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Do erbium lasers promote changes in the tooth enamel during debonding of ceramic laminate veneers? A systematic review

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Abstract

The longevity of ceramic laminate veneers can be influenced by several factors, which can result in the need for a removal process. Laser removal has emerged as a good alternative to facilitate the procedure, and its repercussions on tooth enamel have been investigated. We aimed to evaluate the efficacy of erbium lasers for debonding ceramic laminate veneers without damaging the tooth enamel. This systematic review based on the PICOS model adhered to the PRISMA statement. The PubMed/MEDLINE, Web of Science, Embase, and Scopus databases were systematically searched until December 1, 2022, and 2902 studies were retrieved. After screening, four in vitro studies that analyzed the dental morphology using scanning electron microscopy, optical analysis, stereomicroscopy, or x-ray dispersion spectroscopy were included. The risk of bias was assessed using the Cochrane Collaboration tool. Our findings suggest that erbium lasers are useful for ceramic laminate veneer removal without damaging the tooth enamel. However, the removal is influenced by the type and thickness of ceramic and type of cement used. It could be concluded that the application of Erbium laser did not promote superficial changes in the dental enamel. This effect was observed in all analysis performed.

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Authors and Affiliations

  1. Department of Restorative Dentistry, Ribeirão Preto School of Dentistry, University of São Paulo, Brazil, Avenida do Café - Subsetor Oeste - 11 (N-11), Ribeirão Preto -, São Paulo, 14040-904, Brazil

    Luísa Valente Gotardo Lara Alves & Silmara Aparecida Milori Corona

  2. Departament of Oral Biology, Ribeirão Preto School of Dentistry, University of São Paulo, Brazil. Avenida do Café - Subsetor Oeste - 11 (N-11), Ribeirão Preto -, São Paulo, 14040-904, Brazil

    Marcelle Beathriz Fernandes da Silva

  3. Department of Pediatric Dentistry, Ribeirão Preto School of Dentistry, University of São Paulo, Brazil, Avenida do Café - Subsetor Oeste - 11 (N-11), Ribeirão Preto -, São Paulo, 14040-904, Brazil

    Maria Cristina Borsatto

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Contributions

Conceptualization: [Luísa Valente Gotardo Lara Alves, Silmara Aparecida Milori Corona, and Maria Cristina Borsatto], methodology: [Luísa Valente Gotardo Lara Alves and Marcelle Beathriz Fernandes da Silva], data curation: [Luísa Valente Gotardo Lara Alves and Marcelle Beathriz Fernandes da Silva], formal analysis and investigation: [Luísa Valente Gotardo Lara Alves and Marcelle Beathriz Fernandes da Silva], project administration: [Silmara Aparecida Milori Corona and Maria Cristina Borsatto], resources: [Silmara Aparecida Milori Corona and Maria Cristina Borsatto], writing—original draft preparation: [Luísa Valente Gotardo Lara Alves, Marcelle Beathriz Fernandes da Silva, Silmara Aparecida Milori Corona, and Maria Cristina Borsatto]; writing—review and editing: [Luísa Valente Gotardo Lara Alves and Silmara Aparecida Milori Corona], supervision: [Silmara Aparecida Milori Corona], validation:[Luísa Valente Gotardo Lara Alves, Marcelle Beathriz Fernandes da Silva, Silmara Aparecida Milori Corona, and Maria Cristina Borsatto].

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Correspondence to Luísa Valente Gotardo Lara Alves.

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Alves, L.V.G.L., da Silva, M.B.F., Borsatto, M.C. et al. Do erbium lasers promote changes in the tooth enamel during debonding of ceramic laminate veneers? A systematic review. Lasers Med Sci 38, 217 (2023). https://doi.org/10.1007/s10103-023-03882-3

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