Abstract
This study aimed to compare the effects of diode and Er:YAG laser irradiation of root dentin on push-out bond strength of mineral trioxide aggregate (MTA) and calcium-enriched mixture (CEM) cements. An in vitro experimental study was conducted on 90 dentin discs, cut out of freshly extracted human teeth. The discs were instrumented to obtain 1.3-mm lumen diameter. Then, they were randomly divided into six groups (n = 15). Groups 1 and 4 subjected to diode laser (Wiser, Doctor Smile, Italy) (980 nm, 1 W, continuous mode) for 10 s and filled with MTA and CEM cements. Groups 2 and 5 subjected to Er:YAG laser (Deka, Italy) (2940 nm, 1 W, 10 Hz, 230 μs) for 10 s and filled with MTA and CEM cements. Groups 3 and 6 (control groups) were filled with MTA and CEM cements without laser irradiation. After 7 days, push-out bond strength test was performed using a universal testing machine in order to evaluate the adhesion of the biomaterials to dentin. The samples were evaluated under a light microscope at × 40 magnification to determine the mode of fracture. Data were analyzed using two-way ANOVA. The highest push-out bond strength (8.76 ± 3.62 MPa) was noted in group 1 (diode/MTA), which was significantly higher than the other groups (P < 0.001). The lowest bond strength (2.61 ± 0.81) was noted in group 6 (control/CEM). Diode laser significantly increased the bond strength of both cements (P < 0.05), but Er:YAG laser irradiation only increased the bond strength of CEM and had no significant effect on MTA (P = 0.603). The bond strength of MTA control group was higher than that of CEM control group (P = 0.001). Push-out bond strength of endodontic cements can be affected by dentin conditioning with diode 980 nm and Er:YAG laser. Nine hundred eighty-nanometer diode laser irradiation is recommended to increase the bond strength of endodontic cements particularly the CEM cement to dentin.
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References
Nekoofar MH, Namazikhah MS, Sheykhrezae MS, Mohammadi MM, Kazemi A, Aseeley Z, Dummer PM (2009) pH of pus collected from periapical abscesses. Int Endod J 42(6):534–538. https://doi.org/10.1111/j.1365-2591.2009.01550.x
Ferris DM, Baumgartner JC (2004) Perforation repair comparing two types of mineral trioxide aggregate. J Endod 30(6):422–424
Hardy I, Liewehr FR, Joyce AP, Agee K, Pashley DH (2004) Sealing ability of one-up bond and MTA with and without a secondary seal as furcation perforation repair materials. J Endod 30(9):658–661
Dominguez MS, Witherspoon DE, Gutmann JL, Opperman LA (2003) Histological and scanning electron microscopy assessment of various vital pulp-therapy materials. J Endod 29(5):324–333. https://doi.org/10.1097/00004770-200305000-00003
Main C, Mirzayan N, Shabahang S, Torabinejad M (2004) Repair of root perforations using mineral trioxide aggregate: a long-term study. J Endod 30(2):80–83. https://doi.org/10.1097/00004770-200402000-00004
Ber BS, Hatton JF, Stewart GP (2007) Chemical modification of ProRoot MTA to improve handling characteristics and decrease setting time. J Endod 33(10):1231–1234. https://doi.org/10.1016/j.joen.2007.06.012
Asgary S, Eghbal MJ, Parirokh M, Ghoddusi J, Kheirieh S, Brink F (2009) Comparison of mineral trioxide aggregate’s composition with Portland cements and a new endodontic cement. J Endod 35(2):243–250. https://doi.org/10.1016/j.joen.2008.10.026
Asgary S, Shahabi S, Jafarzadeh T, Amini S, Kheirieh S (2008) The properties of a new endodontic material. J Endod 34(8):990–993. https://doi.org/10.1016/j.joen.2008.05.006
Shokouhinejad N, Hoseini A, Gorjestani H, Shamshiri AR (2013) The effect of different irrigation protocols for smear layer removal on bond strength of a new bioceramic sealer. Iran Endod J 8(1):10–13
Saghiri MA, Shokouhinejad N, Lotfi M, Aminsobhani M, Saghiri AM (2010) Push-out bond strength of mineral trioxide aggregate in the presence of alkaline pH. J Endod 36(11):1856–1859. https://doi.org/10.1016/j.joen.2010.08.022
