Abstract
The bond joint between dentin and ceramic is a critical determinant in prosthodontic dentistry. The laser is an alternative to the diamond bur for preparing tooth cavities. However, the impact of lasers on the bond between the laser-irradiated dentin and the ceramic remains a matter of controversy. We determined the shear strength of bonds between ceramic blocks and human dentin discs prepared with either an Er,Cr:YSGG laser or a diamond bur. A total of 180 dentin discs were randomly assigned to four groups. Three groups of discs were prepared with the Er,Cr:YSGG laser irradiation (2 W, 30 Hz, 50% H2O, 70% air) and the fourth group was prepared with a diamond bur. In one of the laser groups the discs surfaces were also treated with phosphoric acid and in another with phosphoric acid and mechanical smoothing using a dental excavator. The ceramic blocks were bonded to the dentin discs with Syntac adhesive (together with Variolink II curing system), ExciTE adhesive (together with Variolink II curing system) or RelyX self-adhesive cement. The shear strength of the bond between ceramic and dentin was significantly higher following dentin surface treatment with the laser alone than following treatment with the diamond bur and Variolink II/Syntac (p = 0.021) but not significantly higher than following treatment with the diamond bur and Variolink II/ExciTE (p = 0.138) or RelyX (p = 0.150). A significant difference was not observed when the laser-treated dentin was conditioned with phosphoric acid and mechanical smoothing. These findings demonstrate that the bond between dentin and ceramic may be stronger after laser irradiation; however, the selection of the adhesive material is an additional factor that affects the bond strength.
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References
Kinoshita J, Kimura Y, Matsumoto K (2003) Comparative study of carious dentin removal by Er,Cr:YSGG laser and Carisolv. J Clin Laser Med Surg 21(5):307–315
Stiesch-Scholz M, Hannig M (2000) In vitro study of enamel and dentin marginal integrity of composite and compomer restorations placed in primary teeth after diamond or Er:YAG laser cavity preparation. J Adhes Dent 2(3):213–222
Vasconcellos WA, Alvim HH, Saad JR, Susin AH (2007) Effects of surface treatment on the microtensile bond strength of ceramic materials to dentin. Acta Odontol Latinoam 20(2):103–107
Hossain M, Nakamura Y, Tamaki Y, Yamada Y, Murakami Y, Matsumoto K (2003) Atomic analysis and knoop hardness measurement of the cavity floor prepared by Er,Cr:YSGG laser irradiation in vitro. J Oral Rehabil 30(5):515–521
Delme K, Meire M, De Bruyne M, Nammour S, De Moor R (2009) Cavity preparation using an Er:YAG laser in the adult dentition. Rev Belge Med Dent 64(2):71–80
Matsumoto K, Hossain M, Hossain MM, Kawano H, Kimura Y (2002) Clinical assessment of Er,Cr:YSGG laser application for cavity preparation. J Clin Laser Med Surg 20(1):17–21
Gurgan S, Kiremitci A, Cakir FY, Gorucu J, Alpaslan T, Yazici E et al (2008) Shear bond strength of composite bonded to Er,Cr:YSGG laser-prepared dentin. Photomed Laser Surg 26(5):495–500
Türkmen C, Sazak-Oveçoğlu H, Günday M, Güngör G, Durkan M, Oksüz M (2010) Shear bond strength of composite bonded with three adhesives to Er,Cr:YSGG laser-prepared enamel. Quintessence Int 41(6):e119–e124
de Carvalho RC, de Freitas PM, Otsuki M, de Eduardo CP, Tagami J (2008) Micro-shear bond strength of Er:YAG-laser-treated dentin. Lasers Med Sci 23(2):117–124
Martinez-Insua A, Da Silva DL, Rivera FG, Santana-Penin UA (2000) Differences in bonding to acid-etched or Er:YAG-laser-treated enamel and dentin surfaces. J Prosthet Dent 84(3):280–288
