Introduction: The aim of this study was to evaluate the effect of dental surface treatment with Erbium-Doped Yttrium Aluminum Garnet(Er: YAG), Neodymium-Doped Yttrium Aluminium Garnet(Nd: YAG) and Carbon Dioxide Laser (CO2) lasers and sodium ascorbate to recently home bleached enamel by scanning electron microscope (SEM).

Methods: Thirty extracted human third molars were selected for this in vitro study. The teeth were randomly divided in two groups including home bleached group and control group (non-bleached). In group 1, the samples were bleached by home bleach technique. No bleaching procedure was done in second the group which served as control group.Then , the samples of two groups were divided to five subgroups as follow: Subgroup 1: treated using Nd:YAG laser with output power of 1 W, Subgroup 2: treated using Er:YAG laser with output power of 0.5 W, Subgroup 3: treated using CO2 laser with output power of 0.5 W, Subgroup 4: sodium ascorbate 10%, Subgroup 5: no treatment. After treatments, the surfaces were evaluated using Scanning Electron Microscope (SEM) analysis.

Results: The surfaces treated by Nd:YAG laser showed some melting and recrystallized areas and in some area droplet pattern was observed. But the surface treated by Er:YAG laser showed irregular and micro porous surface with flake pattern. CO2 laser treatment of home-bleached surfaces resulted in melting area and cracks. Sodium ascorbate did not change the home-bleached surface.

Conclusion: Among different surface treatments used in this study, it seems that Er:YAG laser can best interact with home-bleached teeth.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4282001PMC

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