Winik R, Araki AT, Negrao JA, Bello-Silva MS, Lage-Marques JL (2006) Sealer penetration and marginal permeability after apicoectomy varying retrocavity preparation and retrofilling material. Braz Dent J 17(4):323–327
Korkut E, Torlak E, Gezgin O, Ozer H, Sener Y (2018) Antibacterial and smear layer removal efficacy of Er:YAG laser irradiation by photon-induced photoacoustic streaming in primary molar root canals: a preliminary study. Photomed Laser Surg 36(9):480–486. https://doi.org/10.1089/pho.2017.4369
Neelakantan P, Cheng CQ, Mohanraj R, Sriraman P, Subbarao C, Sharma S (2015) Antibiofilm activity of three irrigation protocols activated by ultrasonic, diode laser or Er:YAG laser in vitro. Int Endod J 48(6):602–610. https://doi.org/10.1111/iej.12354
Borzabadi-Farahani A (2017) The adjunctive soft-tissue diode laser in orthodontics. Compend Contin Educ Dent 38(eBook 5):e18–e31
Etemadi A, Shahabi S, Chiniforush N, Pordel E, Azarbayejani Z, Heidari S (2015) Scanning electron microscope (SEM) evaluation of composite surface irradiated by different powers of Er:YAG laser. J Lasers Med Sci 6(2):80–84
Gholami GA, Fekrazad R, Esmaiel-Nejad A, Kalhori KA (2011) An evaluation of the occluding effects of Er; Cr: YSGG, Nd: YAG, CO2 and diode lasers on dentinal tubules: a scanning electron microscope in vitro study. Photomed Laser Surg 29(2):115–121
Derikvand N, Ghasemi SS, Moharami M, Shafiei E, Chiniforush N (2017) Management of oral lichen planus by 980 nm diode laser. J Lasers Med Sci 8(3):150–154. https://doi.org/10.15171/jlms.2017.27
Chiniforush N, Nokhbatolfoghahaei H, Monzavi A, Pordel E, Ashnagar S (2016) Surface treatment by different parameters of erbium:yttrium-aluminum-garnet (Er:YAG) laser: scanning electron microscope (SEM) evaluation. J Lasers Med Sci 7(1):37–39. https://doi.org/10.15171/jlms.2016.08
Pecora JD, Cussioli AL, Guerisoli DM, Marchesan MA, Sousa-Neto MD, Brugnera Junior A (2001) Evaluation of Er:YAG laser and EDTAC on dentin adhesion of six endodontic sealers. Braz Dent J 12(1):27–30
Saghiri MA, Asgar K, Gutmann JL, Garcia-Godoy F, Ahmadi K, Karamifar K, Asatorian A (2012) Effect of laser irradiation on root canal walls after final irrigation with 17% EDTA or BioPure MTAD: X-ray diffraction and SEM analysis. Quintessence Int 43(10):e127–e134
Kiomarsi N, Arjmand Y, Kharrazi Fard MJ, Chiniforush N (2018) Effects of erbium family laser on shear bond strength of composite to dentin after internal bleaching. J Lasers Med Sci 9(1):58–62. https://doi.org/10.15171/jlms.2018.12
Parirokh M, Torabinejad M (2010) Mineral trioxide aggregate: a comprehensive literature review--part III: clinical applications, drawbacks, and mechanism of action. J Endod 36(3):400–413. https://doi.org/10.1016/j.joen.2009.09.009
Saleh IM, Ruyter IE, Haapasalo MP, Orstavik D (2003) Adhesion of endodontic sealers: scanning electron microscopy and energy dispersive spectroscopy. J Endod 29(9):595–601. https://doi.org/10.1097/00004770-200309000-00013
Goracci C, Tavares AU, Fabianelli A, Monticelli F, Raffaelli O, Cardoso PC, Tay F, Ferrari M (2004) The adhesion between fiber posts and root canal walls: comparison between microtensile and push-out bond strength measurements. Eur J Oral Sci 112(4):353–361. https://doi.org/10.1111/j.1600-0722.2004.00146.x
Curti M, Rocca JP, Bertrand MF, Nammour S (2004) Morpho-structural aspects of Er:YAG-prepared class V cavities. J Clin Laser Med Surg 22(2):119–123. https://doi.org/10.1089/104454704774076172
Wang X, Sun Y, Kimura Y, Kinoshita J, Ishizaki NT, Matsumoto K (2005) Effects of diode laser irradiation on smear layer removal from root canal walls and apical leakage after obturation. Photomed Laser Surg 23(6):575–581. https://doi.org/10.1089/pho.2005.23.575
