Does Erbium:Yttrium–Aluminum–Garnet Laser to Enamel improve the Performance of Etch-and-rinse and Universal Adhesives?

ABSTRACT Aim This study aims to evaluate the effect of erbium: Yttrium–aluminum–garnet (Er:YAG) laser irradiation on the enamel microshear bond strength (µSBS), followed by the utilization of etch-and-rinse and universal adhesive systems. Materials and methods A total of 32 molars were sectioned in the mesiodistal direction producing 64 samples that were randomized into two groups (n = 32): single bond 2 (SB2) (etch-and-rinse system; 3M), SB universal (SBU) (universal etching system; The SB2 and SBU groups were then divided into two subgroups (n = 16): (i) enamel was irradiated with an Er:YAG laser (λ = 2.94 μm, 60 mJ, 10 Hz), and (ii) enamel served as a control. The samples were restored with TPH3 (Dentsply), stored in artificial saliva for 24 hours, and subjected to a microshear test. Results Kruskal–Wallis (p < 0.05) and Mann–Whitney U tests indicated no significant differences in μSBS between the groups, and the fractures were predominately at the resin–enamel interface. Conclusion The previous irradiation of enamel with Er:YAG laser does not interfere with the performance of simplified two-step etch-and-rinse and universal adhesive systems. Clinical significance The increasing use of Er:YAG laser is important to evaluate the influence of this irradiation on the adhesion of restorative materials. Thus, to obtain the longevity of the restorative procedures, it is necessary to know the result of the association of the present adhesive systems to the irradiated substrate. How to cite this article De Jesus Tavarez RR, Rodrigues LLC, Diniz AC, Lage LM, Torres CRG, Bandeca MC, Firoozmand LM. Does Erbium:Yttrium–Aluminum–Garnet Laser to Enamel improve the Performance of Etch-and-rinse and Universal Adhesives? J Contemp Dent Pract 2018;19(3):278-282.

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Effect of Different Protocols in Preconditioning With EDTA in Sclerotic Dentin and Enamel Before Universal Adhesives Applied in Self-etch Mode

Operative Dentistry ◽

10.2341/16-014-l ◽

2017 ◽

Vol 42 (3) ◽

pp. 284-296 ◽

Cited By ~ 3

Author(s):

EC Martini ◽

SO Parreiras ◽

MF Gutierrez ◽

AD Loguercio ◽

A Reis

Keyword(s):

Bond Strength ◽

Adhesive Systems ◽

Microtensile Bond Strength ◽

Universal Adhesive ◽

Etching Pattern ◽

Bonding Performance ◽

Universal Adhesives ◽

Microshear Bond Strength ◽

Self Etch ◽

Main Factor

SUMMARY Objectives: The aim of this study was to investigate the effect of different protocols of 17% ethylene diamine tetra-acetic acid (EDTA) conditioning on the etching pattern and immediate bond strength of universal adhesives to enamel and sclerotic dentin. Methods and Materials: Forty bovine teeth with sclerotic dentin and 20 human third molars were randomly divided into eight groups resulting from the combination of the main factors surface treatment (none, two-minute EDTA conditioning manual application, 30-second EDTA manual application, 30-second EDTA sonic application) and adhesives systems (Scotchbond Universal Adhesive [SBU] and Prime & Bond Elect [PBE]). Resin-dentin and enamel-dentin bond specimens were prepared and tested under the microtensile bond strength (μTBS) and microshear bond strength (μSBS) tests, respectively. The etching pattern produced on the unground enamel and the sclerotic dentin surfaces under the different protocols and adhesive systems was evaluated under scanning electron microscopy. Results: For enamel, only the main factor adhesive was significant (p<0.0001), with SBU showing the highest μSBS. In sclerotic dentin, the lowest mean was observed for the group without EDTA application and the highest mean in the group with EDTA application with the sonic device for 30 seconds. Regardless of the EDTA protocol, the highest means of μTBS were observed for SBU (p<0.05). Conclusions: EDTA conditioning improves the bonding performance of universal adhesives in the self-etch mode on sclerotic dentin, mainly when applied for 30 seconds with the aid of a sonic device. EDTA pretreatment also improves the retentive etching pattern of enamel, but it does not result in higher enamel bond strength.

