scholarly journals Etching Enamel for Orthodontics with an Erbium, Chromium:Yttrium-Scandium-Gallium-Garnet Laser System

2007 ◽  
Vol 77 (1) ◽  
pp. 117-124 ◽  
Author(s):  
Güvenç Basaran ◽  
Törün Özer ◽  
Nükhet Berk ◽  
Orhan Hamamcı

Abstract Objective: To test the shear bond strength, surface characteristics, and fracture mode of brackets that are bonded to enamel etched with an erbium, chromium:yttrium-scandium-gallium-garnet (Er,Cr:YSGG) laser operated at different power outputs: 0.5 W, 1 W, and 2 W. Materials and Methods: Human premolars that had been extracted for orthodontic purposes were used. Enamel was etched with an Er,Cr:YSGG laser system operated at one of three power outputs or with orthophosphoric acid. Results: The shear bond strength associated with the 0.5-W laser irradiation was significantly less than the strengths obtained with the other irradiations. Both the 1-W and 2-W laser irradiations were capable of etching enamel in the same manner. This finding was confirmed by scanning electron microscopy examination. The evaluation of adhesive-remnant-index scores demonstrated no statistically significant difference in bond failure site among the groups, except for the 0.5-W laser–etched group. Generally, more adhesive was left on the enamel surface with laser irradiation than with acid etching. Conclusion: The mean shear bond strength and enamel surface etching obtained with an Er,Cr: YSGG laser (operated at 1 W or 2 W for 15 seconds) is comparable to that obtained with acid etching.

2015 ◽  
Vol 39 (4) ◽  
pp. 348-357 ◽  
Author(s):  
RM Agarwal ◽  
R Yeluri ◽  
C Singh ◽  
AK Munshi

Objective: To suggest Papacarie® as a new deproteinizing agent in comparison with indigenously prepared 10% papain gel before and after acid etching that may enhance the quality of the bond between enamel surface and composite resin complex. Study design: One hundred and twenty five extracted human premolars were utilized and divided into five groups: In the group 1, enamel surface was etched and primer was applied. In group 2, treatment with papacarie® for 60 seconds followed by etching and primer application. In group 3, etching followed by treatment with papacarie® for 60 seconds and primer application. In group 4, treatment with 10% papain gel for 60 seconds followed by etching and primer application. In group 5, etching followed by treatment with 10% papain gel for 60 seconds and primer application . After bonding the brackets, the mechanical testing was performed using a Universal testing machine. The failure mode was analyzed using an adhesive remnant index. The etching patterns before and after application of papacarie® and 10% papain gel was also evaluated using SEM. The values obtained for shear bond strength were submitted to analysis of variance and Tukey test (p < 0.05). Results: It was observed that group 2 and group 4 had the highest shear bond strength and was statistically significant from other groups (p=0.001). Regarding Adhesive remnant index no statistical difference was seen between the groups (p=0.538). Conclusion: Papacarie® or 10% papain gel can be used to deproteinize the enamel surface before acid etching to enhance the bond strength of orthodontic brackets.


2013 ◽  
Vol 83 (6) ◽  
pp. 973-980 ◽  
Author(s):  
Serkan Sağır ◽  
Aslıhan Usumez ◽  
Ebru Ademci ◽  
Serdar Usumez

ABSTRACT Objective: To compare the effect of laser irradiation at two different pulse settings and acid etching on the shear bond strength (SBS) of orthodontic brackets to enamel. Materials and Methods: Thirty-six premolars were allocated to three groups (n  =  12): (1) 37% phosphoric acid etching, (2) erbium-doped yttrium aluminum garnet (Er:YAG) laser etching with medium-short pulse mode (MSP; 100 µs, 120 mj, 10 Hz, 1.2 W), and (3) Er:YAG laser etching with quantum-square pulse mode (QSP; 120 mj, 10 Hz, 1.2 W). Metallic brackets were bonded with Transbond XT. After photopolymerization, the samples were subjected to 5000 thermal cycles and debonded with a universal testing machine, and the SBS values were recorded. Surface morphology was evaluated with profilometric examination, scanning electron microscopy, and atomic force microscopy. The adhesive remnant index (ARI) was evaluated to assess the remaining adhesive. Results: The results of SBS testing were analyzed by one-way analysis of variance and Tukey honestly significant diffference tests. The mean SBS values of QSP and MSP laser groups were 11.80 ± 2.7 MPa and 10.10 ± 4.5 MPa, respectively, and the QSP group demonstrated significantly higher SBS (P < .01) than that of the acid-etched group (6.6 ± 2.4 MPa). No significant difference was observed between the SBS values of the two laser groups (P < .05). The difference between the ARI scores of the laser groups and the acid-etched group was statistically significant (P < .05). Conclusion: Laser etching at MSP and QSP modes present successful alternatives to acid etching; however, long-term clinical studies are required to verify clinical success.


