ABSTRACT
Background: Hereditary haemorrhagic telangiectasia (HHT) is characterized by the presence of telangiectases and larger arteriovenous malformations in different organs. Mucocutaneous telangiectases can bleed and become an aesthetic concern, impairing quality of life (QoL). However, the best treatment approach has not been defined yet. Objective: To evaluate the efficacy and safety of dual wavelength sequential 595/1064nm laser (DWSL) compared to 1064nm laser (Nd:YAG) alone. Secondarily, to evaluate QoL impairment in HHT patients, and its improvement with laser therapy. Methods A comparative randomized split-body double-blinded prospective study (DWSL vs Nd:YAG). Demographic, clinical and treatment characteristics were recorded. The severity and degree of improvement were evaluated by three blinded examiners who scored pre-treatment and post-treatment pictures on a 5-point scale. Patients fulfilled Skindex-29 and FACE-Q® tests and assessed procedure-associated pain and patient satisfaction. Results: 111 treatment areas (55 treated with DWSL and 56 with Nd:YAG) from 26 patients were analyzed. The median number of laser sessions was 2 (interquartile range [IQR] 24; mean 2.90 vs 2.88, respectively). The median improvement score, irrespective of location, was significantly higher for Nd:YAG compared to DWSL: 3 (IQR 23; mean 2.61) vs 2 (IQR 23; mean 2.32), p=0.031. Both FACE-Q index and Skindex-29 test results improved significantly (p<0.001), and 92.4% patients reported a high degree of satisfaction (≥8). No severe adverse events were reported. Conclusions DWSL and Nd:YAG laser are convenient, safe and effective treatment options for mucocutaneous telangiectases in HHT patients. However, Nd:YAG delivered better results with better tolerability. QoL was significantly improved by both treatments. (AU)
Antecedentes: La telangiectasia hemorrágica hereditaria (THH) se caracteriza por la presencia de telangiectasias y malformaciones arteriovenosas de mayor tamaño en diferentes órganos. Las telangiectasias a nivel mucocutáneo pueden sangrar y convertirse en un problema estético, afectando la calidad de vida (CdV). Sin embargo, aún no se ha definido su mejor enfoque terapéutico. Objetivo: Evaluar la eficacia y la seguridad del láser dual secuencial de longitud de onda de 595/1064nm (DWSL) en comparación con el láser de 1064nm (Nd:YAG) solo. Por otro lado, evaluar el deterioro de la calidad de vida en los pacientes con THH y su mejora tras la terapia con láser. Métodos: Estudio prospectivo, doble ciego, aleatorizado, comparativo, de cuerpo dividido (DWSL vs. Nd:YAG). Se registraron las características demográficas, clínicas y del tratamiento. La gravedad y el grado de mejora fueron evaluados por tres examinadores ciegos que calificaron las imágenes previas al tratamiento y posteriores al tratamiento en una escala de 5 puntos. Los pacientes cumplimentaron las pruebas Skindex-29 y FACE-Q® y se evaluó el dolor asociado al procedimiento y la satisfacción del paciente. Resultados: Se analizaron 111 áreas de tratamiento (55 tratadas con DWSL y 56 con Nd:YAG) de 26 pacientes. La mediana del número de sesiones de láser fue de 2 (rango intercuartílico [RIC] 2-4; media 2,90 vs. 2,88, respectivamente). La mediana de la puntuación de mejora, independientemente de la ubicación, fue significativamente mayor para Nd:YAG en comparación con DWSL: 3 (IQR 2-3; media 2,61) frente a 2 (IQR 2-3; media 2,32), p=0,031. Tanto el índice FACE-Q como los resultados de la prueba Skindex-29 mejoraron significativamente (p<0,001), y el 92,4% de los pacientes informaron un alto grado de satisfacción (≥8). No se informaron eventos adversos graves... (AU)
Subject(s)
Humans , Telangiectasia, Hereditary Hemorrhagic , Lasers, Solid-State , Quality of Life , Arteriovenous Malformations , Laser Therapy , Retinal Telangiectasis , Prospective Studies , Randomized Controlled Trials as TopicABSTRACT
Antecedentes: La telangiectasia hemorrágica hereditaria (THH) se caracteriza por la presencia de telangiectasias y malformaciones arteriovenosas de mayor tamaño en diferentes órganos. Las telangiectasias a nivel mucocutáneo pueden sangrar y convertirse en un problema estético, afectando la calidad de vida (CdV). Sin embargo, aún no se ha definido su mejor enfoque terapéutico. Objetivo: Evaluar la eficacia y la seguridad del láser dual secuencial de longitud de onda de 595/1064nm (DWSL) en comparación con el láser de 1064nm (Nd:YAG) solo. Por otro lado, evaluar el deterioro de la calidad de vida en los pacientes con THH y su mejora tras la terapia con láser. Métodos: Estudio prospectivo, doble ciego, aleatorizado, comparativo, de cuerpo dividido (DWSL vs. Nd:YAG). Se registraron las características demográficas, clínicas y del tratamiento. La gravedad y el grado de mejora fueron evaluados por tres examinadores ciegos que calificaron las imágenes previas al tratamiento y posteriores al tratamiento en una escala de 5 puntos. Los pacientes cumplimentaron las pruebas Skindex-29 y FACE-Q® y se evaluó el dolor asociado al procedimiento y la satisfacción del paciente. Resultados: Se analizaron 111 áreas de tratamiento (55 tratadas con DWSL y 56 con Nd:YAG) de 26 pacientes. La mediana del número de sesiones de láser fue de 2 (rango intercuartílico [RIC] 2-4; media 2,90 vs. 2,88, respectivamente). La mediana de la puntuación de mejora, independientemente de la ubicación, fue significativamente mayor para Nd:YAG en comparación con DWSL: 3 (IQR 2-3; media 2,61) frente a 2 (IQR 2-3; media 2,32), p=0,031. Tanto el índice FACE-Q como los resultados de la prueba Skindex-29 mejoraron significativamente (p<0,001), y el 92,4% de los pacientes informaron un alto grado de satisfacción (≥8). No se informaron eventos adversos graves... (AU)
