Volume : 11, Issue : 12, December – 2024

Title:

WATERLASE

Authors :

Afrah Ahmed Alkhars, Faizah Ali Aloufi, Nora Abdulrahman Aleid, Haneen Abdullah Aljuieed, Fahad Alnashmy Khodhair Alshammri, Mohammed Dakhil Alelyani, Marwan Hussein Alsaedy, Abdulrahman Abdullah Alzahrani, Ahmed Mohammed Alrefaei, Alanoud Khalid M Alamoudi, Alaa Shayem Alshammari, Mohammed Hany Ahmad Fouad,Batool Abdullah Almubarak, ⁠Fatimah Nasser Albader, Fatimah hassan almubarak

Abstract :

Introduction: The ideal method of caries removal by drilling leads to the production of a dentinal smear layer that impairs the adhesion of the restorative material. The drilling process is also associated with pain and discomfort for the patients. To overcome these obstacles, the usage of ultrasonics and laser was implemented in the caries removal process. Waterlase (WaterLase Biolase USA) is an Erbium-based laser that has been used to remove cavities from enamel and dentin while not producing significant thermal changes, thus protecting the underlying pulp from any thermal or mechanical damage. Waterlase (WaterLase Biolase USA) works by evaporation of hard tissue with minimal to no contact with the tooth, thus reducing the frictional forces and heat produced during the process. With the reduction of heat and frictional force, the amount of discomfort and pain to the patient also reduces remarkably.
Aim of work: This review focuses on applications of Waterlase in Operative dentistry
Methodology: The review is a comprehensive research of PUBMED and Google Scholar from the year 1997 to 2022
Conclusion: In recent times, practitioners have started focussing on minimally invasive dentistry, and Waterlase is proving to be a very valuable aid in achieving the same. Patient compliance is of utmost importance while performing restorative procedures and is a key factor in the treatment’s success. Waterlase aids this by keeping the patient comfortable during the procedure. It reduces the requirement for anesthesia and alleviates the possibility of other iatrogenic errors associated with high-speed handpieces. It also increases the enamel’s resistance to acid, thereby decreasing the occurrence of secondary caries, further affirming the patient’s faith in the treatment. Reduced aerosol production decreases the transmission rate of infectious diseases, which is a major concern in recent times. Minimal heat produced while treating deep caries helps maintain the pulp vitality, increasing the longevity of the tooth. With increased research on Waterlase and its development, a more conservative approach can be adopted in the field of operative dentistry.
Keywords: Laser, Waterlase, Er Cr: YSGG, Ablation, caries

Cite This Article:

Please cite this article in press Afrah Ahmed Alkhars et al., Waterlase.,Indo Am. J. P. Sci, 2024; 11 (12).

Number of Downloads : 10

References:

1. Pitts N B, Zero D T, Marsh P D, Ekstrand K, Weintraub J A, Ramos-Gomez F, & Ismail A (2017). Dental caries Nat Rev Dis Primers 3: 17030.
2. Beltrán-Aguilar E D, Barker L K, Canto M T, Dye B A, Gooch B F, Griffin S O, & Centers for Disease Control and Prevention (2005). Surveillance for dental caries, dental sealants, tooth retention, edentulism, and enamel fluorosis–United States, 1988-1994 and 1999-2002.
3. Machiulskiene V, Campus G, Carvalho J C, Dige I, Ekstrand K R, Jablonski-Momeni A, & Nyvad B (2020). Terminology of dental caries and dental caries management: consensus report of a workshop organized by ORCA and Cariology Research Group of IADR. Caries research, 54(1), 7-14.
4. Mohanty R, Lenka B, Nayak R, Satpathy A, Das A C, & Mohanty G (2020). A New Pioneering Advancement: Waterlase. Indian Journal of Forensic Medicine & Toxicology, 14(4), 8237.
5. Apsari R, Pratomo D A, Hikmawati D, & Bidin N (2016, March). Microstructure and mechanical changes induced by Q-Switched pulse laser on human enamel with aim of caries prevention. In AIP Conference Proceedings (Vol. 1718, No. 1, p. 020001). AIP Publishing LLC.
6. Galui S, Pal S, Mahata S, Saha S, & Sarkar S (2019). Laser and its use in pediatric dentistry: a review of literature and a recent update. International Journal of Pedodontic Rehabilitation, 4(1), 1.
7. Verma S K, Maheshwari S, Singh R K, & Chaudhari P K (2012). Laser in dentistry: An innovative tool in modern dental practice. National journal of maxillofacial surgery, 3(2), 124.
8. Jorge A C T, Cassoni A, de Freitas P M, Reis A F, Junior A B, & Rodrigues J A (2015). Influence of cavity preparation with Er, Cr: YSGG laser and restorative materials on in situ secondary caries development. Photomedicine and Laser Surgery, 33(2), 98-103.
9. Abdelkarim-Elafifi H, Arnabat-Artés C, Parada-Avendaño I, Polonsky M, & Arnabat-Domínguez J (2021). Aerosols generation using Er, Cr: YSGG laser compared to rotary instruments in conservative dentistry: A preliminary study. Journal of Clinical and Experimental Dentistry, 13(1), e30.
10. http://www.biolase.com/brochure
11. Hadley J, Young D A, Eversole L R, & Gornbein J A (2000). A laser-powered hydrokinetic system: for caries removal and cavity preparation. The Journal of the American Dental Association, 131(6), 777-785.
12. Tudose D A, & Biclesanu C (2020). Optimizing the treatment of dental caries with laser Er Cr: YSGG 2,790 nm (WaterLase Biolase USA). Romanian JouRnal of Stomatology, 66(3), 188.
13. Du Q, Ge L, Zhang S, & Zhang Q (2019). Effects of Erbium: Yttrium–Aluminum–Garnet Laser Irradiation on Bovine Dentin Contaminated by Cariogenic Bacteria. Photobiomodulation, Photomedicine, and Laser Surgery, 37(5), 305-311.
14. Jorge A C T, Cassoni A, de Freitas P M, Reis A F, Junior A B, & Rodrigues J A (2015). Influence of cavity preparation with Er, Cr: YSGG laser and restorative materials on in situ secondary caries development. Photomedicine and Laser Surgery, 33(2), 98-103.
15. Jacobsen T, Norlund A, Englund G S, & Tranæus S (2011). Application of laser technology for removal of caries: a systematic review of controlled clinical trials. Acta Odontologica Scandinavica, 69(2), 65-74.
16. de Jesus Tavarez R R, Rodrigues L L, Diniz A C, Lage L M, Torres C R, Bandeca M C, & Firoozmand L M (2018). Does ErbiumiYttrium-Aluminum-Garnet Laser to Enamel improve the Performance of Etch-and-rinse and Universal Adhesives?. The Journal of Contemporary Dental Practice, 19(3), 278-282.
17. Mehl A, Kremers L, Salzmann K, & Hickel R (1997). 3D volume-ablation rate and thermal side effects with the Er: YAG and Nd: YAG laser. Dental Materials, 13(4), 246-251.
18. Brignardello-Petersen R (2018). Caries removal with an erbium laser may result in a small increase in cavity preparation time but also in a reduction in required extra local anesthetic compared with traditional drilling. The Journal of the American Dental Association, 149(6), e94.