Efficacy of Er Cr: YSGG laser therapy at different frequency and power levels on bond integrity of composite to bleached enamel.

Photodiagnosis Photodyn Ther

Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Po-Box: 60169, Riyadh 11545, Saudi Arabia. Electronic address:

Published: June 2018

AI Article Synopsis

  • The study evaluated how different Er, Cr: YSGG laser settings affect the bond strength and microleakage of bleached enamel using 100 samples divided into laser-treated and control groups.
  • Bleaching alone resulted in the weakest bond strength and highest microleakage, while the control group showed the strongest bond and least leakage.
  • Among the laser treatments, using 4.5 W at a frequency of 30 Hz produced the best results for maintaining bond strength and minimizing microleakage in bleached enamel.

Article Abstract

The aim was to evaluate the influence of Er, Cr: YSGG laser therapy at different pulse frequency and power levels on the bond strength and microleakage of bleached enamel. One hundred samples were bleached using in-office whitening agent. Bleached samples were divided into six subgroups, four subgroups was based on laser application parameters (pulse frequency 50 and 30 Hz; Power 4.5 & 6 W) one subgroup was treated with bleach (B) and the other was control (no bleaching, no laser application). All specimens including control were etched with 37% phosphoric acid and composite build-ups were performed. Ten specimens from all the groups (B: Bleach only, L1: 50 Hz-4.5 W, L2: 50 Hz-6 W, L3: 30 Hz-4.5 W, L4:50 Hz-6W & C: Control) were assessed for shear bond strength and microleakage scores. Ten samples from all groups were immersed in 2% methylene blue for 24 h and assessed under a digital microscope for microleakage. The lowest mean bond strength was achieved in bleached group (9.49 ± 0.95) and maximum bond strength was observed in control group (33.97 ± 0.86). The highest mean microleakage score was found in bleached specimens (group B) (630.32 ± 156.58) and the lowest in controls (group C) (36.66 ± 27.33). Among assessed laser frequency and power combinations, 4.5 W and 30 Hz frequency showed maximum adhesive bond integrity (high bond strength and low microleakage) for bleached enamel samples.

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http://dx.doi.org/10.1016/j.pdpdt.2018.02.019DOI Listing

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