PubMed1997
BACKGROUND AND OBJECTIVE: Etching the enamel surface with a Nd:YAG dental laser produces impact craters with cavities, micropores, and microfissures. This in vitro SEM study examined laser-etched enamel to determine the pattern and extent of subsurface changes. STUDY DESIGN/MATERIALS AND METHODS: The facial surface of 10 maxillary central incisor teeth were coated with a black initiator and laser-etched with a pulsed Nd:YAG laser (1.06 lambda, 75 mJ, 15 Hz, 320 microns fiber, 94 J/cm2 fluence). The facial surface of five teeth were plastic-embedded under a low vacuum, then demineralized in 10% formic acid. The other teeth were split incisoapically. All samples were prepared for SEM. RESULTS: Examination of the plastic impressions showed a delicate interlacing pattern of thin partitions and small knob-like expansions. Examination of the split teeth showed the penetration of microfissures into the enamel estimated at 10 microns. CONCLUSION: These subsurface alterations may provide space for the infiltration and mechanical retention of dental resin.