An in Vitro Comparison of Bonding Effectiveness of Different Adhesive Strategies on Erbium:Yttrium-Alluminum-Garnet Laser Irradiated Dentin (original) (raw)
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Bonding of adhesives to Er:YAG laser-treated dentin
European journal of dentistry, 2012
The shear bond strength of adhesives applied to dentin was investigated after irradiation with an erbium-doped yttrium aluminum garnet (Er:YAG) laser. Superficial and deep dentin specimens from human molars were treated either with carbide bur or an Er:YAG laser. Two etch and rinse adhesives (Single Bond and XP Bond) and two self-etch adhesives (Prompt L-Pop and Xeno III) were employed to bond the composite. Shear bond strength (SBS) was determined after storage in water for 24 h using a universal testing machine with a crosshead speed of 0.5 mm/min. Failure patterns and modes were analyzed and evaluated using a stereomicroscope. In addition, samples were processed for Scanning Electron Microscopy SEM evaluation. A linear mixed model was used, and pairwise comparisons were made using the Bonferroni test. Results showed significant differences between the levels of dentin treatment (p=.01) in carbide bur-cut dentin and lased dentin, as well as significant interaction effects due to t...
Journal of dental research, dental clinics, dental prospects, 2013
Background and aims. Er:YAG laser irradiation has been claimed to improve the adhesive properties of dentin; therefore, it has been proposed as an alternative to acid etching. The aim of this in vitro study was to investigate the shear bond strength of an etch-and-rinse adhesive system to dentin surfaces following Er:YAG laser and/or phosphoric acid etching. Materials and methods. The roots of 75 sound maxillary premolars were sectioned below the CEJ and the crowns were embedded in auto-polymerizing acrylic resin with the buccal surfaces facing up. The buccal surfaces were ground using a diamond bur and polished until the dentin was exposed; the samples were randomly divided into five groups (n=15) according to the surface treatment: (1) acid etching; (2) laser etching; (3) laser etching followed by acid etching; (4) acid etching followed by laser etching and (5) no acid etching and no laser etching (control group). Composite resin rods (Point 4, Kerr Co) were bonded to treated dent...
Lasers in Medical Science, 2017
The aim of this study was to evaluate the effect of Er:YAG laser irradiation on the micro-shear bond strength of self-etch adhesives to the superficial dentin and the deep dentin before and after thermocycling. Superficial dentin and deep dentin surfaces were prepared by flattening of the occlusal surfaces of extracted human third molars. The deep or superficial dentin specimens were randomized into three groups according to the following surface treatments: group I (control group), group II (Er:YAG laser; 1.2 W), and group III (Er:YAG laser; 0.5 W). Clearfil SE Bond or Clearfil S 3 Bond was applied to each group's dentin surfaces. After construction of the composite blocks on the dentin surface, the micro-shear bond testing of each adhesive was performed at 24 h or after 15,000 thermal cycles. The data were analyzed using a univariate analysis of variance and Tukey's test (p < 0.05). Laser irradiation in superficial dentin did not significantly affect bond strength after thermocycling (p > 0.05). However, deep-dentin specimens irradiated with laser showed significantly higher bond strengths than did control specimens after thermocycling (p < 0.05). Thermocycling led to significant deterioration in the bond strengths of all deep-dentin groups. The stable bond strength after thermocycling was measured for all of the superficial-dentin groups. No significant difference was found between the 0.5 and 1.2 W output power settings. In conclusion, the effect of laser irradiation on the bond strength of self-etch adhesives may be altered by the dentin depth. Regardless of the applied surface treatment, deep dentin showed significant bond degradation.
Journal of Adhesion Science and Technology, 2019
The aim of current study was to assess interfacial bonding effectiveness of self-etch and etch-and-rinse dental adhesives to untreated and Er:YAG laser-treated dentine using mini-interfacial fracture toughness (mini-iFT) test. 32 selected non-carious third molars were divided into two groups: untreated and Er:YAG laser treated. The laser-treated specimens were subjected to Er:YAG laser with energy density of 25.82 J/cm 2. Both groups were further assigned to two groups based on adhesive systems: self-etch and etch-and-rinse. The teeth were sectioned perpendicular to the adhesive/dentine interface to obtain 1.5 Â 2 mm wide longitudinal rectangular sections. A single notch then was prepared at the adhesive-dentine interface. The mini-iFT test was done via a 4-point bend testing until failure and the KIC was calculated. All specimens were observed using a, scanning electron microscope (SEM). The data were analysed using two-way analysis of variance (ANOVA) at a significant level of 0.05. Weibull parameters including Weibull modulus and characteristic strength also were calculated for each experimental group. Two-way ANOVA showed both variables (the type of adhesive system and laser treatment) significantly influenced the mini-iFT values of specimens (p 0.001). The self-etch and laser-treated group showed lower mini-iFT than the etch-and-rinse and untreated samples. SEM observations revealed that the fracture region was located at the adhesive-dentine interface in most of the specimens. The Er:YAG laser treatment may adversely affects the bonding effectiveness of the dentine/adhesive interface. The mini-iFT method can be used as a discriminative and valid method for the evaluation of bonding effectiveness at the adhesive-dentine interface.