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Influence of Conditioning Time of Universal Adhesives on Adhesive Properties and Enamel-Etching Pattern

Operative Dentistry ◽

10.2341/15-213-l ◽

2016 ◽

Vol 41 (5) ◽

pp. 481-490 ◽

Cited By ~ 22

Author(s):

AM Cardenas ◽

F Siqueira ◽

J Rocha ◽

AL Szesz ◽

M Anwar ◽

...

Keyword(s):

Bond Strength ◽

Degree Of Conversion ◽

Adhesive Properties ◽

Universal Adhesive ◽

Etching Pattern ◽

Etch And Rinse ◽

Universal Adhesives ◽

Microshear Bond Strength ◽

Self Etch

SUMMARY Objectives: To evaluate the effect of application protocol in resin–enamel microshear bond strength (μSBS), in situ degree of conversion, and etching pattern of three universal adhesive systems. Methods and Materials: Sixty-three extracted third molars were sectioned in four parts (buccal, lingual, and proximals) and divided into nine groups, according to the combination of the main factors—Adhesive (Clearfil Universal, Kuraray Noritake Dental Inc, Tokyo, Japan; Futurabond U, VOCO, Cuxhaven, Germany; and Scotchbond Universal Adhesive, 3M ESPE, St Paul, MN, USA)—and enamel treatment/application time (etch-and-rinse mode [ER], self-etch [SE] application for 20 seconds [SE20], and SE application for 40 seconds [SE40]). Specimens were stored in water (37°C/24 h) and tested at 1.0 mm/min (μSBS). The degree of conversion of the adhesives at the resin–enamel interfaces was evaluated using micro-Raman spectroscopy. The enamel-etching pattern was evaluated under a scanning electron microscope. Data were analyzed with two-way analysis of variance and Tukey test (α=0.05). Results: In general, the application of the universal adhesives in the SE40 produced μSBS and degree of conversion that were higher than in the SE20 (p<0.01) and similar to the ER mode. The deepest enamel-etching pattern was obtained in the ER mode, followed by the SE40. Conclusions: The active and prolonged application of universal adhesives in the SE mode may be a viable alternative to increase the degree of conversion, etching pattern, and resin–enamel bond strength.

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Influence of Low-Level Laser Modification and Adhesive Application Mode on the Bonding Efficiency of Universal Adhesives to Er:YAG Laser-Ablated Dentin

Journal of lasers in medical sciences ◽

10.34172/jlms.2021.07 ◽

2021 ◽

Vol 12 ◽

pp. e7-e7

Author(s):

Nesrine A. Elsahn ◽

Hatem M. El-Damanhoury ◽

Dina W Elkassas

Keyword(s):

Er:Yag Laser ◽

High Energy ◽

Low Energy ◽

Universal Adhesive ◽

Laser Modification ◽

Low Level ◽

Etch And Rinse ◽

Universal Adhesives ◽

Energy Laser ◽

Low Energy Laser

Introduction: Erbium laser ablation as a method of tooth preparation and conditioning has shown promising results. Although previous studies have adopted various combinations of different laser parameters and several dentin adhesive systems, very few have investigated combining high-level and low-level ER:YAG lasers with Universal adhesives. This study aimed to assess the impact of using low-energy irradiation on the surface micro-topography and shear bond strength (SBS) of universal adhesive (UA) to the erbium:yttrium-aluminum-garnet (Er:YAG) laser-ablated dentin substrate, bonded in etch-and-rinse or self-etch adhesive mode. Methods: Eighty-seven extracted molars were sectioned to expose flat occlusal dentin surface; 60 teeth were divided equally into three groups according to the surface treatment; bur-cutting (B), Er:YAG high-energy laser cutting (L1 - 200 mJ, 20 Hz, 50 μs pulse), or L1 followed by low-energy laser modification (L1 /L2 - 80 mJ, 10 Hz, 50 μs pulse). Then each group was equally divided into two groups (n=10) according to the mode of application of the universal adhesive; either etch-and-rinse (ER) or self-etching (SE). The samples were subjected to thermocycling (5000 cycle between 5°C and 55°C), and SBS was tested. Two-way ANOVA and Tukey post hoc test were used to analyze the results. The remaining 27 samples were used to investigate the effect of the treatment on the topography of the treated dentin surfaces using a scanning electron microscope (SEM). Results: B/SE recorded the highest SBS (25.48 ± 2.6 MPa) followed by B/ER (23.20 ± 6.8 MPa) and L1 /L2 /SE (22.94 ± 4.1 MPa) and with no statistically significant difference between these groups (P >0.05). The lowest SBS results (P<0.05) were recorded for L1/SE (12.22 ± 3 MPa). No statistical differences were found between the SBS of L1 /L2 /ER and L1 /ER groups or between the SBS of L1 /L2 / ER and L1 /L2 /SE groups. Conclusion: A subsequent treatment of the Er:YAG laser-ablated dentin with low-energy laser modification mode (LMM) enhances the SBS of the tested UA when applied in SE mode.

