Surface treatment comparison by application of diamond bur and Er,Cr:YSGG at different powers: morphological and mechanical evaluation.

Purpose: This study evaluated the micro-tensile bond strength of new and previous composite resin restorations after surface treatment with diamond bur and Er,Cr:YSGG laser at different power settings (2,3 and 4 W). Materials and methods: Micro-hybride composite resin was inserted in metallic mold 5 ×5 ×15 mm and cured for 40 sec according to manufacturer's instruction.12 blocks were made. The bonded surfaces of the 12 blocks so obtained were subsequently ground using Silicon Carbide papers 1200 grit, for 15 seconds under running water. Then the samples randomly were divided into 4 groups: (G1) Bur-treated, (G2) Er,Cr:YSGG laser with power of 2 W and energy of 100 mJ, (G3) Er,Cr:YSGG laser with power of 3 W and energy of 150 mJ, (G4) Er,Cr:YSGG laser with power of 4 W and energy of 200 mJ. One sample of each group was analyzed by SEM while, after cutting the blocks to 1 mm2 of area samples, the others samples were mechanically tested by Universal testing machine with the speed of 0.5 mm per minute till fracture point. Data were analysed using One-Way ANOVA and Tukey Test. Results: T-test showed no significantly differences between G2 and G4(P=0.064) while G3 demonstrated significant differences than G2 (P=0.001) and G4(P=0.000) and also between samples treated with bur (G1) and G2 (P=0.242) ,G3 (P=0.000) ,G4 (P=0.829); G1 didn't significantly differ to G2 and G4(P>0.05), while G1 and G3(P<0.05). Conclusion: On surface treatment of repaired composite, samples treated by laser at 3W power showed better condition of micro-tensile bond strength.

Evaluation of temperature change during antimicrobial photodynamic therapy with two different photosensitizers in dental caries.

INTRODUCTION: Many attempts have been made in elimination of bacteria in infected and demineralized dentin to not only provide efficient bactericidal potential, but to have minimal damage for tooth structure. The aim of this study was to assess the temperature change during aPDT with ICG and TBO compared with conventional Diode laser irradiation. MATERIALS AND METHODS: 48 premolar teeth which were selected for this study. A class I cavity was drilled in each teeth, with dimensions of 2mm width, 4mm length and depth of 2.5-3.5mm, providing a dentinal wall of approximately 0.5mm for pulp chamber. Then teeth were randomly allocated in 4 experimental groups (n=12); Group 1: TBO+LED, Group 2: ICG+Diode Laser, Group 3: Diode laser with output power of 0.5W, Group 4: Diode laser with output power of 1W. Thermocouple device was held by experimenter hand and the sensor was in pulp chamber of the teeth. Heat generated during irradiation was reported on LCD screen by NUX Plus software. Repeated measure ANOVA was used in order to compare the temperature before and after laser application. Tukey HSD was used to compare the results between groups. RESULTS: Temperature was risen for about 0.54±0.05°C for group 1, 1.67±0.14°C for group 2, 4.21±0.83°C for group 3, and 4. 50±0.32°C for group 4. The difference between group 1 & 2, 1 & 3 and 1 & 4 was significant (p<0.0001). CONCLUSION: According to results of this study, Diode (with or without photosensitizer- 0.5 and 1W) can be safely used as alternative approach for disinfection after caries removal in thermal point of view.

Microtensile strength of resin cement bond to indirect composite treated by different output powers of Er:YAG laser.

The study aimed to evaluate the effect of different output powers of Er:YAG laser on microtensile bonding strength of indirect composite to resin cements.36 indirect composite blocks (GC Gradia DA2, Japan) size 15 × 10 × 10 mm(3) were constructed, and divided into 12 groups, as follows:G1: control group (no treatment); Groups G2 to G6: treated with Er:YAG laser (2,940 nm) in noncontact mode, frequency 20 Hz, pulse duration 470 µs, with output power ranging from 2W to 6W; Groups G7 sandblasting, Groups 8 to G12: as Groups G2 to G 6 with preparatory sandblasting. One specimen from each group was analyzed by SEM; each specimen was fixed to a specialized metal jig using cyanoacrylate (Mitreapel, Beta Kimya San. Ve TIC, Iran) and debonded under tension with a universal testing machine (Zwick, Germany) at a crosshead speed of 0.5 mm min(-1). Sandblasting and laser can improve bond strength above an energy level of 150 mJ. SEM evaluation of laser-treated specimens showed irregularities and deep undercuts. T test analysis showed no significant difference between sandblasted and non-sandblasted group, with laser output power of 0, 100, or 150 mJ (P = 0.666, P = 0.875, and P = .069); in the specimens irradiated with energy output of 200, 250, or 300 mJ, sandblasted specimens showed higher bond strength than non-sandblasted ones. The results demonstrate that, in composite resin irradiated with laser at energy output of 200-300 mJ, sandblasting might be a suitable procedure to enhance bond strength of resin cement.

