Research Article
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Year 2025, Volume: 28 Issue: 1, 36 - 44, 28.03.2025

Zeynep Yenen , Jale Görücü

https://doi.org/10.7126/cumudj.1465957

Abstract

References

  • 1. Tao S, Li L, Yuan H, Tao S, Cheng Y, He L, Li J. Erbium Laser Technology vs Traditional Drilling for Caries Removal: A Systematic Review with Meta-Analysis. J Evid Based Dent Pract. 2017 Dec;17(4):324-334. doi: 10.1016/j.jebdp.2017.05.004. Epub 2017 May 1.
  • 2. Moritz, A., Schoop, U., Strassl. M. Wintner. E. (2006). Cavity Preparation. A.Moritz, (Ed.) Oral Laser Application, s. 75-138. Quintessenz Verlags-GmbH, Berlin. .
  • 3. van As G. Erbium lasers in dentistry. Dent Clin North Am. 2004 Oct;48(4):1017-59, viii. doi: 10.1016/j.cden.2004.06.001. PMID: 15464563.
  • 4. Baraba A, Kqiku L, Gabrić D, Verzak Ž, Hanscho K, Miletić I. Efficacy of removal of cariogenic bacteria and carious dentin by ablation using different modes of Er:YAG lasers. Braz J Med Biol Res. 2018 Jan 11;51(3):e6872. doi: 10.1590/1414-431X20176872. PM.
  • 5. Corona SA, Borsatto M, Dibb RG, Ramos RP, Brugnera A, Pécora JD. Microleakage of class V resin composite restorations after bur, air-abrasion or Er:YAG laser preparation. Oper Dent. 2001 Sep-Oct;26(5):491-7. PMID: 11551014.
  • 6. Montedori A, Abraha I, Orso M, D'Errico PG, Pagano S, Lombardo G. Lasers for caries removal in deciduous and permanent teeth. Cochrane Database Syst Rev. 2016 Sep 26;9(9):CD010229. doi: 10.1002/14651858.CD010229.pub2. PMID: 27666123; PMCID: PMC6457657.
  • 7. Colucci V, do Amaral FL, Pécora JD, Palma-Dibb RG, Corona SA. Water flow on erbium:yttrium-aluminum-garnet laser irradiation: effects on dental tissues. Lasers Med Sci. 2009 Sep;24(5):811-8. doi: 10.1007/s10103-008-0563-1. Epub 2008 Apr 19. PMID: 18425563.
  • 8. Armengol V, Jean A, Enkel B, Assoumou M, Hamel H. Microleakage of class V composite restorations following Er:YAG and Nd:YAP laser irradiation compared to acid-etch: an In vitro study. Lasers Med Sci. 2002;17(2):93-100. doi: 10.1007/s101030200016. PMID: 1.
  • 9. Avunduk ATE, Bağlar S. Evaluation of microleakage in class v cavities prepared by different caries removal methods. Microsc Res Tech. 2019 Sep;82(9):1566-1574. doi: 10.1002/jemt.23322. Epub 2019 Jun 14. PMID: 31199544.
  • 10. Bortolotto T, Mast P, Krejci I. Laser-prepared and bonding-filled fissure sealing: SEM and OCT analysis of marginal and internal adaptation. Dent Mater J. 2017 Sep 26;36(5):622-629. doi: 10.4012/dmj.2016-025. Epub 2017 Aug 24. PMID: 28835596.
  • 11. Ekworapoj P, Sidhu SK, McCabe JF. Effect of different power parameters of Er,Cr:YSGG laser on human dentine. Lasers Med Sci. 2007 Sep;22(3):175-82. doi: 10.1007/s10103-006-0426-6. Epub 2007 Jan 23. PMID: 17242868.
  • 12. Hossain M, Nakamura Y, Yamada Y, Kimura Y, Matsumoto N, Matsumoto K. Effects of Er,Cr:YSGG laser irradiation in human enamel and dentin: ablation and morphological studies. J Clin Laser Med Surg. 1999;17(4):155-9. doi: 10.1089/clm.1999.17.155. PMID: 11199.
  • 13. Delme KI, Deman PJ, Nammour S, De Moor RJ. Microleakage of class V glass ionomer restorations after conventional and Er:YAG laser preparation. Photomed Laser Surg. 2006 Dec;24(6):715-22. doi: 10.1089/pho.2006.24.715. PMID: 17199471.
  • 14. Freitas PM, Navarro RS, Barros JA, de Paula Eduardo C. The use of Er:YAG laser for cavity preparation: an SEM evaluation. Microsc Res Tech. 2007 Sep;70(9):803-8. doi: 10.1002/jemt.20470. PMID: 17576132.
  • 15. Bertrand MF, Hessleyer D, Muller-Bolla M, Nammour S, Rocca JP. Scanning electron microscopic evaluation of resin-dentin interface after Er:YAG laser preparation. Lasers Surg Med. 2004;35(1):51-7. doi: 10.1002/lsm.20063. PMID: 15278928.
  • 16. Delfino CS, Duarte S Jr. Effect of the composite surface sealant application moment on marginal sealing of compactable composite resin restoration. J Mater Sci Mater Med. 2007 Dec;18(12):2257-61. doi: 10.1007/s10856-007-3112-8. Epub 2007 Jun 12. PMID: 175.
  • 17. Lee BS, Lin CP, Hung YL, Lan WH. Structural changes of Er:YAG laser-irradiated human dentin. Photomed Laser Surg. 2004 Aug;22(4):330-4. doi: 10.1089/pho.2004.22.330. PMID: 15345177.
  • 18. Schein MT, Bocangel JS, Nogueira GE, Schein PA. SEM evaluation of the interaction pattern between dentin and resin after cavity preparation using ER:YAG laser. J Dent. 2003 Feb;31(2):127-35. doi: 10.1016/s0300-5712(03)00003-4. PMID: 12654552.