Background: Hereditary haemorrhagic telangiectasia (HHT) is characterized by the presence of telangiectases and larger arteriovenous malformations in different organs. Mucocutaneous telangiectases can bleed and become an aesthetic concern, impairing quality of life (QoL). However, the best treatment approach has not been defined yet. Objective: To evaluate the efficacy and safety of dual wavelength sequential 595/1064nm laser (DWSL) compared to 1064nm laser (Nd:YAG) alone. Secondarily, to evaluate QoL impairment in HHT patients, and its improvement with laser therapy. Methods: A comparative randomized split-body double-blinded prospective study (DWSL vs Nd:YAG). Demographic, clinical and treatment characteristics were recorded. The severity and degree of improvement were evaluated by three blinded examiners who scored pre-treatment and post-treatment pictures on a 5-point scale. Patients fulfilled Skindex-29 and FACE-Q® tests and assessed procedure-associated pain and patient satisfaction. Results: 111 treatment areas (55 treated with DWSL and 56 with Nd:YAG) from 26 patients were analyzed. The median number of laser sessions was 2 (interquartile range [IQR] 24; mean 2.90 vs 2.88, respectively). The median improvement score, irrespective of location, was significantly higher for Nd:YAG compared to DWSL: 3 (IQR 23; mean 2.61) vs 2 (IQR 23; mean 2.32), p=0.031. Both FACE-Q index and Skindex-29 test results improved significantly (p<0.001), and 92.4% patients reported a high degree of satisfaction (≥8). No severe adverse events were reported. Conclusions: DWSL and Nd:YAG laser are convenient, safe and effective treatment options for mucocutaneous telangiectases in HHT patients. However, Nd:YAG delivered better results with better tolerability. QoL was significantly improved by both treatments. (AU)
Subject(s)
Humans , Telangiectasia, Hereditary Hemorrhagic , Lasers, Solid-State , Quality of Life , Arteriovenous Malformations , Laser Therapy , Retinal Telangiectasis , Prospective Studies , Randomized Controlled Trials as TopicABSTRACT
BACKGROUND: Hereditary haemorrhagic telangiectasia (HHT) is characterized by the presence of telangiectases and larger arteriovenous malformations in different organs. Mucocutaneous telangiectases can bleed and become an aesthetic concern, impairing quality of life (QoL). However, the best treatment approach has not been defined yet. OBJECTIVE: To evaluate the efficacy and safety of dual wavelength sequential 595/1064nm laser (DWSL) compared to 1064nm laser (Nd:YAG) alone. Secondarily, to evaluate QoL impairment in HHT patients, and its improvement with laser therapy. METHODS: A comparative randomized split-body double-blinded prospective study (DWSL vs Nd:YAG). Demographic, clinical and treatment characteristics were recorded. The severity and degree of improvement were evaluated by three blinded examiners who scored pre-treatment and post-treatment pictures on a 5-point scale. Patients fulfilled Skindex-29 and FACE-Q® tests and assessed procedure-associated pain and patient satisfaction. RESULTS: 111 treatment areas (55 treated with DWSL and 56 with Nd:YAG) from 26 patients were analyzed. The median number of laser sessions was 2 (interquartile range [IQR] 2-4; mean 2.90 vs 2.88, respectively). The median improvement score, irrespective of location, was significantly higher for Nd:YAG compared to DWSL: 3 (IQR 2-3; mean 2.61) vs 2 (IQR 2-3; mean 2.32), p=0.031. Both FACE-Q index and Skindex-29 test results improved significantly (p<0.001), and 92.4% patients reported a high degree of satisfaction (≥8). No severe adverse events were reported. CONCLUSIONS: DWSL and Nd:YAG laser are convenient, safe and effective treatment options for mucocutaneous telangiectases in HHT patients. However, Nd:YAG delivered better results with better tolerability. QoL was significantly improved by both treatments.
Subject(s)
Aluminum , Lasers, Dye , Lasers, Solid-State , Telangiectasia, Hereditary Hemorrhagic , Telangiectasis , Yttrium , Humans , Lasers, Dye/adverse effects , Lasers, Solid-State/adverse effects , Neodymium , Prospective Studies , Quality of Life , Telangiectasia, Hereditary Hemorrhagic/complications , Telangiectasis/etiology , Telangiectasis/radiotherapy , Treatment OutcomeABSTRACT
BACKGROUND: Hereditary haemorrhagic telangiectasia (HHT) is characterized by the presence of telangiectases and larger arteriovenous malformations in different organs. Mucocutaneous telangiectases can bleed and become an aesthetic concern, impairing quality of life (QoL). However, the best treatment approach has not been defined yet. OBJECTIVE: To evaluate the efficacy and safety of dual wavelength sequential 595/1064nm laser (DWSL) compared to 1064nm laser (Nd:YAG) alone. Secondarily, to evaluate QoL impairment in HHT patients, and its improvement with laser therapy. METHODS: A comparative randomized split-body double-blinded prospective study (DWSL vs Nd:YAG). Demographic, clinical and treatment characteristics were recorded. The severity and degree of improvement were evaluated by three blinded examiners who scored pre-treatment and post-treatment pictures on a 5-point scale. Patients fulfilled Skindex-29 and FACE-Q® tests and assessed procedure-associated pain and patient satisfaction. RESULTS: 111 treatment areas (55 treated with DWSL and 56 with Nd:YAG) from 26 patients were analyzed. The median number of laser sessions was 2 (interquartile range [IQR] 2-4; mean 2.90 vs 2.88, respectively). The median improvement score, irrespective of location, was significantly higher for Nd:YAG compared to DWSL: 3 (IQR 2-3; mean 2.61) vs 2 (IQR 2-3; mean 2.32), p=0.031. Both FACE-Q index and Skindex-29 test results improved significantly (p<0.001), and 92.4% patients reported a high degree of satisfaction (≥8). No severe adverse events were reported. CONCLUSIONS: DWSL and Nd:YAG laser are convenient, safe and effective treatment options for mucocutaneous telangiectases in HHT patients. However, Nd:YAG delivered better results with better tolerability. QoL was significantly improved by both treatments.
