Removal of fractured laminate veneers with Er:YAG laser: report of two cases

Photomed Laser Surg. 2013 Jan;31(1):41-3. doi: 10.1089/pho.2012.3410. Epub 2012 Dec 18.

Abstract

Objective: To demonstrate the efficiency of Er:YAG laser for removal of laminate veneers in case of fracture. Primary modes of failure of porcelain laminate veneers were noted to be fracture, microleakage, or debonding.

Background data: One of the predisposing factors for the occurrence of fractures is heavy functional or parafunctional loading.

Methods: Removal of fractured laminate veneers with Er:YAG laser is proposed as a reliable method. Two cases are presented in which fractured laminate veneers were removed with Er:YAG laser. The parameters used for removal were set at 20 Hz/320 mJ, with water irrigation for 9 sec and the chisel-type laser tip was selected (1.2×0.4 mm, rectangular shape). The pulse width was 200 ms.

Results: The laminates were removed without any damage to the underlying tissue. The new restorations were reconstructed and both patients were taken under recall program at 6-month intervals.

Conclusions: The removal of fractured laminate veneers with Er:YAG laser could be a suitable alternative in routine clinical use.

MeSH terms

  • Adult
  • Aged
  • Dental Debonding / instrumentation*
  • Dental Veneers / adverse effects*
  • Female
  • Humans
  • Lasers, Solid-State*
  • Male