  • 19. Dunn WJ, Davis JT, Bush AC. Shear bond strength and SEM evaluation of composite bonded to Er:YAG laser-prepared dentin and enamel. Dent Mater. 2005 Jul;21(7):616-24. doi: 10.1016/j.dental.2004.11.003. PMID: 15978270.
  • 20. De Munck J, Van Meerbeek B, Yudhira R, Lambrechts P, Vanherle G. Micro-tensile bond strength of two adhesives to Erbium:YAG-lased vs. bur-cut enamel and dentin. Eur J Oral Sci. 2002 Aug;110(4):322-9. doi: 10.1034/j.1600-0722.2002. 21281.x. PMID: 12206595.
  • 21. Monghini EM, Wanderley RL, Pécora JD, Palma Dibb RG, Corona SA, Borsatto MC. Bond strength to dentin of primary teeth irradiated with varying Er:YAG laser energies and SEM examination of the surface morphology. Lasers Surg Med. 2004;34(3):254-9. doi: 10.1.
  • 22. Lin S, Caputo AA, Eversole LR, Rizoiu I. Topographical characteristics and shear bond strength of tooth surfaces cut with a laser-powered hydrokinetic system. J Prosthet Dent. 1999 Oct;82(4):451-5. doi: 10.1016/s0022-3913(99)70033-8. PMID: 10512965.
  • 23. Barceleiro Mde O, de Mello JB, de Mello GS, Dias KR, de Miranda MS, Sampaio Filho HR. Hybrid layer thickness and morphology: the influence of cavity preparation with Er:YAG laser. Oper Dent. 2005 May-Jun;30(3):304-10. PMID: 15986949.
  • 24. Arbabzadeh F, Birang E, Nazem R, Abbasian M, Koosha F, Birang R. A Comparative Study on Micro Hardness and Structural Changes of Dentin Floor Cavity Prepared by Er: YAG Laser Irradiation and Mechanical Bur. J Dent (Shiraz). 2013 Jun;14(2):73-7. PMID: 2472.
  • 25. Malekafzali B, Asnaashari M, Javadi F. Comparison of marginal microleakage of flowable composite restorations in primary canine teeth prepared with high-speed diamond bur, Er:YAG laser and Er,Cr:YSGG laser. Laser Ther. 2017 Sep 30;26(3):195-202. doi: 10.5.
  • 26. Kato C, Taira Y, Suzuki M, Shinkai K, Katoh Y. Conditioning effects of cavities prepared with an Er,Cr:YSGG laser and an air-turbine. Odontology. 2012 Jul;100(2):164-71. doi: 10.1007/s10266-011-0023-4. Epub 2011 May 22. PMID: 21604190.
  • 27. Korkmaz FM, Baygin O, Tuzuner T, Bagis B, Arslan I. The effect of an erbium, chromium: yttrium-scandium-gallium-garnet laser on the microleakage and bond strength of silorane and micro-hybrid composite restorations. Eur J Dent. 2013 Sep;7(Suppl 1):S033-S0.
  • 28. Korkmaz Y, Ozel E, Attar N, Ozge Bicer C. Influence of different conditioning methods on the shear bond strength of novel light-curing nano-ionomer restorative to enamel and dentin. Lasers Med Sci. 2010 Nov;25(6):861-6. doi: 10.1007/s10103-009-0718-8. Epu.
  • 29. Baghalian A, Nakhjavani YB, Hooshmand T, Motahhary P, Bahramian H. Microleakage of Er:YAG laser and dental bur prepared cavities in primary teeth restored with different adhesive restorative materials. Lasers Med Sci. 2013 Nov;28(6):1453-60. doi: 10.1007/.
  • 30. Yaman BC, Guray BE, Dorter C, Gomeç Y, Yazıcıoglu O, Erdilek D. Effect of the erbium:yttrium-aluminum-garnet laser or diamond bur cavity preparation on the marginal microleakage of class V cavities restored with different adhesives and composite systems. Lasers Med Sci. 2012 Jul;27(4):785-94. doi: 10.1007/s10103-011-0981-3. Epub 2011 Aug 16. PMID: 21845398.
  • 31. Mozaffari HR, Ehteshami A, Zallaghi F, Chiniforush N, Moradi Z. Microleakage in Class V Composite Restorations after Desensitizing Surface Treatment with Er:YAG and CO2 Lasers. Laser Ther. 2016 Dec 30;25(4):259-266. doi: 10.5978/islsm.16-OR-20. PMID: 2876.
  • 32. Yazici AR, Yıldırım Z, Antonson SA, Kilinc E, Koch D, Antonson DE, Dayangaç B, Ozgünaltay G. Comparison of the Er,Cr:YSGG laser with a chemical vapour deposition bur and conventional techniques for cavity preparation: a microleakage study. Lasers Med Sci. 2012 Jan;27(1):23-9. doi: 10.1007/s10103-010-0833-6. Epub 2010 Sep 15. PMID: 20842517.
  • 33. Gutknecht N, Apel C, Schäfer C, Lampert F. Microleakage of composite fillings in Er,Cr:YSGG laser-prepared class II cavities. Lasers Surg Med. 2001;28(4):371-4. doi: 10.1002/lsm.1064. PMID: 11344519.
  • 34. Hossain M, Yamada Y, Nakamura Y, Murakami Y, Tamaki Y, Matsumoto K. A study on surface roughness and microleakage test in cavities prepared by Er:YAG laser irradiation and etched bur cavities. Lasers Med Sci. 2003;18(1):25-31. doi: 10.1007/s10103-002-0235.

