Ablation in teeth with the free-electron laser around the absorption peak of hydroxyapatite (9.5 um) and between 6.0 and 7.5 um

摘要

Pulsed IR laser ablation on dental hard substances was studied in the wavelength range between 9.5 and 11.5 $mu@m with the Free-Electron Laser (FEL) in Nieuwegein/NL and between 6.0 and 7.5 $mu@m with the FEL at Vanderbilt University in Nashville/TN. Depth, diameter and volume of the ablation crater were determined with a special silicon replica method and subsequent confocal laser topometry. The irradiated surfaces and the ejected debris were examined with an SEM 9.5 - 11.5 $mu@m: depth, diameter and volume of the ablation crater are greater and the ablation threshold is lower for ablation with a wavelength corresponding to the absorption max. of hydroxyapatite (9.5 $mu@m), compared to ablation at wavelengths with lower absorption (10.5 - 11.5 $mu@m). For all wavelengths, no thermal cracking can be observed after ablation in dentine, however a small amount of thermal cracking can be observed after ablation in enamel. After ablation at 9.5 $mu@m, a few droplets of solidified melt were seen on the irradiated areas, whereas the debris consisted only of solidified melt. In contrast, the surface and the debris obtained from ablation using the other wavelengths showed the natural structure of dentine 6.0 - 7.5 $mu@m: the depth of the ablation crater increases and the ablation threshold decreases for an increasing absorption coefficient of the target material. Different tissue components absorbed the laser radiation of different wavelengths (around 6.0 $mu@m water and collagen, 6.5 $mu@m collagen and water, 7.0 $mu@m carbonated hydroxyapatite). Nevertheless the results have shown no major influence on the primary tissue absorber.