scholarly journals Longitudinal Evaluation of Bond Strength to Enamel of Dental Adhesive Systems Associated with Nd:YAG Laser

2015 ◽  
Vol 40 (3) ◽  
pp. E122-E131 ◽  
Author(s):  
DC Barcellos ◽  
GR Batista ◽  
CR Pucci ◽  
ES Persici ◽  
AB Borges ◽  
...  

SUMMARY Objectives This study evaluated the durability of bond strength to enamel using total-etch (Single Bond/SB) and self-etch (Clearfil SE Bond/CSEB) adhesives associated with neodymium:yttrium-aluminu- garnet (Nd:YAG) laser irradiation through the uncured adhesives. Methods Bovine incisors were worn to expose an area of enamel and were divided into four groups: group 1 (control) SB + polymerization; group 2 (control) CSEB + polymerization; group 3 (laser) − SB + Nd:YAG laser (174.16 J/cm2) + polymerization; and group 4 (laser) CSEB + Nd:YAG (174.16 J/cm2) + polymerization. Blocks of composite were fabricated and stored for 24 hours or 12 months, sectioned into beams, and submitted to microtensile tests. Results were analyzed by three-way analysis of variance (ANOVA) (adhesive, technique, and storage time) and Tukey tests. Results ANOVA revealed significant differences for adhesive × technique and technique × storage time (p<0.05). The mean values (MPa) for interaction adhesive × technique (standard deviation) were as follows: SB/control = 35.78 (6.04)a; SB/laser = 26.40 (7.25)b, CSEB/control = 26.32 (5.71)b, CSEB/laser = 23.90 (7.49)b. For interaction technique × storage time the mean values were as follows: control/24 hours = 32.58 (6.49)a; control/12 months = 29.52 (8.38)a; laser/24 hours = 29.37 (5.71)a; laser/12 months = 20.92 (6.5)b. Groups with the same letters showed no statistically significant differences. Conclusion Scanning electron microscope analysis showed evident areas of micromorphological alterations in lased samples after 12 months of water storage. Nd:YAG laser irradiation of enamel through unpolymerized total-etch adhesive significantly reduced bond strength compared with the control. Bond strength decreased when enamel samples irradiated with Nd:YAG laser through unpolymerized adhesives were stored in water for 12 months.

2021 ◽  
Vol 6 (2) ◽  
pp. 023-028
Author(s):  
Fatemeh Rezaei ◽  
Atefeh Nemati-Karimooy ◽  
Horieh Moosavi

Aim: This study investigated the effect of various surface treatments on the bond strength of a universal adhesive to demineralized dentin. Materials and Methods: Human dentin surfaces of forty-eight carries-free maxillary premolars were prepared and demineralized by acidic solutions. Teeth were randomly distributed into four groups (n=12) getting different surface treatments. Three minutes application of a CPP‑ACP (group 1), Er: YAG laser irradiation (group 2), Er: YAG laser irradiation combined with three minutes application of CPP‑ACP (group 3), no treatment (group 4). Thereafter composite tube (Filtek TM Ultimate, 3M ESPE) bonded to the testing surfaces via universal adhesive; Single Bond Universal and the Shear Bond Strength (SBS) measured. Data were analyzed utilizing ANOVA and Tukey tests (P<0.05). Results: Only application of CPP-ACP and Er: YAG laser radiation, resulted in the highest and lowest SBS respectively (p<0.001). Bond strength after irradiation of Er: YAG laser combined with three minutes application of CPP‑ACP was a little more than laser alone. Conclusion: The application of CPP-ACP could increase the SBS of universal adhesives used to demineralized dentin. Laser irradiation application has an adverse effect on SBS.


2020 ◽  
Vol 23 (1) ◽  
Author(s):  
Bruno Amaral Haddad ◽  
Tânia Mara Silva ◽  
Lucélia Lemes Gonçalves ◽  
Mateus Rodrigues Silva ◽  
Cláudio Moreira Junior ◽  
...  