An in Vitro Study on The Effects of Er, Cr: Ysgg Laser on The Enamel and Dentin Morphology and Microleakage

Year 2025, Volume: 28 Issue: 1, 36 - 44, 28.03.2025

Zeynep Yenen , Jale Görücü

https://doi.org/10.7126/cumudj.1465957

Abstract

Objectives: The evaluation of the enamel and dentin cavity surface morphologies by Scanning Electron Microscopy (SEM) in Class II occlusogingival slot cavities which were prepared and etched by Er, Cr: YSGG (Erbium, Chromium: Yttrium, Scandium, Gallium, Garnet) laser and assessing their effects on the microleakage at composite resin restorations, and also comparing them with those of traditional methods.
Material and Methods: Fifty-five non-carious, sound extracted human molar teeth were divided into five groups: bur preparation + acid etching (Group I), bur preparation + laser etching (Group II), laser preparation + laser etching (Group III), laser preparation (Group IV), laser preparation + acid etching (Group V). The resin-tooth interface was evaluated based on microleakage. SEM examinations of laser irradiated samples (Groups II, III, IV, V) revealed a lack of smear layer, irregular and crater-like surface in enamel. Also, these examinations revealed opened dentinal tubules orifice, step-like flattered surface, and lack of smear layer in dentin.
Results: Statistically significant differences were found among the occlusal (p=0.003) and gingival regions microleakage (p=0.001) in groups. In Group V at the gingival, microleakage was significantly greater than the other groups (p<0.05). In Group II, the microleakage at the occlusal was found significantly greater than Groups I, IV, and V. When the microleakage at occlusal and gingival were compared among each group, only group V showed statistically significant difference (p<0.05).
Conclusions: According to the results of this study, it was determined that there is no need for the etching process after laser preparation.

