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A three-dimensional evaluation of microleakage of class V cavities prepared by the very short pulse mode of the erbium:yttrium–aluminium–garnet laser

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Abstract

The aim of this study was to evaluate microleakage along resin restoration in cavities prepared with an erbium:yttrium–aluminium–garnet (Er:YAG) laser, with and without acid etching, and to compare it with that in diamond-drilled cavities. Thirty intact molars were divided into three equal groups. In the teeth in group I, class V cavities were prepared with a diamond drill. Cavities in groups II and III were prepared with an Er:YAG laser (400 mJ/15 Hz for enamel and 250 mJ/10 Hz for dentine). The cavities in groups I and II were acid-etched and adhesive and flowable composite were applied to all cavities. The specimens were first immersed in dye for 24 h and then in 5% nitric acid for 72 h for softening. The fillings were extracted and photographed through a dissecting microscope. The leakage area was measured with specially designed software. The Kruskal–Wallis test showed that the best ranking was group II [mean range (m.r.) = 27.46], followed by group I (m.r. = 33.48) and, lastly, group III (m.r. = 45.15). The differences between groups I and III (P = 0.023) and between groups II and III were statistically significant (P = 0.080). The least microleakage was found in those cavities prepared by Er:YAG laser and subsequently acid-etched, whereas the most leakage was in the lased cavities that had not been etched; the traditional diamond-drilled acid-etched cavities produced medium leakage.

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References

  1. Paghdiwala A (1988) Application of the erbium:YAG laser on hard dental tissues: measurements of the temperature changes and depth of cut. Lasers Med Surg Dent 64:192–201

    Google Scholar 

  2. Hibst R, Keller U (1989) Experimental studies of the application of the Er:YAG laser on dental hard substances: I. Measurement of the ablation rate. Lasers Surg Med 9:338–344

    Article  CAS  PubMed  Google Scholar 

  3. Glockner K, Rumpel J, Ebebeleseder K, Städtler P (1998) Intrapulpal temperature with the Er:YAG laser compared to the conventional burr: an in vitro study. J Clin Laser Med Surg 16:153–157

    CAS  PubMed  Google Scholar 

  4. Van As G (2004) Erbium lasers in dentistry. Dent Clin N Am 48:1017–1059

    Article  PubMed  Google Scholar 

  5. Den Besten PK, White JM, Pelino JEP, Furnish G, Silveira A, Parkins FM (2001) The safety and effectiveness of an Er:YAG laser for caries removal and cavity preparation in children. Med Laser Appl 16:215–222

    Article  Google Scholar 

  6. Hibst R (2002) Lasers for caries removal and cavity preparation; state of art and future directions. J Oral Laser Appl 2:203–212

    Google Scholar 

  7. Aoki A, Ishikawa I, Yamada T, Otsuki M, Watanabe H, Tagami Jando Y, Yamamoto H (1998) Comparison between Er:YAG laser and conventional for root caries treatment in vitro. J Dent Res 77:1404–1414

    Article  CAS  PubMed  Google Scholar 

  8. Ramos RP, Chimello DT, Chinelatti MA, Nonaka T, Pecora JD, Palma Dibb RG (2002) Effect of Er:YAG laser on bond strength to dentin of a self-etching primer and two single-bottle adhesive systems. Lasers Surg Med 31:164–170

    Article  PubMed  Google Scholar 

  9. Ceballos L, Toledano M, Osorio R, Tay FR, Marshall GW (2002) Bonding to Er:YAG laser treated dentin. J Dent Res 81:119–122

    Article  Google Scholar 

  10. Kohara EK, Hossain M, Kimura Y, Matsumoto K, Inoue M, Sasa R (2002) Morphological and microleakage studies of the cavities prepared by Er:YAG laser irradiation in primary teeth. J Clin Laser Med Surg 20:141–147

    Article  PubMed  Google Scholar 

  11. Ishizaka Y, Eguro T, Maeda T, Tnaka H (2002) Effects of Er:YAG laser irradiation on human dentin: polarizing microscopic, light microscopic and microradiographic observations, and FT-IR analysis. Lasers Surg Med 31:171–176

