Comparison of Laser Versus Rotary Instrumentation- A Case Study

Paul Gregory, James Lea, Christopher Walinski, Denise Terese-Koch, Timothy Hottel, Dan Fields, Christopher Rodriguez

Research output: Contribution to journalArticle

Abstract

The use of an erbium laser to treat carious teeth has proven to have several advantages when compared to rotary instruments. The clinician is able to remove a minimal amount of tooth structure, thus minimizing the risk of pulpal exposure. The extremely short pulses of erbium lasers combined with an aerosolized water spray have been shown to cool the pulp as opposed to rotary instruments which may create heat that could lead to a pulpitis. Bonding to the lased surfaces is improved because the smear layer is removed, bleeding is controlled, and the lased tooth surface appears etched with open dentinal tubules. The laser also provides a bactericidal effect and the need for local anesthetics is eliminated or reduced. The use of the erbium laser to prepare cavity preparations can be done as quickly, or oftentimes more quickly, than using a rotary instruments. In addition, patients appreciate the absence of the high speed drill noise and vibration.

Original languageEnglish (US)
Pages (from-to)18-22
Number of pages5
JournalThe Journal of the Tennessee Dental Association
Volume96
Issue number2
StatePublished - Sep 1 2016

Fingerprint

Erbium
Lasers
Tooth
Pulpitis
Smear Layer
Mandrillus
Vibration
Local Anesthetics
Noise
Hot Temperature
Hemorrhage
Water

All Science Journal Classification (ASJC) codes

  • Medicine(all)

Cite this

Gregory, P., Lea, J., Walinski, C., Terese-Koch, D., Hottel, T., Fields, D., & Rodriguez, C. (2016). Comparison of Laser Versus Rotary Instrumentation- A Case Study. The Journal of the Tennessee Dental Association, 96(2), 18-22.

Comparison of Laser Versus Rotary Instrumentation- A Case Study. / Gregory, Paul; Lea, James; Walinski, Christopher; Terese-Koch, Denise; Hottel, Timothy; Fields, Dan; Rodriguez, Christopher.

In: The Journal of the Tennessee Dental Association, Vol. 96, No. 2, 01.09.2016, p. 18-22.

Research output: Contribution to journalArticle

Gregory, P, Lea, J, Walinski, C, Terese-Koch, D, Hottel, T, Fields, D & Rodriguez, C 2016, 'Comparison of Laser Versus Rotary Instrumentation- A Case Study', The Journal of the Tennessee Dental Association, vol. 96, no. 2, pp. 18-22.
Gregory P, Lea J, Walinski C, Terese-Koch D, Hottel T, Fields D et al. Comparison of Laser Versus Rotary Instrumentation- A Case Study. The Journal of the Tennessee Dental Association. 2016 Sep 1;96(2):18-22.
Gregory, Paul ; Lea, James ; Walinski, Christopher ; Terese-Koch, Denise ; Hottel, Timothy ; Fields, Dan ; Rodriguez, Christopher. / Comparison of Laser Versus Rotary Instrumentation- A Case Study. In: The Journal of the Tennessee Dental Association. 2016 ; Vol. 96, No. 2. pp. 18-22.
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