Effects of Er:YAG and Er,Cr:YSGG laser irradiation and adhesive systems on microtensile bond strength of a self-adhering composite.

Abstract

This study was aimed to evaluate the effects of Er:YAG and Er,Cr:YSGG laser irradiation and adhesive systems on the microtensile bond strength of Fusio Liquid Dentin (FLD) which is a self-adhering composite (SAC). Twenty-four freshly extracted human molar teeth were collected, and the enamel was removed from the occlusal surface to obtain a flat dentin surface. Twenty-four teeth were randomly divided into eight groups: Group 1: only Fusio Liquid Dentin (FLD) (Petron Clinical, Orange, California, USA) was applied to the dentin surface; Group 2: 37% Phosphoricacid (i-GEL, Medicinos Linija UAB, Lithuania) + FLD; Group 3: Single Bond Universal (SBU) (3M ESPE, Germany) + FLD; Group 4: Adper Easy One (AEO) (3M ESPE, Germany) + FLD; Group 5: Er:YAG laser + AEO + FLD; Group 6: Er:YAG laser + SBU + FLD; Group 7: Er,Cr:YSGG laser + AEO + FLD; and Group 8: Er,Cr:YSGG laser + SBU + FLD. After thermocycling, 1 × 1 mm2 sticks were used for the µTBS test (n = 10). Two sticks per group were used for SEM analysis. Fractured sample surfaces were evaluated using a stereomicroscope. Group 8 showed the highest µTBS value (13.70MPa), whereas Group 1 showed the lowest μTBS value (5.60MPa). There were no significant differences between Groups 2, 3, and 4 (P = 0.324), but Groups 5-8 showed statistically significant results that were higher than Groups 1-4 (P = 0.012). Adhesive failure mode was predominant followed by mixed failure. The evaluation of bonding of the FLD to dentin showed that the combined use of Er:YAG and Er,Cr:YSGG lasers with SBU and AEO on dentin surfaces improved the dentinal bond strength of the FLD.