Subject(s)
Aluminum , Lasers, Dye , Lasers, Solid-State , Telangiectasia, Hereditary Hemorrhagic , Telangiectasis , Yttrium , Humans , Lasers, Dye/adverse effects , Lasers, Solid-State/adverse effects , Neodymium , Prospective Studies , Quality of Life , Telangiectasia, Hereditary Hemorrhagic/complications , Telangiectasis/etiology , Telangiectasis/radiotherapy , Treatment OutcomeABSTRACT
A irradiação da dentina com o laser Nd:YAG mostra-se promissora para a qualidade da adesão, desde que aplicada sob parâmetros específicos e em etapas definidas. O objetivo deste estudo é avaliar de forma comparativa, o impacto da irradiação com laser de Nd:YAG sobre a formação e estabilidade da camada híbrida em dentina humana, pré-tratada com ácido e primer de sistema adesivo convencional, "in vitro". Setenta molares hígidos tiveram suas raízes e porções coronárias seccionadas horizontalmente, até completa exposição de dentina oclusal. As amostras foram divididas em: G1 (controle n=20); G2 (experimental n=20), sendo 10 dentes de cada grupo destinados ao microcisalhamento (MC) e 10 dentes à microscopia eletrônica de varredura (MEV). Nos 30 dentes restantes analisou-se: textura por Tomografia Computadorizada de Feixe Cônico (AT=15); e Espectroscopia de Infravermelho por Transformada de Fourier (FTIR=15) em 3 momentos: dentina controle; após tratamento com ácido + primer; e posterior à irradiação a laser. Estatisticamente, optou-se por ANOVA 1 fator, Qui Quadrado de Pearson, teste T e múltiplas comparações de Tukey com significância de 5%. A FTIR evidenciou redução dos níveis de fosfato e carbonato nos momentos primer e após irradiação laser, porém não havendo desnaturação do colágeno exposto. A análise de textura evidenciou uma tendência à formação de um tecido mais padronizado após o uso do laser. O teste de MC evidenciou valores médios de 36,5 e 35,2MPa para G1 e G2 respectivamente (p>0,05) e portanto, de forma imediata, o laser não mostrou efeitos deletérios ao processo adesivo. Além disso, observou-se maior penetrabilidade do adesivo na avaliação em MEV após a aplicação do laser. Novas pesquisas com avaliação longitudinal mostram-se necessárias para verificar se o efeito do laser pode ter sido protetor da degradação hidrolítica, visto que há uma redução do conteúdo de água local durante a formação da camada híbrida (AU).
Irradiation of dentin with the Nd:YAG laser shows promise for the quality of adhesion, as long as it is applied under specific parameters and in defined steps. The objective of this study is to comparatively evaluate the impact of irradiation with Nd:YAG laser on the formation and stability of the hybrid layer in human dentin, pretreated with acid and primer of conventional adhesive system, "in vitro". Seventy healthy molars had their roots and coronal portions horizontally sectioned, until complete exposure of occlusal dentin. The samples were divided into: G1 (control n=20); G2 (experimental n=20), with 10 teeth from each group destined for microshearing (MC) and 10 teeth for scanning electron microscopy (SEM). In the 30 remaining teeth analyzed: texture by Cone Beam Computed Tomography (AT=15); and Fourier Transform Infrared Spectroscopy (FTIR=15) in 3 moments: dentin control; after treatment with acid + primer; and after laser irradiation. Statistically, we opted for 1-way ANOVA, Pearson's Chi Square, T test and Tukey's multiple comparisons with a significance of 5%. FTIR showed a reduction in phosphate and carbonate levels in the primer moments and after laser irradiation, but there was no denaturation of the exposed collagen. The texture analysis evidenced a trend towards the formation of a more expressive tissue after the use of the laser. The CM test showed mean values of 36.5 and 35.2MPa for G1 and G2 respectively (p>0.05) and therefore, immediately, the laser showed no deleterious effects on the adhesive process. In addition, greater penetrability of the adhesive was observed in the SEM evaluation after laser application. New studies with longitudinal evaluation are necessary to verify if the laser effect could have been protected from hydrolytic degradation, since there is a reduction in the local water content during the formation of the hybrid layer (AU).
Subject(s)
Dentin-Bonding Agents , Spectroscopy, Fourier Transform Infrared , Shear Strength , Cone-Beam Computed Tomography , Lasers, Solid-StateABSTRACT
BACKGROUND: Melasma is an acquired and treatment-resistant aging facial skin condition prevalent among the older Asian females. The Q-switched toning laser is the most widely used for the treatment of moderate to severe melasma in Asia. Recently, the picosecond laser has been introduced for various pigmentary disorders such as melasma. We evaluated the efficacy and safety of dual toning combined with 1064 nm Nd:YAG picosecond and quasi-long-pulsed laser in the treatment of severe melasma. SUBJECTS AND METHODS: Twenty Vietnamese females, mean age 41.9 ± 6.4 years, Fitzpatrick skin type IV, with clinical diagnosis of severe dermal and mixed-type melasma were treated by at least eight sessions picosecond Nd:YAG 1064 nm reducing Melasma Area and Severity Index (MASI) to less than 15%. Then they were treated with 3 sessions of dual toning combined picosecond Nd:YAG 1064 nm laser having an energy and spot size of 0.6-0.8 J/cm2 and 8 mm with micropulsed mode Nd:YAG 1064 nm laser (350 µs) having an energy and spot size of 2.6 J/cm2 and 15 mm with ICD off. Mild and even erythema was the endpoint (40-42°C using the infrared thermometer). Treatments were given every 4 weeks. Improvement was rated by MASI at the baseline (T1), after eight sessions of picotoning (T2), and three sessions of dual toning (T3). RESULTS: The mean MASI score of 20 patients at baseline (T1) was 16.24 ± 4.88 (min 6.0; max 28.8); after at least eight picotoning sessions, the mean MASI was 15.12 ± 4.69, representing a 7.44 ± 4.41% reduction in MASI score. The MASI score of the dual toning laser continued to decrease after three dual toning sessions from 15.12 ± 4.6 to 9.77 ± 3.86 (MASI score reduced by a mean of 5.35 ± 2.64), achieving 35.15 ± 13.51% reduction from T2 and 40.17 ± 12.14% reduction from baseline MASI (T1). There were no unexpected side effects in any patients. CONCLUSION: The dual toning method using the 1064 nm Nd:YAG picosecond and microsecond laser was safe and effective and well tolerated by all patients without downtime. However, larger number of studies should be conducted with more objective measurement techniques to confirm the results of this preliminary study.
ABSTRACT
BACKGROUND: Port Wine Stain (PWS) is only partially and superficially treated with the Pulsed dye laser (PDL) because of its limited depth of penetration. The 1064-nm long pulsed Nd:YAG laser has greater depth of penetration and is used to treat deeper vessels. The dual sequential wavelength laser (DSWL) which combines PDL/Nd:YAG (595/1064 nm) can be more effective for the treatment of deeper, nodular portwine stains due to its synergistic effect. The purpose of this study is to evaluate the efficacy and safety of DSWL in the treatment of portwine stains after five treatment sessions. MATERIALS AND METHODS: A total of 11 patients with PWS lesions on the head and neck, who were treated with DSWL for at least five sittings at monthly interval were included in this study. The assessment of the therapeutic response and grading of improvement was done with a scale of 0 to 4 by comparing the photographs taken before treatment and after 5 sittings of laser treatment. RESULTS: Out of the 11 patients, 5 patients (45.45%) had more than 70% improvement. Six out of eleven patients (54.54%) had 40 to 70% improvement at the end of five sittings with no adverse effects including purpura. CONCLUSION: Dual Sequential Wavelength Laser is a good modality of treatment for portwine stains. It has enhanced penetration and effective clearance of thicker, nodular, recalcitrant lesions of PWS. DSWL is safe and efficacious and it can be recommended as a therapeutic modality for portwine stains.