    Article  PubMed  Google Scholar 

  12. Kameyama A, Kawada E, Amagai T, Takizawa M, Oda Y, Hirai Y (2002) Effect of HEMA on bonding of Er:YAG laser-irradiated bovine dentine and 4-META/MMA-TBB resin. J Oral Rehabil 29:749–755

    Article  CAS  PubMed  Google Scholar 

  13. Armengol V, Jean A, Enkel B, Assoumou M, Hamel H (2002) Microleakage of class V composite restorations following Er:YAG and Nd:YAP laser irradiation compared to acid-etch: an in vitro study. Lasers Med Sci 17:93–100

    Article  CAS  PubMed  Google Scholar 

  14. Visuri SR, Gilbert JL, Wright DD, Wigdor HA, Walsh JT Jr (1996) Shear strength of composite bonded to Er:YAG laser-prepared dentin. J Dent Res 75:599–605

    Article  CAS  PubMed  Google Scholar 

  15. De Munck J, Landuyt V, Peumans M, Poitevin A, Lambrechts P, Braem M, Van Meerbeek B (2005) A critical review of the durability of adhesion to tooth tissue: Methods and results. J Dent Res 84:118–132

    Article  PubMed  Google Scholar 

  16. Hilton TJ (2002) Can modern restorative procedures and materials reliably seal cavities? In vitro investigations. Part 2. Am J Dent 15:279–289

    PubMed  Google Scholar 

  17. Grgurevic J, Grgurevic L, Miletic I, Karlovic Z, Jukic Krmek S, Anic I (2005) In vitro study of the variable square pulse Er:YAG laser cutting efficacy for apicectomy. Lasers Surg Med 5:347–350

    Article  Google Scholar 

  18. Krmek SJ, Miletić I, Simeon P, Mehičić GP, Anić I, Radišić B (2009) The temperature changes in the pulp chamber during cavity preparation with the Er:YAG laser using a very short pulse. Photomed Laser Surg 27:351–355

    Article  PubMed  Google Scholar 

  19. Nishimoto Y, Otsuki M, Yamauti M, Eguchi T, Sato Y, Foxton RM, Tagami J (2008) Effect of pulse duration of Er:YAG laser on dentin ablation. Dent Mater J 27:433–439

    Article  PubMed  Google Scholar 

  20. Gale MS, Darvell BW (1999) Thermal cycling procedures for laboratory testing of dental restorations. J Dent 27:89–99

    Article  CAS  PubMed  Google Scholar 

  21. Ferk S, Anić I (1997) Usporedba rubnog mikropropuštanja boje kod kompozitnih ispuna V razreda s različitim adhezivima. Acta Stomatol Croat 31:221–227

    Google Scholar 

  22. Km S, Aoki A, Ichinose S, Ishikawa I (2002) Morphological analysis of cementum and root dentin after Er:YAG laser irradiation. Lasers Surg Med 31:79–85

    Article  Google Scholar 

  23. Curti M, Rocca JP, Bertrand MF, Nammour S (2004) Morpho-structural aspects of Er:YAG prepared class V cavities. J Clin Laser Med Surg 22:119–123

    Article  PubMed  Google Scholar 

  24. Schoop U, Kluger W, Moritz A, Nedjelik N, Georgopoulos A, Sperr W (2004) Bactericidal effect of different laser systems in the deep layers of dentin. Lasers Surg Med 35:111–116

    Article  PubMed  Google Scholar 

  25. de Souza AE, Corona SAM, Dibb RGP, Borsatto MC, Pecora JD (2004) Influence of Er:YAG laser on tensile bond strength of a self-etching system and flowable resin in different dentin depths. J Dent 32:269–275

    Article  PubMed  Google Scholar 

  26. de Barceleiro MO, Dias KR, Sales HX, Silva BC, Barceleiro CG (2008) SEM evaluation of the hybrid layer after cavity preparation with Er:YAG laser. Oper Dent 33:294–304

    Article  PubMed  Google Scholar 

  27. Freitas PM, Navarro RS, Barros JA, Eduardo CDP (2007) The use of Er:YAG laser for cavity preparation: an SEM evaluation. Microsc Res Tech 70:803–808

