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Woodfield PL, Rode AV, Dao D, Dau VT, Madden S, Walsh LJ, Spallek H, Walsh L, Sutton AJ, Zuaiter O, Habeb A, Hirst TR, Rapp L. Optical penetration models for practical prediction of femtosecond laser ablation of dental hard tissue. Lasers Surg Med 2024; 56:371-381. [PMID: 38563442 DOI: 10.1002/lsm.23784] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2023] [Revised: 01/30/2024] [Accepted: 03/20/2024] [Indexed: 04/04/2024]
Abstract
OBJECTIVES To develop and practically test high-precision femtosecond laser ablation models for dental hard tissue that are useful for detailed planning of automated laser dental restorative treatment. METHODS Analytical models are proposed, derived, and demonstrated for practical calculation of ablation rates, ablation efficiency and ablated morphology of human dental enamel and dentin using femtosecond lasers. The models assume an effective optical attenuation coefficient for the irradiated material. To achieve ablation, it is necessary for the local energy density of the attenuated pulse in the hard tissue to surpass a predefined threshold that signifies the minimum energy density required for material ionization. A 1029 nm, 40 W carbide 275 fs laser was used to ablate sliced adult human teeth and generate the data necessary for testing the models. The volume of material removed, and the shape of the ablated channel were measured using optical profilometry. RESULTS The models fit with the measured ablation efficiency curve against laser fluence for both enamel and dentin, correctly capturing the fluence for optimum ablation and the volume of ablated material per pulse. The detailed shapes of a 400-micrometer wide channel and a single-pulse width channel are accurately predicted using the superposition of the analytical result for a single pulse. CONCLUSIONS The findings have value for planning automated dental restorative treatment using femtosecond lasers. The measurements and analysis give estimates of the optical properties of enamel and dentin irradiated with an infrared femtosecond laser at above-threshold fluence and the proposed models give insight into the physics of femtosecond laser processing of dental hard tissue.
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Affiliation(s)
- Peter L Woodfield
- School of Engineering and Built Environment, Griffith University, Gold Coast, Queensland, Australia
| | - Andrei V Rode
- Department of Quantum Science and Technology, Research School of Physics, Laser Physics Centre, Australian National University, Canberra, Australian Capital Territory, Australia
| | - Dzung Dao
- School of Engineering and Built Environment, Griffith University, Gold Coast, Queensland, Australia
| | - Van Thanh Dau
- School of Engineering and Built Environment, Griffith University, Gold Coast, Queensland, Australia
| | - Steve Madden
- Department of Quantum Science and Technology, Research School of Physics, Laser Physics Centre, Australian National University, Canberra, Australian Capital Territory, Australia
| | - Laurence J Walsh
- School of Dentistry, The University of Queensland, Herston, Queensland, Australia
- Dentroid Pty Ltd, Canberra, Australian Capital Territory, Australia
| | - Heiko Spallek
- Faculty of Medicine and Health, The University of Sydney School of Dentistry, Surry Hills, New South Wales, Australia
| | - Lee Walsh
- Platypus MedTech Consulting Pty Ltd, Barton, Australian Capital Territory, Australia
| | - Andrew J Sutton
- Centre for Gravitational Astrophysics, The Australian National University, Acton, Australian Capital Territory, Australia
| | - Omar Zuaiter
- Dentroid Pty Ltd, Canberra, Australian Capital Territory, Australia
| | - Alaa Habeb
- Dentroid Pty Ltd, Canberra, Australian Capital Territory, Australia
| | - Timothy R Hirst
- Dentroid Pty Ltd, Canberra, Australian Capital Territory, Australia
| | - Ludovic Rapp
- Department of Quantum Science and Technology, Research School of Physics, Laser Physics Centre, Australian National University, Canberra, Australian Capital Territory, Australia
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Dumbryte I, Narbutis D, Androulidaki M, Vailionis A, Juodkazis S, Malinauskas M. Teeth Microcracks Research: Towards Multi-Modal Imaging. Bioengineering (Basel) 2023; 10:1354. [PMID: 38135945 PMCID: PMC10740647 DOI: 10.3390/bioengineering10121354] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2023] [Revised: 11/16/2023] [Accepted: 11/21/2023] [Indexed: 12/24/2023] Open
Abstract
This perspective is an overview of the recent advances in teeth microcrack (MC) research, where there is a clear tendency towards a shift from two-dimensional (2D) to three-dimensional (3D) examination techniques, enhanced with artificial intelligence models for data processing and image acquisition. X-ray micro-computed tomography combined with machine learning allows 3D characterization of all spatially resolved cracks, despite the locations within the tooth in which they begin and extend, and the arrangement of MCs and their structural properties. With photoluminescence and micro-/nano-Raman spectroscopy, optical properties and chemical and elemental composition of the material can be evaluated, thus helping to assess the structural integrity of the tooth at the MC site. Approaching tooth samples having cracks from different perspectives and using complementary laboratory techniques, there is a natural progression from 3D to multi-modal imaging, where the volumetric (passive: dimensions) information of the tooth sample can be supplemented by dynamic (active: composition, interaction) image data. Revelation of tooth cracks clearly shows the need to re-assess the role of these MCs and their effect on the structural integrity and longevity of the tooth. This provides insight into the nature of cracks in natural hard materials and contributes to a better understanding of how bio-inspired structures could be designed to foresee crack propagation in biosolids.
