Simplified expressions of uncertainty for single number quantities in ISO 3382-3 (2022).

The ISO 3382-3 (2022) standard defines single number quantities (SNQs) characterizing the spatial decay of speech (D2S, LpAS4m, rC) and of its intelligibility (rD). The standard assesses the accuracy of the measurement using a unique uncertainty value for each SNQ, relying on a round-robin test performed in a single office. To make this assessment more accurate, analytical expressions have been established by applying the law of propagation of uncertainty. These expressions, although precise, are too complex to be included in the standard. This work consists of their simplification, relying on 95 measurements conducted in 36 companies in France and Germany. First, the terms associated with distance measurement uncertainties were found to be negligible. Second, the estimation of the uncertainties of A-weighted speech levels and Speech Transmission Index, based on the measurements made at the workstations constituting the 95 paths, enabled further simplifications. Finally, simplified expressions turn out to be as accurate as the original expressions, and the estimated uncertainties are comparable to those reported by Yadav et al. (2019). If a unique value of uncertainty is to be retained for each SNQ, this study suggests 0.6 dB for D2S and LpAS4m, 7% for rC, and 10% for rD.

Effect of simulated pulpal fluid circulation on intrapulpal temperature following irradiation with an Nd:YVO4 laser.

It is suggested that pulpal fluid circulation has an impact on pulp temperature increase during heat-generating dental treatment procedures. Thus, the aim of the study was to assess the effect of a simulated pulpal fluid circulation on temperature changes inside the pulp chamber following laser irradiation of the tooth surface. Twenty freshly extracted human multirooted teeth were included and cross-sectioned along the long axis exposing two root canals each. The pulp chamber and root canals were cleaned from remaining soft tissues to achieve access for a temperature sensor and two cannulas to allow fluid circulation. Cross sections were glued together, and the roots were encased with silicone impression material to ensure the position of the connected devices. Each tooth was irradiated by employing a neodymium-doped yttrium orthovanadate (Nd:YVO4) laser at 1,064 nm with a pulse duration of 9 ps and a repetition rate of 500 kHz. A commercially available scanning system (SCANcube 7, SCANLAB) deflected the beam by providing rectangular irradiated areas of 0.5 mm edge length. Measurements were performed with four different settings for fluid circulation: without any water and with water (23 °C) at a flow rate of 6, 3, and 0 ml/min. The primary outcome measure was the maximum temperature difference (ΔT) after laser irradiation. Highest temperature changes (median 3.6 K, range 0.5-7.1 K) could be observed without any fluid inside the pulp chamber. Water without circulation decreased ΔT values statistically significantly (median 1.4 K, range 0.2-4.9 K) (p < 0.05). Lowest temperature changes could be observed with a water flow rate of 6 ml/min (median 0.8 K, range 0.2-3.7 K) (p < 0.05). Pulpal fluid circulation has a cooling effect on temperature increase caused by laser irradiation of dental hard tissues. Studies on heat generation during dental treatment procedures should include this aspect to assess a potential thermal injury of pulp tissue.

Ablation of porcine bone tissue with an ultrashort pulsed laser (USPL) system.

Ultrashort pulsed lasers (USPLs) represent a new generation of laser systems in the field of biophotonical applications. In terms of a pilot project, the study was carried out to evaluate the ablation parameters of bone tissue regarding the medical use of such a laser technology in dentistry. Specimens from ribs of freshly slaughtered pigs were assembled and irradiated with an USP Nd:YVO4 laser (pulse duration 8 ps at 1,064 nm with repetition rates between 50 and 500 kHz) using eligible average output powers in the range of 3.5-9 W and fluences between 1 and 2.5 J/cm(2). Square-shaped cavities of 1-mm edge length in the bone compacta were created employing a scanner system. Cavities were analyzed with an optical profilometer to determine the ablated volume. Ablation rate was calculated by the ablated volume and the recorded irradiation time by the scanner software. Additionally, samples were examined histologically to investigate side effects of the surrounding tissue. Formed cavities showed a precise and sharp-edged appearance in bone compacta. Optimized ablation rate of 5.2 mm(3)/min without any accompanying side effects was obtained with an average output power of 9 W, a pulse repetition rate of 500 kHz, and an applied fluence of 2.5 J/cm(2). Provided that the used laser system will be advanced and adjusted for clinical applications, the outcome of this study shows auspicious possibilities for the use of USPL systems in the preparation of bone tissue.

