A Narrative Review and Clinical Study on Er:YAG Laser Debonding of Ceramic and Composite Veneers
Background: Composite resin veneers have gained popularity due to their affordability and minimally invasive application as biomimetic restorations. However, long-term clinical challenges, such as discoloration, wear, and reduced fracture resistance, necessitate their replacement over time. Ceramic...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
MDPI AG
2025-05-01
|
| Series: | Biomimetics |
| Subjects: | |
| Online Access: | https://www.mdpi.com/2313-7673/10/5/295 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849327473341235200 |
|---|---|
| author | Jose Villalobos-Tinoco Fabio Andretti Clint Conner Silvia Rojas-Rueda Nicholas G. Fischer Margiezel Pagan-Banchs Carlos A. Jurado |
| author_facet | Jose Villalobos-Tinoco Fabio Andretti Clint Conner Silvia Rojas-Rueda Nicholas G. Fischer Margiezel Pagan-Banchs Carlos A. Jurado |
| author_sort | Jose Villalobos-Tinoco |
| collection | DOAJ |
| description | Background: Composite resin veneers have gained popularity due to their affordability and minimally invasive application as biomimetic restorations. However, long-term clinical challenges, such as discoloration, wear, and reduced fracture resistance, necessitate their replacement over time. Ceramic veneers, particularly feldspathic and lithium disilicate, offer superior esthetics and durability, as demonstrated by studies showing their high survival rates and enamel-preserving preparation designs. However, while ceramic veneers survive longer than composite resin veneers, ceramic veneers may need to be removed and replaced. Reports vary for using Er:YAG (erbium-doped yttrium aluminum garnet) lasers for the removal of existing veneers. Methods: A review was conducted to evaluate the effectiveness of removing restorative materials with an Er:YAG laser. A clinical study was included, highlighting the conservative removal of aged composite resin veneers using the Er:YAG laser. This method minimizes enamel damage and facilitates efficient debonding. Following laser application, minimally invasive tooth preparation was performed, and feldspathic porcelain veneers were bonded. Results: The review showed positive outcomes whenever the Er:YAG laser was used. In the case study, after a 3-year follow-up, the restorations exhibited optimal function and esthetics. Conclusions: Laser-assisted debonding provides a safe and predictable method for replacing failing composite veneers with ceramic alternatives, aligning with contemporary biomimetic principles. |
| format | Article |
| id | doaj-art-20fd716f7af94c7ca45bd30b772abec8 |
| institution | Kabale University |
| issn | 2313-7673 |
| language | English |
| publishDate | 2025-05-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Biomimetics |
| spelling | doaj-art-20fd716f7af94c7ca45bd30b772abec82025-08-20T03:47:52ZengMDPI AGBiomimetics2313-76732025-05-0110529510.3390/biomimetics10050295A Narrative Review and Clinical Study on Er:YAG Laser Debonding of Ceramic and Composite VeneersJose Villalobos-Tinoco0Fabio Andretti1Clint Conner2Silvia Rojas-Rueda3Nicholas G. Fischer4Margiezel Pagan-Banchs5Carlos A. Jurado6Department of Restorative Dentistry, Centro de Estudios Odontologicos (CEO), Queretaro 76050, MexicoDivision of Operative Dentistry, Department of General Dentistry, Health Science Center, College of Dentistry, The University of Tennessee, Memphis, TN 38163, USADivision of Operative Dentistry, Department of General Dentistry, Health Science Center, College of Dentistry, The University of Tennessee, Memphis, TN 38163, USADivision of Biomaterials, Department of Clinical and Community Sciences, School of Dentistry, The University of Alabama at Birmingham, Birmingham, AL 35233, USAMDRCBB, Minnesota Dental Research Center for Biomaterials and Biomechanics, University of Minnesota, Minneapolis, MN 55455, USASchool of Dental Medicine, Ponce Health Sciences University, Ponce 00716, Puerto RicoDivision of Operative Dentistry, Department of General Dentistry, Health Science Center, College of Dentistry, The University of Tennessee, Memphis, TN 38163, USABackground: Composite resin veneers have gained popularity due to their affordability