Combined effect of Er,Cr:YSGG laser and casein phosphopeptide amorphous calcium phosphate on the prevention of enamel demineralization:

Adel, Samar M.; Marzouk, Eiman; El-Harouni, Nadia

doi:10.2319/032819-238

Cited by 14 publications

(18 citation statements)

References 28 publications

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“…Laser increases enamel resistance by modifying the morphology, chemical composition or solubility of enamel rather than ablating the enamel surface [ 37 ]. Sub-ablative laser parameters were used based on previous studies [ 24 , 37 ].…”

Section: Discussionmentioning

confidence: 99%

“…Combining Er,Cr:YSGG laser with CPP-ACP is a recent attempt to control enamel demineralization. This combination showed a significant decrease in WSLs’ depth compared to the control group [ 24 ]. However, to our knowledge, no previous studies evaluated the SBS of metallic brackets after using sub-ablative Er,Cr:YSGG combined with the CPP-ACP.…”

Section: Discussionmentioning

confidence: 99%

“…In group II (Er,Cr:YSGG pre-treatment), sub-ablative Er,Cr:YSGG laser (WaterLase iPlusTM, Biolase Inc., USA) was adjusted to a 2.78 μm wavelength, 0.25 W power, 12.5 mJ pulse energy, 8.5 J/cm 2 energy density, 20 Hz frequency and 140 μs pulse duration [ 24 ]. An MZ6 tip was inserted into the gold handpiece, held 1 mm away, and perpendicular to the enamel surface.…”

Section: Methodsmentioning

confidence: 99%

“…An endodontic file was fixed at the gold handpiece head to guarantee this distance, providing the same spot size irradiation to each tooth [ 31 ]. Irradiation was done slowly with a uniform speed of 2 mm/sec in a scanning style once in a horizontal then in a vertical direction with 11% air and no water-cooling system for 20 s [ 24 ]. Visual inspection of the enamel surface was done ensuring no surface morphology changes, then bonding was done with the same previously mentioned protocol.…”

Section: Methodsmentioning

confidence: 99%

“…Adel et al [ 24 ] in 2020 compared Er,Cr:YSGG, CPP–ACP and their combination in terms of WSLs prevention and concluded that the combined use of Er,Cr:YSGG with CPP–ACP resulted in a significantly higher preventive potential than using each of them alone.…”

Section: Introductionmentioning

confidence: 99%

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Shear bond strength of metallic brackets bonded to enamel pretreated with Er,Cr:YSGG LASER and CPP-ACP

2021

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Background Increased risk of enamel demineralization during and after orthodontic treatment raises the demand for better preventive measures including combinations of laser, CPP-ACP, and fluoride. The combination of Er,Cr:YSGG laser with CPP-ACP was proved to have a synergetic effect compared to each of them alone. Shear bond strength (SBS) of orthodontic brackets bonded to the enamel surface after being treated with preventive measures is critical. The aim of this study was to compare the SBS and failure mode of metallic brackets bonded to teeth with no pretreatment and pretreated enamel surface, either with Er,Cr:YSGG laser alone or combined with CPP-ACP. Methods Sixty sound extracted human premolar teeth were allocated randomly to 3 groups: In Group 1 (control), teeth were etched and bonded directly; in Group 2, laser pretreatment of the enamel surface was done followed by etching and bonding as in the control group; in Group 3, the enamel surface was lased then CPP-ACP was applied according to the manufacturer instructions, etched and bonded. SBS and Adhesive remnant index (ARI) were evaluated. Results No significant differences were found between the 3 groups neither in the SBS nor in the ARI scores. Conclusions The use of combined Er,Cr:YSGG laser with CPP-ACP as a preventive measure before bonding orthodontic brackets does not endanger the bracket’s bonding strength.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Shear bond strength of metallic brackets bonded to enamel pretreated with Er,Cr:YSGG LASER and CPP-ACP

2021

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The effect of the Er,Cr:YSGG laser combined casein phosphopeptide amorphous calcium phosphate for enamel remineralisation: a systematic review and meta-analysis of in vitro studies

Cheng,

Yuan,

Fan

et al. 2023

Lasers Med Sci

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The purpose of this systematic review and meta-analysis of in vitro studies was to evaluate the effect of the 2780 nm Er,Cr:YSGG laser combined with casein phosphopeptide-amorphous calcium phosphate (CPP-ACP) for enamel remineralisation. The electronic PubMed, Cochrane Library, Web of Science, and EMBASE databases were searched, with no language or date restrictions, up to January 2023. Two reviewers independently performed research information extraction and quality assessment. Continuous variables were analysed by standard mean difference (SMD) with a 95% confidence interval (CI). The statistical analyses were conducted using Review Manager (Version 5.4; Rev Man) and Cochrane Collaboration (2020). Finally, four trials were included for meta-analysis. According to the comprehensive results, the effect of the Er,Cr:YSGG laser combined with CPP-ACP on enamel remineralisation was significantly better than that of CPP-ACP alone: surface microhardness (SMD = − 1.83, 95% CI: [− 2.98, − 0.69], P = 0.002); lesion depth (SMD = 6.63, 95% CI: [4.98, 8.28], P < 0.001). Under the limitations of this meta-analysis, the results show that the Er,Cr:YSGG laser combined with CPP-ACP has a better effect on enamel remineralisation than CPP-ACP alone. The combination of the Er,Cr:YSGG laser and CPP-ACP may be a feasible method to prevent and treat enamel demineralisation.

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The preventive/therapeutic effect of CO2 laser and MI Paste Plus® on intact and demineralized enamel against Streptococcus mutans (In Vitro Study)

Almarsomy,

Al-khayat,

Al-Taee

2023

Heliyon

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Combined effect of Er,Cr:YSGG laser and casein phosphopeptide amorphous calcium phosphate on the prevention of enamel demineralization:

Cited by 14 publications

References 28 publications

Shear bond strength of metallic brackets bonded to enamel pretreated with Er,Cr:YSGG LASER and CPP-ACP

Shear bond strength of metallic brackets bonded to enamel pretreated with Er,Cr:YSGG LASER and CPP-ACP

The effect of the Er,Cr:YSGG laser combined casein phosphopeptide amorphous calcium phosphate for enamel remineralisation: a systematic review and meta-analysis of in vitro studies

The preventive/therapeutic effect of CO2 laser and MI Paste Plus® on intact and demineralized enamel against Streptococcus mutans (In Vitro Study)

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