Marchesan MA, Brugnera-Junior A, Souza-Gabriel AE, Correa-Silva SR, Sousa-Neto MD (2008) Ultrastructural analysis of root canal dentine irradiated with 980-nm diode laser energy at different parameters. Photomed Laser Surg 26(3):235–240. https://doi.org/10.1089/pho.2007.2136
Lotfi M, Ghasemi N, Rahimi S, Bahari M, Vosoughhosseini S, Saghiri MA, Zand V (2014) Effect of smear layer on the push-out bond strength of two endodontic biomaterials to radicular dentin. Iran Endod J 9(1):41–44
Saghiri MA, Garcia-Godoy F, Lotfi M, Ahmadi H, Asatourian A (2012) Effects of diode laser and MTAD on the push-out bond strength of mineral trioxide aggregate-dentin interface. Photomed Laser Surg 30(10):587–591. https://doi.org/10.1089/pho.2012.3291
Liu Y, Gao J, Gao Y, Xu S, Zhan X, Wu B (2013) In vitro study of dentin hypersensitivity treated by 980-nm diode laser. J Lasers Med Sci 4(3):111–119
Shokouhinejad N, Razmi H, Fekrazad R, Asgary S, Neshati A, Assadian H, Kheirieh S (2012) Push-out bond strength of two root-end filling materials in root-end cavities prepared by Er,Cr:YSGG laser or ultrasonic technique. Aust Endod J 38(3):113–117. https://doi.org/10.1111/j.1747-4477.2010.00264.x
Tielemans M, Saloukas I, Heysselaer D, Compere P, Nyssen-Behets C, Nammour S (2012) Management of root perforations using MTA with or without Er:YAG laser irradiation: an in vitro study. Int J Dent 2012:628375. https://doi.org/10.1155/2012/628375
Ertas H, Kucukyilmaz E, Ok E, Uysal B (2014) Push-out bond strength of different mineral trioxide aggregates. Eur J Dent 8(3):348–352. https://doi.org/10.4103/1305-7456.137646
Adl A, Sobhnamayan F, Kazemi O (2014) Comparison of push-out bond strength of mineral trioxide aggregate and calcium enriched mixture cement as root end filling materials. Dent Res J (Isfahan) 11(5):564–567
Saghiri MA, Garcia-Godoy F, Gutmann JL, Lotfi M, Asatourian A, Ahmadi H (2013) Push-out bond strength of a nano-modified mineral trioxide aggregate. Dent Traumatol 29(4):323–327. https://doi.org/10.1111/j.1600-9657.2012.01176.x
Reyes-Carmona JF, Felippe MS, Felippe WT (2010) A phosphate-buffered saline intracanal dressing improves the biomineralization ability of mineral trioxide aggregate apical plugs. J Endod 36(10):1648–1652. https://doi.org/10.1016/j.joen.2010.06.014
Sarkar NK, Caicedo R, Ritwik P, Moiseyeva R, Kawashima I (2005) Physicochemical basis of the biologic properties of mineral trioxide aggregate. J Endod 31(2):97–100
Sobhnamayan F, Adl A, Shojaee NS, Gavahian S (2015) The effect of chlorhexidine on the push-out bond strength of calcium-enriched mixture cement. Iran Endod J 10(1):59–63
Chen ML, Ding JF, He YJ, Chen Y, Jiang QZ (2015) Effect of pretreatment on Er:YAG laser-irradiated dentin. Lasers Med Sci 30(2):753–759. https://doi.org/10.1007/s10103-013-1415-1
Faria MI, Sousa-Neto MD, Souza-Gabriel AE, Alfredo E, Romeo U, Silva-Sousa YT (2013) Effects of 980-nm diode laser on the ultrastructure and fracture resistance of dentine. Lasers Med Sci 28(1):275–280. https://doi.org/10.1007/s10103-012-1147-7
Rahimi S, Ghasemi N, Shahi S, Lotfi M, Froughreyhani M, Milani AS, Bahari M (2013) Effect of blood contamination on the retention characteristics of two endodontic biomaterials in simulated furcation perforations. J Endod 39(5):697–700. https://doi.org/10.1016/j.joen.2013.01.002
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The authors would like to thank Tehran University of Medical Sciences, International Campus for the support.
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The study is an ex vivo study and does not include animal or human participants.
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Mohammadian, F., Soufi, S., Dibaji, F. et al. Push-out bond strength of calcium-silicate cements following Er:YAG and diode laser irradiation of root dentin. Lasers Med Sci 34, 201–207 (2019). https://doi.org/10.1007/s10103-018-02705-0
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DOI: https://doi.org/10.1007/s10103-018-02705-0