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Nd:YAG 和 Er:YAG 激光对牙面处理对近期漂白牙釉质的树脂复合材料粘结强度的影响。

Effect of dental surface treatment with Nd:YAG and Er:YAG lasers on bond strength of resin composite to recently bleached enamel.

机构信息

São José dos Campos Dental School, São Paulo State University, São Paulo, Brazil.

出版信息

Lasers Med Sci. 2012 Jul;27(4):755-60. doi: 10.1007/s10103-011-0946-6. Epub 2011 Jul 29.

DOI:10.1007/s10103-011-0946-6
PMID:21800154
Abstract

The aim of this work is to evaluate the effect of surface treatment with Er:YAG and Nd:YAG lasers on resin composite bond strength to recently bleached enamel. In this study, 120 bovine incisors were distributed into two groups: group C: without bleaching treatment; group B: bleached with 35% hydrogen peroxide. Each group was divided into three subgroups: subgroup N: without laser treatment; subgroup Nd: irradiation with Nd:YAG laser; subgroup Er: irradiation with Er:YAG laser. The adhesive system (Adper Single Bond 2) was then applied and composite buildups were constructed with Filtek Supreme composite. The teeth were sectioned to obtain enamel-resin sticks (1 × 1 mm) and submitted to microtensile bond testing. The data were statistically analyzed by the ANOVA and Tukey tests. The bond strength values in the bleached control group (5.57 MPa) presented a significant difference in comparison to the group bleached and irradiated with Er:YAG laser (13.18 MPa) or Nd:YAG (25.67 MPa). The non-bleached control group presented mean values of 30.92 MPa, with statistical difference of all the others groups. The use of Nd:YAG and Er:YAG lasers on bleached specimens was able to improve the bond strengths of them.

摘要

本研究旨在评估 Er:YAG 和 Nd:YAG 激光表面处理对近期漂白牙釉质与树脂复合材料粘结强度的影响。将 120 颗牛切牙分为两组:C 组:未经漂白处理;B 组:用 35%过氧化氢漂白。每组再分为 3 个亚组:N 组:未激光处理;Nd 组:Nd:YAG 激光照射;Er 组:Er:YAG 激光照射。然后应用粘接系统(Adper Single Bond 2),用 Filtek Supreme 复合树脂构建复合堆积体。将牙齿切割成牙釉质-树脂棒(1×1mm),并进行微拉伸粘结测试。采用方差分析和 Tukey 检验对数据进行统计学分析。与 Er:YAG 激光(13.18MPa)或 Nd:YAG 激光(25.67MPa)处理的漂白对照组(5.57MPa)相比,漂白对照组的粘结强度值有显著差异。未经漂白对照组的平均粘结强度值为 30.92MPa,与其他所有组均有统计学差异。Nd:YAG 和 Er:YAG 激光在漂白标本上的使用能够提高其粘结强度。

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