not more effective than fluoride alone to prevent enamel demineralization within the experimental period.
Authors:
Danielle Torres Azevedo; Juliana Jendiroba Faraoni-Romano; Juliana Dos Reis Derceli; Regina Guenka Palma-Dibb
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Brazilian dental journal     Volume:  23     ISSN:  1806-4760     ISO Abbreviation:  Braz Dent J     Publication Date:  2012 Apr 
Date Detail:
Created Date:  2012-06-05     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9214652     Medline TA:  Braz Dent J     Country:  Brazil    
Other Details:
Languages:  eng     Pagination:  104-9     Citation Subset:  D    
Affiliation:
Department of Pediatric Clinic, Preventive and Community Dentistry, Dental School, University of São Paulo, Ribeirão Preto, SP, Brazil.
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