2015 ◽  
Vol 16 (4) ◽  
pp. 270-274 ◽  
Author(s):  
Soghra Yassaei ◽  
Azadeh Soleimanian ◽  
Zahra Ebrahimi Nik

ABSTRACT Aim Debonding of ceramic brackets due to their high bond strength and low fracture toughness is one of the most challenging complications of orthodontic clinicians. Application of lasers might be effective in the debonding of ceramic brackets as they reduce bond strength of resins and, therefore, can eliminate the risk of enamel damage. However, the thermal effects of laser radiation on dental tissue can cause undesirable results. The aim of this study is to evaluate the enamel surface characteristics and pulpal temperature changes of teeth after debonding of ceramic brackets with or without laser light. Materials and methods Thirty polycrystalline brackets were bonded to 30 intact extracted premolars, and later debonded conventionally or through a diode laser (2.5 W, 980 nm). The laser was applied for 10 seconds with sweeping movement. After debonding, the adhesive remnant index (ARI), the lengths and frequency of enamel cracks were compared among the groups. The increase in intrapulpal temperature was also measured. The collected data were analyzed by Chi-squared test and paired t-test using Statistical Package for Social Sciences (SPSS) software. Results There was no case of enamel fracture in none of the groups. Laser debonding caused a significant decrease in the frequency and lengths of enamel cracks, compared to conventional debonding. In laser debonding group, the increase in intrapulpal temperature (1.46°C) was significantly below the benchmark of 5.5°C for all the specimens. No significant difference was observed in ARI scores among the groups. Conclusion Laser-assisted debonding of ceramic brackets could reduce the risk of enamel damage, without causing thermal damage to the pulp. However, some increases in the length and frequency of enamel cracks should be expected with all debonding methods. How to cite this article Yassaei S, Soleimanian A, Nik ZE. Effects of Diode Laser Debonding of Ceramic Brackets on Enamel Surface and Pulpal Temperature. J Contemp Dent Pract 2015;16(4):270-274.


2020 ◽  
pp. 030157422095716
Author(s):  
Piradhiba R. ◽  
Shahul Hameed Faizee ◽  
N.R. Krishnaswamy

Aim: To evaluate the demineralization resistance and the shear bond strength of enamel surfaces after erbium, chromium: yttrium–scandium–gallium-garnet (Er,Cr:YSGG) laser etching (2 W/15 Hz, 2 W/25 Hz) and to compare them with conventional acid etching for orthodontic bonding. Materials and Methods: A total of 60 extracted human premolars with intact enamel surface were used for this study. Demineralization Resistance was estimated using ion-coupled plasma atomic emission spectrometer (ICP-AES). Shear bond strength was evaluated using Universal Testing Machine—Instron. Results: Statistically significant difference ( P < .001) was found in the concentration of dissolved calcium (Ca) and phosphorus (P), with the highest mean Ca and P in the acid-etched group, followed by 2 W/15 Hz laser-etched group and least with 2 W/25 Hz laser-etched group. Maximum bond strength was found in the acid-etched group (12.06 MPa), followed by the 2 W/25 Hz laser-etched group (9.01 MPa) and 2 W/15 Hz laser-etched group (8.39 MPa). The differences were statistically significant. Conclusions: Laser conditioning of enamel surface revealed significant demineralization resistance with a minimal dissolution of Ca and P ions in the demineralizing solution. Moreover, optimum bond strength was obtained similar to that of acid etching; hence, Er,Cr:YSGG laser conditioning of enamel surface is preferred over the conventional phosphoric acid etching for orthodontic bonding.


