Effects of 810nm diode laser irradiation on flexural strength of dentin:an in vitro study

Thermal changes in laser assisted root canal therapy with the use of diode laser can predispose tooth structure to the fracture. This study evaluated the changes in flexural strength of dentin blocks after diode laser irradiations (810 nm). A total of 60 dentinal blocks were prepared from freshly extracted teeth in three different thicknesses (300, 500 and 1000 m) and 20 sections in each thickness were divided randomly to the test and control groups. Samples in the test group were irradiated at 2W power setting by scanning movement of 2mm/s of diode laser, and the controls were stored in normal saline. The flexural strength of samples was evaluated by UTM (Universal Tensile Machine). Data analysis was done with the SPSS version 11.5. Samples of 300 had the lowest flexural strength (mean: 71/65 mpa) followed by 500 (116.64 mpa) and 1000 (217.56 mpa). Statistical analysis showed that after laser irradiation, the flextural strength in the samples of 300 was significantly lower than other groups (500, 100)(P= 0.017).Within the limits of this study, diode laser irradiation in laser assisted root canal therapy has no significant effect on flexural strength of root dentinal walls with the thickness of more than 500. Although in areas with critical dentinal width (≤300) this setting can jeopardize root micromechanical properties and predispose tooth to the root fracture.