The efficiency of ErCr:YSGG laser on the debonding of different thicknesses of ceramic veneers

Abstract

Aims: To verify the efficacy of Er,Cr:YSGG laser for debonding of lithium disilicate (LD) reinforced glass ceramic veneers of different thicknesses. Methods: Forty bovine teeth were prepared and randomly divided into four groups (n=10/group) according to the ceramic disc thickness: C0.5 (Control group) and L0.5 (Laser irradiated group) in which LD discs had a thickness of 0.5mm and 5mm diameter; C1 and L1 in which LD discs had a thickness of 1mm and 5mm diameter. The lithium disilcate discs (IPS E.max®, shade HTA2) were fabricated following the manufacturer’s recommendations and cemented to the prepared tooth surface. The Er,Cr:YSGG laser was applied to the laser groups at 2.5W and 25Hz for 60seconds. Universal testing machine was used to evaluate the shear bond strength for all samples at a cross head speed of 1mm/min in an inciso-gingival direction parallel to the sample surface. After debonding, the samples were examined under stereoscope to evaluate the mode of failure according to the adhesive remnant index (ARI). Results: Laser irradiation significantly diminishes the shear bond strength from 10.868 MPa to 3.778 MPa for C0.5 and L0.5 groups respectively (p=0.00) and from 14.711 MPa to 4.992 MPa for C1 and L1 groups respectively (p=0.00). The shear bond strength required for debonding increased with increasing thickness of discs, but without significant difference (p=0.110). Higher ARI scores were seen in the laser groups (more cement remaining adhered to the tooth) when compared to the control groups. Conclusions: The Er,Cr:YSGG laser could be an effective and useful tool in debonding of lithium disilicate ceramic veneers as it decreases the shear bond strength required for veneer debonding.

Efficacy of Lasers in Debonding Ceramic Brackets: Exploring the Rationale and Methods

“…Also, the large size and the increased lasing time of Er:YAG and Er,Cr:YSGG lasers remain significant disadvantages. Furthermore, Er:YAG lasers have shown efficacy in the prosthodontic field, significantly reducing the SBS of laminate veneers and facilitating their removal with minimal impact on the enamel [55][56][57][58][59][60].…”

Study Comparing the Shear Bond Forte of Ceramics with Metal Reinforcement to Unreinforced Ceramic Brackets

“…The findings of several studies on the bonding strengths of various brackets vary substantially. When compared to adhesives with light filling, those that are extremely packed offer the strongest bond [7][8][9][10][11][12] . Olsen et al 13 compared the shear bond strengths of the ceramaflex bracket and the transcend 6000 ceramic bracket and came to the conclusion that the ceramaflex bracket's mean shear bond strength was much lower than the transcend 6000 bracket's.…”

The influence of pulse duration and exposure time of Er,Cr:YSGG laser on lithium disilicate laminate debonding, an in vitro study

“…In all groups, a gold handpiece with a 600 μm quartz MZ6 tip (Biolased Technology, Biolase) was utilised in a non-contact mode, at a distance of 2 mm perpendicular to the veneer surface, using distilled and deionised water at a 60%–40% air to water ratio for irrigation. A pilot study was conducted to identify the optimal parameters, and the ensuing irradiating procedure was chosen based on the pilot results and previous studies, as shown in Table 1 [ 48 , 49 ].…”