2011 ◽  
Vol 36 (1) ◽  
pp. 19-24 ◽  
Author(s):  
N Harleen ◽  
Y Ramakrishna ◽  
AK Munshi

Objective: This study was undertaken to assess the effect of enamel deproteinization with 5.25% sodium hypochlorite (NaOCl) before phosphoric acid (H3PO4) etching on the shear bond strength of Adper™ Single Bond 2 adhesive and Filtek™ Z- 350 XT composite resin . Study design: Forty human sound permanent molars which were extracted for periodontal reasons were used in the experimental protocol as under:Group-A (20 teeth):– A 5X4 mm window of the enamel surface was etched with 37% H3PO4 gel for 15 seconds,washed with distilled water and air dried. A single coat of Adper™ Single Bond 2 adhesive was applied and photo polymerized for 20 seconds and Filtek™ Z- 350 XT composite resin block of length 5mm,width 4mm and height 5mm respectively was built and photo polymerized in increments for 20 seconds each. Group-B (20 teeth):- Similarly the enamel surface was treated with 5.25% NaOCl for 60 seconds, washed with distilled water and then etched with 37% H3PO4 gel for 15 seconds, washed with distilled water and air dried. A single coat of Adper™ Single Bond 2 adhesive was applied and photo polymerized for 20 seconds and Filtek™ Z- 350 XT composite resin block of length 5mm, width 4mm and height 5mm respectively was built and photo polymerized in increments for 20 seconds each. The shear bond strength of all the samples were measured (in MPa) on Instron Mechanical Testing Machine. Results: The mean shear bond strength value for Group-A was 13.51 ± 5.726 MPa and for Group-B being 15.06 ± 6.220 MPa. No statistically significant difference in the shear bond strengths was observed between the two groups. Conclusions:No significant effect of sodium hypochlorite enamel deproteinization on the shear bond strength of Adper™ Single Bond 2 adhesive and Filtek™ Z- 350 XT composite resin before acid etching was observed in this study.


Author(s):  
Nasrin Farhadian ◽  
Amirfarhang Miresmaeili ◽  
Vahid Shahidi Zandi

Objectives: The purpose of this randomized clinical trial (RCT) was to compare the shear bond strength (SBS) of orthodontic brackets bonded to enamel with conventional acid-etch (AE) technique and self-etching primers (SEP). Materials and Methods: Twenty-two patients, requiring extraction of two bicuspids for orthodontic reasons, were recruited. In each individual, following blinding and allocation concealment, one intact premolar received conventional AE, whereas the contralateral premolar received SEP with a split-mouth design. Bonded brackets remained in the oral cavity for two months. Afterward, the teeth were extracted without debonding the brackets. SBS and adhesive remnant index (ARI) were measured using a Universal Instron machine and a stereomicroscope, respectively. Results: The mean SBS of the conventional AE and SEP groups was 9.53 and 9.20 MPa, respectively. Paired t-test showed no statistically significant difference between the two groups (P=0.096). Comparison of ARI between the two groups, using Wilcoxon test, indicated that significantly less adhesive remained on enamel with brackets bonded with SEP compared to brackets bonded with conventional AE (P<0.001) although the SBS was higher in the AE group. Conclusion: The present study indicated that although there is no significant difference in SBS between SEP and conventional AE for bonding orthodontic metal brackets, the amount of residual adhesive on the enamel surface is significantly less with SEP than with conventional AE. (IRCT registration number: IRCT201705099086N3).


2020 ◽  
Vol 25 (1) ◽  
pp. 28-35
Author(s):  
Fernando César Moreira ◽  
Helder Baldi Jacob ◽  
Luis Geraldo Vaz ◽  
Antonio Carlos Guastaldi

ABSTRACT Objective: The purpose of this study was to evaluate the effect of the Yd:YAG laser irradiation on orthodontic bracket base surface. Shear bond strength (SBS) values and sites of the bonding failure interfaces were quantified. Methods: Brackets were divided into two groups: OP (One Piece - integral sandblast base) and OPL (One Piece - laser irradiation). The brackets were randomly bonded on an intact enamel surface of 40 bovine incisors. The SBS tests were carry out using a universal test machine. A stereomicroscopy was used to evaluate the adhesive remnant index (ARI), and surface characterization was performed by scanning electron microscopy (SEM). Student’s t-test was used to compare the SBS between the two groups (p< 0.05). Frequencies and chi-square analysis were applied to evaluate the ARI scores. Results: OPL group showed higher value (p< 0.001) of SBS than OP group (43.95 MPa and 34.81 MPa, respectively). ARI showed significant difference (p< 0.001) between OPL group (ARI 0 = 100%) and OP group (ARI 0 = 15%). SEM showed a higher affinity between the adhesive and the irradiated laser base surface. Conclusions: Yd:YAG laser irradiation on bracket base increased SBS values, showing that bonding failure occurs at the enamel/adhesive interface. Laser-etched bracket base may be used instead of conventional bases in cases where higher adhesion is required, reducing bracket-bonding failure.