Al-Rafidain Dental Journal, 2015
Aims: To evaluate the effect of three different adhesive systems on shear bond strength of composite resin to Er,Cr:YSGG lased dentin. Materials and methods: Twenty one sound third molars were used. Occlusal third of crowns was cut using minitom machine to expose flat dentin surface. Laser irradiation was performed on a circular test area demarcated on each dentin surface. Samples randomly assigned to three groups (n=7) according to the adhesive systems that used which were: total etch adhesive (Adper single bond, 3M ESPE), two step self etch adhesive (Clearfil SE bond, Kurary), and all in one adhesive (Adper easy one, 3M ESPE). Adhesives were applied to the lased dentin surface according to manufacture instruction. Composite rod was applied over the bonded area and cured. Samples were stored in distilled water at 370for 24 hours. The evaluation of shear bond strength was employed by the use of universal testing machine. Results: Statistical analysis of data by analysis of variance (ANOVA) test and Duncanes multiple range test revealed no significant difference in the shear bond strength between the adhesive systems (P≤ 0.05). Conclusions: The results show that all the tested adhesive systems have relatively the same effect on the shear bond strength of composite resin to lased dentin surface.
Dentistry Journal, 2020
(1) Background: Bonding composite to tooth structure is still evolving with a substitute for phosphoric acid being the main challenge. Lately, a self-adhering composite (SAC) was developed, promising to simplify bonding to tooth structure. Unfortunately, retention especially to dentin, was not as good as the gold standard three steps bonding system. During the last 2 decades, lasers were used to enhance shear bond strength of composite to tooth structure. However, the literature provided limited information regarding laser efficiency in the immediate, as well as the long term, adhesion success of SACs to dentin. The purpose of our study was to define the optimal irradiation conditions to improve the adhesion of self-adhering flowable resin composite to dentin exposed to Er:YAG and Er,Cr:YSGG laser irradiation. (2) Methods: Seventy-two freshly extracted human third molars, prepared to have flat dentinal surfaces, were randomly divided into three groups (n = 24) including a control group (Group 1) in which dentin was left without laser irradiation. The other two groups (Group 2 and 3) received standardized irradiation at a speed of 1 mm/second with Er:YAG (60 mJ; SSP mode = 50 µs; 10 Hz; fluency of 9.4 J/cm 2 ; beam diameter: 0.9 mm; air 6 mL/min; and water 4 mL/min), and Er,Cr:YSGG: 1.5 W; fluency of 17.8 J/cm 2 ; turbo handpiece with MX5 short insert; 20 Hz under air/water spray (65% air, 55% water). Self-adhering flowable resin was applied to dentin in all groups. Half of the specimens were stored in water for 24 h while the other half underwent 3000 thermal cycles. Later, all specimens received a shear bond strength test. Fracture observation was done first under a stereomicroscope then by using a scanning electron microscope. (3) Results: The mean values of shear bond strength for both laser-treated dentin groups
Lasers in Medical Science, 2012
This study evaluated the effects of different parameters of dentin irradiation with erbium-doped yttrium aluminum garnet (Er:YAG) laser on bond strength to dentin and analyzed the ultramorphological characteristics of resin-laser-irradiated dentin interfaces using a transmission electron microscope (TEM). Dentin surfaces were abraded with SiC paper (600 grit) or Er:YAG laser-irradiated (120/4, 140/6, 180/4, or 200/6 mJ/Hz). Three adhesive systems were tested: Single Bond Plus (3M ESPE), Clearfil Protect Bond (Kuraray Med.), and Clearfil Tri-S Bond (Kuraray Med.). Treatments were performed over flat dentin surfaces of human third molars. Specimens were stored in distilled water for 1 week or 6 months and prepared for a microtensile bond strength test and interfacial ultrastructure for analysis. Microtensile bond strength data (n05) were analyzed with three-way analysis of variance. Irradiation with Er:YAG laser did not reduce the bond strength values for self-etching adhesives even after 6 months of water storage. The hybrid layer formation was observed only when the adhesives were applied to non-irradiated dentin (control group). Nanoleakage occurred in all resin-dentin interfaces using Single Bond Plus for both periods. Nanoleakage pattern and bond strength of self-etching adhesives to dentin were less affected by Er:YAG laser irradiation and by the 6month storage in water than was those of the etch-and-rinse adhesive. TEM analysis revealed no hybridization when dentin was laser-irradiated. Clinical significance: Minimally invasive caries removal has been proposed. Nevertheless, bonding mechanisms to lased dentin are not entirely described. Knowing the interaction between the treated dentin and bonding agents and its behavior over time is of utmost importance for new technologies. Regarding that, two-bottle self-etching adhesive system provided a more consistent evidence of its better behavior when bonding to lased substrate.