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Affiliation(s)
- Irma Dumbryte
- Institute of Odontology, Vilnius University, LT-08217 Vilnius, Lithuania
| | - Donatas Narbutis
- Institute of Theoretical Physics and Astronomy, Vilnius University, LT-10222 Vilnius, Lithuania
| | - Maria Androulidaki
- Microelectronics Research Group, Institute of Electronic Structure & Laser, Foundation for Research and Technology FORTH-Hellas, 70013 Heraklion, Crete, Greece
| | - Arturas Vailionis
- Stanford Nano Shared Facilities, Stanford University, Stanford, CA 94305, USA
- Department of Physics, Kaunas University of Technology, LT-51368 Kaunas, Lithuania
| | - Saulius Juodkazis
- Optical Sciences Centre and ARC Training Centre in Surface Engineering for Advanced Materials (SEAM), School of Science, Swinburne University of Technology, Hawthorn, VIC 3122, Australia
- WRH Program International Research Frontiers Initiative (IRFI), Tokyo Institute of Technology, Nagatsuta-cho, Midori-ku, Yokohama 226-8503, Japan
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Rapp L, Madden S, Brand J, Maximova K, Walsh LJ, Spallek H, Zuaiter O, Habeb A, Hirst TR, Rode AV. Investigation of laser wavelength effect on the ablation of enamel and dentin using femtosecond laser pulses. Sci Rep 2023; 13:20156. [PMID: 37978230 PMCID: PMC10656487 DOI: 10.1038/s41598-023-47551-5] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/08/2023] [Accepted: 11/15/2023] [Indexed: 11/19/2023] Open
Abstract
We investigated the effect of femtosecond (fs) laser ablation of enamel and dentin for different pulse wavelengths: infrared (1030 nm), green (515 nm), and ultra-violet (343 nm) and for different pulse separations to determine the optimal irradiation conditions for the precise removal of dental hard tissues with the absence of structural and compositional damage. The ablation rates and efficiencies were established for all three laser wavelengths for both enamel and dentin at room temperature without using any irrigation or cooling system, and the surfaces were assessed with optical and scanning electron microscopy, optical profilometry, and Raman spectroscopy. We demonstrated that 515 nm fs irradiation provides the highest rate and efficiency for ablation, followed by infrared. Finally, we explored the temperature variations inside the dental pulp during the laser procedures for all three wavelengths and showed that the maximum increase at the optimum conditions for both infrared and green irradiations was 5.5 °C, within the acceptable limit of temperature increase during conventional dental treatments. Ultra-violet irradiation significantly increased the internal temperature of the teeth, well above the acceptable limit, and caused severe damage to tooth structures. Thus, ultra-violet is not a compatible laser wavelength for femtosecond teeth ablation.
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Affiliation(s)
- Ludovic Rapp
- Laser Physics Centre, Department of Quantum Science and Technology, Research School of Physics, Australian National University, Canberra, ACT, 2600, Australia.
