Study on elucidation of bactericidal effects induced by laser beam irradiation Measurement of dynamic stress on laser irradiated surface

In dental treatment, many types of laser beams have been used for various surgical treatments, and the influences of laser beam irradiation on bactericidal effect have been investigated. However, most of the work has been performed by irradiating to an agar plate with the colony of bacteria, and very few studies have been reported on the physical mechanism of bactericidal effects induced by laser beam irradiation. This paper deals with the measurement of dynamic stress induced in extracted human enamel by irradiation with Nd:YAG laser beams. Laser beams can be delivered to the enamel surface through a quartz optical fiber. Dynamic stress induced in the specimen using elastic wave propagation in a cylindrical long bar made of aluminum alloy is measured. Laser induced stress intensity is evaluated from dynamic strain measured by small semiconductor strain gauges. Carbon powder and titanium dioxide powder were applied to the human enamel surface as absorbents. Additionally, the phenomenon of laser beam irradiation to the human enamel surface was observed with an ultrahigh speed video camera. Results showed that a plasma was generated on the enamel surface during laser beam irradiation, and the melted tissues were scattered in the vertical direction against the enamel surface with a mushroom-like wave. Averaged scattering velocity of the melted tissues was 25.2 m/s. Induced dynamic stress on the enamel surface increased with increasing laser energy in each absorbent. Induced dynamic stresses with titanium dioxide powder were superior to those with carbon powder. Induced dynamic stress was related to volume of prepared cavity, and induced stress for the removal of unit volume of human enamel was 0.03 Pa/mm3.