Objective: Evaluate the microtensile bond strength (µTBS) in different dentin thicknesses, under simulated pulpal pressure (SPP), submitted to an adhesive technique using laser irradiation. Material and methods: Forty sound human molars were sectioned and randomly divided into two groups (n=20): Group 1 – 1 mm of dentin thickness; Group 2 – 2 mm of dentin thickness. Each group was divided into two subgroups (n=10): Subgroup A – Absence of SPP; Subgroup P – Presence of SPP (15 cm H2O). The samples were sequentially treated with: 37% phosphoric acid, adhesive system (Adper Single Bond 2), Nd:YAG laser irradiation (60 s, 1064 nm, 10 Hz) using 60 and 100 mJ/pulse energy parameters and photopolymerization (10 s). A composite resin block (Filtek Z350) was built up onto the irradiated area. After 30 days stored in water, the samples were sectioned and submitted to microtensile test (10 kgf load cell, 0.5mm/min). Data were analyzed by three-way ANOVA and Tukey tests. Results: Three-way ANOVA revealed no significant differences for SPP (p=0.0821) and for dentin thickness p= 0.9405) on bond strength. The laser energy parameters (p=0.001) indicated that 100 mJ showed greater µTBS means compared to the group irradiated with 60 mJ. Dentin thickness did not affect on µTBS. The presence of SPP reduced the mean µTBS values.  Conclusions: Simulated pulpal pressure did not affect the µTBS using 60 mJ of laser energy parameter. At 100 mJ, the presence of SPP negatively influenced the bond strength, regardless of dentin thickness. KEYWORDSBond strength; Dentin; Intrapulpal pressure; Nd:YAG laser.


2014 ◽  
Vol 17 (2) ◽  
pp. 20 ◽  
Author(s):  
Eduardo Shigueyuki Uemura ◽  
João Maurício Silva ◽  
Alexandre Luiz Souto Borges ◽  
Eron Toshio Colauto Yamamoto

<p>The correct parallelism of guiding planes when constructing a Removable Partial Denture not only defines the axis of insertion and removal of the prosthesis, but also limits the possible axes of movement during functioning. Therefore, the purpose of the study was to compare some techniques and the use of an intra-oral device for those preparations. Dummies were performed in a direct manner, simulating the absence of teeth 15, 45, 12 and 42. The four preparation techniques chosen were: Group 1 – freehand preparation; group 2 - guide pins; Group 3 - crown guides and Group 4 - parallel intraoral device – ParalAB. No statistical difference was shown between the mean values of angles found for the freehand (82.85°) and guide pin (83.60°) groups. Also, no statistical significant difference was observed between the mean values of angles found for the resin cap (of 88.83) and intraoral device (88.58 º) groups; however they were superior to the findings for the freehand and guide pin groups. The studied methods are effective for what they were proposed; however, one should select the method according to the experience and skills, to promote the best results.</p>


2021 ◽  
pp. 112067212110177
Author(s):  
Ayse Gul Kocak Altintas ◽  
Cagri Ilhan

Purpose: To compare the phaco time parameters including ultrasound time (UST), effective phaco time (EPT), and average phaco power (APP) in eyes with pseudoexfoliation glaucoma (PEG) and had or had not glaucoma filtration surgery. Methods: In this retrospective comparative study, Group 1 was constructed with 84 PEG patients who had not operated previously, and Group 2 was constructed with 49 PEG patients who had glaucoma filtration surgery. The mean values of UST, EPT, and APP were compared. The preoperative clinical characteristics and surgical manipulations were also compared. Results: The mean ages and male-to-female ratios of the groups were similar ( p > 0.05, for both). There was no difference in the preoperative clinical characteristics, including biometric values between the groups ( p > 0.05, for all). Some surgical manipulations, including pupillary stretching ( p = 0.004), pupillary membrane peeling ( p = 0.021), iris hook using ( p = 0.041), and capsular tension ring implantation ( p = 0.041), were significantly performed more commonly in Group 2. Although the mean UST and EPT values were similar ( p > 0.05, for both), the mean APP value was significantly lower in Group 2 ( p = 0.011). Conclusion: The lower APP parameter was observed in PEG patients having had glaucoma filtration surgery. Needing more surgical manipulation to overcome poor pupillary dilation and weak zonular instability can be a reason for this result.