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Shear Bond Strength of Different MDP-Containing Adhesive Systems on Enamel and Dentin from Primary Teeth

Journal of Clinical Pediatric Dentistry ◽

10.17796/1053-4625-45.3.7 ◽

2021 ◽

Vol 45 (3) ◽

pp. 186-192

Author(s):

Min Jin Kim ◽

Joonhee Kim ◽

Ji-Soo Song ◽

Shin Hye Chung ◽

Hong-Keun Hyun

Keyword(s):

Bond Strength ◽

Shear Bond Strength ◽

Primary Teeth ◽

Primary Molars ◽

Single Bond ◽

Adhesive Systems ◽

Universal Adhesive ◽

Etch And Rinse ◽

Universal Adhesives ◽

Self Etch

Objective: To compare the shear bond strength (SBS) after thermocycling of four universal adhesives applied in self-etch mode on dentin and etch-and-rinse mode on enamel. Study design: Flat 144 buccal or lingual dentin and enamel surfaces from 72 non-carious primary molars were prepared. Samples were segregated into 12 groups (n=12): Adper Single Bond 2 etch-and-rinse (SB_T) and Clearfil SE Bond self-etch (SE_S) applied to enamel and dentin served as controls. Scotch Bond Universal Adhesive (SBU), Clearfil S3 Bond Universal Adhesive (SEU), Tetric N-Bond Universal Adhesive (TEN), and All Bond Universal (BIS) were applied in etch-and-rinse mode to enamel and in self-etch mode to dentin. They were thermocycled for 5000 cycles. SBS testing and the evaluation of fracture mode were performed. Results: SB_T showed statistically higher SBS than other adhesive groups using etch-and-rinse mode on enamel. SE_S and BIS had statistically higher SBS than other adhesive groups using self-etch mode on dentin. Mixed failure was the most common failure mode in each group. Conclusion: The universal adhesives did not show higher SBS than SB_T when using etch-and-rinse on enamel. All universal adhesives showed higher SBS than SB_T and had SBS similar to SE_S, except SBU when using self-etch mode on dentin.

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Erbium: Yttrium-Aluminum-Garnet Laser Application in Stapedotomy

Otolaryngology ◽

10.1016/j.otohns.2005.04.007 ◽

2005 ◽

Vol 133 (6) ◽

pp. 923-928 ◽

Cited By ~ 14

Author(s):

Jacopo Galli ◽

Claudio Parrilla ◽

Antonella Fiorita ◽

Maria Raffaella Marchese ◽

Gaetano Paludetti

Keyword(s):