The journal of adhesive dentistry, 2012
To evaluate whether Nd:YAG laser irradiation of etched and unetched dentin through an uncured adhesive affected the microtensile bond strength (µTBS). Flat dentin surfaces were created in 19 extracted human third molars. Adper Single Bond (SB) adhesive was applied over etched (groups 1 to 3) or unetched dentin (groups 4 to 6). The dentin was then irradiated with a Nd:YAG laser through the uncured adhesive, using 0.75 or 1 W power settings, except for the control groups (groups 1 and 4). The adhesive was light cured and composite crowns were built up. After 24 h, the teeth were sectioned into beams, with cross-sectional areas of 0.49 mm2, and were stressed under tension. Data were statistically analyzed using two-way ANOVA and Tukey's test (α = 5%). Dentin surfaces of fractured specimens and the interfaces of untested beams were observed under scanning electron microscopy (SEM). Acid etching, laser irradiation, and their interaction significantly affected bonding (p < 0.05). L...
Lasers in surgery …, 2002
Background and Objectives: To assess the effect of erbium:yttrium aluminium garnet (Er:YAG) laser on bond strength to dentin of a self-etching primer (Clearfil Liner Bond 2V, CL2V) and two single-bottle agents (Excite, EX; Gluma One Bond, GB). Study Design/Materials and Methods: Thirty human molars were selected, roots were removed and crowns were bisected, providing 60 halves. Specimens were included and ground to expose dentin. Bonding site was limited and samples were assigned to three groups: I, CL2V; II, EX; III, GB. Dentin was either conventionally treated or submitted to laser conditioning þ conventional treatment. The adhesive protocol was performed, samples were stored for 24 hours and bond strength was tested to failure (0.5 mm/min). Results: Statistical analysis showed a decrease in bond strength for lased subgroups and this drop was more evident for EX. CL2V provided the best overall results, regardless of the surface treatment. Conclusions: Er:YAG laser may adversely affect bond strength in higher or lesser degree, depending on the adhesive system used.
Bonding strength of silorane-based composite to Er-YAG laser prepared dentin
Lasers in Medical Science, 2013
The aim of this study was to investigate the shear bond strength of two adhesive systems to laser-irradiated dentin compared with their shear bond strength to bur-cut dentin as well as to evaluate the influence of composition and type of dental materials on shear bond strength. Thirty-two dentin specimens prepared from human third molars were divided into two groups and conditioned either with an Er:YAG laser machine or with a carbide bur. Two different adhesive systems (Silorane System Adhesive and Single Bond) were evaluated in the present study. After light curing of the adhesives, a Teflon mold was placed over the ring with the dentin sample and filled with the composite resins Filtek Silorane and Filtek Z250 combined with the appropriate adhesive systems. This procedure resulted in 32 cylindrical specimens (3 mm in diameter, 4 mm in height) being bonded to the dentin. The specimens were stored for 24 h at 37°C in water and then were thermocycled. Shear bond strength testing was conducted by means of a universal testing machine and failure patterns were analyzed under a stereomicroscope. Two specimens of each fracture failure mode were randomly selected for SEM evaluation. Filtek Silorane present no statistically significant difference in shear bond strength compared with Filtek Z250, regardless of dentin treatment (p>0.05). Additionally, the selfetching Silorane Adhesive System exhibited as good adhesive values as etch-and-rinse Single Bond, independently on dentinal substrate (p>0.05). Specimens prepared by Er:YAG laser appear as receptive to adhesive procedures as conventional carbide bur-cut specimens (p>0.05).