ABSTRACT
The case concerns a 20 year-old woman with a sudden visual loss in her left eye. In the fundus examination, a focal pre-retinal haemorrhage was observed in the superior temporal vascular branch with accompanying vitreous haemorrhage. There was a favourable spontaneous outcome. Eighteen months later, she presented with a new visual loss in the same eye, showing a sub-hyaloid pre-macular haemorrhage that was satisfactorily drained by hyaloidotomy using a Nd-YAG laser. The patient had also presented with an upper digestive tract haemorrhage and menorrhagia. A haemostasis study was performed that showed a coagulation factor VII deficiency. This is a very uncommon disorder that has not been previously described in association with the appearance of pre-retinal haemorrhages.
Subject(s)
Blindness/etiology , Factor VII Deficiency/complications , Retinal Hemorrhage/etiology , Vitreous Hemorrhage/etiology , Factor VII Deficiency/diagnosis , Female , Fundus Oculi , Humans , Lasers, Solid-State/therapeutic use , Recurrence , Retinal Hemorrhage/diagnostic imaging , Retinal Hemorrhage/surgery , Vitreous Hemorrhage/diagnostic imaging , Young AdultABSTRACT
RESUMEN El objetivo del presente estudio fue evaluar los efectos de la aplicación de un antioxidante sobre las fuerzas de unión (SBS) de brackets de ortodoncia posterior al blanqueamiento con peróxido de hidrógeno (HP). Metodología: Cincuenta premolares recién extraídos se dividieron aleatoriamente en tres grupos. El Grupo 1 se trató con 40% de HP (n=20), el grupo 2 con 40% de HP y se activó con láser de Nd: YAG (n=20) y un grupo de control (Grupo 3) no recibió tratamiento (n=10). Después del blanqueamiento, los Grupos 1 y 2 se dividieron en dos subgrupos (Grupo 1a, Grupo 1b, Grupo 2a y Grupo 2b). Las muestras en los subgrupos 1a y 2a (n=10) no recibieron ninguna aplicación del antioxidante. Se aplicó una solución de ascorbato de sodio al 10% a las muestras en los Grupos 1b y 2b (n=10). Luego, los brackets se adherieron a las superficies de esmalte de todos los grupos experimentales. Las muestras se sometieron a pruebas de SBS y los datos analizados estadisticamente. Resultados: La fuerza de unión de los grupos 1 y 2 fue significativamente más baja que el grupo de control (p <0.001); sin embargo, no se observaron diferencias estadísticamente significativas en SBS entre los grupos 1 y 2 (p>0.001). Las muestras tratadas con antioxidantes de los grupos 1b y 2b fueron significativamente mayores que las de los grupos 1a y 2a (p <0,001). Conclusion: La aplicación de 40% HP tuvo un efecto negativo en la resistencia de unión de los brackets. El uso de antioxidante durante 15 minutos mejoró significativamente la SBS.
ABSTRACT Purpose: The purpose of this study was to evaluate the effects of the application of antioxidant on the shear bond strengths (SBS) of orthodontic brackets bonded to human enamel after extra-coronal bleaching with hydrogen peroxide (HP). Materials and methods: Fifty freshly extracted premolars were randomly divided into three groups. One group (Group 1) was bleached with 40% HP (n=20), another group (Group 2) was bleached with 40% HP and activated with an Nd: YAG laser (n=20), and a control group (Group 3) received no treatment (n=10). After the bleaching procedure, Groups 1 and 2 were further divided into two subgroups (Group 1a, Group 1b, Group 2a, and Group 2b). Specimens in Groups 1a and 2a (n=10) received no antioxidant application. A 10% sodium ascorbate solution was applied to specimens in Groups 1b and 2b (n=10). The brackets were then bonded with light-cure adhesive paste to the enamel surfaces of all experimental groups. Specimens were subjected to SBS tests for debonding. Results: The SBS of brackets bonded in Groups 1 and 2 were significantly lower than those of brackets bonded to the control group (p<0.001); however, no statistically significant differences in SBS were noted in Groups 1 and 2 (p>0.001). The antioxidant-treated SBS of brackets in Groups 1b and 2b were significantly higher than those of Groups 1a and 2a (p<0.001). Conclusions: The application of 40% HP had a negative effect on the bond strength. The use of antioxidant for 15 min resulted in the reversal of failed bond strength.
Subject(s)
Tooth Bleaching/methods , Orthodontic Brackets , Shear Strength/drug effects , Hydrogen Peroxide/adverse effects , Laser TherapyABSTRACT
BACKGROUND: Treatment of nail psoriasis remains a challenging and often disappointing situation. OBJECTIVE: To compare the efficacy, adverse reactions and tolerability of treatment of nail psoriasis with PDL vs. Nd:YAG, in association with betametasona calcipotriol gel. METHODS: An open, prospective intrapatient left-to-right study was designed. The right hand of each patient received treatment with PDL and the left hand with Nd:YAG. Betamethasone calcipotriol gel was applied once a day during the first week after each laser session. A total of four sessions were administered. RESULTS: The clinical efficacy was evaluated according to the NAPSI score. All patients showed improvement in nail bed and nail matrix psoriasis. The global NAPSI mean declined in 15.46 (p<0.000). There was neither statistical difference between the reduction in nail bed and matrix NAPSI nor in the treatment with PDL vs. Nd:YAG. The administration of Nd:YAG was more painful. No serious adverse effects were documented. LIMITATIONS: No random assignment and the small number of patients. CONCLUSIONS: PDL and Nd:YAG have proven to be an effective treatment for nail psoriasis with no serious adverse effect. No statistically significant difference was found between the two treatments.
