Er:YAG Laser and Fractured Incisor Restorations: An In Vitro Study

Introduction. The aim of this study was to analyse the effects of an Er:YAG laser on enamel and dentine in cases of dental restorations involving fractured teeth, utilizing the dental fragment. Materials and Methods. Seventy-two freshly extracted bovine incisors were fractured at the coronal level b...

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Main Authors: C. Fornaini, S. Petruzzella, R. Podda, E. Merigo, S. Nammour, P. Vescovi
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:International Journal of Dentistry
Online Access:http://dx.doi.org/10.1155/2012/617264
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author C. Fornaini
S. Petruzzella
R. Podda
E. Merigo
S. Nammour
P. Vescovi
author_facet C. Fornaini
S. Petruzzella
R. Podda
E. Merigo
S. Nammour
P. Vescovi
author_sort C. Fornaini
collection DOAJ
description Introduction. The aim of this study was to analyse the effects of an Er:YAG laser on enamel and dentine in cases of dental restorations involving fractured teeth, utilizing the dental fragment. Materials and Methods. Seventy-two freshly extracted bovine incisors were fractured at the coronal level by using a hammer applied with a standardized method, and the fragment was reattached by using three different methods: Er:YAG laser, orthophosphoric acid, and laser plus acid. The different groups were evaluated by a test realized with the dynamometer to know the force required to successfully detach the reattached fragment and by a microinfiltration test by using a 0.5% methylene blue solution followed by the optic microscope observation. Results. The compression test showed only a slight difference between the three groups, without any statistical significance. The infiltration test used to evaluate the marginal seal between the fracture fragment and the tooth demonstrated that etching with Er:YAG laser alone or in combination with orthophosphoric acid gives better results than orthophosphoric acid alone, with a highly significant statistical result. Discussion. Reattaching a tooth fragment represents a clinically proven methodology, in terms of achieving resistance to detachment, and the aim of this work was to demonstrate the advantages of Er:YAG laser on this procedure. Conclusion. This “in vitro” study confirms that Er:YAG laser can be employed in dental traumatology to restore frontal teeth after coronal fracture.
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institution Kabale University
issn 1687-8728
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language English
publishDate 2012-01-01
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series International Journal of Dentistry
spelling doaj-art-f20ed4a3b97d42c396575f828d97df9d2025-02-03T00:59:12ZengWileyInternational Journal of Dentistry1687-87281687-87362012-01-01201210.1155/2012/617264617264Er:YAG Laser and Fractured Incisor Restorations: An In Vitro StudyC. Fornaini0S. Petruzzella1R. Podda2E. Merigo3S. Nammour4P. Vescovi5Oral Medicine and Laser-Assisted Surgery Unit, Dental School, Faculty of Medicine, University of Parma, Via Gramsci 14, 43126 Parma, ItalyOral Medicine and Laser-Assisted Surgery Unit, Dental School, Faculty of Medicine, University of Parma, Via Gramsci 14, 43126 Parma, ItalyOral Medicine and Laser-Assisted Surgery Unit, Dental School, Faculty of Medicine, University of Parma, Via Gramsci 14, 43126 Parma, ItalyOral Medicine and Laser-Assisted Surgery Unit, Dental School, Faculty of Medicine, University of Parma, Via Gramsci 14, 43126 Parma, ItalyLaser Unit, Dental Sciences Department, Faculty of Medicine, University of Liège, Quai Godefroid Kurth, 45, 4020 Liège, BelgiumOral Medicine and Laser-Assisted Surgery Unit, Dental School, Faculty of Medicine, University of Parma, Via Gramsci 14, 43126 Parma, ItalyIntroduction. The aim of this study was to analyse the effects of an Er:YAG laser on enamel and dentine in cases of dental restorations involving fractured teeth, utilizing the dental fragment. Materials and Methods. Seventy-two freshly extracted bovine incisors were fractured at the coronal level by using a hammer applied with a standardized method, and the fragment was reattached by using three different methods: Er:YAG laser, orthophosphoric acid, and laser plus acid. The different groups were evaluated by a test realized with the dynamometer to know the force required to successfully detach the reattached fragment and by a microinfiltration test by using a 0.5% methylene blue solution followed by the optic microscope observation. Results. The compression test showed only a slight difference between the three groups, without any statistical significance. The infiltration test used to evaluate the marginal seal between the fracture fragment and the tooth demonstrated that etching with Er:YAG laser alone or in combination with orthophosphoric acid gives better results than orthophosphoric acid alone, with a highly significant statistical result. Discussion. Reattaching a tooth fragment represents a clinically proven methodology, in terms of achieving resistance to detachment, and the aim of this work was to demonstrate the advantages of Er:YAG laser on this procedure. Conclusion. This “in vitro” study confirms that Er:YAG laser can be employed in dental traumatology to restore frontal teeth after coronal fracture.http://dx.doi.org/10.1155/2012/617264
spellingShingle C. Fornaini
S. Petruzzella
R. Podda
E. Merigo
S. Nammour
P. Vescovi
Er:YAG Laser and Fractured Incisor Restorations: An In Vitro Study
International Journal of Dentistry
title Er:YAG Laser and Fractured Incisor Restorations: An In Vitro Study
title_full Er:YAG Laser and Fractured Incisor Restorations: An In Vitro Study
title_fullStr Er:YAG Laser and Fractured Incisor Restorations: An In Vitro Study
title_full_unstemmed Er:YAG Laser and Fractured Incisor Restorations: An In Vitro Study
title_short Er:YAG Laser and Fractured Incisor Restorations: An In Vitro Study
title_sort er yag laser and fractured incisor restorations an in vitro study
url http://dx.doi.org/10.1155/2012/617264
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AT emerigo eryaglaserandfracturedincisorrestorationsaninvitrostudy
AT snammour eryaglaserandfracturedincisorrestorationsaninvitrostudy
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