Dunn WJ, Davis JT, Bush AC (2005) Shear bond strength and SEM evaluation of composite bonded to Er:YAG laser-prepared dentin and enamel. Dent Mater 21(7):616–624
Monghini EM, Wanderley RL, Pecora JD, Palma Dibb RG, Corona SA, Borsatto MC (2004) Bond strength to dentin of primary teeth irradiated with varying Er:YAG laser energies and SEM examination of the surface morphology. Lasers Surg Med 34(3):254–259
Capa N, Aykor A, Ozel E, Calikkocaoglu S, Soyman M (2010) Effect of Er:YAG laser irradiations on shear bond strength of three self-adhesive resin cements to dentin. Photomed Laser Surg 28(6):809–821
Moldes VL, Capp CI, Navarro RS, Matos AB, Youssef MN, Cassoni A (2009) In vitro microleakage of composite restorations prepared by Er:YAG/Er,Cr:YSGG lasers and conventional drills associated with two adhesive systems. J Adhes Dent 11(3):221–229
de Souza AE, Corona SA, Dibb RG, Borsatto MC, Pecora JD (2004) Influence of Er:YAG laser on tensile bond strength of a self-etching system and a flowable resin in different dentin depths. J Dent 32(4):269–275
Scatena C, Torres CP, Gomes-Silva JM, Contente MM, Pecora JD, Palma-Dibb RG et al (2011) Shear strength of the bond to primary dentin: influence of Er:YAG laser irradiation distance. Lasers Med Sci 26(3):293–297
Van Meerbeek B, De Munck J, Mattar D, Van Landuyt K, Lambrechts P (2003) Microtensile bond strengths of an etch&rinse and self-etch adhesive to enamel and dentin as a function of surface treatment. Oper Dent 28(5):647–660
Ceballo L, Toledano M, Osorio R, Tay FR, Marshall GW (2002) Bonding to Er-YAG-laser-treated dentin. J Dent Res 81(2):119–122
Giachetti L, Scaminaci Russo D, Scarpelli F, Vitale M (2004) SEM analysis of dentin treated with the Er:YAG laser: a pilot study of the consequences resulting from laser use on adhesion mechanisms. J Clin Laser Med Surg 22(1):35–41
Cardoso MV, Delmé KI, Mine A, De Almeida Neves A, Coutinho E, De Moor RJ et al (2010) Towards a better understanding of the adhesion mechanism of resin-modified glass-ionomers by bonding to differently prepared dentin. J Dent 38(11):921–929
Obeidi A, McCracken MS, Liu PR, Litaker MS, Beck P, Rahemtulla F (2009) Enhancement of bonding to enamel and dentin prepared by Er,Cr:YSGG laser. Lasers Surg Med 41(6):454–462
Obeidi A, Liu PR, Ramp LC, Beck P, Gutknecht N (2010) Acid-etch interval and shear bond strength of Er,Cr:YSGG laser-prepared enamel and dentin. Lasers Med Sci 25(3):363–369
Brulat N, Leforestier E, Rocca JP, Darquet-Cerretti E, Bertrand MF (2008) Shear bond strength of self-etching adhesive systems to Er:YAG laser-prepared dentine with and without pulpal pressure simulation. Photomed Laser Surg 26(6):579–583
Abo-Hamar SE, Hiller KA, Jung H, Federlin M, Friedl KH, Schmalz G (2005) Bond strength of a new universal self-adhesive resin luting cement to dentin and enamel. Clin Oral Investig 9(3):161–167
Kameyama A, Aizawa K, Kato J, Hirai Y (2009) Tensile bond strength of single-step self-etch adhesives to Er:YAG laser-irradiated dentin. Photomed Laser Surg 27(1):3–10
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The authors thank Mr. Patryk Starzec for skillful technical assistance.
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Cvikl, B., Moser, G., Wernisch, J. et al. The impact of Er,Cr:YSGG laser on the shear strength of the bond between dentin and ceramic is dependent on the adhesive material. Lasers Med Sci 27, 717–722 (2012). https://doi.org/10.1007/s10103-011-0963-5
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DOI: https://doi.org/10.1007/s10103-011-0963-5