Subject(s)
Betamethasone/therapeutic use , Calcitriol/analogs & derivatives , Lasers, Dye , Low-Level Light Therapy , Nail Diseases/therapy , Psoriasis/therapy , Adult , Aged , Betamethasone/administration & dosage , Calcitriol/administration & dosage , Calcitriol/therapeutic use , Combined Modality Therapy , Drug Combinations , Female , Gels , Humans , Lasers, Solid-State , Male , Middle Aged , Nail Diseases/drug therapy , Nail Diseases/radiotherapy , Prospective Studies , Psoriasis/drug therapy , Psoriasis/radiotherapy , Treatment OutcomeABSTRACT
CLINICAL CASE: An 82-year-old man was admitted to the emergency department complaining of a sudden painless visual loss in his left eye (OS). He was diagnosed with branch retinal artery occlusion (BRAO) with a visible embolus. In 2012, he had a central artery occlusion (CRAO) in his right eye (OD). An embolysis with Nd:YAG laser was attempted, the retinal arterial blood flow was restored completely and the visual field was improved, with no secondary complications. CONCLUSIONS: Nd:YAG laser embolysis is a treatment to be considered in patients with BRAO with a visible embolus. The risks and benefits of the procedure should be evaluated, comparing it with possible permanent loss of visual acuity and other vascular complications caused by BRAO.
Subject(s)
Laser Therapy/methods , Retinal Artery Occlusion/surgery , Vision, Monocular , Aged, 80 and over , Early Diagnosis , Embolectomy , Fluorescein Angiography , Humans , Lasers, Solid-State/therapeutic use , Male , Retinal Artery Occlusion/diagnostic imagingABSTRACT
Objetivo: O objetivo deste estudo foi avaliar a adesão (RU) de sistemas autocondicionantes à dentina afetada por cárie (CAD) e dentina normal (ND), após diferentes técnicas de remoção de tecido cariado. Materiais e Métodos: Foram utilizados vinte e quatro molares humanos extraídos, com lesão de cárie oclusal. A amostra foi aleatoriamente dividida em 5 grupos, de acordo com o método de remoção do tecido cariado: G1 - controle negativo (sem remoção); G2 - disco abrasivo; G3 broca de aço de baixa velocidade; G4 - laser Nd:YAG (21,2 J/cm2 ); G5 - laser Er:YAG (80,24 J/cm2 ). Dentinas normais e afetados / infectados foram tratadas com o sistema adesivo (Clearfil SE Bond) e coroas de resina foram construídas. Resultados: ANOVA um fator mostrou diferença estatisticamente significante entre os grupos experimentais (p < 0,001), com um valor menor para a dentina infectada (G1), quando comparado com todos os grupos experimentais. Maior RU foi observada para ND irradiada com laser Er:YAG, quando comparado a CAD. Para os espécimes tratados com broca e laser Nd:YAG, a RU em ND e CAD foi semelhante. Conclusão: a dentina infectada não é um substrato adequado para a adesão; laser de Nd:YAG e brocas de aço mostraram-se adequados como ferramenta de tratamento das dentinas normal e afetada prévio à instalação de restaurações adesivas. Contudo, ambas as dentinas tratadas pelos laser de Er:YAG, não interagiram adequadamente com o sistema auto-condicionante resultando em fraca adesão
Objective: The aim of this study was to evaluate the adhesion of a self-etching system to cariesaffected dentin (CAD) and sound dentin (SD) after different caries removal techniques by using microtensile bond strength test (μTBS). Materials and Methods: Twenty-four extracted human molars with coronal carious lesions were used. The samples were randomly divided into 5 groups, according to caries removal method: G1 - negative control (no removal); G2 abrasive disc; G3 slow speed steel bur; G4 - Nd:YAG laser (energy density 21.2 J/cm2 ); G5 - Er:YAG laser (energy density 80.24J/cm2 ). SD and CAD/ infected dentin substrates were tested. Self-etch system (Clearfil SE Bond) was applied and resin crowns were built up. Results: One-way ANOVA showed statistically significant difference between experimental groups (p < 0.001), with significantly lower results for infected dentin (G1), when compared to all other experimental groups. A statistically significant higher bond strength value was observed for SD irradiated with Er:YAG laser when compared to CAD. For bur and Nd:YAG laser specimens, SD and CAD showed the same bonding performance. Conclusion: infected dentin is not an adequate substrate for bonding; Nd:YAG laser and steel burs showed the same bonding performance for both SD and CAD; while both dentins, when irradiated by Er:YAG laser, did not adequately interact with self-etching system resulting in poor adhesion
Subject(s)
Dentin , Lasers, Solid-StateABSTRACT
O objetivo desse estudo foi avaliar a eficiência da irradiação com lasers de alta potência e a influência da aplicação do silano previa ou posteriormente à irradiação com os lasers na resistência de união entre cerâmica vítrea de dissilicato de lítio, cimento resinoso e dentina humana. Foram confeccionados 50 espécimes tronco cônicos de cerâmica (n=10), divididos aleatoriamente em 5 grupos: 1- Controle Condicionamento com ácido hidrofluorídrico 10% por 1 min e aplicação do silano; 2- Er:YAG irradiação com laser Er:YAG (200 mJ e 10 Hz), seguido do condicionamento com ácido hidrofluorídrico 10% por 1 min e aplicação do silano; 3- Silano + Er:YAG Condicionamento com ácido hidrofluorídrico 10% por 1 min, aplicação do silano e irradiação com laser Er:YAG nos mesmo parâmetros do grupo anterior; 4- Nd:YAG irradiação com laser Nd:YAG (120 mJ e 10 Hz), seguido de condicionamento com ácido hidrofluorídrico 10% por 1 min e aplicação do silano, 5- Silano + Nd:YAG -Condicionamento com ácido hidrofluorídrico 10% por 1 min, aplicação do silano e irradiação com laser Nd:YAG nos mesmo parâmetros do grupo anterior. Após os tratamentos os espécimes cerâmicos foram cimentados com cimento resinoso de presa dual à superfície de dentina de 50 molares humanos incluídos em resina acrílica ativada quimicamente. Após armazenamento por 24 h foi realizado o ensaio de tração em máquina de ensaios universais com célula de carga de 10 KgF e velocidade constante de 1mm/min. Os dados obtidos foram submetidos à ANOVA 2-fatores e teste de Dunnet (α=5%). A análise dos padrões de fratura foram analisadas em estereomicroscopio. Adicionalmente foram confeccionados 15 espécimes em cerâmica no formato cilíndrico, submetidos aos mesmo tratamentos dos grupos anteriores (n=3) e utilizados para análise do ângulo de contato e análise em microscópio eletrônico de varredura. O teste de Dunnet mostrou diferenças significativas entre o grupo controle (9,42 ± 2,27 MPa) e os grupos Er (19,25 ± 3,7 MPa) e ...
