Nd:YAG water mist laser treatment for giant gestational gingival tumor: A case report

BACKGROUND This case of gestational gingival tumor is huge and extremely rare in clinical practice.As the growth location of this gingival tumor is in the upper anterior tooth area,it seriously affects the pregnant woman's speech and food,causing great pain to the patient.The use of Nd:YGA water mist laser to remove the gingival tumor resulted in minimal intraoperative bleeding,minimal adverse reactions,and good postoperative healing,which is worthy of clinical promotion and application.CASE SUMMARY The patient,a pregnant woman,reported a large lump in her mouth on the first day of postpartum treatment.Based on medical history and clinical examination,the diagnosis was diagnosed as gestational gingival tumor.Postoperative pathological biopsy also confirmed this diagnosis.The use of Nd:YAG water mist laser to remove the tumor resulted in minimal intraoperative bleeding,clear surgical field of view,short surgical time,and good postoperative healing.CONCLUSION In comparison to traditional surgery,Nd:YAG water mist laser surgery is minimally invasive,minimizes cell damage,reduces bleeding,ensures a clear field of vision,and virtually eliminates postoperative edema,carbonization,and the risk of cross infection.It has unique advantages in oral soft tissue surgery for pregnant patients.Therefore,the clinical application of Nd:YAG water mist laser for the treatment of gestational gingival tumors is an ideal choice.

Clinical usefulness of transpapillary removal of common bile duct stones by frequency doubled double pulse Nd:YAG laser

AIM: To study the efficacy and the safety of laser lithotripsy without direct visual control by using a balloon catheter in patients with bile duct stones that could not be extracted by standard technique. METHODS: The seventeen patients (7 male and 10 female; mean age 67.8 years) with difficult common bile duct (CBD) stones were not amenable for conventional endoscopic maneuvers such as sphincterotomy and mechanical lithotripsy were included in this study. Laser wavelengths of 532 nm and 1064 nm as a double pulse were applied with pulse energy of 120 mJ. The laser fiber was advanced under fluoroscopic control through the ERCP balloon catheter. Laser lithotripsy was continued until the fragment size seemed to be less than 10 mm. Endoscopic extraction of the stones and fragments was performed with the use of the Dormia basket and balloon catheter. RESULTS: Bile duct clearance was achieved in 15 of 17 patients (88%). The mean number of treatment sessions was 1.7 ± 0.6. Endoscopic stone removal could not be achieved in 2 patients (7%). Adverse effects were noted in three patients (hemobilia, pancreatitis, and cholangitis). CONCLUSION: The Frequency Doubled Double Pulse Nd:YAG (FREDDY) laser may be an effective and safe technique in treatment of difficult bile duct stones.

Microstructure,properties and first principles calculation of titanium alloy/steel by Nd: YAG laser self-fluxing welding

The experiment of Nd： YAG pulsed laser self-fluxing welding for 304 stainless steel/Ti6Al4V titanium alloy dissimilar metal was carried out. The microstructure properties of welded joint were analyzed by SEM, EDS and XRD. The equilibrium lattice constants, enthalpies of formation, cohesive energies, mechanical properties, Debye temperatures and valence electron structures of Ti-Fe intermetallic compounds （IMCs） were calculated by the first principle pseudopotential plane wave method based on density functional theory （DFT）. According to the thermodynamic data of Ti-Fe-Cr compounds, the Gibbs free energy per mole of compound at different temperatures was calculated and their thermal stability was compared. The results show that there are no macroscopic cracks in the welded joints, and the IMCs distributed evenly along the welding interface exhibits 3 distinct layers of microstructure with different colors. The welds interface generates IMCs of TiFe, TiFe 2 and a small amount of Ti 5Cr 7Fe 17 IMCs. Ti-Fe IMCs with high thermodynamic stability and easy alloying formation. The results of Gibbs free energies show that the sequence of precipitates in the interface is Ti 5Cr 7Fe 17 , TiFe 2 and TiFe in high temperature during the metallurgical reaction. The G/B values of Ti-Fe IMCs are greater than the critical value of 0.5, indicating that it is an intrinsic brittleness.

