The Effects of Er,Cr:YSGG laser on shear bond strength of orthodontic lingual brackets to CAD/CAM ceramic systems

Purpose: The aim of this study is to compare the bond strength of lingual brackets bonded to resin-matrix and lithium disilicate based-ceramic crowns following various surface treatments.Materials and Methods: Sixty ceramic crowns (IPS Emax and Cerasmart) were fabricated by CAD/CAM. Er,Cr:YSGG laser...

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Main Authors: Emine Kaygısız, Ferhan Eğilmez, Gülfem Ergün, Alime Sema Yüksel, Işıl Çekiç Nagaş
Format: Article
Language:English
Published: Istanbul University 2023-09-01
Series:European Oral Research
Subjects:
Online Access:https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/655D6F7A8B8D4793A0BD7E119735040D
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author Emine Kaygısız
Ferhan Eğilmez
Gülfem Ergün
Alime Sema Yüksel
Işıl Çekiç Nagaş
author_facet Emine Kaygısız
Ferhan Eğilmez
Gülfem Ergün
Alime Sema Yüksel
Işıl Çekiç Nagaş
author_sort Emine Kaygısız
collection DOAJ
description Purpose: The aim of this study is to compare the bond strength of lingual brackets bonded to resin-matrix and lithium disilicate based-ceramic crowns following various surface treatments.Materials and Methods: Sixty ceramic crowns (IPS Emax and Cerasmart) were fabricated by CAD/CAM. Er,Cr:YSGG laser, sandblasting with aluminium oxide and hydrofluoric acid treatment effects on ceramics was tested (n=10/group). A light-cure orthodontic adhesive was used to bond lingual brackets to the ceramic surfaces. Bond strengths of the brackets to ceramics were assessed by shear bond test. The remnant adhesive on bracket and ceramic surfaces was inspected with a light microscope and adhesive remnant index scores were recorded. The data were analyzed statistically using the Kruskal–Wallis test followed by the Mann–Whitney U‐test.Results: Cerasmart ceramic specimens showed lower shear bond strength values than IPS Emax ceramic specimens (p<0.05). The statistical analysis of the surface treatment groups regarding bond strength were ranked as follows: Laser ≤ Hydrofluoric acid ≤ Sandblasting (p=0.058). While laser-treated Cerasmart ceramic group displayed the lowest SBS (9.39 MPa), hydrofluoric acid-treated IPS Emax group had the highest (16.8 MPa) bond strength value.Conclusion: The use of Er,Cr:YSGG lasers for etching of CAD-CAM ceramics could be a promising alternative to “conventional techniques”, to improve bond strength of lingual brackets to IPS Emax and Cerasmart ceramics.
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publishDate 2023-09-01
publisher Istanbul University
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series European Oral Research
spelling doaj-art-a40b26ea35194cd48673e4377d42d3f02025-08-20T01:48:12ZengIstanbul UniversityEuropean Oral Research2651-28232023-09-0157312212710.26650/eor.20231163303123456The Effects of Er,Cr:YSGG laser on shear bond strength of orthodontic lingual brackets to CAD/CAM ceramic systemsEmine Kaygısız0https://orcid.org/0000-0003-2087-7048Ferhan Eğilmez1https://orcid.org/0000-0001-9325-8761Gülfem Ergün2https://orcid.org/0000-0001-9981-5522Alime Sema Yüksel3https://orcid.org/0000-0002-6470-0159Işıl Çekiç Nagaş4https://orcid.org/0000-0002-2768-7207Gazi Üniversitesi, Ankara, TurkiyeGazi Üniversitesi, Ankara, TurkiyeGazi Üniversitesi, Ankara, TurkiyeGazi Üniversitesi, Ankara, TurkiyeGazi Üniversitesi, Ankara, TurkiyePurpose: The aim of this study is to compare the bond strength of lingual brackets bonded to resin-matrix and lithium disilicate based-ceramic crowns following various surface treatments.Materials and Methods: Sixty ceramic crowns (IPS Emax and Cerasmart) were fabricated by CAD/CAM. Er,Cr:YSGG laser, sandblasting with aluminium oxide and hydrofluoric acid treatment effects on ceramics was tested (n=10/group). A light-cure orthodontic adhesive was used to bond lingual brackets to the ceramic surfaces. Bond strengths of the brackets to ceramics were assessed by shear bond test. The remnant adhesive on bracket and ceramic surfaces was inspected with a light microscope and adhesive remnant index scores were recorded. The data were analyzed statistically using the Kruskal–Wallis test followed by the Mann–Whitney U‐test.Results: Cerasmart ceramic specimens showed lower shear bond strength values than IPS Emax ceramic specimens (p<0.05). The statistical analysis of the surface treatment groups regarding bond strength were ranked as follows: Laser ≤ Hydrofluoric acid ≤ Sandblasting (p=0.058). While laser-treated Cerasmart ceramic group displayed the lowest SBS (9.39 MPa), hydrofluoric acid-treated IPS Emax group had the highest (16.8 MPa) bond strength value.Conclusion: The use of Er,Cr:YSGG lasers for etching of CAD-CAM ceramics could be a promising alternative to “conventional techniques”, to improve bond strength of lingual brackets to IPS Emax and Cerasmart ceramics.https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/655D6F7A8B8D4793A0BD7E119735040Dlingual bracketceramicshear bond strengthercr:ysgg laser.
spellingShingle Emine Kaygısız
Ferhan Eğilmez
Gülfem Ergün
Alime Sema Yüksel
Işıl Çekiç Nagaş
The Effects of Er,Cr:YSGG laser on shear bond strength of orthodontic lingual brackets to CAD/CAM ceramic systems
European Oral Research
lingual bracket
ceramic
shear bond strength
er
cr:ysgg laser.
title The Effects of Er,Cr:YSGG laser on shear bond strength of orthodontic lingual brackets to CAD/CAM ceramic systems
title_full The Effects of Er,Cr:YSGG laser on shear bond strength of orthodontic lingual brackets to CAD/CAM ceramic systems
title_fullStr The Effects of Er,Cr:YSGG laser on shear bond strength of orthodontic lingual brackets to CAD/CAM ceramic systems
title_full_unstemmed The Effects of Er,Cr:YSGG laser on shear bond strength of orthodontic lingual brackets to CAD/CAM ceramic systems
title_short The Effects of Er,Cr:YSGG laser on shear bond strength of orthodontic lingual brackets to CAD/CAM ceramic systems
title_sort effects of er cr ysgg laser on shear bond strength of orthodontic lingual brackets to cad cam ceramic systems
topic lingual bracket
ceramic
shear bond strength
er
cr:ysgg laser.
url https://cdn.istanbul.edu.tr/file/JTA6CLJ8T5/655D6F7A8B8D4793A0BD7E119735040D
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