5 March 2021Fissure caries inhibition with a CO2-9.3 μm short-pulsed laser: a randomized, single blind, split mouth controlled, one-year clinical trial
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The objective of this randomized, split-mouth controlled, clinical trial was to evaluate whether the use of a short-pulsed 9.3µm CO2-laser increases the caries resistance of occlusal pit and fissures in addition to fluoride therapy over 12-months. 60 participants were enrolled. Second molars were randomized into test and control. Test molars were irradiated with a 9.3μm CO2-laser. Test molars received laser and fluoride treatment, control teeth fluoride alone. 57 participants completed the 6-month, 51 the 12-month recall. Laser treated surfaces showed very slight ICDAS improvements. Control teeth showed significantly higher ICDAS increases. Differences in ICDAS-changes between the groups were statistically significant. A total of 22% of the participants developed ICDAS-3 scores on the control teeth. Microsecond short-pulsed 9.3µm CO2-laser irradiation markedly inhibits caries progression in pits and fissures in comparison to fluoride varnish alone.
Peter Rechmann,Maxwell Kubitz D.D.S.,Benjamin W. Chaffee D.D.S., andBeate M. T. Rechmann
"Fissure caries inhibition with a CO2-9.3 μm short-pulsed laser: a randomized, single blind, split mouth controlled, one-year clinical trial", Proc. SPIE 11627, Photonic Therapeutics and Diagnostics in Dentistry, Head and Neck Surgery, and Otolaryngology, 116270F (5 March 2021); https://doi.org/10.1117/12.2588686
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Peter Rechmann, Maxwell Kubitz D.D.S., Benjamin W. Chaffee D.D.S., Beate M. T. Rechmann, "Fissure caries inhibition with a CO2-9.3 µm short-pulsed laser: a randomized, single blind, split mouth controlled, one-year clinical trial," Proc. SPIE 11627, Photonic Therapeutics and Diagnostics in Dentistry, Head and Neck Surgery, and Otolaryngology, 116270F (5 March 2021); https://doi.org/10.1117/12.2588686