2010 ◽  
Vol 04 (04) ◽  
pp. 367-373 ◽  
Author(s):  
Sevi Burcak Cehreli ◽  
Asli Guzey ◽  
Neslihan Arhun ◽  
Alev Cetinsahin ◽  
Bahtiyar Unver

Objectives: The aim of this in vitro study is to determine (1) shear bond strength (SBS) of brackets bonded with self-etch and total-etch adhesive after ozone treatment (2) bond failure interface using a modified Adhesive Remnant Index (ARI).Methods: 52 premolars were randomly assigned into four groups (n=13) and received the following treatments: Group 1: 30 s Ozone (Biozonix, Ozonytron, Vehos Medikal, Ankara, Turkey) application + Transbond Plus Self-Etching Primer (SEP) (3M) + Transbond XT (3M), Group 2: Transbond Plus SEP + Transbond XT, Group 3: 30 s Ozone application + 37% orthophosphoric acid + Transbond XT Primer (3M) + Transbond XT, Group 4: 37% orthophosphoric acid + Transbond XT Primer + Transbond XT. All samples were stored in deionised water at 37oC for 24 hours. Shear debonding test was performed by applying a vertical force to the base of the bracket at a cross-head speed of 1 mm/min.Results: The mean SBS results were Group 1: 10.48 MPa; Group 2: 8.89 MPa; Group 3: 9.41 MPa; Group 4: 9.82 MPa. One-Way Variance Test revealed that the difference between the groups was not statistically significant (P=0.267). Debonded brackets were examined by an optical microscope at X16 magnification to determine the bond failure interface using a modified ARI. The results were (mean) Group 1: 2.38; Group 2: 1.31; Group 3: 3.00; Group 4: 1.92. Multiple comparisons showed that Groups 1 and 2, 2 and 3, 3 and 4 were statistically different (P=0.014, P<.001 and P=0.025).Conclusions: Ozone treatment prior to bracket bonding does not affect the shear bond strength. (Eur J Dent 2010;4:367-373)


2006 ◽  
Vol 31 (5) ◽  
pp. 604-609 ◽  
Author(s):  
M. Franke ◽  
A. W. Taylor ◽  
A. Lago ◽  
M. C. Fredel

Clinical Relevance Statistical analysis of the results obtained in this study shows that Nd:YAG laser irradiation on the adhesive system has a significant influence on bond strength to dentin. Bond strength is improved by better adhesive penetration when low energy is applied; whereas, high energy densities have a deleterious effect on the procedure.


2016 ◽  
Vol 17 (12) ◽  
pp. 985-989 ◽  
Author(s):  
Carlos Rocha Gomes Torres ◽  
Eduardo Bresciani ◽  
César R Pucci ◽  
Natália R Barbosa ◽  
Karen CK Yui ◽  
...  

ABSTRACT Introduction The decalcification protocol of dentin surface with sodium hypochlorite removes the exposed collagen fibrils and could improve the longevity of the bonding interface. This study evaluated the influence of collagen removal with 10% sodium hypochlorite (10% NaOCl) on the longitudinal shear bond strength (SBS) of adhesives to dentin. Materials and methods Seventy-two extracted human molars were sectioned and the buccal and lingual surfaces were flattened and acid etched with 37% phosphoric acid for 15 seconds. The specimens were divided into six groups (n = 12 teeth – 24 sections), according to adhesive and collagen removal protocol: group 1: UNO Dentastic; group 2: Prime and Bond NT; group 3: Single Bond; group 4: 10% NaOCl + UNO Dentastic; group 5: 10% NaOCl + Prime and Bond NT; group 6: 10% NaOCl + Single Bond. Composite Z100 buildup was prepared, and the SBS test was assessed after 24 hours and 1 year. Data were submitted to three-way analysis of variance (ANOVA) and Tukey tests (p < 0.05). Results The mean values (MPa) were for 24 hours: G1: 22.45B; G2: 7.90DE; G3: 12.56CD; G4: 19.85BC; G5: 33.73A; G6: 20.77B; and for 1 year: G1: 2.43E; G2: 2.26E; G3: 4.3DE; G4: 18.79BC; G5: 26.49AB; G6: 22.73B. Conclusion Dentin deproteinization treatment with 10% NaOCI influenced the SBS compared with conventional treatment. The negative influence on SBS detected for conventional groups at 1-year interval was not detected for deproteinized groups. Clinical relevance The longevity of hybrid layer is critical due to the hydrolysis process at the adhesive interface over time. The use of 10% NaOCl deproteinization protocol might improve the longevity of bonding in adhesive restorations. How to cite this article Pucci CR, Barbosa NR, Bresciani E, Yui KCK, Huhtala MFRL, Barcellos DC, Torres CRG. Influence of Dentin Deproteinization on Bonding Degradation: 1-year Results. J Contemp Dent Pract 2016;17(12):985-989.