Inner Ear ◽

Yttrium Aluminum Garnet ◽

Er:Yag Laser ◽

Bone Conduction ◽

Stapes Surgery ◽

Clinical Safety ◽

Erbium Laser ◽

Significant Difference ◽

Yttrium Aluminum ◽

Student’S T

OBJECTIVE: To assess clinical safety and efficacy of the erbium: yttrium-aluminum-garnet (Er:YAG) laser in the stapes surgery; to define and optimize parameters that render the procedure safe for the inner ear. STUDY DESIGN: Retrospective study. MATERIAL AND METHODS: A microscope-integrated Er: YAG laser stapedotomy was performed on 29 patients and a conventional stapedotomy on 41 patients. An early (within 1 to 3 days after stapes surgery) and late (at least 6 weeks) pure-tone bone-conduction threshold audiogram was obtained. RESULTS: No statistically significant differences were found by Student's t test over all measured frequencies between pre- and postoperative bone-conduction thresholds in each group. There was no statistically significant difference for all frequencies between early (3 days) and late postoperative mean bone-conduction thresholds. CONCLUSIONS: The results of our preliminary clinical study showed that erbium laser poses no risk to inner ear function. However, the lack of standardization obliges further investigation to establish safe clinical parameters of the Er:YAG laser. EBM RATING: B-3

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Adhesive Evaluation by Brushing Tests for Hydroxyapatite Films Fabricated on Dentins Using a Water Mist Assisted Er:YAG Laser Deposition Method

Key Engineering Materials ◽

10.4028/www.scientific.net/kem.758.97 ◽

2017 ◽

Vol 758 ◽

pp. 97-104

Author(s):

Ei Yamamoto ◽

Nobuhiro Kato ◽

Shigeki Hontsu

Keyword(s):

Yttrium Aluminum Garnet ◽

Er:Yag Laser ◽

Tooth Enamel ◽

Artificial Saliva ◽

Water Mist ◽

Laser Deposition ◽

Deposition Method ◽

Dentin Surface ◽

Restoration Technique ◽

Tooth Surfaces

Hydroxyapatite (HAp) is one of the main structural components in tooth. Therefore, the HAp is an ideal material to repair tooth substances. However, it has not yet been realized that tooth enamel and dentin are artificially repaired using the HAp in operative dentistry. We have proposed and developed a tooth restoration technique with intraoral laser ablation using an Er:YAG (Erbium: Yttrium-Aluminum-Garnet) laser in order to fabricate HAp films on tooth surfaces in the atmosphere at room temperature. Although HAp thin films were formed on dentin surfaces using the Er:YAG laser deposition method, it has still been unclear how is the mechanical durability of the HAp film on tooth substances. In the present study, we conducted brushing tests to evaluate the durability of adhesion between the HAp film and dentin. To form HAp layers on dentin surfaces, an ablation phenomenon was induced by the Er:YAG laser irradiated to the target of α-tricalcium phosphate (α-TCP) under humid conditions. The deposited layers were hydrolyzed by dripping artificial saliva on the surface at 37 degrees Celsius for 24, 48, 72, 120, and 168 hours to create HAp films. The films hydrolyzed for more than 48 hours were attached on the dentin surface after the brushing tests. This result indicates that the α-TCP layer deposited on the dentin surface changes into a crystallized HAp material by the hydrolyzation for more than 48 hours. The crystallization of the film possibly contributes to the high adhesive durability of the HAp film deposited on the dentin.

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Microshear Bond Strength of Different Adhesive Systems to Dentin

Frontiers in Dentistry ◽

10.18502/fid.v16i4.2085 ◽

2019 ◽

Author(s):

Sara Valizadeh ◽

Aida Moradi ◽

Mansooreh Mirazei ◽

Hooman Amiri ◽

Mohammad Javad Kharazifard

Keyword(s):