and minimally invasive application as biomimetic restorations. However, long-term clinical challenges, such as discoloration, wear, and reduced fracture resistance, necessitate their replacement over time. Ceramic veneers, particularly feldspathic and lithium disilicate, offer superior esthetics and durability, as demonstrated by studies showing their high survival rates and enamel-preserving preparation designs. However, while ceramic veneers survive longer than composite resin veneers, ceramic veneers may need to be removed and replaced. Reports vary for using Er:YAG (erbium-doped yttrium aluminum garnet) lasers for the removal of existing veneers. Methods: A review was conducted to evaluate the effectiveness of removing restorative materials with an Er:YAG laser. A clinical study was included, highlighting the conservative removal of aged composite resin veneers using the Er:YAG laser. This method minimizes enamel damage and facilitates efficient debonding. Following laser application, minimally invasive tooth preparation was performed, and feldspathic porcelain veneers were bonded. Results: The review showed positive outcomes whenever the Er:YAG laser was used. In the case study, after a 3-year follow-up, the restorations exhibited optimal function and esthetics. Conclusions: Laser-assisted debonding provides a safe and predictable method for replacing failing composite veneers with ceramic alternatives, aligning with contemporary biomimetic principles.https://www.mdpi.com/2313-7673/10/5/295Er:YAG lasercomposite resin veneersceramic veneersminimally invasive dentistrylaser debonding |
| spellingShingle | Jose Villalobos-Tinoco Fabio Andretti Clint Conner Silvia Rojas-Rueda Nicholas G. Fischer Margiezel Pagan-Banchs Carlos A. Jurado A Narrative Review and Clinical Study on Er:YAG Laser Debonding of Ceramic and Composite Veneers Biomimetics Er:YAG laser composite resin veneers ceramic veneers minimally invasive dentistry laser debonding |
| title | A Narrative Review and Clinical Study on Er:YAG Laser Debonding of Ceramic and Composite Veneers |
| title_full | A Narrative Review and Clinical Study on Er:YAG Laser Debonding of Ceramic and Composite Veneers |
| title_fullStr | A Narrative Review and Clinical Study on Er:YAG Laser Debonding of Ceramic and Composite Veneers |
| title_full_unstemmed | A Narrative Review and Clinical Study on Er:YAG Laser Debonding of Ceramic and Composite Veneers |
| title_short | A Narrative Review and Clinical Study on Er:YAG Laser Debonding of Ceramic and Composite Veneers |
| title_sort | narrative review and clinical study on er yag laser debonding of ceramic and composite veneers |
| topic | Er:YAG laser composite resin veneers ceramic veneers minimally invasive dentistry laser debonding |
| url | https://www.mdpi.com/2313-7673/10/5/295 |
| work_keys_str_mv | AT josevillalobostinoco anarrativereviewandclinicalstudyoneryaglaserdebondingofceramicandcompositeveneers AT fabioandretti anarrativereviewandclinicalstudyoneryaglaserdebondingofceramicandcompositeveneers AT clintconner anarrativereviewandclinicalstudyoneryaglaserdebondingofceramicandcompositeveneers AT silviarojasrueda anarrativereviewandclinicalstudyoneryaglaserdebondingofceramicandcompositeveneers AT nicholasgfischer anarrativereviewandclinicalstudyoneryaglaserdebondingofceramicandcompositeveneers AT margiezelpaganbanchs anarrativereviewandclinicalstudyoneryaglaserdebondingofceramicandcompositeveneers AT carlosajurado anarrativereviewandclinicalstudyoneryaglaserdebondingofceramicandcompositeveneers AT josevillalobostinoco narrativereviewandclinicalstudyoneryaglaserdebondingofceramicandcompositeveneers AT fabioandretti narrativereviewandclinicalstudyoneryaglaserdebondingofceramicandcompositeveneers AT clintconner narrativereviewandclinicalstudyoneryaglaserdebondingofceramicandcompositeveneers AT silviarojasrueda narrativereviewandclinicalstudyoneryaglaserdebondingofceramicandcompositeveneers AT nicholasgfischer narrativereviewandclinicalstudyoneryaglaserdebondingofceramicandcompositeveneers AT margiezelpaganbanchs narrativereviewandclinicalstudyoneryaglaserdebondingofceramicandcompositeveneers AT carlosajurado narrativereviewandclinicalstudyoneryaglaserdebondingofceramicandcompositeveneers |