A high-power high-stability Q-switched green laser with intracavity frequency doubling using a diode-pumped composite ceramic Nd:YAG laser

We successfully obtain a high-average-power high-stability Q-switched green laser based on diode-side-pumped composite ceramic Nd：YAG in a straight piano-concave cavity. The temperature distribution in composite ceramic Nd：YAG crystal is numerically analyzed and compared with that of conventional Nd：YAG crystal. By using a composite ceramic Nd：YAG rod and a type-II high gray track resistance KTP （HGTR-KTP） crystal, a green laser with an average output power of 165 W is obtained at a repetition rate of 25 kHz, with a diode-to-green optical conversion of 14.68%, and a pulse width of 162 ns. To the best of our knowledge, both the output power and optical-to-optical efficiency are the highest values for green laser systems with intracavity frequency doubling of this novel composite ceramic Nd：YAG laser to date. The power fluctuation at around 160 W is lower than 0.3% in 2.5 hours.

Pulsed Nd:YAG laser cladding of high silicon content coating on low silicon steel

A pulsed Nd：YAG （yttrium aluminum garnet） laser-based technique was employed to clad low silicon steel with preplaced Si and Fe mixed powders for high Si content. The surface morphology, microstructural evolution, phase composition, and Si distribution, within the obtained cladding coatings, were characterized by optical microscopy （OM）, field emission scanning electron microscopy （FE-SEM）, with associated energy dispersive spectroscopy （EDS）, transmission electron microscopy （TEM）, and X-ray diffraction （XRD）. The microhardness was also measured along the depth direction of the specimens, A crack- and pore-free cladding coating through excellent metallurgical bonding with the substrate was successfully prepared on low silicon steel by means of optimized single-track and multi-track laser cladding. The phases of the coating are a-Fe, T-Fe, and FeSi. The high microhardness of the lasercladding zone is considered as an increase in Si content and as the refined microstructure produced by the laser treatment. The Si contents of the cladding coatings were about 5.8wt% in the single-track cladding and 6.5wt% in the multi-track cladding, respectively.

Comparison of laser iridotomy using short duration532-nm Nd: YAG laser (PASCAL) vs conventional laser in dark irides

AIM: To evaluate the outcome of laser iridotomy using532-nm Nd: YAG laser(PASCAL) with short pulse duration and Nd: YAG laser compared to conventional combined laser iridotomy.METHODS: Retrospective, nonrandomized, comparative case series. Forty-five eyes of 34 patients underwent laser iridotomy. Twenty-two eyes underwent iridotomy using short duration PASCAL and Nd: YAG laser, and 23 eyes underwent iridotomy using conventional combined laser method. The average settings of PASCAL were60 μm and 700-900 m W with a short duration of 0.01 s to reduce the total applied energy. The conventional laser was 50 μm and 700-900 m W for 0.1s. After photocoagulation with these laser, the Nd: YAG laser was added in each group. Endothelial cell counts of preiridotomy and 2mo after iridotomy were measured and compared.RESULTS: All eyes completed iridotomy successfully.The total energy used in the PASCAL group was 1.85 ±1.17 J. Compared to conventional laser 13.25 ±1.67 J, the energy used was very small due to the short exposure time of PASCAL. Endothelial cell counts were reduced by0.88% in the PASCAL group and 6.72% in the conventional laser group(P =0.044). The change in corneal endothelial cell counts before and after iridotomy was significant in conventional combined laser iridotomy group(P =0.004).CONCLUSION: Combined PASCAL and Nd:YAG laseriridotomy is an effective and safe technique in the dark brown irides of Asians. Furthermore, the short duration of exposure in PASCAL offers the advantages of reducing the total energy used and minimizing the corneal damage.