Heat generation caused by ablation of dental hard tissues with an ultrashort pulse laser (USPL) system.

Heat generation during the removal of dental hard tissues may lead to a temperature increase and cause painful sensations or damage dental tissues. The aim of this study was to assess heat generation in dental hard tissues following laser ablation using an ultrashort pulse laser (USPL) system. A total of 85 specimens of dental hard tissues were used, comprising 45 specimens of human dentine evaluating a thickness of 1, 2, and 3 mm (15 samples each) and 40 specimens of human enamel with a thickness of 1 and 2 mm (20 samples each). Ablation was performed with an Nd:YVO4 laser at 1,064 nm, a pulse duration of 9 ps, and a repetition rate of 500 kHz with an average output power of 6 W. Specimens were irradiated for 0.8 s. Employing a scanner system, rectangular cavities of 1-mm edge length were generated. A temperature sensor was placed at the back of the specimens, recording the temperature during the ablation process. All measurements were made employing a heat-conductive paste without any additional cooling or spray. Heat generation during laser ablation depended on the dental hard tissue (enamel or dentine) and the thickness of the respective tissue (p < 0.05). Highest temperature increase could be observed in the 1-mm thickness group for enamel. Evaluating the 1-mm group for dentine, a significantly lower temperature increase could be measured (p < 0.05) with lowest values in the 3-mm group (p < 0.05). A time delay for temperature increase during the ablation process depending on the material thickness was observed for both hard tissues (p < 0.05). Employing the USPL system to remove dental hard tissues, heat generation has to be considered. Especially during laser ablation next to pulpal tissues, painful sensations and potential thermal injury of pulp tissue might occur.

Ultrashort pulsed laser (USPL) application in dentistry: basic investigations of ablation rates and thresholds on oral hard tissue and restorative materials.

Modern ultrashort pulse lasers with scanning systems provide a huge set of parameters affecting the suitability for dental applications. The present study investigates thresholds and ablation rates of oral hard tissues and restorative materials with a view towards a clinical application system. The functional system consists of a 10 W Nd:YVO4 laser emitting pulses with a duration of 8 ps at 1,064 nm. Measurements were performed on dentin, enamel, ceramic, composite, and mammoth ivory at a repetition rate of 500 kHz. By employing a scanning system, square-shaped cavities with an edge length of 1 mm were created. Ablation threshold and rate measurements were assessed by variation of the applied fluence. Examinations were carried out employing a scanning electron microscope and optical profilometer. Irradiation time was recorded by the scanner software in order to calculate the overall ablated volume per time. First high power ablation rate measurements were performed employing a laser source with up to 50 W. Threshold values in the range of 0.45 J/cm(2) (composite) to 1.54 J/cm(2) (enamel) were observed. Differences between any two materials are statistically significant (p < 0.05). Preparation speeds up to 37.53 mm(3)/min (composite) were achieved with the 10 W laser source and differed statistically significant for any two materials (p < 0.05) with the exception of dentin and mammoth ivory (p > 0.05). By employing the 50 W laser source, increased rates up to ∼50 mm(3)/min for dentin were obtained. The results indicate that modern USPL systems provide sufficient ablation rates to be seen as a promising technology for dental applications.

Heat generation caused by ablation of restorative materials with an ultrashort pulse laser (USPL) system.

Heat generation during the removal of dental restorative materials may lead to a temperature increase and cause painful sensations or damage dental tissues. The aim of this study was to assess heat generation in dental restoration materials following laser ablation using an ultrashort pulse laser (USPL) system. A total of 225 specimens of phosphate cement (PC), ceramic (CE), and composite (C) were used, evaluating a thickness of 1 to 5 mm each. Ablation was performed with an Nd:YVO(4) laser at 1,064 nm, a pulse length of 8 ps, and a repetition rate of 500 kHz with a power of 6 W. Employing a scanner system, rectangular cavities of 1.5-mm edge length were generated. A temperature sensor was placed at the back of the specimens to record the temperature during the ablation process. All measurements were made employing a heat-conductive paste without any additional cooling or spray. Heat generation during laser ablation depended on the thickness of the restoration material (p < 0.05) with the highest values in the composite group (p < 0.05), showing an increase of up to 17 K. A time delay for temperature increase during the ablation process depending on the material thickness was observed in the PC and C group (p < 0.05) with highest values for cement (p < 0.05). Employing the USPL system for removal of restorative materials, heat generation has to be considered. Especially during laser ablation next to pulpal tissues, painful sensations might occur.