These investigations were performed to determine histologic and incisional consequences of varying pulse duration, duty cycle, and average powers during laser incision at 9.3 microns in soft tissue. In 19 fresh pigs' jaws six standardized incisions 3 cm long were made per parameter with a template and motorized jig. Laser parameters investigated were average power: 1 to 9 W, duty cycle: 10% to 80%, and pulse duration: 1 to 200 msec. The gated Cw mode was used. Incision width and depth and collateral tissue effects were assessed statistically with general linear procedures. Multiple factors were found to influence the outcome of laser irradiation. Depth of incision correlated positively with average power. Tissue damage correlated strongly and negatively with all three variables. These results demonstrate that a wide range of surgical and collateral effects can be achieved with one specific laser device depending on the parameter configuration selected.

The unique properties of lasers create an enormous potential for specific treatment of chronic ear disease. Despite the widespread acceptance and use of the laser, however, a complete understanding of the time- and space-dependent temperature distribution in otic capsule bone immediately after pulsed laser exposure has not been elucidated. Using a liquid nitrogen-cooled mercury-cadmium telluride infrared detector, the temperature distribution in human cadaveric otic capsule bone was determined immediately after pulsed (100 msec) carbon dioxide laser exposure (0.3 to 4.0 W; 200 microm spot diameter). The time- and space-dependent temperature increases and thermal diffusion were determined as a function of the laser power density and were found to vary linearly.

Scanning electron microscopy (SEM) was performed on holmium-YAG laser ablated bone in order to study the surface morphology of the ablation crater. An otosurgical bone model of porcine otic capsule and calvarial cortical bone was used. Otic capsule bone is dense and homogeneous whereas cortical bone is porous. Both bone tissues were studied under fresh and dehydrated conditions to investigate the role of water in the ablation process. Laser irradiation time was varied from 5 to 60 s. Laser flux was 85 mJ pulse−1 at 4-Hz pulse repetition rate. Globular spheroids of melted bone material were noted in both wet and dried specimens for both tissues. Several of these globules ruptured yielding an SEM image which suggests a violent ejection process. SEMs of dry cortical bone demonstrated the presence of fibres which reflect the selective removal of inorganic surface bone constituents with preservation of subsurface residual collagen fibres. The ablation crater walls in wet tissues appear rougher and possibly reflect a more violent ablation process due to water vaporization causing expulsion of bone material. In contrast, the crater walls in dry tissue appear smoother. © 1994, W.B. Saunders Company Ltd. All rights reserved.

The effect of tissue micro-architecture and water content on ablation rates in bone is examined. Precisely machined and prepared porcine calvarial lamellar and cortical bone were ablated with a Holmium-YAG laser (λ=2.1 Μm). Lamellar and cortical bone differ substantially in their tissue micro-architecture. Both are porous hard tissues, which differ predominantly in size and distribution of pores within the bone matrix. These hard tissues were ablated under physiological (wet) and chemically dehydrated conditions. The ablation rates over the range of energy densities examined assumes many linear characteristics. Ablation rate (as a function of fluence) is considerably higher for dehydrated cortical bone (4.7 Μm cm2 J-1) compared to fresh cortical bone (1.49 Μm cm2 J-1). This trend is also observed in lamellar bone (2.31 Μm cm2 J-1 for wet and 0.37 Μm cm2 J-1 for dry). Under both physiological and dehydrated conditions, cortical bone was ablated faster. Mechanisms accounting for these observations are discussed. © 1995 W.B. Saunders Company Ltd.

In spite of intensive research, lasers have not replaced conventional tools in many hard tissue applications. Low removal rates, loud operation noise, and mechanical and thermal damage are among the main obstacles to successful application of lasers. Ultrashort pulse lasers offer several advantages in their high per-pulse-efficiency, negligible thermal and mechanical damage and low noise operation. Practical applications of these devices, however, depends critically on sufficiently high volume removal which should match or even exceed the high speed drill. In our study, acoustical output of the USPL is compared to the low and high speed dental drill, Er:YAG, and Ho:YSGG lasers. Noise levels of the USPL are shown to be negligible in comparison with all other tested system. In addition, thermal characteristics of hard dental tissue ablation by ultrashort pulse laser of low and high pulse repetition rates are presented. Encouraging results showing temperatures increases smaller than 10°C even at the highest pulse repetition rates (1 KHz) are presented. A simple model for heat diffusion is discussed.

We have proposed and experimentally demonstrated a new configuration of laser Doppler flowmetry for dental pulpal blood flow measurements. To date, the vitality of a tooth can be determined only by subjective thermal or electric tests, which are of questionable reliability and may induced pain in patient. Non-invasive techniques for determining pulpal vascular reactions to injury, treatment, and medication are in great demand. The laser Doppler flowmetry technique is non-invasive; however, clinical studies have shown that when used to measure pulpal blood flow the conventional back-scattering Doppler method suffers from low signal-to-noise ratio (SNR) and unreliable flux readings rendering it impossible to calibrate. A simplified theoretical model indicates that by using a forward scattered geometry the detected signal has a much higher SNR and can be calibrated. The forward scattered signal is readily detectable due to the fact that teeth are relatively thin organs with moderate optical loss. A preliminary experiment comparing forward scattered detection with conventional back- scattered detection was carried out using an extracted human molar. The results validated the findings of the simple theoretical model and clearly showed the utility of the forward scattering geometry. The back-scattering method had readings that fluctuated by as much as 187% in response to small changes in sensor position relative to the tooth. The forward scattered method had consistent readings (within 10%) that were independent of the sensor position, a signal-to-noise ratio that was at least 5.6 times higher than the back-scattering method, and a linear response to flow rate.

Fluorescent probes have found widespread use in biomedical sciences. Particularly since they can be targeted to cellular compartments and further more can report on the properties of their environment such as calcium concentration. Near infrared ultrafast lasers find increasing use for fluorescence applications since femtosecond pulses with a few milliwatts of average power are sufficient to induce significant two photon fluorescence from the probe when focussed into typical samples. The nonlinear optical excitation process allows sectioned imaging of 3-D samples without use of a confocal pinhole. In this paper we describe two aspects of multiphoton microscopy: the two-photon excitation cross section and the fluorescence lifetime. Of interest is the wavelength characterization of two-photon excitation cross-sections of fluorescence probes. We slowly modulate (∼500Hz) the intensity envelope of the input laser pulse train and analyze the emission signal in terms of the amplitude and phase of the harmonics of this modulation. In effect this is a power study that allows separation of different order effects. An application of ultrafast laser excitation that exploits many of the features outlined above is measurement of pH gradients in the skin. This is essential to skin barrier function and disruption of the gradient is though to be a indicating factor in many skin diseases. A probe for which the fluorescence lifetime varies with pH is used. We thus are able to tackle problems associated with inhomogeneous labeling. We have developed a two-photon laser-scanning lifetime microscope and present pH maps of skin obtained with this instrument. © 2002 SPIE · 0277-786X/02/$15.00.