scholarly journals Utilization of Er:YAG Laser in Retrieving and Reusing of Lithium Disilicate and Zirconia Monolithic Crowns in Natural Teeth: An In Vitro Study

2020 ◽  
Vol 10 (12) ◽  
pp. 4357
Author(s):  
Kinga Grzech-Leśniak ◽  
Sompop Bencharit ◽  
Lenart Skrjanc ◽  
Domen Kanduti ◽  
Jacek Matys ◽  
...  
Keyword(s):  
Yttrium Aluminum Garnet ◽  
Er:Yag Laser ◽  
In Vitro Study ◽  
Lithium Disilicate ◽  
Resin Cement ◽  
Retrieval Process ◽  
Human Teeth ◽  
Erbium Doped ◽  
Natural Teeth

The study examined the effect of noninvasive crown retrieval/reuse process using an erbium-doped yttrium aluminum garnet laser (Er:YAG). Twenty-six extracted human teeth were prepared for a crown. The crown was milled using lithium disilicate (LD) and zirconia (Z) materials, n = 13 per group, with three for scanning electron microscopy (SEM). The crown was luted using composite resin cement and subjected to a laser retrieval process. After the retrieval process, the crown was cleaned, re-cemented and laser-retrieved two more times, without and with additional tooth reduction mimicking clinical refreshment of dentin. Retrieval time and temperature were analyzed using analysis of variance (ANOVA). Surface changes were observed through SEM. The retrieval times were 267.1 ± 130.43, 220 ± 79.09, 277.1 ± 126.44, 368.4 ± 136.14, 355 ± 159.39, and 419.2 ± 121.36 s for first, second, third LD and Z groups, respectively (p = 0.009). The maximal temperatures were 23.95.1 ± 1.89 °C, 24.86 ± 2.01 °C, 24.17 ± 1.53 °C, 22.88 ± 1.51 °C, 24.03 ± 1.74 °C, and 21.99 ± 1.32 °C for first, second, third LD and Z groups, respectively (p = 0.006). Er:YAG laser crown removal is an effective retrieval tool for all-ceramic crowns. Minimal changes to teeth and crowns were observed following laser irradiation.

scholarly journals Utilization of Er:YAG Laser in Retrieving and Reusing of Lithium Disilicate and Zirconia Monolithic Crowns in Natural Teeth: An in Vitro Study

2020 ◽  
Author(s):  
Kinga Grzech-Leśniak ◽  
Sompop Bencharit ◽  
Lenart Skrjanc ◽  
Domen Kanduti ◽  
Jacek Matys ◽  
...  
Keyword(s):  
Yttrium Aluminum Garnet ◽  
Er:Yag Laser ◽  
Lithium Disilicate ◽  
Resin Cement ◽  
Retrieval Process ◽  
Human Teeth ◽  
Erbium Doped ◽  
Natural Teeth ◽  
Group 3

The study examined the effect of noninvasive crown retrieval/reuse process using erbium-doped yttrium aluminum garnet laser (Er:YAG). Twenty-six extracted human teeth were prepared for a crown. The crown was milled using lithium disilicate (LD) and zirconia (Z) materials, n=13 per group, 3 for scanning electron microscopy (SEM). The crown was luted using composite resin cement and subjected to a laser retrieval process. After the retrieval process, the crown was cleaned, recemented and laser-retrieved two more times, without and with additional tooth reduction mimicking clinical refreshment of dentin. Retrieval time and temperature were analyzed using analysis of variance (ANOVA). Surface changes were observed through SEM. The retrieval times were 267.1±130.43, 220±79.09, 277.1±126.44, 368.4±136.14, 355±159.39, and 419.2±121.36 seconds for first, second, third LD and Z groups, respectively (p=.009). The maximal temperatures were 23.95.1±1.89°C, 24.86±2.01°C, 24.17±1.53°C, 22.88±1.51°C, 24.03±1.74°C, and 21.99±1.32°C for for first, second, third LD and Z groups, respectively (p=.006). Er:YAG laser crown removal is an effective retrieval tool for all-ceramic crowns. Minimal changes to teeth and crowns were observed following laser irradiation.

scholarly journals Effect of lithium disilicate ceramic thickness, shade and translucency on transmitted irradiance and knoop microhardness of a light cured luting resin cement

2021 ◽  
Vol 32 (8) ◽  
Author(s):  
Lincoln Pires Silva Borges ◽  
Gilberto Antônio Borges ◽  
Américo Bortolazzo Correr ◽  
Jeffrey A. Platt ◽  
Sidney Kina ◽  
...  
Keyword(s):  
In Vitro Study ◽  
Lithium Disilicate ◽  
Resin Cement ◽  
Control Group ◽  
Ceramic Disc ◽  
All Ceramic ◽  
Light Curing ◽  
Knoop Microhardness ◽  
Ceramic Thickness

