Cavity preparation using an Erbium : YAG laser

Objective A randomised controlled trial to determine the acceptability to d entists and patients of cavity preparation with an Erbium:YAG laser as comp ared with conventional handpieces. Methods Fifteen dentists (9 GDPs, 1 community dentist and 5 hospital dentis ts) treated 77 patients (age range 3.5-68 years old) who had two matched ca vities, in a split mouth, randomised trial. One cavity was prepared convent ionally, the other with the laser, with dentist and patient preference dete rmined by questionnaire. Results In the majority of cases, where dentists expressed a preference, it was for con conventional cavity preparation, and this was significant (P < 0.001). In more than half of the laser appointments, dentists had to use c onventional handpieces to complete the cavity. Principle difficulties repor ted with the laser were access (25 cases) and slow speed of cutting (11 cas es). Patients aged greater than or equal to 10 years who expressed a prefer ence, preferred laser treatment, and this was significant (P < 0.001). Pati ents aged <10 years, assessed using a simplified pictorial questionnaire, d id not show a significant preference for either technique. Conclusions Dentists preferred conventional handpieces for cavity preparati on while patients aged greater than or equal to 10 years old preferred lase r treatment. Patients <10 years old did not express a preference.