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Shear Bond Strength of Orthodontic Brackets Following Er-YAG versus Nd-YAG Laser Etching: A laboratory Study

مقارنة قوة الارتباط المقاومة للقص للحاصرات التقويمية الملصقة بعد التخريش بليزر Er-YAG و ليزر Nd-YAG "دراسة مخبرية"

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 Publication date 2013
and research's language is العربية
 Created by Shamra Editor




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The laser has been used as an alternative effective method of etching enamel surface for direct bonding of orthodontic brackets instead of phosphoric acid. The aim of this study was to compare shear bond strength of orthodontic brackets following Er-YAG versus Nd-YAG Laser etching. Eighty human extracted upper premolars were collected and divided randomly into two equal groups; the buccal enamel surface of the first group was etched by Er-YAG laser while the second group was etched by Nd-YAG laser. Each group was divided into two equal subgroups according to the bonding material type (chemical cure resin or light cure resin). The mechanical test has occurred by using a universal testing machine (Instron). The finding showed that no statistically significant differences in mean of shear bond strength between (Nd-YAG, Er-YAG) Laser etching group were found regardless of the bonding type.



References used
SMITH, RT; SHIVAPUIA, RK. The revaluation of dual cement resins in orthodontic bonding. Am J Orthod Dentofacial Othop 1993, 103:448-51
SURMONT,P; DERMAUT,L; MARTENS,L; MOORS, M. Comparison in shear bond strength of orthodontic brackets between four bonding systems related to different etching times: An in vitro study. Am J Orthod Dentofacial Orthop 1992, 101:414-9
HOBSON, RS; MCCUBE, JF; HOGG, SD. The effect of food stimulants on enamel – composite bond strength. Br J Orthod 2000, 27:55-9
BRANTLEY, W; Eliades, T . Orthodontic materials :Scientific and clinical aspects .Thieme Stuttgart , New York 2001 , ch 5:107-22
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This study aimed to compare the effects of different enamel etching techniques for bracket bonding strength. The sample consisted of eighty human premolars were randomly divided into four equal groups. The enamel surfaces of the teeth were etched with 35% orthophosphoric acid in Group 1 , air abraded with 50 μm aluminum oxide prior to acid etching in Group 2, Trans bond Plus Self-etching Primer (TPSEP) in Group 3 , Er: YAG laser in Group 4. After enamel etching procedures, brackets were bonded with Trans bond XT , then shear bonding test was performed using a testing machine (Tinius Olsen).
With the increase in the number of adult patients seeking orthodontic treatment, the need to ensure sufficient bonding strength for the fixed orthodontic components on the ceramic restorations has become an urgent matter. Adhesion of the orthodontic bracket is an essential and indispensable step.
The of this study was to evaluate the bonding strength of a posterior composite restorations when two different types of equipment methods were used for preparation of dentin (Erbium-doped yttrium aluminum garnet laser (Er:YAG ) and diamond burs). This study specimen consisted of Eighty molars, was divided randomly into two main groups (40 molars were prepared with diamond burs, and 40 molars were prepared with laser Er: YAG).
The aim of this study was to compare the pain and the time consumed during surgical extraction of the impacted lower third molars using Er:YAG laser and surgical burs. The study included 40 impacted molar existed in 20 patients (11male + 9 female ) who had two symmetric impacted lower molars. The time consumed during the extraction was measured and the pain was observed during one, three and seven days after the surgical operation. After that the data were statistically studied. As a result of this study, the mean of the time consumed in bone removal was (9.5) minutes using surgical burs and (15.7) minutes using Er:YAG laser. So there was significant difference between the two methods. There was no significant difference in pain between the two methods during the three observation periods. Based on the results of this study, the use of Er:YAG laser as an alternative method to the surgical burs is possible but it consumes a lot of time during bone removal.
The purpose of this study was to evaluate the shear and tensile bond strengths of orthodontic brackets bonded with self etching primer and resin-reinforced glass ionomer cement in comparison with light cured resin adhesive. The tested self-etching primer and adhesive systems produced bond strength values higher than that of the light cured resin adhesive whereas the resin-reinforced glass ionomer cement showed a significantly reduced bond strength . Clinically, the use of self-etching primer and adhesive systems is suitable for orthodontic bracket bonding.

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