Influence of lithium disilicate pretreatment using photodynamic therapy, non-thermal plasma, and laser treatment on surface roughness and bond strength

Photodiagnosis Photodyn Ther. 2023 Jun:42:103512. doi: 10.1016/j.pdpdt.2023.103512. Epub 2023 Mar 17.

Abstract

Aims: To assess the shear bond strength (SBS) and surface roughness (Ra) of lithium disilicate ceramic (LDC) after using different pretreatment methods i.e., Non-Thermal Plasma (NTP), self-etching ceramic primer (SECP), curcumin photosensitizer (CP), Er and Cr: YSGG lasers (ECL) in comparison to hydrofluoric acid + Silane (HF + S).

Materials and methods: A total of fifty LDC discs were prepared. All the discs were arbitrarily divided into five groups based on the surface conditioning used (n = 10). Group 1: PDT+S, group 2: HF+ S, group 3: NTP + S, group 4: SECP, and group 5: ECL+ S. A confocal optical microscope was used to calculate Ra for each sample. A self-adhesive resin cement was applied followed by LED light curing. A universal testing machine was used to assess SBS and a stereomicroscope was used to determine the failure mode. Two-way analysis of variance (ANOVA), and a Tukey post hoc test was used to analyze data (p = 0.05).

Results: The highest bond integrity of resin luting bonded to conditioned LDS ceramics were presented by group 2 (HF+ S) (21.48±1.39 MPa) and lowest by group 1 (CP+S) (13.01±1.19 MPa) respectively. Intergroup comparison analysis revealed that group 1(13.01±1.19 MPa) and group 3 (14.28±0.62 MPa) displayed comparable outcomes of bond integrity(p>0.05). Similarly, it was observed that group 2 (21.48±1.39 MPa) and group 5 (21.31±1.85 MPa) exhibited comparable values of bond strength(p>0.05). Specimens conditioned with HF+ S showed the highest Ra (1445.86±0.019 µm). However, discs treated with SECP exhibited the lowest Ra (0139.76±0.081 µm).

Conclusion: Er, Cr: YSGG laser retains the ability to be used as an LDC surface conditioner as an alternative to HF+ S.Both the methods of pretreatment results in high surface roughness of LDC.

Keywords: Er,Cr:YSGG; Lithium disilicate ceramics; Non-thermal plasma; Photodynamic therapy; Pretreatment; Surface roughness.

MeSH terms

  • Lasers, Solid-State* / therapeutic use
  • Materials Testing
  • Microscopy, Electron, Scanning
  • Photochemotherapy* / methods
  • Photosensitizing Agents
  • Surface Properties

Substances

  • lithia disilicate
  • Photosensitizing Agents