Rezaei Mohsen, Aliasghar Elham, Rezvani Mohammad Bagher, Chiniforush Nasim, Moradi Zohreh
Department of Operative Dentistry, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
Private Practice, Tehran, Iran.
J Lasers Med Sci. 2019 Spring;10(2):117-124. doi: 10.15171/jlms.2019.19. Epub 2019 Feb 25.
In non-vital tooth bleaching, dentin is in direct contact with the bleaching agent, 1 to 3-week delay is needed to eliminate free radicals from tooth structure. The present study aimed to evaluate the effect of irradiation of Er: YAG laser on immediate microtensile bond strength of bleached dentin to composite. Sixty sounds human teeth were collected and randomly divided into 4 groups (n=15): no bleaching (NB), opalescence endo hydrogen peroxide (HP) gel bleaching, sodium perborate (SP) bleaching and laser bleaching with heydent gel (LB). The groups were divided into 3 subgroups (n=5): no surface treatment, Er: YAG laser irradiation and 10% sodium ascorbate (SA). All samples were restored and underwent microtensile bond strength testing. Statistical analysis was carried out using one-way and two-way ANOVA. Bond strength in NB-SA group had a significant difference with the NB group (<0.05) while no significant difference was noted between NB and NB-Er groups (=0.55). Application of SA and Er: YAG laser after bleaching with SP did not enhance the bond strength (=0.07). Application of SA and Er: YAG laser after HP gel bleaching significantly enhanced the bond strength. Application of Er: YAG laser after internal bleaching with HP gel could enhance the bond strength.
在非活髓牙漂白中,牙本质与漂白剂直接接触,需要1至3周的延迟来消除牙体结构中的自由基。本研究旨在评估铒钇铝石榴石(Er:YAG)激光照射对漂白牙本质与复合材料之间即刻微拉伸粘结强度的影响。收集60颗健康人牙并随机分为4组(n = 15):未漂白组(NB)、欧泊莱髓室内过氧化氢(HP)凝胶漂白组、过硼酸钠(SP)漂白组和海德登凝胶激光漂白组(LB)。每组再分为3个亚组(n = 5):未进行表面处理组、Er:YAG激光照射组和10%抗坏血酸钠(SA)处理组。所有样本均进行修复并进行微拉伸粘结强度测试。采用单因素和双因素方差分析进行统计分析。NB - SA组的粘结强度与NB组有显著差异(<0.05),而NB组和NB - Er组之间无显著差异(=0.55)。SP漂白后应用SA和Er:YAG激光未提高粘结强度(=0.07)。HP凝胶漂白后应用SA和Er:YAG激光显著提高了粘结强度。HP凝胶内漂白后应用Er:YAG激光可提高粘结强度。