IP Indian Journal of Conservative and Endodontics 2022;7(1):6–10
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IP Indian Journal of Conservative and Endodontics
Journal homepage: https://www.ijce.in/
Review Article
Role of laser in conservative dentistry and endodontics
Preeti Mishra
1,
*, Shikha Jaiswal
1
, Sachin Gupta
1
, Vineeta Nikhil
1
,
Shalya Raj
1
, Rohit Ravinder
1
1
Dept. of Conservative Dentistry and Endodontics, Subharti Dental College and Hospital, Swami Vivekanand Subharti
University, Meerut, Uttar Pradesh, India
ARTICLE INFO
Article history:
Received 26-02-2022
Accepted 02-03-2022
Available online 31-03-2022
Keywords:
Argon
CO2
Er:YAG
Nd:YAG
Laser
ABSTRACT
With dentistry in the high tech era, we are fortunate to have many technological innovations to enhance
treatment, including intraoral video cameras, CAD-CAM units, RVGs and Air-abrasive units. However,
no instrument is more representative of the term high-tech than the Laser. The rapid development of laser
technology, as well as a better understanding of laser interaction with biological tissues, has widened the
spectrum of possible applications of lasers in Conservative dentistry and Endodontics. This article reviews
the basic mechanism and applications of each laser in conservative dentistry and endodontics.
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1. Introduction
LASER is an acronym, which stands for Light
Amplification by Stimulated Emission of Radiation.
1
The history of lasers begins similarly to much of modern
physics, with Albert Einstein in 1917. Initially his papers
were ignored by established physicist of that era but slowly
his discoveries altered the course of modern physics. His
paper “Zur Quantern Theorie der Strahlung”, was the first
discussion of stimulated emission. The basic operating
principles of laser were put forth by Charles Townes and
Arthur Schalow from the Bell Telephone Laboratories in
1958. The first actual laser which was based on a pink ruby
crystal was demonstrated in 1960 by Theodor Maiman.
C.K.N Patel developed CO2 laser in 1963. J.E.Geusic and
H.M.Marcos developed Nd:YAG laser in 1964.
2
* Corresponding author.
E-mail address: preeti.prajesh@gmail.com (P. Mishra).
2. Laser Physics
To understand stimulated emission, first we understand
the Bohr atomic model that explains, an electrons orbit
the nucleus of an atom. Under the right circumstances an
electron can jump from its ground state to a higher state, or
it can decay from a higher state to a lower state, but it cannot
remain between these states.
For an electron to jump to a higher quantum state, the
atom must receive energy from the outside world. This can
happen through a variety of mechanisms such as inelastic
or semielastic collisions with other atoms and absorption of
energy in the form of electromagnetic radiation.
3
Likewise,
when an electron drops from a higher state to a lower state,
the atom must give off energy either as kinetic activity
(nonradiative transitions) or as electromagnetic radiation
(radiative transitions).This process is called “Spontaneous
emission”
3
Consider the same situation, before an electron
has a chance to spontaneously decay, a photon happens to
pass by whose energy is approximately E2-E1, there is a
probability that the passing photon will cause the electron
to decay in such a manner that a photon is emitted at exactly
https://doi.org/10.18231/j.ijce.2022.002
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