Passively Q-Switched Nd,Cr:YAG Laser Simultaneous Dual-Wavelength Operation at 946 nm and 1.3μm

A diode-end-pumped Q-switched high-efficiency Nd, Cr：YAG laser with simultaneous dual-wavelength emission at 946nm and 1.3μm is demonstrated. The maximum output power of 1.93 W with simultaneous dual-wavelength operation is achieved at an absorbed pump power of 13.32 W and an absorbed slope efficiency of 15.15%. The maximum optical-optical efficiency is 14.49% with pulse widths of 16.38ns at 946nm and 26.65ns at 1.3μm. A maximum total repetition rate of 43.25 kHz is obtained.

Effects of 946-nm thermal shift and broadening on Nd^(3+):YAG laser performance

Spectroscopic properties of flashlamp pumped Nd^3＋：YAG laser are studied as a function of temperature in a range from-30℃ to 60℃. The spectral width and shift of quasi three-level 946.0-nm inter-Stark emission within the respective intermanifold transitions of ^4F3/2→^4I9/2are investigated. The 946.0-nm line shifts toward the shorter wavelength and broadens. In addition, the threshold power and slope efficiency of the 946.0-nm laser line are quantified with temperature.The lower the temperature, the lower the threshold power is and the higher the slope efficiency of the 946.0-nm laser line is,thus the higher the laser output is. This phenomenon is attributed to the ion-phonon interaction and the thermal population in the ground state.

High power high beam quality diode-pumped 1319-nm Nd:YAG oscillator-amplifier laser system

This paper demonstrated a high power and high beam quality diode-pumped 1319-nm Nd：YAG master oscillator-power amplifier laser system. A thermally near-unstable resonator with four-rod birefringence compensation fiat-fiat cavity was adopted as the master oscillator. A solid etalon was inserted in the unidirectional ring resonator to compress the laser linewidth. Under a repetition rate of 500 Hz and pulse width of 160 μs, the master oscillator delivers an average output power of 16.8 W at 1319 nm with linear polarisation, beam quality factor M^2=1.16 and linewidth of 3.2 GHz. A double-pass power amplifier with two amplifier stages was employed for higher power scaling and the output power was amplified to be 25.9 W with M^2 = 1.43.

Diode end-pumped self-Q-switched and mode-locked Nd,Cr：YAG /KTP green laser

We first experimentally demonstrate a laser-diode end-pumped self-Q-switched and mode-locked Nd,Cr：YAG green laser with a KTP crystal as the intra-cavity frequency doubler. The device produces an average output power of 680 mW at 532 nm. The corresponding pulse width of the Q-switched envelope of the green laser is 170 ＋ 20 ns. The mode-locked pulses have a repetition rate of approximately 183 MHz and the average pulse duration is estimated to be around sub-nanosecond. It is found that the intra-cavity frequency doubling greatly improves the modulation depth and stability of the mode-locked pulses within the Q-switched envelope.

Surface modifications of biometallic commercially pure Ti and Ti–13Nb–13Zr alloy by picosecond Nd:YAG laser

The effects of picosecond Nd:YAG laser irradiation on chemical and morphological surface characteristics of the commercially pure titanium and Ti–13Nb–13Zr alloy in air and argon atmospheres were studied under different laser output energy values.During the interaction of laser irradiation with the investigated materials,a part of the energy was absorbed on the target surface,influencing surface modifications.Laser beam interaction with the target surface resulted in various morphological alterations,resulting in crater formation and the presence of microcracks and hydrodynamic structures.Moreover,different chemical changes were induced on the target materials’surfaces,resulting in the titanium oxide formation in the irradiation-affected area and consequently increasing the irradiation energy absorption.Given the high energy absorption at the site of interaction,the dimensions of the surface damaged area increased.Consequently,surface roughness increased.The appearance of surface oxides also led to the increased material hardness in the surface-modified area.Observed chemical and morphological changes were pronounced after laser irradiation of the Ti–13Nb–13Zr alloy surface.