    Article  PubMed  Google Scholar 

  28. Hossain M, Yamada Y, Nakamura Y, Murakami Y, Tamaki Y, Matsumoto K (2003) A study on surface roughness and microleakage test in cavities prepared by Er:YAG laser irradiation and etched bur cavities. Lasers Med Sci 18:25–31

    Article  CAS  PubMed  Google Scholar 

  29. Eguro T, Maeda T, Otsuki M, Nisihimura Y, Katsuumi I, Tanaka H (2002) Adhesion of Er:YAG laser-irradiated dentin and composite resins: application of various treatments on irradiated surface. Lasers Surg Med 30:267–272

    Article  PubMed  Google Scholar 

  30. Colucci V, Lucisano MP, Amaral Do FL, Pécora JD, Palma-Dibb RG, Corona SA (2008) Influence of water flow rate on shear bond strength of resin composite to Er:YAG cavity preparation. Am J Dent 21:124–128

    PubMed  Google Scholar 

  31. Dibb RGP, Corona SAM, Borsatto MC, Ferreira KC, Ramos RP, Pecora JD (2002) Assessing microleakage on class V composite resin restorations after Er:YAG laser preparation varying the adhesive systems. J Clin Laser Med Surg 20:129–133

    Article  Google Scholar 

  32. Lukač M, Marinček M, Grad L, Božič Ž (2007) Dental laser drilling: state of the art with the latest generation of variable square pulse erbium dental laser system. J Laser Health Acad 2:1–5

    Google Scholar 

  33. Camerlingo C, Lepore M, Gaeta GM, Riccio R, Riccio C, De Rosa A, De Rosa M (2004) Er:YAG laser treatments on dentine surface: micro-Raman spectroscopy and SEM analysis. J Dent 32:399–405

    Article  CAS  PubMed  Google Scholar 

  34. Ebihara A, Majoran B, Liaw LHL, Krasieva TB, Wilder-Smith P (2002) Er:YAG laser modification of root canal dentine: influence of pulse duration, repetitive irradiation and water spray. Lasers Med Sci 17:198–207

    Article  CAS  PubMed  Google Scholar 

  35. Majoran B, Lukač M, Šušterčič D, Funduk N, Skalerič U (1996) Threshold and efficiency analysis in Er:YAG ablation of hard dental tissue. Proc SPIE 2922:233–242

    Google Scholar 

  36. Staninec M, Xie J, Le CQ, Fried D (2003) Influence of an optically thick water layer on the bond-strength of composite resin to dental enamel after IR laser ablation. Lasers Surg Med 33:264–269

    Article  PubMed  Google Scholar 

  37. Celik EU, Ergücü Z, Türkün LS, Türkün M (2006) Shear bond strength of different adhesives to Er:YAG laser-prepared dentin. J Adhes Dent 8:319–325

    CAS  PubMed  Google Scholar 

  38. Roebuck EM, Saunders WP, Whitters CJ (2000) Influence of erbium:YAG laser energies on the microleakage of class V resin-based composite restorations. Am J Dent 13:280–284

    CAS  PubMed  Google Scholar 

Download references

Acknowledgements

This work was part of projects supported by the Ministry of Science, Education and Sports of the Republic of Croatia, no. 065-0650445-0434 and no. 065-0650444-0418.

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Authors and Affiliations

  1. Department of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb, Gundulićeva 5, 10000, Zagreb, Croatia

    Silvana Jukić Krmek, Paris Simeon, Goranka Prpić Mehičić & Ivica Anić

  2. Private Practice, Slovenska 4, 10000, Zagreb, Croatia

    Ivana Bogdan

  3. Department of Oral Surgery, School of Dental Medicine, University of Zagreb, Gundulićeva 5, 10000, Zagreb, Croatia

    Davor Katanec

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  1. Silvana Jukić Krmek
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  2. Ivana Bogdan
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Correspondence to Silvana Jukić Krmek.

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Krmek, S.J., Bogdan, I., Simeon, P. et al. A three-dimensional evaluation of microleakage of class V cavities prepared by the very short pulse mode of the erbium:yttrium–aluminium–garnet laser. Lasers Med Sci 25, 823–828 (2010). https://doi.org/10.1007/s10103-009-0707-y

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