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二极管激光和铒铬:钇钪镓石榴石激光对纤维桩粘结强度的影响

The Effect of Diode and Er,Cr:YSGG Lasers on the Bond Strength of Fiber Posts.

作者信息

Borges Caroline Cristina, Palma-Dibb Regina Guenka, Rodrigues Flávia Cássia Cabral, Plotegher Fernanda, Rossi-Fedele Giampiero, de Sousa-Neto Manoel Damião, Souza-Gabriel Aline Evangelista

机构信息

Department of Restorative Dentistry, School of Dentistry of Ribeirão Preto, University of São Paulo, Ribeirão Preto, Brazil.

Adelaide Dental School, University of Adelaide, Adelaide, Australia.

出版信息

Photobiomodul Photomed Laser Surg. 2020 Feb;38(2):66-74. doi: 10.1089/photob.2019.4668. Epub 2019 Aug 8.

Abstract

Laser irradiation modifies the topography and composition of dentin surface aiming to increase the retention of bonded posts. To assess the effect of dentin irradiation with Er,Cr:YSGG or diode lasers on the bond strength of fiber posts using self-adhesive resin cement. Sixty bovine root canals were root-canal treated, post spaces were prepared, and subsequently fiber posts were cemented. The samples were distributed according to the surface treatment: distilled water (control), Er,Cr:YSGG (1.5 W, 20 sec), or diode (1.5 W, 20 sec) lasers. Bond strengths were assessed by pull-out ( = 10) or push-out testing ( = 10). Pearson's correlation was calculated. Failure mode after testing and the depth of tags in the dentinal tubules were analyzed by confocal laser microscopy. Data were submitted to analysis of variance and Tukey's test. A  < 0.05 was considered significant. In the push-out test, Er,Cr:YSGG laser had significantly different higher values (5.43 ± 0.10 MPa) compared to the control (4.79 ± 0.05 MPa). Diode laser values were not significantly different from the other groups (5.12 ± 0.27 MPa). In the pull-out test, there were no significant differences between Er,Cr:YSGG (6.86 ± 2.16 MPa) and diode (8.43 ± 1.77 MPa) lasers, and both had significant differences compared to the control (4.18 ± 1.29 MPa). No correlation was found. Adhesive failures were predominant in all groups, and no significant differences in tag penetration among the groups were found. The Er,Cr:YSGG laser increases the bond strength of resin cement and fiber post to dentin in both tests, compared to control group without laser treatment. Diode laser only enhanced bonding for pull-out test.

摘要

激光照射可改变牙本质表面的形貌和成分,旨在提高粘结桩的固位力。为了评估用铒铬:钇钪镓石榴石(Er,Cr:YSGG)激光或二极管激光照射牙本质对使用自粘结树脂水门汀的纤维桩粘结强度的影响。选取60个牛的根管进行根管治疗,制备桩道,随后粘结纤维桩。根据表面处理方式将样本分组:蒸馏水(对照组)、Er,Cr:YSGG激光(1.5W,20秒)或二极管激光(1.5W,20秒)。通过拔出试验(n = 10)或推出试验(n = 10)评估粘结强度。计算皮尔逊相关性。通过共聚焦激光显微镜分析试验后的失败模式和牙本质小管中微标签的深度。数据进行方差分析和Tukey检验。P < 0.05被认为具有统计学意义。在推出试验中,与对照组(4.79±0.05MPa)相比,Er,Cr:YSGG激光具有显著更高的值(5.43±0.10MPa)。二极管激光的值与其他组无显著差异(5.12±0.27MPa)。在拔出试验中,Er,Cr:YSGG激光(6.86±2.16MPa)和二极管激光(8.43±1.77MPa)之间无显著差异,且两者与对照组(4.18±1.29MPa)相比均有显著差异。未发现相关性。所有组中粘结失败均占主导,且各组间微标签的渗入无显著差异。与未进行激光处理的对照组相比,在两种试验中Er,Cr:YSGG激光均增加了树脂水门汀和纤维桩与牙本质之间的粘结强度。二极管激光仅在拔出试验中增强了粘结效果。

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