AI Article Synopsis

  • The study evaluated the effects of Nd:YAG and Er:YAG laser irradiation on the surface of glazed lithium disilicate dental ceramics using scanning electron microscopy (SEM).
  • Three laser treatments were examined—HF, Er:YAG, and Nd:YAG—across sixteen variable settings, and surface changes were analyzed at 500× and 1000× magnification.
  • Results showed HF treatment produced a rough surface ideal for bonding, while Er:YAG had no significant effect, and Nd:YAG caused surface damage like cracking and melting, making it unsuitable for orthodontic brackets compared to the HF-treating method.

Article Abstract

Objective: To evaluate the surface of glazed lithium disilicate dental ceramics after irradiation under different irradiation settings of Nd:YAG and Er:YAG lasers using a scanning electron microscope (SEM).

Materials And Methods: Three glazed-press lithium disilicate ceramic discs were treated with HF, Er:YAG, and Nd:YAG, respectively. The laser-setting variables tested were laser mode, repetition rate (Hz), power (W), time of exposure (seconds), and laser energy (mJ). Sixteen different variable settings were tested for each laser type, and all the samples were analyzed by SEM at 500× and 1000× magnification.

Results: Surface analysis of the HF-treated sample showed a typical surface texture with a homogenously rough pattern and exposed ceramic crystals. Er:YAG showed no effect on the surface under any irradiation setting. The surface of Nd:YAG-irradiated samples showed cracking, melting, and resolidifying of the ceramic glaze. These changes became more pronounced as the power increased. At the highest power setting (2.25 W), craters on the surface with large areas of melted or resolidified glaze surrounded by globules were visible. However, there was little to no exposure of ceramic crystals or visible regular surface roughening.

Conclusions: Neither Er:YAG nor Nd:YAG dental lasers exhibited adequate surface modification for bonding of orthodontic brackets on glazed lithium disilicate ceramics compared with the control treated with 9.5% HF.

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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC8315705PMC
http://dx.doi.org/10.2319/062017-408.1DOI Listing

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