Influence of Er,Cr:YSGG laser treatment on microtensile bond strength of adhesives to enamel

Oper Dent. 2008 Jul-Aug;33(4):448-55. doi: 10.2341/07-124.

Abstract

The current trend towards minimum-intervention dentistry has introduced laser technology as an alternative technique for cavity preparation. This study assessed the null hypothesis that enamel prepared either by Er,Cr:YSGG laser or conventional diamond bur is equally receptive to adhesive procedures. The buccal and lingual surfaces of 35 sound human molars were prepared with Er,Cr:YSGG laser or a medium-grit diamond bur. One etch&rinse (OptiBond FL) and three self-etch adhesives (Adper Prompt L-Pop, Clearfil SE Bond and Clearfil S3 Bond) were applied on laser-irradiated and bur-cut enamel, followed by the application of a 5-6 mm build-up of Z100. The micro-tensile bond strength (microTBS) was determined after 24 hours of storage in water at 37 degrees C. Prepared enamel surfaces and failure patterns were evaluated using a stereomicroscope and a field-emission-gun scanning electron microscope (Feg-SEM). The pTBS to laser-irradiated enamel was significantly lower than to bur-cut enamel (p<0.05), with the exception of Clearfil S3 Bond, which bonded equally effectively to both substrates. The latter presented the highest microTBS on laser-irradiated enamel, though it was not statistically different from the microTBS of OptiBond FL. SEM analysis revealed significant morphological alterations of the laser-irradiated enamel surface, such as areas of melted and recrystalized hydroxyapatite and deep extensive micro-cracks. In conclusion, the bonding effectiveness of adhesives to laser-irradiated enamel depends not only on the structural substrate alterations induced by the laser, but also on the characteristics of the adhesive employed.

Publication types

  • Comparative Study
  • Randomized Controlled Trial

MeSH terms

  • Composite Resins / chemistry
  • Crystallography
  • Dental Bonding*
  • Dental Cavity Preparation / instrumentation
  • Dental Cements / chemistry*
  • Dental Enamel / radiation effects
  • Dental Enamel / ultrastructure*
  • Dental Restoration, Permanent
  • Dentin-Bonding Agents / chemistry
  • Diamond / chemistry
  • Durapatite / chemistry
  • Durapatite / radiation effects
  • Humans
  • Laser Therapy*
  • Lasers, Solid-State / therapeutic use*
  • Microscopy, Electron, Scanning
  • Resin Cements / chemistry
  • Silicon Dioxide / chemistry
  • Stress, Mechanical
  • Surface Properties
  • Temperature
  • Tensile Strength
  • Time Factors
  • Water / chemistry
  • Zirconium / chemistry

Substances

  • Clearfil S3 Bond
  • Clearfil SE Bond
  • Composite Resins
  • Dental Cements
  • Dentin-Bonding Agents
  • OptiBond FL
  • Prompt L-Pop
  • Resin Cements
  • Z100 composite resin
  • Water
  • Silicon Dioxide
  • Diamond
  • Durapatite
  • Zirconium