Author/Authors :
Shirani ، Farzaneh نويسنده Associste Professor, Department of Operative Dentistry, School of Dentistry, Isfahan University of Medical Sciences. Isfahan, Iran Shirani , Farzaneh , Birang، Reza نويسنده Department of Periodontology, School of Dentistry, Isfahan University of Medical Sciences , , Malekipour، Mohammad Reza نويسنده Department of Operative Dentistry, Faculty of Dentistry, , , Hourmehr، Zahra نويسنده Department of Operative Dentistry, School of Dentistry, Isfahan (Khorasgan Branch), Islamic Azad University, Isfahan, , , Kazemi، Shantia نويسنده Department of Health Policy and Administration, School of Public Health, University of Illinois at Chicago, Chicago, IL ,
Abstract :
Background: Dental surfaces prepared with different Er:YAG laser distance may have different
characteristics compared with those prepared with conventional instruments. The aim of this
study was to investigate the effect of Er:YAG laser irradiation distance from enamel and dentin
surfaces on the shear bond strength of composite with self-etch and etch and rinse bonding
systems compared with conventional preparation method.
Materials and Methods: Two hundred caries-free human third molars were randomly divided
into twenty groups (n = 10). Ten groups were designated for enamel surface (E1-E10) and ten
for dentin surface (D1-D10). Er: YAG laser (2940 nm) was used on the E1-E8 (240 mJ, 25 Hz)
and D1-D8 (140 mJ, 30 Hz) groups at four different distances of 0.5 (standard), 2, 4 and 11 mm.
Control groups (E9, E10, D9 and D10) were ground with medium grit diamond bur. The enamel
and dentin specimens were divided into two subgroups that were bonded with either Single Bond
or Clearfi l SE Bond. Resin composite (Z100) was dispensed on prepared dentin and enamel.
The shear bond strengths were tested using a universal testing machine. Data were analyzed by
SPSS12 statistical software using three way analysis of variance, Tukey and independent t-test.
P < 0.05 was considered as signifi cant.
Results: There was a signifi cant difference between enamel and dentin substrates (P < 0.001) and
between lased and un-lased groups; the un-lased group had signifi cantly higher bond strength (P < 0.001).
Shear bond strength increased signifi cantly with an increase in the laser irradiation distance (P < 0.05) on
enamel surfaces (in both bonding agent subgroups) and on dentin surfaces (in the Single Bond subgroup).
Conclusion: Laser irradiation decreases shear bond strength. Irradiation distance affects shear
bond strength and increasing the distance would decrease the negative effects of laser irradiation.