AbstractThis in vitro study evaluates the influence of pressed lithium disilicate thickness, shade and translucency on the transmitted irradiance and the Knoop microhardness (KHN) of a light-cured resin cement at two depths. One hundred and thirty-five ceramic discs of IPS e.max Press (Ivoclar Vivadent) were fabricated and divided into twenty-seven groups (n = 5) according to the association between translucency: HT (hight translucency), LT (low translucency), and MO (medium opacity); shade: BL2, A1 and A3.5; and thickness: 0.5 mm, 1.5 mm, and 2.0 mm. One side of each ceramic disc was finished, polished and glazed. The irradiance (mW/cm²) of a multiwave LED light curing unit (Valo, Ultradent) was evaluated with a potentiometer (Ophir 10ª-V2-SH, Ophir Optronics) without (control group) or with interposition of ceramic samples. The microhardness of Variolink Esthetic LC resin cement (Ivoclar Vivadent) was evaluated after 24 h at two depths (100 μm and 700 μm). Data were submitted to ANOVA followed by Tukey’s test (α = 0.05). Irradiance and KHN were significantly influenced by ceramic thickness (p < 0.0001), shade (p < 0.001), translucency (p < 0.0001) and depth (p < 0.0001). Conclusions: the interposition of increasing ceramic thicknesses significantly reduced the irradiance and microhardness of resin cement. Increased depth in the resin cement showed significantly reduced microhardness for all studied groups. Increased ceramic opacity reduced the KHN of the resin cement at both depths for all ceramic thicknesses and shades.

scholarly journals The Effects of Erbium-Doped Yttrium Aluminum Garnet Laser (Er: YAG) Irradiation on Sandblasted and Acid-Etched (SLA) Titanium, an In Vitro Study

Materials ◽  
2020 ◽  
Vol 13 (18) ◽  
pp. 4174
Author(s):  
Antonio Scarano ◽  
Felice Lorusso ◽  
Francesco Inchingolo ◽  
Francesca Postiglione ◽  
Morena Petrini
Keyword(s):  
Yttrium Aluminum Garnet ◽  
In Vitro Study ◽  
Yttrium Aluminum Garnet Laser ◽  
Erbium Doped ◽  
Yttrium Aluminum ◽  
Group 3 ◽  
Group 2 ◽  
Level Of Significance ◽  
Post Hoc

The treatment of peri-implantitis implies the decontamination of the surface of the fixture. This study aims to analyze the effect of the erbium-doped yttrium aluminum garnet laser (Er: YAG) on sandblasted and acid-etched (SLA) titanium. 30 titanium SLA disks were divided into three groups. In Group 1, the disks were left intact; on the contrary, both Groups 2 and 3 were irradiated with the Er: YAG laser at different settings, with a pulse duration of 300 μs and a period of 30 s. Group 2 was irradiated at 1 W and 100 mJ/pulse and Group 3 at 4 W and 400 mJ/pulse. The superficial changes at chemical, nano, and microscopical levels were detected through the use of Fourier-transform infrared spectroscopy, atomic force microscopy, and scanning electron microscope. The Kruskal–Wallis test, followed by the Dunn–Bonferroni Post Hoc analysis, detected the presence of statistically significant differences among the groups. The level of significance was p ≤ 0.05. Results showed that Er: YAG irradiation promoted a significant (p < 0.05) increase of oxides and a decrease of microscopical roughness and porosity on SLA disks. However, the protocol tested on group 3 seemed to be too aggressive for the titanium surface, as shown by the presence of micro-cracks and signs of coagulation, melting, and microfractures. In conclusion, Group 2 showed significantly minor surface alterations with respect to Group 3, and the increase of superficial oxide level, the decrease of porosity, and micro-roughness represent a positive alteration that could protect the materials against bacterial adhesion.

scholarly journals Influence of irradiation with Er:YAG laser on the shear bond strength of a resin cement to feldspathic ceramic - in vitro study

Cerâmica ◽  
2015 ◽  
Vol 61 (358) ◽  
pp. 244-250 ◽  
Author(s):  
M. C. Loffredo ◽  
F. S. Hanashiro ◽  
W. Steagall Júnior ◽  
M. N. Youssef ◽  
W. C. de Souza-Zaroni
Keyword(s):  
Bond Strength ◽  
Hydrofluoric Acid ◽  
Shear Bond Strength ◽  
Er:Yag Laser ◽  
In Vitro Study ◽  
Surface Treatments ◽  
Resin Cement ◽  
Air Abrasion ◽  
Yag Laser

