Abstract
Since Er:YAG laser can be used for the removal of carious tooth substrates and cavity preparation, many reports have been published regarding the adhesion of dental restorative materials to Er:YAG laser-irradiated tooth structures. However, almost all of them suggest negative effects on both enamel and dentin. This article examines the influences of the adhesive systems and laser settings （output intensity, repetition rate, pulse duration, water flow, distance） on bond strength, and determines the best method of achieving the adhesion of Er:YAG laser-irradiated dental substrates.
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