Effects of output waveforms on penetration for Nd :YAG laser welding

By using a Nd: YAG laser welding system devised for transmitting continuous, rectangular and pulsed waveforms, comprehensive and deep investigation is focused on the effects of several parameters of rectangular waveform and pulsed output wave superimposed on a rectangular waveform on the penetration depth of weld. Research results indicate that the average power, duty cycle, frequency and peak power of rectangular wave affect the weld penetration depth to different extent. Results of experiments and analysis also indicate that the pulse delay time, pulse width and the power ratio of pulse to rectangular waveform seriously influence the penetration when the pulsed wave is superimposed on a rectangular waveform.

Cutting of nonmetallic materials using Nd:YAG laser beam

This study deals with Nd：YAG laser cutting nonmetallic materials, which is one of the most important and popular industrial applications of laser. The main theme is to evaluate the effects of Nd：YAG laser beam power besides work piece scanning speed. For approximate cutting depth, a theoretical study is conducted in terms of material property and cutting speed. Results show a nonlinear relation between the cutting depth and input energy. There is no significant effect of speed on cutting depth with the speed being larger than 30 mm/s. An extra energy is utilized in the deep cutting. It is inferred that as the laser power increases, cutting depth increases. The experimental outcomes are in good agreement with theoretical results. This analysis will provide a guideline for laser-based industry to select a suitable laser for cutting, scribing, trimming, engraving, and marking nonmetallic materials.

High-Power Passively Q-Switched Nd:YAG Laser at 1112 nm with a Cr^(4+):YAG Saturable Absorber

A high-power passively Q-switched Nd：YAG laser operating at lll2nm with Cr4＋：yAO as a saturable absorber is demonstrated. Under 808 nm diode-direct pumping, the maximum average output power of 2.73 W is achieved at the pump power of 16.65 W, corresponding to an optical-to-optical conversion efficiency of 16.4%. At the same time, the pulse width, pulse repetition rate, single pulse energy and peak power are 27.2ns, 9 kHz, 303.3#3 and 11.2kW, respectively. As far as we know, the result gives the highest average output power at 1112nm generated by an 808 nm diode-end-pumped Nd：YAG laser.

Efficient Passively Q-Switched Nd:YAG/Cr4+:YAG/LBO Microchip Laser

Performance of an LD-end-pumped passively Q-switched Nd： YA G/Cr4＋ ： YA G microchip laser operating at 1123 nm is studied. A maximum average output power of 517row with an optical-to-optical conversion efficiency of 12.6% and a slope efficiency of 25.8% is obtained under a pump power of 4.1 W. A minimum pulse width of 1.1 ns with a pulse repetition rate of 20.2kHz is obtained, and the corresponding pulse energy and peak power are 25.6μJ and 23.3kW, respectively. To our knowledge, the 23.3kW peak power is the highest among 1123nm lasers. Additionally, based on the 1123 nm laser, with LBO as the frequency doubler, a 288-mW green-yellow laser at 561 nm is successfully achieved.

Nd:YAG laser micro-welding of ultra-thin FeCo-V magnetic alloy:optimization of weld strength

The main aim of this research is to optimize the tensile strength of laser welded FeCo-V alloy.A mathematicalrelationship was developed to predict tensile strength of the laser beam welded FeCo-V foils by incorporating process parameterssuch as lamping current,welding speed,pulse duration and focused position.The procedure was established to improve the weldstrength and increase the productivity.The results indicate that the pulse duration and welding speed have the greatest influence ontensile strength.The obtained results showed that the tensile strength of the weld joints increase as a function of increasing pulseduration reaching to a maximum at a pulse duration value of2.25ms.Moreover,the tensile strength of joints increases with decreasein welding speed reaching to a maximum at a welding speed of125mm/min.It has been shown that increase in pulse duration anddecrease in welding speed result in increased effective peak power density and hence formation of more resistant welds.At higherpulse durations and lower welding speeds,the tensile strength of weld joints decreases because of formation of solidificationmicrocracks in the fusion zone.

