Deeb Janina Golob, McCall Connor, Carrico Caroline K, Dahlke William O, Grzech-Leśniak Kinga
Department of Periodontics, School of Dentistry, Virginia Commonwealth University, Richmond, VA 23284, USA.
Department of Pediatric Dentistry, School of Dentistry, Virginia Commonwealth University, Richmond, VA 23284, USA.
Materials (Basel). 2020 Dec 7;13(23):5569. doi: 10.3390/ma13235569.
(1) Background: Prefabricated zirconia crowns are used to restore teeth in children. The purpose of this study was to evaluate the removal of these crowns with the erbium, chromium: yttrium-scandium-gallium-garnet (Er,Cr:YSGG) laser; (2) Methods: A total of 12 primary and 12 permanent teeth were prepared and prefabricated zirconia crowns were passively fitted and cemented with two resin modified glass-ionomer (RMGI) cements. Surface areas of prepared teeth and crowns were calculated. Crowns were removed using two laser settings: 4.5 Watts, 15 Hertz, 20 water/20 air, and 5 Watts, 15 Hertz, 50 water/50 air. The retrieval time and temperature changes were tested recorded. Data were analyzed using ANOVA with Tukey's adjusted post hoc pairwise comparison -test; (3) Results: The average time for crown removal was: 3 min, 47.7 s for permanent; and 2 min 5 s for primary teeth. The mean temperature changes were 2.48 °C (SD = 1.43) for permanent; and 3.14 °C (SD = 1.88) for primary teeth. The time to debond was significantly positively correlated with tooth inner surface area and volume, outer crown volume, and the cement volume; (4) Conclusions: Use of the Er,Cr:YSGG laser is an effective, safe and non-invasive method to remove prefabricated zirconia crowns cemented with RMGI cements from permanent and primary teeth.
(1) 背景:预成氧化锆冠用于儿童牙齿修复。本研究的目的是评估使用铒铬:钇钪镓石榴石(Er,Cr:YSGG)激光去除这些牙冠的效果;(2) 方法:共制备12颗乳牙和12颗恒牙,被动就位预成氧化锆冠,并用两种树脂改性玻璃离子(RMGI)水门汀粘结。计算制备牙齿和牙冠的表面积。使用两种激光参数去除牙冠:4.5瓦、15赫兹、20水/20气,以及5瓦、15赫兹、50水/50气。测试并记录取出时间和温度变化。数据采用方差分析及Tukey校正的事后两两比较检验进行分析;(3) 结果:恒牙冠去除的平均时间为:3分47.7秒;乳牙为2分5秒。恒牙的平均温度变化为2.48℃(标准差 = 1.43);乳牙为3.14℃(标准差 = 1.88)。脱粘时间与牙齿内表面积和体积、牙冠外体积以及水门汀体积显著正相关;(4) 结论:使用Er,Cr:YSGG激光是一种从恒牙和乳牙上去除用RMGI水门汀粘结的预成氧化锆冠的有效、安全且非侵入性的方法。