Keywords

laser cavity preparation etching marginal leakage SEM

References

  • 1. Tao S, Li L, Yuan H, Tao S, Cheng Y, He L, Li J. Erbium Laser Technology vs Traditional Drilling for Caries Removal: A Systematic Review with Meta-Analysis. J Evid Based Dent Pract. 2017 Dec;17(4):324-334. doi: 10.1016/j.jebdp.2017.05.004. Epub 2017 May 1.
  • 2. Moritz, A., Schoop, U., Strassl. M. Wintner. E. (2006). Cavity Preparation. A.Moritz, (Ed.) Oral Laser Application, s. 75-138. Quintessenz Verlags-GmbH, Berlin. .
  • 3. van As G. Erbium lasers in dentistry. Dent Clin North Am. 2004 Oct;48(4):1017-59, viii. doi: 10.1016/j.cden.2004.06.001. PMID: 15464563.
  • 4. Baraba A, Kqiku L, Gabrić D, Verzak Ž, Hanscho K, Miletić I. Efficacy of removal of cariogenic bacteria and carious dentin by ablation using different modes of Er:YAG lasers. Braz J Med Biol Res. 2018 Jan 11;51(3):e6872. doi: 10.1590/1414-431X20176872. PM.
  • 5. Corona SA, Borsatto M, Dibb RG, Ramos RP, Brugnera A, Pécora JD. Microleakage of class V resin composite restorations after bur, air-abrasion or Er:YAG laser preparation. Oper Dent. 2001 Sep-Oct;26(5):491-7. PMID: 11551014.
  • 6. Montedori A, Abraha I, Orso M, D'Errico PG, Pagano S, Lombardo G. Lasers for caries removal in deciduous and permanent teeth. Cochrane Database Syst Rev. 2016 Sep 26;9(9):CD010229. doi: 10.1002/14651858.CD010229.pub2. PMID: 27666123; PMCID: PMC6457657.
  • 7. Colucci V, do Amaral FL, Pécora JD, Palma-Dibb RG, Corona SA. Water flow on erbium:yttrium-aluminum-garnet laser irradiation: effects on dental tissues. Lasers Med Sci. 2009 Sep;24(5):811-8. doi: 10.1007/s10103-008-0563-1. Epub 2008 Apr 19. PMID: 18425563.
  • 8. Armengol V, Jean A, Enkel B, Assoumou M, Hamel H. Microleakage of class V composite restorations following Er:YAG and Nd:YAP laser irradiation compared to acid-etch: an In vitro study. Lasers Med Sci. 2002;17(2):93-100. doi: 10.1007/s101030200016. PMID: 1.
  • 9. Avunduk ATE, Bağlar S. Evaluation of microleakage in class v cavities prepared by different caries removal methods. Microsc Res Tech. 2019 Sep;82(9):1566-1574. doi: 10.1002/jemt.23322. Epub 2019 Jun 14. PMID: 31199544.
  • 10. Bortolotto T, Mast P, Krejci I. Laser-prepared and bonding-filled fissure sealing: SEM and OCT analysis of marginal and internal adaptation. Dent Mater J. 2017 Sep 26;36(5):622-629. doi: 10.4012/dmj.2016-025. Epub 2017 Aug 24. PMID: 28835596.
  • 11. Ekworapoj P, Sidhu SK, McCabe JF. Effect of different power parameters of Er,Cr:YSGG laser on human dentine. Lasers Med Sci. 2007 Sep;22(3):175-82. doi: 10.1007/s10103-006-0426-6. Epub 2007 Jan 23. PMID: 17242868.
  • 12. Hossain M, Nakamura Y, Yamada Y, Kimura Y, Matsumoto N, Matsumoto K. Effects of Er,Cr:YSGG laser irradiation in human enamel and dentin: ablation and morphological studies. J Clin Laser Med Surg. 1999;17(4):155-9. doi: 10.1089/clm.1999.17.155. PMID: 11199.
  • 13. Delme KI, Deman PJ, Nammour S, De Moor RJ. Microleakage of class V glass ionomer restorations after conventional and Er:YAG laser preparation. Photomed Laser Surg. 2006 Dec;24(6):715-22. doi: 10.1089/pho.2006.24.715. PMID: 17199471.
