Effects of motion direction and power of Er,Cr:YSGG laser on pull-out bond strength of fiber post to root dentin in endodontically-treated single-canal premolar teeth.

Background: Inadequate retention and gradual debonding of intracanal post from root dentin is a major cause of failure of endodontically treated teeth restored with fiber post.

Main Body: This study aimed to assess the effect of surface treatment of quartz fiber posts with different powers and motion directions of Er,Cr:YSGG laser on their pull-out bond strength to root dentin in endodontically treated premolar teeth. In this study, 105 fiber posts were divided into 7 groups according to their surface treatment with different powers of Er,Cr:YSGG laser at 2780 nm wavelength, 20 Hz frequency and 150 μs pulse duration in circumferential (C) or longitudinal (L) motion directions: Control group (no treatment), 0.5 W laser in longitudinally (L0.5), 1.0 W laser in longitudinally (L1), 1.5 W laser in longitudinally (L1.5), 0.5 W laser in circumferentially (C0.5), 1.0 W laser in circumferentially (C1) and 1.5 W laser in circumferentially (C1.5). After cementation, pull-out bond strength was measured in Newton (N). Each sample was inspected under a stereomicroscope at × 25 magnification to determine the mode of failure. Two samples of each group were inspected under a scanning electron microscope (SEM). Data were analyzed using two-way ANOVA and Tukey's test with significant level of 0.05. The pull-out bond strength of 0.5 W groups had significant differences with the control group ( = 0.009). The bond strength of 1.0 W and 1.5 W groups were not significantly different ( = 0.630) but were higher than the control and 0.5 W groups ( < 0.001). Motion direction of laser irradiation had no significant effect on the bond strength ( = 0.384). The interaction effect of power and motion direction of laser irradiation had no significant effect on the bond strength ( = 0.092).

Conclusion: Fiber posts treated with 0.5, 1.0 and 1.5 W Er,Cr:YSGG laser showed higher bond strength to dentin compared to posts with no surface treatment. However, the motion directions of laser irradiation had no significant effect on the bond strength. In order to minimize damage to post surface and achieving maximum bond strength, longitudinal surface treatment of posts with 1.0 W power of Er,Cr:YSGG laser is recommended.