| | - Steve Madden
- Laser Physics Centre, Department of Quantum Science and Technology, Research School of Physics, Australian National University, Canberra, ACT, 2600, Australia
| | - Julia Brand
- Laser Physics Centre, Department of Quantum Science and Technology, Research School of Physics, Australian National University, Canberra, ACT, 2600, Australia
| | - Ksenia Maximova
- Laser Physics Centre, Department of Quantum Science and Technology, Research School of Physics, Australian National University, Canberra, ACT, 2600, Australia
| | - Laurence J Walsh
- The University of Queensland School of Dentistry, Herston, QLD, 4006, Australia
- Dentroid Pty Ltd, Canberra, ACT, 2601, Australia
| | - Heiko Spallek
- Faculty of Medicine and Health, The University of Sydney School of Dentistry, Surry Hills, NSW, 2010, Australia
| | - Omar Zuaiter
- Dentroid Pty Ltd, Canberra, ACT, 2601, Australia
| | - Alaa Habeb
- Dentroid Pty Ltd, Canberra, ACT, 2601, Australia
| | | | - Andrei V Rode
- Laser Physics Centre, Department of Quantum Science and Technology, Research School of Physics, Australian National University, Canberra, ACT, 2600, Australia
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Mosel P, Düsing J, Johannesmeier S, Patzlaff-Günther M, Fröhlich S, Mapa J, Kalies S, Bahlmann J, Püster T, Vahlbruch J, Dittmar G, Merdji H, Fajardo M, Trabattoni A, Heisterkamp A, Morgner U, Kovacev M. X-ray generation by fs-laser processing of biological material. BIOMEDICAL OPTICS EXPRESS 2023; 14:5656-5669. [PMID: 38021146 PMCID: PMC10659813 DOI: 10.1364/boe.499170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Revised: 09/29/2023] [Accepted: 09/29/2023] [Indexed: 12/01/2023]
Abstract
The use of ultrashort pulse lasers in medical treatments is increasing and is already an essential tool, particularly in the treatment of eyes, bones and skin. One of the main advantages of laser treatment is that it is fast and minimally invasive. Due to the interaction of ultrashort laser pulses with matter, X-rays can be generated during the laser ablation process. This is important not only for the safety of the patient, but also for the practitioner to ensure that the legally permissible dose is not exceeded. Although our results do not raise safety concerns for existing clinical applications, they might impact future developments at higher peak powers. In order to provide guidance to laser users in the medical field, this paper examines the X-ray emission spectra and dose of several biological materials and describes their dependence on the laser pulse energy.
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Affiliation(s)
- P. Mosel
- Leibniz University Hannover, Welfengarten 1, Hannover 30167, Germany
| | - J. Düsing
- Laser Zentrum Hannover e.V., Hannover 30419, Germany
| | | | | | - S. Fröhlich
- Leibniz University Hannover, Welfengarten 1, Hannover 30167, Germany
| | - J. Mapa
- Leibniz University Hannover, Welfengarten 1, Hannover 30167, Germany
| | - S. Kalies
- Leibniz University Hannover, Welfengarten 1, Hannover 30167, Germany
- Lower Saxony Centre for Biomedical Engineering, Implant Research and Development (NIFE), 30625 Hannover, Germany
| | - J. Bahlmann
- Leibniz University Hannover, Welfengarten 1, Hannover 30167, Germany
- Lower Saxony Centre for Biomedical Engineering, Implant Research and Development (NIFE), 30625 Hannover, Germany
| | - T. Püster
- Laser Zentrum Hannover e.V., Hannover 30419, Germany
| | - J. Vahlbruch
- Institute of Radioecology and Radiation Protection, Leibniz University Hannover, Hannover 30419, Germany
| | - G. Dittmar
- Ingenieur-Büro Prof. Dr.-Ing. G. Dittmar, Aalen 73433, Germany
| | - H. Merdji
- LOA, ENSTA ParisTech, CNRS, Ecole Polytechnique, Université Paris-Saclay 828 Boulevard des Maréchaux, 91120, Palaiseau, France
| | - M. Fajardo
- GoLP, Instituto de Plasmas e Fusão Nuclear, Instituto Superior Técnico, Universidade de Lisboa, 1049-001 Lisboa, Portugal
| | - A. Trabattoni
- Leibniz University Hannover, Welfengarten 1, Hannover 30167, Germany
- Center for Free-Electron Laser Science CFEL, Deutsches Elektronen-Synchrotron DESY, Notkestr. 85, 22607 Hamburg, Germany
| | - A. Heisterkamp
- Leibniz University Hannover, Welfengarten 1, Hannover 30167, Germany
- Lower Saxony Centre for Biomedical Engineering, Implant Research and Development (NIFE), 30625 Hannover, Germany
| | - U. Morgner
- Leibniz University Hannover, Welfengarten 1, Hannover 30167, Germany
| | - M. Kovacev
- Leibniz University Hannover, Welfengarten 1, Hannover 30167, Germany
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Saran R, Ginjupalli K, George SD, Chidangil S, V K U. LASER as a tool for surface modification of dental biomaterials: A review. Heliyon 2023; 9:e17457. [PMID: 37408894 PMCID: PMC10319194 DOI: 10.1016/j.heliyon.2023.e17457] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/28/2022] [Revised: 06/09/2023] [Accepted: 06/19/2023] [Indexed: 07/07/2023] Open