  • 14. Freitas PM, Navarro RS, Barros JA, de Paula Eduardo C. The use of Er:YAG laser for cavity preparation: an SEM evaluation. Microsc Res Tech. 2007 Sep;70(9):803-8. doi: 10.1002/jemt.20470. PMID: 17576132.
  • 15. Bertrand MF, Hessleyer D, Muller-Bolla M, Nammour S, Rocca JP. Scanning electron microscopic evaluation of resin-dentin interface after Er:YAG laser preparation. Lasers Surg Med. 2004;35(1):51-7. doi: 10.1002/lsm.20063. PMID: 15278928.
  • 16. Delfino CS, Duarte S Jr. Effect of the composite surface sealant application moment on marginal sealing of compactable composite resin restoration. J Mater Sci Mater Med. 2007 Dec;18(12):2257-61. doi: 10.1007/s10856-007-3112-8. Epub 2007 Jun 12. PMID: 175.
  • 17. Lee BS, Lin CP, Hung YL, Lan WH. Structural changes of Er:YAG laser-irradiated human dentin. Photomed Laser Surg. 2004 Aug;22(4):330-4. doi: 10.1089/pho.2004.22.330. PMID: 15345177.
  • 18. Schein MT, Bocangel JS, Nogueira GE, Schein PA. SEM evaluation of the interaction pattern between dentin and resin after cavity preparation using ER:YAG laser. J Dent. 2003 Feb;31(2):127-35. doi: 10.1016/s0300-5712(03)00003-4. PMID: 12654552.
  • 19. Dunn WJ, Davis JT, Bush AC. Shear bond strength and SEM evaluation of composite bonded to Er:YAG laser-prepared dentin and enamel. Dent Mater. 2005 Jul;21(7):616-24. doi: 10.1016/j.dental.2004.11.003. PMID: 15978270.
  • 20. De Munck J, Van Meerbeek B, Yudhira R, Lambrechts P, Vanherle G. Micro-tensile bond strength of two adhesives to Erbium:YAG-lased vs. bur-cut enamel and dentin. Eur J Oral Sci. 2002 Aug;110(4):322-9. doi: 10.1034/j.1600-0722.2002. 21281.x. PMID: 12206595.
  • 21. Monghini EM, Wanderley RL, Pécora JD, Palma Dibb RG, Corona SA, Borsatto MC. Bond strength to dentin of primary teeth irradiated with varying Er:YAG laser energies and SEM examination of the surface morphology. Lasers Surg Med. 2004;34(3):254-9. doi: 10.1.
  • 22. Lin S, Caputo AA, Eversole LR, Rizoiu I. Topographical characteristics and shear bond strength of tooth surfaces cut with a laser-powered hydrokinetic system. J Prosthet Dent. 1999 Oct;82(4):451-5. doi: 10.1016/s0022-3913(99)70033-8. PMID: 10512965.
  • 23. Barceleiro Mde O, de Mello JB, de Mello GS, Dias KR, de Miranda MS, Sampaio Filho HR. Hybrid layer thickness and morphology: the influence of cavity preparation with Er:YAG laser. Oper Dent. 2005 May-Jun;30(3):304-10. PMID: 15986949.
  • 24. Arbabzadeh F, Birang E, Nazem R, Abbasian M, Koosha F, Birang R. A Comparative Study on Micro Hardness and Structural Changes of Dentin Floor Cavity Prepared by Er: YAG Laser Irradiation and Mechanical Bur. J Dent (Shiraz). 2013 Jun;14(2):73-7. PMID: 2472.
  • 25. Malekafzali B, Asnaashari M, Javadi F. Comparison of marginal microleakage of flowable composite restorations in primary canine teeth prepared with high-speed diamond bur, Er:YAG laser and Er,Cr:YSGG laser. Laser Ther. 2017 Sep 30;26(3):195-202. doi: 10.5.
