Laser radiation bracket debonding

Tat'jana Dostálová M.D.; Helena Jelínková; Jan Šulc D.D.S.; Petr Koranda; Michal Nemec; Jaroslav Racek; Mitsunobu Miyagi

doi:10.1117/12.762256

27 February 2008 Laser radiation bracket debonding

Tat'jana Dostálová M.D., Helena Jelínková, Jan Šulc D.D.S., Petr Koranda, Michal Nemec, Jaroslav Racek, Mitsunobu Miyagi

Author Affiliations +

Proceedings Volume 6843, Lasers in Dentistry XIV; 684304 (2008) https://doi.org/10.1117/12.762256
Event: SPIE BiOS, 2008, San Jose, California, United States

Abstract

Ceramic brackets are an aesthetic substitute for conventional stainless steel brackets in orthodontic patients. However, ceramic brackets are more brittle and have higher bond strengths, which can lead to bracket breakage and enamel damage during classical type of debonding. This study examined the possibility of laser radiation ceramic brackets removing as well as the possible damage of a surface structure of hard dental tissue after this procedure. Two types of lasers were used for the experiments - a laser diode LIMO HLU20F400 generating a wavelength of 808 nm with the maximum output power 20W at the end of the fiber (core diameter 400 &mgr;m, numerical aperture 0.22). As a second source, a diode-pumped Tm:YAP laser system generating a wavelength of 1.9 &mgr;m, with up to 3.8 W maximum output power was chosen. For the investigation, extracted incisors with ceramic brackets were used. In both cases, laser radiation was applied for 0.5 minute at a maximum power of 1 W. Temperature changes of the irradiated tissue was registered by camera Electrophysics PV320. After the interaction experiment, the photo-documentation was prepared by the stereomicroscope Nikon SMZ 2T, Japan. The surface tissue analysis was processed in "low vacuum" (30 Pa) regime without desiccation. This technique was used to record back-scattered electron images. Selecting the appropriate laser, resin, and bracket combination can minimize risks of enamel degradation and make debonding more safe.

Citation Download Citation

Tat'jana Dostálová M.D., Helena Jelínková, Jan Šulc D.D.S., Petr Koranda, Michal Nemec, Jaroslav Racek, and Mitsunobu Miyagi "Laser radiation bracket debonding", Proc. SPIE 6843, Lasers in Dentistry XIV, 684304 (27 February 2008); https://doi.org/10.1117/12.762256

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