The aim of this study was to evaluate the efficiency of irradiation with high-power lasers and the influence of silane application before or after irradiation with lasers on the bond strength between lithium disilicate glass-ceramic, resin cement and human dentin. Fiftytruncated-cones ceramic specimens (n=10) were randomly divided into 5 groups: Control- etching with hydrofluoric acid 10% for 1 min and application of silane; 2- Er -Er:YAG laser irradiation (200 mJ and 10 Hz), followed by etching with hydrofluoric acid 10% for 1 min and application of silane; 3- Sil + Er - etching with hydrofluoric acid 10%for 1 min, silane application and irradiation with Er: YAG laser in the same parameters as the previous group; 4- Nd:YAG laser - irradiation with Nd: YAG laser (120 mJ and 10 Hz), followed by etching with hydrofluoric acid 10% for 1 min and application of thesilane, 5- Sil + Nd- Etching with hydrofluoric acid 10% for 1 min, silane application and irradiation with Nd: YAG laser on the same parameters as the previous group. After treatment, the ceramic specimens were cemented with dual cure resin cement to the dentin of 50 human molars included in acrylic resin. After storage for 24 h it wassubmitted to tensile test in a universal testing machine with 10 kgf load cell andconstant speed of 1 mm/min. Data were submitted to ANOVA 2-way and Dunnet test (α = 5%). The analysis of fracture patterns were analyzed in stereomicroscope. In addition were made 15 ceramic specimens in cylindrical shape, subjected to the sametreatment of the above groups (n = 3) and used for analysis of the contact angle analysis and scanning electron microscope. The Dunnet test showed significant differences between Control group (9.42 ± 2.27 MPa) and Er group (19.25 ± 3.7 MPa) and Sil + Er (14.11 ± 4.11 MPa). ANOVA 2-way (p <5%) for Laser Type (p <0.0001) and Technical of Silanization (p = 0.0002) showed significant differences for bothfactors, but not for their interaction. ...
Subject(s)
Ceramics , Lasers , SilanesABSTRACT
O objetivo desse estudo foi avaliar a eficiência da irradiação com lasers de alta potência e a influência da aplicação do silano previa ou posteriormente à irradiação com os lasers na resistência de união entre cerâmica vítrea de dissilicato de lítio, cimento resinoso e dentina humana. Foram confeccionados 50 espécimes tronco cônicos de cerâmica (n=10), divididos aleatoriamente em 5 grupos: 1- Controle Condicionamento com ácido hidrofluorídrico 10% por 1 min e aplicação do silano; 2- Er:YAG irradiação com laser Er:YAG (200 mJ e 10 Hz), seguido do condicionamento com ácido hidrofluorídrico 10% por 1 min e aplicação do silano; 3- Silano + Er:YAG Condicionamento com ácido hidrofluorídrico 10% por 1 min, aplicação do silano e irradiação com laser Er:YAG nos mesmo parâmetros do grupo anterior; 4- Nd:YAG irradiação com laser Nd:YAG (120 mJ e 10 Hz), seguido de condicionamento com ácido hidrofluorídrico 10% por 1 min e aplicação do silano, 5- Silano + Nd:YAG -Condicionamento com ácido hidrofluorídrico 10% por 1 min, aplicação do silano e irradiação com laser Nd:YAG nos mesmo parâmetros do grupo anterior. Após os tratamentos os espécimes cerâmicos foram cimentados com cimento resinoso de presa dual à superfície de dentina de 50 molares humanos incluídos em resina acrílica ativada quimicamente. Após armazenamento por 24 h foi realizado o ensaio de tração em máquina de ensaios universais com célula de carga de 10 KgF e velocidade constante de 1mm/min. Os dados obtidos foram submetidos à ANOVA 2-fatores e teste de Dunnet (α=5%). A análise dos padrões de fratura foram analisadas em estereomicroscopio. Adicionalmente foram confeccionados 15 espécimes em cerâmica no formato cilíndrico, submetidos aos mesmo tratamentos dos grupos anteriores (n=3) e utilizados para análise do ângulo de contato e análise em microscópio eletrônico de varredura. O teste de Dunnet mostrou diferenças significativas entre o grupo controle (9,42 ± 2,27 MPa) e os grupos Er (19,25 ± 3,7 MPa)...
The aim of this study was to evaluate the efficiency of irradiation with high-power lasers and the influence of silane application before or after irradiation with lasers on the bond strength between lithium disilicate glass-ceramic, resin cement and human dentin. Fiftytruncated-cones ceramic specimens (n=10) were randomly divided into 5 groups: Control- etching with hydrofluoric acid 10% for 1 min and application of silane; 2- Er -Er:YAG laser irradiation (200 mJ and 10 Hz), followed by etching with hydrofluoric acid 10% for 1 min and application of silane; 3- Sil + Er - etching with hydrofluoric acid 10%for 1 min, silane application and irradiation with Er: YAG laser in the same parameters as the previous group; 4- Nd:YAG laser - irradiation with Nd: YAG laser (120 mJ and 10 Hz), followed by etching with hydrofluoric acid 10% for 1 min and application of thesilane, 5- Sil + Nd- Etching with hydrofluoric acid 10% for 1 min, silane application and irradiation with Nd: YAG laser on the same parameters as the previous group. After treatment, the ceramic specimens were cemented with dual cure resin cement to the dentin of 50 human molars included in acrylic resin. After storage for 24 h it wassubmitted to tensile test in a universal testing machine with 10 kgf load cell andconstant speed of 1 mm/min. Data were submitted to ANOVA 2-way and Dunnet test (α = 5%). The analysis of fracture patterns were analyzed in stereomicroscope. In addition were made 15 ceramic specimens in cylindrical shape, subjected to the sametreatment of the above groups (n = 3) and used for analysis of the contact angle analysis and scanning electron microscope. The Dunnet test showed significant differences between Control group (9.42 ± 2.27 MPa) and Er group (19.25 ± 3.7 MPa) and Sil + Er (14.11 ± 4.11 MPa). ANOVA 2-way (p <5%) for Laser Type (p <0.0001) and Technical of Silanization (p = 0.0002) showed significant differences for bothfactors, but not for their interactio...