2016 ◽  
Vol 27 (6) ◽  
pp. 734-738 ◽  
Author(s):  
Natália Regina Santos de Matos ◽  
Ana Rosa Costa ◽  
Heloísa Cristina Valdrighi ◽  
Américo Bortolazzo Correr ◽  
Silvia Amélia Vedovello ◽  
...  

Abstract The aim of this study was to evaluate the effect of silanes, thermal cycling and acid etching on the shear bond strength (SBS) of metallic brackets to feldspathic ceramic. Feldspathic ceramic cylinders (Groups 1, 2, 5 and 6) were etched for 60 s with 10% hydrofluoric acid and Groups 3, 4, 7 and 8, without acid etching. Two layers of silane Clearfil Ceramic Primer (CCP, Groups 1 to 4) and two layers of RelyX Ceramic Primer (RCP, groups 5 to 8) were applied and dried for 60 s. Brackets were bonded to the cylinders with Transbond XT and light-activated for 40 s with Bluephase G2. All specimens were stored in deionized water at 37 °C for 24 h, and the specimens of groups 1, 3, 5 and 7 were submitted to 7,000 thermal cycles (5 °C/55 °C). After storage, the SBS test was performed at a crosshead speed of 1 mm/min. Data were subjected to three-way ANOVA and Tukey's post hoc test (α=0.05). The adhesive remnant index (ARI) was evaluated at 8x magnification. The SBS of CCP was significantly greater than of RCP (p<0.05), with or without thermal cycling. Thermal cycling significantly reduced the SBS (p<0.05). The groups submitted to acid etching showed significantly higher SBS than those without acid etching (p<0.05). In conclusion, thermal cycling reduced SBS for all groups. The best ceramic surface treatment for bracket bonding was achieved by acid etching and CCP silane. The ARI results showed predominance of score 0 for all groups.


2018 ◽  
Vol 29 (2) ◽  
pp. 128-132 ◽  
Author(s):  
Gabriela Cristina Santin ◽  
Alexandra Mussolino de Queiroz ◽  
Regina Guenka Palma-Dibb ◽  
Harley Francisco de Oliveira ◽  
Paulo Nelson Filho ◽  
...  

Abstract Patients undergoing radiotherapy treatment present more susceptibility to dental caries and the use of an orthodontic device increases this risk factor due to biofilm accumulation around the brackets. The objective of this study was to evaluate the shear bond strength to irradiated permanent teeth of orthodontic brackets bonded with conventional glass ionomer cement and resin-modified glass ionomer cement due to the fluoride release capacity of these materials. Ninety prepared human premolars were divided into 6 groups (n=15), according to the bonding material and use or not of radiation: CR: Transbond XT composite resin; RMGIC: Fuji Ortho LC conventional glass ionomer cement; GIC: Ketac Cem Easymix resin-modified glass ionomer cement. The groups were irradiated (I) or non-irradiated (NI) prior to bracket bonding. The specimens were subjected to a fractioned radiation dose of 2 Gy over 5 consecutive days for 6 weeks. After the radiotherapy, the brackets were bonded on the specimens with Transbond XT, Fuji Ortho LC and Ketac Cem Easymix. After 24 h, the specimens were subjected to shear bond strength test. The image of enamel surface (classified by Adhesive Remnant Index - ARI) was also evaluated and its frequency was checked among groups/subgroups. The shear bond strength variable was evaluated with ANOVA and Tukey’s post-hoc test. GIC group showed the lowest adhesion values among the groups (p<0.05). There was no statistically significant difference among non-irradiated and irradiated groups (p>0.05). As for the ARI, the CR-I group showed the highest material retention on enamel surface among the irradiated groups. RMGIC group showed the highest values for shear bond strength and presented ARI acceptable for clinical practices.


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