Abo Zaid Amira, Ebeid Kamal, Wahsh Marwa, El Demellawy Mohamed
Department of Fixed Prosthodontics, Faculty of Dentistry, Egyptian-Russian University, Cairo, Egypt.
Department of Fixed Prosthodontics, Faculty of Dentistry, Ain Shams University, Cairo, Egypt.
J Prosthodont. 2024 Jul 10. doi: 10.1111/jopr.13904.
The objective of this study was to evaluate the effect of (Er,Cr: YSGG) laser debonding treatment on optical properties and surface roughness of veneers made of different ceramic materials.
Thirty bovine incisors were prepared to receive laminate veneers and divided into three groups (n = 10) according to ceramic material where group (E): IPS e.max CAD, group (S): Vita Suprinity, and group (C): Celtra Duo. Blocks were sectioned into 0.5 mm thickness plates and cemented on the labial surface of incisors using resin cement. The Er,Cr: YSGG laser was applied to each specimen at 4.5 W and 25 Hz for group E and at 6 W and 25 Hz for groups S and C. Color change (△E), translucency parameter (TP) and surface roughness in µm (Ra) values were measured and calculated before and after laser treatment. Data were analyzed using two-way mixed model ANOVA at a significance level of p < 0.05.
The highest mean △E value was recorded in group E (1.35 ± 0.09) followed by group S (1.08 ± 0.16) and then group C (0.93 ± 0.10) with a significant difference between them (p < 0.001). All groups exceeded the perceptibility threshold but remained below the acceptability threshold. No statistically significant difference was found in TP except for group E (p = 0.019). Ra values after laser debonding showed significantly higher values than before laser treatment in all three groups (p < 0.001).
Er,Cr: YSGG laser can be safely used for debonding ceramic veneers without altering the optical properties but it does increase the roughness of debonded ceramic restorations.
本研究的目的是评估(铒铬:钇稳定氧化锆石榴石)激光脱粘处理对不同陶瓷材料制成的贴面的光学性能和表面粗糙度的影响。
准备30颗牛切牙以接受层压贴面,并根据陶瓷材料分为三组(n = 10),其中E组:IPS e.max CAD,S组:Vita Suprinity,C组:Celtra Duo。将块切成0.5毫米厚的板,并用树脂粘结剂粘结在切牙的唇面。对E组每个标本以4.5W和25Hz应用铒铬:钇稳定氧化锆石榴石激光,对S组和C组以6W和25Hz应用。在激光处理前后测量并计算颜色变化(△E)、半透明度参数(TP)和以微米为单位的表面粗糙度(Ra)值。使用双向混合模型方差分析在p < 0.05的显著性水平下分析数据。
E组记录到最高的平均△E值(1.35 ± 0.09),其次是S组(1.08 ± 0.16),然后是C组(0.93 ± 0.10),它们之间存在显著差异(p < 0.001)。所有组均超过可感知阈值,但仍低于可接受阈值。除E组外,TP无统计学显著差异(p = 0.019)。激光脱粘后的Ra值在所有三组中均显示出明显高于激光处理前的值(p < 0.001)。
铒铬:钇稳定氧化锆石榴石激光可安全用于陶瓷贴面的脱粘,而不会改变光学性能,但会增加脱粘后陶瓷修复体的粗糙度。