BACKGROUND AND OBJECTIVE: It is widely known that Nd:YAG can increase enamel resistance to demineralization; however, there are no studies that report the application of Nd:YAG associated with topical application of fluoride in vivo. The aim of this study was to evaluate the effects of the Nd:YAG laser, when associated with the topical application of acidulated phosphate fluoride (APF), for preventing enamel demineralization in vivo. MATERIALS AND METHODS: A double-blind crossover experimental design was used, in which 121 teeth of 33 volunteers were selected. In all volunteers, the right side teeth were selected for Nd:YAG laser+APF application (lased group) and the left side teeth were kept as control group (only APF application). Nd:YAG laser was applied at 60 mJ/pulse, at a repetition rate of 10 Hz and fluence of 84.9 J/cm(2); after that, topical APF was applied for 4 minutes. Recalls were made after 1 year in order to evaluate the formation of white-spot lesions or caries cavities. RESULTS: After 1 year, this in vivo experiment showed a reduction of 39.2% in caries incidence in lased group when compared with the control. The number of white-spots or caries cavities decreased significantly (P = 0.0043) in the Nd:YAG laser group; the formation of white-spots was significantly less (P = 0.0031) when compared with the number of lesions in the control group. CONCLUSION:Combined Nd:YAG laser and topical fluoride treatment was effective for reducing the incidence of caries in vivo.
RCT Entities:
BACKGROUND AND OBJECTIVE: It is widely known that Nd:YAG can increase enamel resistance to demineralization; however, there are no studies that report the application of Nd:YAG associated with topical application of fluoride in vivo. The aim of this study was to evaluate the effects of the Nd:YAG laser, when associated with the topical application of acidulated phosphate fluoride (APF), for preventing enamel demineralization in vivo. MATERIALS AND METHODS: A double-blind crossover experimental design was used, in which 121 teeth of 33 volunteers were selected. In all volunteers, the right side teeth were selected for Nd:YAG laser+APF application (lased group) and the left side teeth were kept as control group (only APF application). Nd:YAG laser was applied at 60 mJ/pulse, at a repetition rate of 10 Hz and fluence of 84.9 J/cm(2); after that, topical APF was applied for 4 minutes. Recalls were made after 1 year in order to evaluate the formation of white-spot lesions or caries cavities. RESULTS: After 1 year, this in vivo experiment showed a reduction of 39.2% in caries incidence in lased group when compared with the control. The number of white-spots or caries cavities decreased significantly (P = 0.0043) in the Nd:YAG laser group; the formation of white-spots was significantly less (P = 0.0031) when compared with the number of lesions in the control group. CONCLUSION: Combined Nd:YAG laser and topical fluoride treatment was effective for reducing the incidence of caries in vivo.
Authors: Samira Helena João-Souza; Tais Scaramucci; Anderson T Hara; Ana Cecilia Corrêa Aranha Journal: Lasers Med Sci Date: 2015-09-14 Impact factor: 3.161
Authors: Karen Müller Ramalho; Carlos de Paula Eduardo; Nicole Heussen; Rodney Garcia Rocha; Friedrich Lampert; Christian Apel; Marcella Esteves-Oliveira Journal: Lasers Med Sci Date: 2012-02-28 Impact factor: 3.161
Authors: Walter Raucci-Neto; Larissa Moreira Spinola de Castro-Raucci; Cesar Penazzo Lepri; Juliana Jendiroba Faraoni-Romano; Jaciara Miranda Gomes da Silva; Regina Guenka Palma-Dibb Journal: Lasers Med Sci Date: 2013-08-17 Impact factor: 3.161
Authors: Samira Helena João-Souza; Sávio José Cardoso Bezerra; Alessandra Bühler Borges; Ana Cecília Aranha; Tais Scaramucci Journal: Lasers Med Sci Date: 2015-07-31 Impact factor: 3.161