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  • Title: Effects of Er:YAG laser irradiation on the microtensile bond strength to bleached enamel.
    Author: Leonetti Edos S, Rodrigues JA, Reis AF, Navarro RS, Aranha AC, Cassoni A.
    Journal: Photomed Laser Surg; 2011 Aug; 29(8):551-8. PubMed ID: 21323428.
    Abstract:
    OBJECTIVE: The objective of this study was to evaluate the influence of different Er:YAG laser (λ = 2.94  μm) energy parameters on the microtensile bond strength (μTBS) and superficial morphology of bovine enamel bleached with 16% carbamide peroxide. BACKGROUND: Laser irradiation could improve adhesion to bleached enamel surfaces. METHODS: Sixty bovine enamel blocks (7 × 3 × 3  mm(3)) were randomly assigned to six groups according to enamel preparation procedures (n = 10): G1-bleaching and Er:YAG laser irradiation with 25.52  J/cm(2) (laser A, LA); G2-bleaching and Er:YAG laser irradiation with 4.42 J/cm(2) (laser B, LB); G3-bleaching; G4-Er:YAG laser irradiation with 25.52  J/cm(2); G5-Er:YAG laser irradiation with 4.42 J/cm(2); G6-control, no treatment. G1 to G3 were bleached for 6  h during 21 days. Afterwards, enamel surfaces in all groups were slightly abraded with 600-grit SiC papers and G1, G2, G4 and G5 were irradiated according to each protocol. Enamel blocks were then restored with an etch-and-rinse adhesive system and a 4-mm thick composite buildup was made in two increments (n = 9). After 24  h, restored blocks were serially sectioned with a cross-section area of ∼1  mm(2) at the bonded interface and tested in tension in a universal testing machine (1  mm/min). Failure mode was determined at a magnification of x100 using a stereomicroscope. One treated block of each group was selected for scanning electron microscopy (SEM) analysis. μTBS data were analyzed by two-way ANOVA and no statistical differences were observed among groups. RESULTS: Mean bond strengths (SD) in MPa were: G1-30.4(6.2); G2-27.9(8.5); G3-32.3(3.9); G4-23.7(5.8); G5-29.3(6.0); G6-29.1(6.1). A large number of adhesive failures was recorded for bleached and irradiated enamel surfaces. CONCLUSIONS: Bleached enamel surfaces μTBS values were not significantly different from those of unbleached enamel. Even though Er:YAG laser irradiation with both parameters had no influence on μTBS for bleached and unbleached enamel, SEM analysis revealed that Er:YAG laser irradiation with 25.52  J/cm(2) should not be recommended, as enamel ablation was observed, whereas irradiation with 4.42 J/cm(2) did not promote any remarkable changes on enamel surface.
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