Abstract
The aim of the present in vitro study was to investigate the required time period of the Er:YAG laser that is used for drilling through cortical bone when pilot hole drilling is needed before miniscrew insertion. Even though Er:YAG laser is used in various in vivo and in vitro studies, there is no accepted procedure of laser for depth control during drilling through cortical bone. The study sample consisted of 120 cortical bone segments having 1.5 and 2.0mm of cortical bone thickness. An Er:YAG laser, with a spot size of 1.3mm and an air-water spray of 40-50ml/min, was used. The laser was held 2mm away from and perpendicular to the bone surface with different laser settings. Twelve specimens were prepared for each subgroup. As the cortical bone thickness increased, the time needed to drill through the bone increased. Frequency increase directly caused a decrease in irradiation duration. When three different frequency, three different energy, and four different power values were tested for both the 1.5- and 2-mm cortical bone thicknesses, the shortest duration needed to drill through cortical bone was seen in the 3.6-W (300mJ-12Hz) setting. When pilot holes are drilled prior to miniscrew placement in 1.5 to 2mm of cortical bone using Er:YAG laser, the most appropriate value is found with the 3.6-W (300mJ-12Hz) setting.
Published Version
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