A Comparative Study of Enamel Surface Roughness After Bleaching With Diode Laser and Nd: YAG Laser.

Introduction: Bleaching process can affect surface roughness of enamel, which is a vital factor in esthetic and resistance of tooth. The aim of this study was to compare surface roughness of enamel in teeth bleached using Diode and Neodymium-Doped Yttrium Aluminium Garnet (Nd: YAG) lasers with those bleached using conventional method. Methods: In this study, 75 anterior human teeth from upper and lower jaws (These teeth extracted because of periodontal disease) were randomly divided into 5 groups. Group 1: Laser white gel (Biolase, USA) with 45% hydrogen peroxide concentration and GaAlAs Diode laser (CHEESETM, GIGAA, China), group 2: Heydent gel (JW, Germany) with 30% Hydrogen peroxide concentration and Diode laser, group 3: Laser white gel and Nd:YAG laser (FIDELISTM, Fotona, Slovenia), group 4: Heydent gel and Nd:YAG laser and group 5: The Iranian gel Kimia (Iran) with 35% hydrogen peroxide concentration were used. Surface roughness of the samples was measured using the Surface Roughness Tester system (TR 200 Time Group, Germany) before and after bleaching. In each group, one sample was randomly selected for SEM analysis. Results: The results showed that the mean surface roughness of the teeth before and after bleaching had a significant difference in all the study groups. It was indicated that after bleaching, the mean surface roughness had increased in all the study groups. The highest surface roughness was seen in the conventional bleaching group and the lowest surface roughness was reported in group 3 (laser white gel + diode laser), in which the average surface roughness increased by only 0.1 µm. Conclusion: It was concluded that using the Laser white gel and the diode laser for bleaching resulted in the least surface roughness compared to conventional method.

The effect of mechanical load cycling and polishing time on microleakage of class V glass-ionomer and composite restorations: A scanning electron microscopy evaluation.

BACKGROUND: Microleakage is one of the challenging concerns in direct filling restorations. Understanding of its related factors is important in clinical practice. The aim of this study was scanning electron microscopy (SEM) evaluation of marginal integrity in three types of tooth-colored restorative materials in class V cavity preparations and the effect of load cycling and polishing time on the microleakage. MATERIALS AND METHODS: In this in vitro experimental study, class V cavity preparations were prepared on the buccal and lingual surfaces of 60 bovine incisors. The specimens were divided into three groups each containing 20 teeth: group 1: Filtek Z350, Group 2: Fuji IX/G Coat Plus, Group 3: Fuji II LC/GC varnish. In each group, 2 subgroups (n = 20) were established based on finishing time (immediate or delayed by 24 h). All specimens were thermocycled (×2,000, 5-50°C). In each sub groups, half of the teeth were load cycled. Epoxy resin replicas of 24 specimens were evaluated under field emission-SEM and interfacial gaps were measured. All teeth were then immersed in 0.5% basic fuchsin dye for 24 h, sectioned and observed under stereomicroscope. Data were analyzed with Kruskal-Wallis' test and Mann-Whitney U test and a comparison between incisal and cervical microleakage was made with Wilcoxon test. P < 0.05 was considered as significant. RESULTS: Load cycling and filling material had a significant effect on microleakage, but polishing time did not. Cervical microleakage in Z350/load cycle/immediate polish and Fuji IX/load cycle/immediate or delayed polish and Fuji IX/no load cycle/immediate polish were significantly higher than incisal microleakage. CONCLUSION: It was concluded that the cervical sealing ability of Fuji IX under load cycling was better than Fuji II LC. Under load cycling and immediate polishing Z350 showed better marginal integrity than both Fuji II LC and Fuji IX. The immediate polishing didn't cause a statistically significant increase in microleakage of evaluated tooth-colored class V restorations.

The Effect of Different Powers of Er:YAG Laser Treatment on Surface Morphology of an Indirect Composite Resin: SEM Evaluation.

INTRODUCTION: Indirect composites are developed to overcome the shortcomings of direct composites but, the adhesion of resin cements to indirect composites is still difficult. The purpose of this study was to evaluate the surface morphology of indirect resin composite treated by different powers of Er:YAG laser using Scanning Electron Microscopy (SEM). METHODS: indirect resin composite blocks (GC Gradia DA2, Japan) with 15× 10 × 10 mm dimensions were made according to manufacturer's instructions (n=7). The bonding surface of these blocks were polished, then the samples were divided to seven groups as follow: Erbium-Doped Yttrium Aluminum Garnet (Er:YAG)laser with output power of 2, 3, 4, 5, 6,7 W (frequency of 20 Hz, very short pulse) and no treatment. Then, the surfaces were evaluated by scanning electron microscope. RESULTS: The surface treated by Er:YAG laser showed a porous surface. But the amount and pattern of these irregularities differ in each group which may produce micromechanical retention compared to control group with no treatment. CONCLUSION: Er:YAG laser can be used as an alternative technique for surface treatment and roughening of indirect resin composites.