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Journal of Dental Research
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Biomaterials & Bioengineering

Bonding to Er-YAG-laser-treated Dentin

L. Ceballos1,*, M. Toledano1, R. Osorio1, F.R. Tay2 and G.W. Marshall3

1 Department of Dental Materials, University of Granada, Granada, Spain;
2 Conservative Dentistry, Faculty of Dentistry, University of Hong Kong, Hong Kong SAR, China; and
3 Division of Biomaterials and Bioengineering, Department of Preventive and Restorative Dental Sciences, University of California, San Francisco, CA, USA;

Correspondence: *corresponding author, C/Emperatriz Eugenia n° 19, 6°D, 18003 Granada, Spain, lauraceballos{at}hotmail.com

Er-YAG laser irradiation has been claimed to improve the adhesive properties of dentin. We tested the hypothesis that dentin adhesion is affected by Er-YAG laser conditioning. Superficial or deep dentin from human molars was: (a) acid-etched with 35% H3PO4; (b) irradiated with an Er-YAG laser (KaVo) at 2 Hz and 180 mJ, with water-cooling; and (c) laser- and acid-etched. Single Bond (3M ESPE) and Z100 composite (3M ESPE) were bonded to the prepared surfaces. After storage, specimens were tested in shear to failure. Bonded interfaces were demineralized in EDTA and processed for transmission electron microscopy. Two-way ANOVA revealed that conditioning treatment and interaction between treatment and dentin depth significantly influenced shear bond strength results. Acid-etching alone yielded shear bond strength values that were significantly higher than those achieved with laser ablation alone, or in combination with acid-etching. The Er-YAG laser created a laser-modified layer that adversely affects adhesion to dentin, so it does not constitute an alternative bonding strategy to conventional acid etching.

Key Words: laser irradiation • acid etch • shear bond strength • ultrastructure

Journal of Dental Research, Vol. 81, No. 2, 119-122 (2002)
DOI: 10.1177/154405910208100207


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