Department of Prosthodontics, Faculty of Dentistry, University of Cumhuriyet, 58140, Sivas, Turkey.
Lasers Med Sci. 2012 Mar;27(2):281-5. doi: 10.1007/s10103-010-0862-1. Epub 2010 Dec 14.
The purpose of this study was to investigate the tensile strength of the bond between a silicone lining material and heat-cured polymethyl methacrylate (PMMA) denture base resin after Er:YAG laser treatment with different pulse durations and energy levels. PMMA test specimens were fabricated and each received one of six surface treatments: no treatment (control), and five Er:YAG laser treatments comprising (1) 100 mJ, 1 W, long pulse duration, (2) 200 mJ, 2 W, long pulse duration, (3) 200 mJ, 2 W, very short pulse duration, (4) 300 mJ, 3 W, long pulse duration, and (5) 400 mJ, 4 W, long pulse duration. The resilient liner specimens (n = 15) were processed between two PMMA blocks. The tensile strengths of the bonds between the liners and PMMA were determined using a universal testing machine at a crosshead speed of 5 mm/min. The mode of failure was characterized as cohesive, adhesive, or mixed modes. One-way ANOVA and the post hoc Tukey-Kramer multiple comparisons test were used to analyze the data (α = 0.05). There was a statistically significantly difference in tensile bond strength between laser-treated and untreated specimens (P < 0.05). The 300-mJ, 3 W, long pulse duration laser treatment produced the highest mean tensile bond strength. In addition, the long pulse duration treatments resulted in greater bond strength than very short pulse duration treatment (P < 0.05). Laser irradiation produced significant surface texture changes of the denture base material and improved the adhesion between denture base and soft lining material. In addition, different pulse durations and energy levels were found to effectively increase the strength of the bond.
本研究旨在探讨不同脉宽和能量水平的 Er:YAG 激光处理后,硅橡胶衬里材料与热固化聚甲基丙烯酸甲酯(PMMA)义齿基托树脂之间的拉伸强度。制作 PMMA 测试标本,每种标本接受六种表面处理中的一种:无处理(对照),以及五种 Er:YAG 激光处理,包括(1)100mJ、1W、长脉宽,(2)200mJ、2W、长脉宽,(3)200mJ、2W、短脉宽,(4)300mJ、3W、长脉宽和(5)400mJ、4W、长脉宽。弹性衬里标本(n=15)在两块 PMMA 块之间加工。使用万能试验机以 5mm/min 的十字头速度测定衬里与 PMMA 之间的粘结拉伸强度。失效模式特征为内聚、粘附或混合模式。采用单因素方差分析和事后 Tukey-Kramer 多重比较检验进行数据分析(α=0.05)。激光处理与未处理标本之间的拉伸粘结强度存在统计学差异(P<0.05)。300mJ、3W、长脉宽激光处理产生的平均拉伸粘结强度最高。此外,长脉宽处理比短脉宽处理产生更大的粘结强度(P<0.05)。激光照射会使义齿基托材料的表面纹理发生显著变化,并改善义齿基托与软衬里材料之间的附着力。此外,发现不同的脉宽和能量水平可有效提高粘结强度。