  • 26. Kato C, Taira Y, Suzuki M, Shinkai K, Katoh Y. Conditioning effects of cavities prepared with an Er,Cr:YSGG laser and an air-turbine. Odontology. 2012 Jul;100(2):164-71. doi: 10.1007/s10266-011-0023-4. Epub 2011 May 22. PMID: 21604190.
  • 27. Korkmaz FM, Baygin O, Tuzuner T, Bagis B, Arslan I. The effect of an erbium, chromium: yttrium-scandium-gallium-garnet laser on the microleakage and bond strength of silorane and micro-hybrid composite restorations. Eur J Dent. 2013 Sep;7(Suppl 1):S033-S0.
  • 28. Korkmaz Y, Ozel E, Attar N, Ozge Bicer C. Influence of different conditioning methods on the shear bond strength of novel light-curing nano-ionomer restorative to enamel and dentin. Lasers Med Sci. 2010 Nov;25(6):861-6. doi: 10.1007/s10103-009-0718-8. Epu.
  • 29. Baghalian A, Nakhjavani YB, Hooshmand T, Motahhary P, Bahramian H. Microleakage of Er:YAG laser and dental bur prepared cavities in primary teeth restored with different adhesive restorative materials. Lasers Med Sci. 2013 Nov;28(6):1453-60. doi: 10.1007/.
  • 30. Yaman BC, Guray BE, Dorter C, Gomeç Y, Yazıcıoglu O, Erdilek D. Effect of the erbium:yttrium-aluminum-garnet laser or diamond bur cavity preparation on the marginal microleakage of class V cavities restored with different adhesives and composite systems. Lasers Med Sci. 2012 Jul;27(4):785-94. doi: 10.1007/s10103-011-0981-3. Epub 2011 Aug 16. PMID: 21845398.
  • 31. Mozaffari HR, Ehteshami A, Zallaghi F, Chiniforush N, Moradi Z. Microleakage in Class V Composite Restorations after Desensitizing Surface Treatment with Er:YAG and CO2 Lasers. Laser Ther. 2016 Dec 30;25(4):259-266. doi: 10.5978/islsm.16-OR-20. PMID: 2876.
  • 32. Yazici AR, Yıldırım Z, Antonson SA, Kilinc E, Koch D, Antonson DE, Dayangaç B, Ozgünaltay G. Comparison of the Er,Cr:YSGG laser with a chemical vapour deposition bur and conventional techniques for cavity preparation: a microleakage study. Lasers Med Sci. 2012 Jan;27(1):23-9. doi: 10.1007/s10103-010-0833-6. Epub 2010 Sep 15. PMID: 20842517.
  • 33. Gutknecht N, Apel C, Schäfer C, Lampert F. Microleakage of composite fillings in Er,Cr:YSGG laser-prepared class II cavities. Lasers Surg Med. 2001;28(4):371-4. doi: 10.1002/lsm.1064. PMID: 11344519.
  • 34. Hossain M, Yamada Y, Nakamura Y, Murakami Y, Tamaki Y, Matsumoto K. A study on surface roughness and microleakage test in cavities prepared by Er:YAG laser irradiation and etched bur cavities. Lasers Med Sci. 2003;18(1):25-31. doi: 10.1007/s10103-002-0235.
There are 34 citations in total.

Details

Primary Language English
Subjects Restorative Dentistry
Journal Section Original Research Articles
Authors

Zeynep Yenen 0000-0002-8280-3549

Jale Görücü 0000-0001-7138-5911

Publication Date March 28, 2025
Submission Date April 6, 2024
Acceptance Date January 30, 2025
Published in Issue Year 2025Volume: 28 Issue: 1

Cite

EndNote Yenen Z, Görücü J (March 1, 2025) An in Vitro Study on The Effects of Er, Cr: Ysgg Laser on The Enamel and Dentin Morphology and Microleakage. Cumhuriyet Dental Journal 28 1 36–44.
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