2021 ◽  
pp. 036354652110469
Author(s):  
Benjamin R. Saks ◽  
Vivian W. Ouyang ◽  
Elijah S. Domb ◽  
Andrew E. Jimenez ◽  
David R. Maldonado ◽  
...  

Background: Access to quality health care and treatment outcomes can be affected by patients’ socioeconomic status (SES). Purpose: To evaluate the effect of patient SES on patient-reported outcome measures (PROMs) after arthroscopic hip surgery. Study Design: Cohort study; Level of evidence, 3. Methods: Demographic, radiographic, and intraoperative data were prospectively collected and retrospectively reviewed on all patients who underwent hip arthroscopy for femoroacetabular impingement syndrome (FAIS) and labral tear between February 2008 and September 2017 at one institution. Patients were divided into 4 cohorts based on the Social Deprivation Index (SDI) of their zip code. SDI is a composite measure that quantifies the level of disadvantage in certain geographical areas. Patients had a minimum 2-year follow-up for the modified Harris Hip Score (mHHS), Nonarthritic Hip Score (NAHS), International Hip Outcome Tool—12, and visual analog scale (VAS) for both pain and satisfaction. Rates of achieving the minimal clinically important difference (MCID) and patient acceptable symptom state (PASS) were calculated for the mHHS, NAHS, and VAS pain score. Rates of secondary surgery were also recorded. Results: A total of 680 hips (616 patients) were included. The mean follow-up time for the entire cohort was 30.25 months. Division of the cohort into quartiles based on the SDI national averages yielded 254 hips (37.4%) in group 1, 184 (27.1%) in group 2, 148 (21.8%) in group 3, and 94 (13.8%) in group 4. Group 1 contained the most affluent patients. There were significantly more men in group 4 than in group 2, and the mean body mass index was greater in group 4 than in groups 1 and 2. There were no differences in preoperative radiographic measurements, intraoperative findings, or rates of concomitant procedures performed. All preoperative and postoperative PROMs were similar between the groups, as well as in the rates of achieving the MCID or PASS. No differences in the rate of secondary surgeries were reported. Conclusion: Regardless of SES, patients were able to achieve significant improvements in several PROMs after hip arthroscopy for FAIS and labral tear at the minimum 2-year follow-up. Additionally, patients from all SES groups achieved clinically meaningful improvement at similar rates.


Laser Physics ◽  
2021 ◽  
Vol 31 (5) ◽  
pp. 055602
Author(s):  
Shiva Jafarnia ◽  
Javad Zeinaddini Meymand ◽  
Fateme Zandkarimi ◽  
Sogol Saberi ◽  
Alireza Valanezhad ◽  
...  

Author(s):  
A.P. Voznyuk ◽  
◽  
S.I. Anisimov ◽  
S.Y. Anisimova ◽  
L.L. Arutyunyan ◽  
...  

Purpose. To evaluate the efficacy and safety of femtolaser-assisted phacoemulsification in glaucomatous eyes in the long-term follow-up. Materials and methods. A retrospective analysis of the results of the surgical treatment of patients with combined cataract and glaucoma pathology was analyzed. The patients were divided into groups depending on the method of surgical intervention: 1) phacoemulsification with femtolaser support (26 eyes, 23 patients); 2) phacoemulsification (36 eyes, 30 patients); Results. Before surgery, there were no statistically significant differences in IOP and corneal hysteresis (СН) between groups 1 and 2. The mean values of IOP cc, IOP g and СН of group 1 before surgery were 22.7±6.1 mm Hg, 20.9±6.9 mm Hg, 8.5±1.6 mm Hg; 2 group – 22.9±8.7 mm Hg, 21.6±8.9 mm Hg, 8.9±1.6 mm Hg respectively. Average values of IOP cc, IOP g and CН 5 years after the surgical treatment in group 1 were 15.3±1.2 mm Hg, 14.4±3.4 mm Hg, 9.6±4.2 mm Hg; in group 2 – 18.0±4.2 mm Hg, 16.1±4.2 mm Hg, 8.8±2.2 mm Hg respectively. In both groups, stabilization of IOP and CH indices was noted, which remained throughout the entire observation period, which shows the normalization of the biomechanical properties of the corneoscleral membrane of the eye in the long-term postoperative period. Conclusion. Femtolaser accompaniment of phacoemulsification is an effective and safe method of cataract surgery for combined pathology. Key words: femtolaser, cataract, glaucoma, phacoemulsification.


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