Subject(s)
Ceramics , Lasers , SilanesABSTRACT
The aim of the present study was to compare the effects of Nd:YAG laser application in root canals on bond strengths of fiber posts.Material and Methods: Thirty single-rooted bovines were randomly divided into three groups (n = 10); root canal instrumentation was performed, and pretreatment was conducted as follows: C group: conventional treatment (without laser irradiation); ALC group: Nd:YAG laser was applied after adhesive; and LAC group: Nd:YAG laser was applied before adhesive. The fiber posts Rebilda 15 DC (Voco) were cemented with an adhesive system and resin cement,in accordance with the manufacturers instructions. Six slices with 1.0mm height was obtained for ofeach root and bond strength was measured by pushout test using a universal testing machine (0.5 mm/min). Data were analyzed using Kruskal-Wallis and Dunns tests (p < 0.05). Results: Push-out bond strengths to root canal dentin were affected by the type of treatment and root third. The use of Nd: YAGlaser after the application of adhesive system had ahigher bonding performance compared with the useof laser before the application. However, both of them were similar to the control group. Also, cervical and medium third presented higher bond strength values than the apical third. Conclusion: It must be conclude, in the conditions in which the studywas conduct, that the use of laser irradiation didnot improve the bonding performance of resinous cement inside the root canal...
Objective: O objetivo deste estudo foi comparar o efeito da aplicação intrarradicular do laser Nd:YAG na adesão de pinos de fibra de vidro. Material e Métodos: Trinta raízes unirradiculares de incisivos bovinos foram selecionadas, e após instrumentação, foram divididas aleatoriamente em três grupos (n= 10) de acordo com o tratamento das paredes do canal: C: tratamento convencional (sem radiação laser), ALC: aplicação do Laser Nd:YAG após o adesivo; e LAC: aplicação do laser antes do adesivo. Pinos de fibra de vidro Rebilda 15 DC (Voco) foram cimentados com adesivo e cimento resinoso de acordo com instruções do fabricante. Seis fatias (duas para cada terço radicular) com 1 mm de espessura foram obtidas de cada raiz para mensuração da resistência adesiva por meio de teste push-out realizado em máquina de ensaio universal (0,5 mm/min). Os dados foram analisados por meio dos testes Kruskal-Wallis e Dunn (p < 0,05). Resultados: A resistência adesiva dos pinos na dentina radicular foi influenciada pelo tipo de tratamento e terço radicular. O uso do laser de Nd:YAG após a aplicação do adesivo apresentou melhor performance comparada ao seu uso antes do adesivo, porém, ambos foram similares ao controle. Ainda, os terços cervical e médio apresentaram maior resistência comparado ao apical. Conclusão: Conclui-se que, ouso da irradiação laser nos parâmetros estudados, não melhora a performance adesiva de cimentos resinosos dentro do canal radicular...
Subject(s)
Animals , Cattle , Dental Pins , Lasers, Solid-State , Root Canal Filling MaterialsABSTRACT
Posterior capsule opacification (PCO) is the most common complication after cataract surgery, with an incidence of 30%. It tends to be considered a normal event in the natural history of cataract surgery. Better understanding of its pathophysiology and advancement of intraocular lens material and design along with the improvement of phacoemulsification technique have contributed to decrease the incidence of PCO. Although treatment by Nd: YAG laser posterior capsulotomy is quick and non-invasive, the opening of the posterior capsule may be associated with numerous complications. Prevention remains the best measure for controlling this pathology.
Subject(s)
Capsule Opacification , Adult , Capsule Opacification/diagnosis , Capsule Opacification/pathology , Capsule Opacification/prevention & control , Capsule Opacification/therapy , Cataract Extraction/adverse effects , Child , Diagnosis, Differential , Humans , Laser TherapyABSTRACT
Background: Laserlipolisis is a surgical procedure that uses a Nd:YAG laser for treatment of localized lipodistrophies as an isolated or associated method. The present study aims to evaluate the results of laserlipolisis with Nd:YAG laser based on a retrospective survey. Method: Retrospective evaluation with 766 patients in 792 procedures from August 2001 to August 2011. Results: Mean follow-up was 6.5 years (78 months). The most frequent indication was lipodistrophy of abdomen, flancs and dorsum. A satisfaction questionnaire showed 96% of patients satisfied. Conclusions: Laserlipolisis brought several benefits to obtained results as better accomodation of skin, skin retraction, less edema and bleeding, favoring treatment of more extensive areas as well as more complex regions as gynecomastias, secondary liposuction and dorsal regions, with better postoperative recovery.
Introdução: A técnica de lipoaspiração a laser (laserlipólise) é um procedimento cirúrgico que se utiliza de um aparelho de laser do tipo Nd:YAG (neodymium-doped:yttrium-aluminum garnet) para o tratamento de adiposidades localizadas, seja como método isolado ou associado a outros procedimentos tradicionais de cirurgia plástica. Este estudo teve por objetivo avaliar os resultados do uso da lipoaspiração com laser Nd:YAG no tratamento das lipodistrofias, baseado em avaliação retrospectiva de 10 anos. Método: Estudo retrospectivo, que avaliou 766 pacientes (792 cirurgias) submetidos ao procedimento entre agosto de 2001 e agosto de 2011. Resultados: O seguimento médio dos pacientes foi de 6,5 anos (78 meses). A indicação mais frequente para o procedimento foi para o tratamento das regiões de abdome, flancos e dorso. O resultado do questionário de satisfação demonstrou que 96% dos pacientes consideraram o resultado satisfatório. Conclusões: A aplicação da laserlipólise trouxe vários benefícios adicionais aos resultados, como a constatação de melhor acomodação e retração da pele, menor edema e sangramento, possibilidade de tratamento de áreas de maior complexidade para a lipoaspiração convencional, como ginecomastia, dorso e lipoaspiração secundária, além de melhor recuperação pós-operatória.
Subject(s)
Humans , Male , Female , Adult , Lasers , Lipodystrophy , Lipolysis , Lipectomy/methods , Patient Satisfaction , Retrospective Studies , Methods , Patients , Surveys and Questionnaires , TherapeuticsABSTRACT
PURPOSE: To compare Nd:YAG laser rates following implantation of AcrySof(®) SN60WF (Alcon), Akreos(®) AO-MI60 (Baush & Lomb), and Hoya(®) YA-60BB (Hoya) intraocular lenses. METHODS: This retrospective study was conducted at three French centers with each implanting at least two of the three implants. Included patients had undergone uncomplicated cataract surgery with at least 3 years of follow-up. Records of patients implanted with one of the three IOL's were drawn randomly from the surgical logs. Postoperative data were obtained from the medical records of either the surgeon or the referring physician. Time elapsing until Nd:YAG laser was analysed using Kaplan-Meier survival curves. RESULTS: Three hundred eyes were implanted (AcrySof(®) 126, Akreos(®) 89, and Hoya(®) 85). AcrySof(®) recipients were the youngest (AcrySof(®) 72.1, Akreos(®) 76.4, and Hoya(®) 75.2 years of age: P=0.0007). The sex ratio was 4:6 male:female. Follow-up was longest for Hoya eyes (AcrySof(®) 29.4, Akreos(®) 24.6 and Hoya(®) 34.6 months; P=0.0002). Eyes implanted with AcrySof(®) had 1.74 times less chance of Nd:YAG laser treatment than Hoya eyes (P=0.0327) and 3.50 times less than Akreos(®) eyes (P<0.0001). The results remained unchanged when the analysis was restricted to events in the first 24 months (Risk Ratios: Hoya(®)=2.64: P=0.02; and Akreos(®)=4.22: P=0.0001). Adjustment on unbalanced confounding variables did not alter the results. CONCLUSIONS: Eyes with AcrySof(®) implants required significantly fewer Nd:YAG laser capsulotomies than those with Hoya(®) and Akreos(®) implants and were therefore less subject to Nd:YAG laser treatment complications, thus ensuring better vision at the lowest cost.
