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Animesh Jha

Animesh Jha

University of Leeds, UK

Title: Restoration of damaged dental enamels using nano-scale iron-calcium phosphate minerals and femto-second pulsed near-IR lasers

Biography

Biography: Animesh Jha

Abstract

Dental enamel is acellular and avascular mineralized tissue with more than 95% mineral content. Although, the underlying softer dentine is connected with the microvasculature via the soft tissue therefore, possesses intrinsic regenerative capacity for mineralization which lacks in the enamel tissue. Consequently, the oral acid induced erosive damage on enamel is irreversible, and leads to lesion formation. Unattended lesion may lead to hypersensitivity and feeling of pain. Advanced stage of eroded enamel with symptoms of hypersensitivity might lead to tooth loss in adults. Traditional clinical strategies for the repair of acid-eroded enamel include the use of BIS-GMA polymeric materials which has incompatible mechanical properties with the adjoining hard minerals, and this type of bonding leads to failure of restored enamel area in a challenging oral environment. Modern toothpastes provide temporary relief from hypersensitivity; however, there is no long-term solution for treating early stages of acid erosion which may lead to sensitive teeth. Another condition, which affects especially the ageing population, is the tooth wear, which leads to tooth thinning and weakening in the lingual areas of mouth. Rebuilding the entire damaged tissue region remains a challenge. In the absence of any intrinsic regenerative means of restoring damaged tissue, our proposal focusses on developing a novel exogenous tissue re-engineering methodology, in which the mineralization of tooth surface involves: i) application of nano- and amorphous iron-calcium phosphate minerals (e.g. hydroxyapatite, fluorapatite and brushite) in the form of colloidal paste; which is then ii) bonded with the surrounding healthy enamel by irradiating with a femtosecond pulsed near-IR laser. The presence of a homogeneous dispersion of nano-scale of iron oxide in the calcium-iron phosphate matrix acts as resonant antennae for absorbing near-IR pulsed laser radiation, and helps in the dispersion of thermal energy uniformly in the irradiated region without causing damaged to the healthy tissue. The two steps (i) and (ii) are illustrated in Figure 1. The mechanisms of phase transformation and dissipation have been analyzed for different irradiation conditions (e.g. at 1040 nm wavelength, 1 GHz repetition rate and 0.4 W average power), and the resulting phase transformation is compared for understanding the bonding and potential radiation induced damage mechanisms including ablation, thermal and toxicity effects. Potential opportunity for micro-surgical device engineering is discussed for ultimate clinical use. The mechanical properties including brushing trials on restored surfaces of bovine enamels are also reported.