Effects of topical fluoride on primary tooth enamel microhardness after diode laser treatment

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Abstract
Objectives: Tooth decay is controlled and prevented using fluorides. Specifically, a combination of laser irradiation and topical fluoride application can improve fluoride absorption. Although laser irradiation is recommended in traditional technology for caries prevention, little is known about the efficacy of caries-inhibiting laser diodes . Further, most studies have focused on permanent teeth. The objective of this study was to explore the effect of laser diode radiation mixed with topical fluoride on the enamel surface microhardness of primary teeth. Material and method The 60 primary teeth were divided into 60 plates. Baseline Vickers microhardness was established for each enamel surface. The samples were then divided into three groups. 4 % NaF varnish (group A) and 4 % NaF varnish using diode 2 and 3 W lasers (groups B and C, respectively). The final microhardness was measured and statistically evaluated using SPSS version 16. ANOVA was used to compare the means of the tested groups, which had a P-value of 0.05, indicating significance. Result: The mean and standard deviation of microhardness for the different groups was tested. Group C (4 % NaF with a diode laser at 3 W) showed a higher average Vickers hardness (VHN) than Group B (4 % NaF with a diode laser at 2 W), whereas group A showed the lowest average VHN. There was a significant difference in microhardness between groups (P 0.05). Conclusion: This study explored the effect of laser mixed with topical fluoride on enamel surface microhardness of primary teeth. The use of a diode laser (Quanta System, Italy) with a fluoride varnish applied to the enamel surface has a greater effect on the resistance of the enamel to caries.

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