<p>Although several conventional surface treatments have been used on feldspathic ceramic, a few studies investigated the effects of the irradiation with Er: YAG laser using different parameters. The aim of this in vitro study was to evaluate the shear bond strength of a resin cement to feldspathic ceramic, after the application of different surface treatments, especially the irradiation with Er:YAG laser. Forty-two discs made of a feldspathic ceramic were divided into six groups (n = 7): G1: control group - 10% hydrofluoric acid (HF), G2: Air abrasion with Al2O3 + HF; G3: Er: YAG laser with 500 mJ/4Hz, G4: Er: YAG laser with 500 mJ/4Hz: + HF; G5: Er: YAG laser with 400 mJ/6Hz and G6: Er:YAG laser with 400 mJ/6Hz + HF. After this, all the specimens were treated with silane, and then a resin cement cylinder was built on the treated ceramic surface. After 24 h at 37 oC, specimens were submitted to the shear bond strenght test and stereoscopic evaluation to determine the type of failure. The mean bond strength values (MPa) obtained were: G1 - 17.55, G2 - 18.80, G3 - 21.80, G4 - 12.62, G5 - and 15.81 G6- 11.59. After performing the ANOVA and Tukey's test, it was concluded that the group irradiated with Er:YAG laser at 500mJ/4Hz performed similarly to the groups that received the conventional treatments, such as hydrofluoric acid etching and the combination of air abrasion plus hydrofluoric acid, and was higher than the other groups irradiated with Er:YAG laser.</p>

scholarly journals Using Er:YAG laser to remove lithium disilicate crowns from zirconia implant abutments: An in vitro study

PLoS ONE ◽  
2019 ◽  
Vol 14 (11) ◽  
pp. e0223924 ◽  
Author(s):  
Janina Golob Deeb ◽  
Sompop Bencharit ◽  
Nishchal Dalal ◽  
Aous Abdulmajeed ◽  
Kinga Grzech-Leśniak
Keyword(s):  
Er:Yag Laser ◽  
In Vitro Study ◽  
Lithium Disilicate ◽  
Vitro Study ◽  
Implant Abutments ◽  
Zirconia Implant

scholarly journals Er:YAG laser-induced damage to a dental composite in simulated clinical scenarios for inadvertent irradiation: an in vitro study

2021 ◽  
Author(s):  
Katharina Kuhn ◽  
Carmen U. Schmid ◽  
Ralph G. Luthardt ◽  
Heike Rudolph ◽  
Rolf Diebolder
Keyword(s):  
Laser Irradiation ◽  
Laser Fluence ◽  
Ablation Threshold ◽  
Er:Yag Laser ◽  
In Vitro Study ◽  
Vitro Study ◽  
Crater Diameter ◽  
Clinical Scenarios ◽  
Laser Induced Damage

AbstractInadvertent Er:YAG laser irradiation occurs in dentistry and may harm restorative materials in teeth. The aim of this in vitro study was to quantify Er:YAG laser-induced damage to a nanohybrid composite in simulated clinical scenarios for inadvertent direct and indirect (reflection) laser irradiation. The simulation was performed by varying the output energy (OE;direct˃indirect) reaching the specimen and the operating distance (OD;direct˂indirect). Composite specimens were irradiated by an Er:YAG laser. The ablation threshold was determined and clinically relevant parameters were applied (n = 6 for each OE/OD combination) for direct (OE: 570 mJ/OD: 10 mm, OE: 190 mJ/OD: 10 mm) and indirect irradiation (OE: 466 mJ/OD: 15 mm, OE: 57 mJ/OD: 15 mm, OE: 155 mJ/OD: 15 mm, OE: 19 mJ/OD: 15 mm). The extent of damage in the form of craters was evaluated using a laser scanning microscope (LSM) and a conventional light microscope (LM). The ablation threshold was determined to be 2.6 J/cm2. The crater diameter showed the highest value (LM: 1075 ± 18 µm/LSM: 1082 ± 17 µm) for indirect irradiation (reflectant:dental mirror) (OE: 466 mJ/OD: 15 mm). The crater depth showed the highest and comparable value for direct (OE: 570 mJ/OD: 10 mm; LSM: 89 ± 2 µm) and indirect irradiation (OE: 466 mJ/OD: 15 mm; LSM: 90 ± 4 µm). For each OD, the crater diameter, depth, and volume increased with higher laser fluence. However, the OD—and thus the laser spot diameter—also had an enlarging effect. Thus, indirect irradiation (reflectant:dental mirror) with only 47% of the laser fluence of direct irradiation led to a larger diameter and a comparable depth. The three-dimensional extent of the crater was large enough to cause roughening, which may lead to plaque accumulation and encourage caries, gingivitis, and periodontitis under clinical conditions. Clinicians should be aware that reflected irradiation can still create such craters.

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