Experimental study of electro-optical-switched pulsed Nd:YAG laser

We report the specification of a compact and stable side diode-pumped Q-switched pulsed Nd：YAG laser. We ex- perimentally study and compare the performance of the pulsed Nd：YAG laser in the free-running and Q-switched modes at different pulse repetition rates from 1 Hz to 100 Hz. The laser output energy is stabilized by using a special configu- ration of the optical resonator. In this laser, an unsymmetrical concave-concave resonator is used and this structure helps the mode volume to be nearly fixed when the pulse repetition rate is increased. According to the experimental results in the Q-switched operation, the laser output energy is nearly constant around 70 mJ with an FWHM pulse width of 7 ns at 100 Hz. The optical-to-optical conversion efficiency in the Q-switched regime is 17.5%.

Microstructure and properties of Nd：YAG laser welded AZ31B magnesium alloy

Biodegradable magnesium-based alloys are very promising materials for temporary implants. Laser welding is an important joining method in such application. In this study, the as-rolled AZ31B magnesium alloy sheets of 1 mm in thickness were successfully joined by Nd ： YAG laser welding. The microstructure and properties of the welded joint were investigated. The result shows that the welded joint is characterized by a narrow heat-affected zone, finer grains and a large number of precipitates distribute in the matrix in the weld. Microhardness of the weld is significantly improved to 72 HV 0. 05 as compared to 55 HV 0. 05 of the base metal. Tensile strength of butt-welded joint is 180. 24 MPa, which is 76. 8% that of the base metal. The electrochemical corrosion experiment shows that the corrosion resistance of laser welded joint is significantly improved in a 3.5 wt. % NaCl solution.

Effect of Different Irradiation Times on the Occlusion of Dentinal Tubules When Using a Nd:YAG Laser: An <i>in Vitro</i>SEM Study

Objective: To evaluate the effect of different irradiation times on the occlusion of dentinal tubules when using Nd:YAG laser. Background data: Dentin hypersensitivity is a frequent problem that has limited treatment success despite many chemical and physical therapies. Methods: Four coronal dentin disks 2 mm thick were cut with a low-speed diamond saw from four freshly extracted intact first molars. The coronal dentin surface of each disk was divided into four regions, each approximately 2 mm × 3 mm. The dentin surfaces were treated with 27% EDTA then the four regions irradiated separately in a randomized pattern with a Nd:YAG laser (120 mJ, 5 Hz), using irradiation times of 0 s, 20 s, 40 s and 60 s, representing laser energies of 0 J/cm2, 200 J/cm2, 400 J/cm2 and 600 J/cm2, respectively. SEM photomicro-graphs were taken at 1500× and 3000× to calculate the dentinal tubule orifice occlusion rates and to measure the tubule diameters, respectively. Results: For the laser irradiation times of 0 s, 20 s, 40 s and 60 s, the corresponding dentinal tubule occlusion rates were 2.05 (SD 0.29)%, 10.01 (1.71)%, 23.58 (2.51)% and 90.23 (2.24)%, respectively;and the tubule diameters were 4.18 (0.32) μm, 3.46 (0.24) μm, 1.69 (0.32) μm and 0.12 (0.02) μm, respectively. There were significant differences among all groups for both measured variables (p ≤ 0.005). Conclusions: Within the limitations of this in Vitro study, when using a Nd:YAG laser at 120 mJ and 5 Hz, an irradiation time of 60 s achieved the best sealing of the coronal dentinal tubule orifices.

Controlled Laser Transformation Hardening of Martensitic Stainless Steel by Pulsed Nd:YAG Laser

Laser transformation hardening （LTH） was applied to the surface of the AISI 420 martensitic stainless steel by a pulsed Nd：YAG laser to obtain optimum hardness. The influences of process parameters （laser pulse energy, duration time, and travel speed） on the depth and hardness of laser treated area were investigated. Image analysis of SEM microstructure of AISI 420 showed that plate-like carbide have almost fully and （30-40）% of globular carbide particles dissolved into the matrix after laser transformation hardening by pulsed laser and the microstructure was refined to obtain controlled tempered martensite microstructure with 450 VHN hardness.