Bond Strength ◽

Testing Machine ◽

Single Bond ◽

Adhesive Systems ◽

Etch And Rinse ◽

Significant Difference ◽

Microshear Bond Strength ◽

Self Etch ◽

Composite Cylinders

Objectives: The aim of this study was to compare the microshear bond strength (µSBS) of various adhesive systems to dentin. Materials and Methods: In this in vitro experimental study, 60 sound human third molars were divided into four groups. Dentin discs were prepared of middle-third dentin measuring 4 mm in diameter and 2 mm in thickness. Dentin surfaces were bonded with one of the four types of adhesives: (A) Single Bond (3M ESPE), Scotchbond Universal (3M ESPE) in etch and rinse (B) and self-etch (C) modes and (D) Clearfil SE Bond (Kuraray Noritake Dental). After the application of adhesive systems according to the manufacturers’ instructions, composite cylinders (Vit-l-escence) were bonded to dentin surfaces. The μSBS test was performed using a universal testing machine at a crosshead speed of 1 mm/min. Data were analyzed with one-way ANOVA and Tukey’s test (α=0.05). Results: The µSBS was the highest in self-etch Scotchbond Universal (15.8±6.08 MPa) followed by Clearfil SE Bond (15.24±4.6 MPa), etch and rinse Scotchbond Universal (11.68±4.07MPa) and Single Bond (11.24±3.74 MPa). A significant difference was only found between Single Bond and etch and rinse Scotchbond Universal groups (P=0.04). Conclusion: Based on the results of this study, application of Scotchbond Universal in self-etch mode provides a reliable bond to dentin.

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Microshear Bond Strength of Different Adhesive Systems to Dentin

Frontiers in Dentistry ◽

10.18502/fid.v14i4.2085 ◽

2019 ◽

Author(s):

Sara Valizadeh ◽

Aida Moradi ◽

Mansooreh Mirazei ◽

Hooman Amiri ◽

Mohammad Javad Kharazifard

Keyword(s):

Bond Strength ◽

Testing Machine ◽

Single Bond ◽

Adhesive Systems ◽

Etch And Rinse ◽

Significant Difference ◽

Microshear Bond Strength ◽

Self Etch ◽

Composite Cylinders

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Shelf Life and Storage Conditions of Universal Adhesives: A Literature Review

Polymers ◽

10.3390/polym13162708 ◽

2021 ◽

Vol 13 (16) ◽

pp. 2708

Author(s):

Georgi Iliev ◽

Louis Hardan ◽

Cynthia Kassis ◽

Rim Bourgi ◽

Carlos Enrique Cuevas-Suárez ◽

...

Keyword(s):

Shelf Life ◽

Clinical Importance ◽

Storage Conditions ◽

Adhesive Systems ◽

Hybrid Layer ◽

Universal Adhesive ◽

Bond Performance ◽

Universal Adhesives ◽

The Stability ◽

And Storage

This paper presents state of the art universal adhesive systems and the effect of shelf-life and storage conditions on their bond performance. Three topics are explored in this review: an introduction to the topic, the mechanisms responsible for the degradation of the hybrid layer, and the factors that play a role in the stability of universal adhesives. In addition, issues such as potential durability and clinical importance are discussed. Universal adhesive systems are promising but must be handled and stored according to the manufacturer’s instructions, with careful attention given to the details of shelf-life and storage conditions for maximal success. It appears that the components of universal adhesives play an important role in their stability. Furthermore, HEMA-free formulations using methacrylamides lead to longer shelf-life. Further research is needed to prove these hypotheses.

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Update on Enamel Bonding Strategies

Frontiers in Dental Medicine ◽

10.3389/fdmed.2021.666379 ◽

2021 ◽

Vol 2 ◽

Author(s):

Takaaki Sato ◽

Tomohiro Takagaki ◽

Takashi Hatayama ◽

Toru Nikaido ◽

Junji Tagami

Keyword(s):

Optimal Strategies ◽

Adhesive System ◽

Adhesive Systems ◽

Combined System ◽

Concise Review ◽

Etch And Rinse ◽

Acid Etch ◽

Universal Adhesives ◽

New Generation ◽

Self Etch

Optimal strategies for the application of an adhesive differ between enamel and dentin because of the differences in their composition. The development of adhesive systems has mainly focused on the bonding of dentin, rather than on the enamel, by etching with phosphoric acid (PA). Dental adhesive technologies continue to rapidly advance, and various adhesive systems have been developed since the study of Buonocore in 1955. He introduced the enamel acid-etch technique. Then, the etch-and-rinse (ER) system was developed, and subsequently, the self-etch (SE) system. Universal adhesives are a new generation of one-bottle SE adhesives that can be applied with either ER mode or SE mode, or a combined system involving selective enamel etching mode. Since the combination of PA etching and the SE system differs from conventional ER systems, the enamel bonding strategy should be carefully considered. This concise review of the literature on reliable enamel bonding strategies should prove helpful to clinicians to choose an appropriate adhesive system to achieve optimal clinical outcomes.

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