Abstract
In recent years, the application of lasers for modifying the surface topography of dental biomaterials has received increased attention. This review paper aims to provide an overview of the current status on the utilization of lasers as a potential tool for surface modification of dental biomaterials such as implants, ceramics, and other materials used for restorative purposes. A literature search was done for articles related to the use of lasers for surface modification of dental biomaterials in English language published between October 2000 and March 2023 in Scopus, Pubmed and web of science, and relevant articles were reviewed. Lasers have been mainly used for surface modification of implant materials (71%), especially titanium and its alloys, to promote osseointegration. In recent years, laser texturing has also emerged as a promising technique to reduce bacterial adhesion on titanium implant surfaces. Currently, lasers are being widely used for surface modifications to improve osseointegration and reduce peri-implant inflammation of ceramic implants and to enhance the retention of ceramic restorations to the tooth. The studies considered in this review seem to suggest laser texturing to be more proficient than the conventional methods of surface modification. Lasers can alter the surface characteristics of dental biomaterials by creating innovative surface patterns without significantly affecting their bulk properties. With advances in laser technology and availability of newer wavelengths and modes, laser as a tool for surface modification of dental biomaterials is a promising field, with excellent potential for future research.
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Affiliation(s)
- Runki Saran
- Department of Dental Materials, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, 576104, India
| | - Kishore Ginjupalli
- Department of Dental Materials, Manipal College of Dental Sciences, Manipal Academy of Higher Education, Manipal, 576104, India
| | - Sajan D. George
- Department of Atomic and Molecular Physics, Manipal Academy of Higher Education, Manipal, 576104, India
- Centre for Applied Nanosciences, Department of Atomic and Molecular Physics, Manipal Academy of Higher Education, Manipal, 576104, India
| | - Santhosh Chidangil
- Department of Atomic and Molecular Physics, Manipal Academy of Higher Education, Manipal, 576104, India
- Centre of Excellence for Biophotonics, Department of Atomic and Molecular Physics, Manipal Academy of Higher Education, Manipal, 576104, India
| | - Unnikrishnan V K
- Department of Atomic and Molecular Physics, Manipal Academy of Higher Education, Manipal, 576104, India
- Centre of Excellence for Biophotonics, Department of Atomic and Molecular Physics, Manipal Academy of Higher Education, Manipal, 576104, India
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Rapp L, Madden S, Rode AV, Walsh LJ, Spallek H, Nguyen Q, Dau V, Woodfield P, Dao D, Zuaiter O, Habeb A, Hirst TR. Anesthetic-, irrigation- and pain-free dentistry? The case for a femtosecond laser enabled intraoral robotic device. FRONTIERS IN DENTAL MEDICINE 2022. [DOI: 10.3389/fdmed.2022.976097] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Abstract
By leveraging ultrashort pulse laser and micro-electromechanical systems (MEMS) technologies, we are developing a miniaturized intraoral dental robotic device that clamps onto teeth, is remotely controlled, and equipped with a focusing and scanning system to perform efficient, fast, and ultra-precise laser treatments of teeth and dental restorative materials. The device will be supported by a real-time monitoring system for visualization and diagnostic analysis with appropriate digital controls. It will liberate dentists from repetitive manual operations, physical strain and proximity to the patient's oro-pharyngal area that potentially contains infectious agents. The technology will provide patients with high-accuracy, minimally invasive and pain-free treatment. Unlike conventional lasers, femtosecond lasers can ablate all materials without generating heat, thus negating the need for water irrigation, allowing for a clear field of view, and lowering cross-infection hazards. Additionally, dentists can check, analyze, and perform precise cutting of tooth structure with automatic correction, reducing human error. Performing early-stage diagnosis and intervention remotely will be possible through units installed at schools, rural health centers and aged care facilities. Not only can the combination of femtosecond lasers, robotics and MEMS provide practical solutions to dentistry's enduring issues by allowing more precise, efficient, and predictable treatment, but it will also lead to improving the overall access to oral healthcare for communities at large.
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