Subject(s)
Cataract Extraction/methods , Lasers, Solid-State/therapeutic use , Lens Implantation, Intraocular/instrumentation , Lenses, Intraocular , Acrylic Resins , Aged , Cataract Extraction/statistics & numerical data , Female , France/epidemiology , Humans , Lens Implantation, Intraocular/adverse effects , Lens Implantation, Intraocular/statistics & numerical data , Lenses, Intraocular/adverse effects , Male , Postoperative Complications/epidemiology , Prosthesis Design , Retrospective Studies , Treatment OutcomeABSTRACT
O estudo avaliou a influência do CCP-ACP (casein phosphopeptide amorphous calcium phosphate) e CPP-ACP associado ao NaF, na resistência de união à dentina submetida ao desafio erosivo por bebida ácida, com ou sem irradiação por laser Nd:YAG. Foram utilizados 60 molares humanos, os quais tiveram a porção coronária seccionada mesio-distalmente, obtendo dois espécimes. Após a exposição da dentina, os espécimes foram embutidos em resina acrílica quimicamente ativada. Quatro grupos (n=30) foram obtidos: GC (grupo controle); DE (desafio erosivo); DE.M (desafio erosivo + MI Paste); DE.MP (desafio erosivo + MI Paste Plus). O desafio erosivo foi realizado pela imersão única das amostras em Sprite Zero, durante 30 min. Os grupos DE.M e DE.MP foram submetidos ao tratamento remineralizador com a aplicação de uma camada de aproximadamente 0,5mm por 3 min. Os grupos foram divididos em dois subgrupos: SL (sem laser Nd:YAG) e CL (sistema adesivo + laser Nd:YAG + fotopolimerização). A densidade de energia utilizada foi 174J/cm2, 140 mJ/pulsos, 10 Hz, 1,4W. Todos os espécimes foram restaurados com o sistema adesivo Clearfil SE Bond (Kuraray) e a resina composta Z350XT (3M-ESPE). Após 24h de armazenagem em água deionizada, os espécimes foram cortados em palitos, com secção transversal de 1mm2 de área e em seguida foi realizado o ensaio de microtração. Os dados foram submetidos à ANOVA 2 fatores e foram encontradas diferenças estatísticamente significantes para o fator tratamento (p=0,00). O grupo DE foi o que apresentou menor valor de resistência adesiva após o teste de Tukey. As médias de todos os grupos, em ordem crescente, foram: DE.CL (29,22) < DE.SL (33,50) < DE.M.SL (33,89) < DE.MP.SL (34,96) < GC.SL (36,40) < DE.MP.CL (36,92) < GC.CL (37,46) < DE.M.CL (37,68). Concluiu-se que: o desafio erosivo proposto resultou na diminuição da resistência de união quando comparado ao grupo controle; O CPP-ACP e o CPP-ACP associado ao NaF promoveram o aumento da resistência de ...
The purpose of this study was to evaluate the influence of CPP-ACP (MI Paste) and CPP-ACP associated to NaF (MI Paste Plus) on microtensile bond strength of dentin softened by a soft drink, irradiated or not with laser Nd:YAG. Sixty human molars had their crowns sectioned from mesial to distal face in order to obtain two specimens. The enamel was flattened until the exposure of 3 mm dentin area and then were embedded in acrylic resin. The samples were randomly divided into four groups (n=30): CG (control group); EC (erosive challenge); EC.M (erosive challenge + MI Paste); EC.MP (erosive challenge + MI Paste Plus). The erosive challenge consisted by a single immersion of the specimens in Sprite Zero, for 30 min. The EC.M and EC.MP were submitted to remineralizing treatment with the application of a 0,5 mm layer, for 3 min. The groups were subdivided into two subgroups: WITH (WL) or WITHOUT (W) Nd:YAG laser application. Laser application was made by the energy density of 174J/cm2, 140 mJ/pulse, 10 Hz, 1.4W, and the sequence was: adhesive system + Nd:YAG laser + photopolimerization. All the samples were restored by the adhesive system Clearfil SE Bond (Kuraray) and the composite Z350XT (3M-ESPE). After 24h storage in deionized water, the samples were cut in sticks, with 1mm2 cross-section area, then was accomplished the microtensile test. The microtensile data were analyzed with two-way ANOVA. Significant statistically differences were found to the treatment factor (p=0.00) and Tukey test showed that the EC group presented lower values to microtensile bond strength. The averages of each group, in ascending order, were: EC.WL (29.22) < EC.W (33.50) < EC.M.W (33.89) < EC.MP.W (34.96) < CG.W (36.40) < EC.MP.WL (36.92) < CG.WL (37.46) < EC.M.WL (37.68). It was concluded that: the erosive challenge decreased the bond strength compared to control group; the CPP-ACP and CPP-ACP associated to NaF increased the bond strength4 compared to the groups which had not ...
Subject(s)
Cell Adhesion , Dentin , Tooth ErosionABSTRACT
AIM: This study was undertaken to evaluate the effectiveness of an experimental Nd:YAG laser fiberoptic delivery system compared with conventional methods for its ability to cleanse and shape the root canal space in vitro. MATERIALS AND METHODS: Thirty-two teeth were divided into two groups. In the first group, the canals were instrumented with k files, in the second the initial preparation was done with a K file and completed with a laser beam. RESULTS: Scanning electron microscopic evaluations showed that preparation with a laser beam is possible and results in an improvement in the cleanliness of the canal walls when compared with conventional techniques. CONCLUSION: Root canal preparation using Nd:YAG laser results in cleaner dentin walls when compared to conventional methods.
