São José dos Campos Dental School, São Paulo State University, São Paulo, Brazil.
Lasers Med Sci. 2012 Jul;27(4):755-60. doi: 10.1007/s10103-011-0946-6. Epub 2011 Jul 29.
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.
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。