Effectiveness of silica-lasing method on the bond strength of composite resin repair to Ni-Cr alloy.

PURPOSE: The aim of this study was to evaluate the effectiveness of silica-lasing method for improving the composite resin repair of metal ceramic restorations. MATERIALS AND METHODS: Sixty Ni-Cr cylindrical specimens were fabricated. The bonding surface of all specimens was airborne-particle abraded using 50 µm aluminum oxide particles. Specimens were divided into six groups that received the following surface treatments: group 1-airborne-particle abrasion alone (AA); group 2-Nd:YAG laser irradiation (LA); group 3-silica coating (Si-CO); group 4-silica-lasing (metal surface was coated with slurry of opaque porcelain and irradiated by Nd:YAG laser) (Si-LA); group 5-silica-lasing plus etching with HF acid (Si-LA-HF); group 6-CoJet sand lased (CJ-LA). Composite resin was applied on metal surfaces. Specimens were thermocycled and tested in shear mode in a universal testing machine. The shear bond strength values were analyzed using ANOVA and Tukey's tests (α = 0.05). The mode of failure was determined, and two specimens in each group were examined by scanning electron microscopy and wavelength dispersive X-ray spectroscopy. RESULTS: Si-CO showed significantly higher shear bond strength in comparison to other groups (p < 0.001). The shear bond strength values of the LA group were significantly higher than those of the AA group (p < 0.05). No significant difference was found among lased groups (LA, Si-LA, Si-LA-HF, CJ-LA; p > 0.05). The failure mode was 100% adhesive for AA, Si-LA, Si-LA-HF, and CJ-LA. LA and Si-CO groups showed 37.5% and 87.5% cohesive failure, respectively. CONCLUSION: Silica coating of Ni-Cr alloy resulted in higher shear bond strength than those of other surface treatments.

Influence of different power outputs of intraoral Nd:YAG laser on shear bond strength of a resin cement to nickel-chromium dental alloy.

Up to now, there is no any experience about the application of dental lasers to bond resin composites to metal surfaces in dentistry. The aim of this preliminary study was to evaluate if the laser irradiation of ceramic-covered alloy surface would improve the bond strength of resin to metal, and if different parameters of laser output may influence the strength of this bond. Fifty three cylinders (thickness of 5 mm and diameter of 10 mm) were made up of a commercially available nickel-chromium alloy by lost-wax technique. Forty prepared specimens were divided into four groups. Five specimens in each group were covered by slurry of dental opaque porcelain and irradiated by Nd:YAG laser using different output parameters for each group. Other five specimens in each group were treated using the same laser parameters without porcelain covering. Five sandblasted specimen served as control group. Panavia F2.0 was bonded on the metal surfaces using polyethylene tubes. In ceramic-coated specimens, silane was applied to achieve chemical bond between silica particles and resin cement. All specimens were thermocycled and subjected to shear bond strength (SBS) test (50 kgf at 0.5 mm/min). Two specimens of each ceramic-coated laser-treated groups were studied using scanning electron microscopy and wavelength dispersive X-ray spectroscopy which showed stabilization of silica particles on the metal surface. ANOVA procedure showed that although shear bond strength was significantly higher in porcelain-covered laser treated samples, but the effect of power output of laser irradiation was not significant (P = 0.917). There were no statistically significant difference between SBS in control samples and laser treated specimens without porcelain covering. It can be concluded that Nd:YAG laser surface treatment may improve the silica coating of alloy surface to achieve better resin-metal bond.

Tensile bond strength of sealants following Er:YAG laser etching compared to acid etching in permanent teeth.

The aim of this in vitro study was to assess the effect of Er:YAG laser surface treatment on the tensile bond strength of a sealant in permanent teeth. A total of 30 sound third molars were selected and embedded in cold-cure acrylic resin. The enamel surfaces were flattened by a grinding. The teeth were randomly divided into three groups and pretreated as follows: (1) 37% phosphoric acid; (2) Er:YAG laser (1.5 ml/min water spray, 100 mJ energy output, 10 Hz frequency, focal distance 17 mm); (3) Er:YAG laser + 37% phosphoric acid. The treated surfaces were isolated by double adhesive Sellotape and after insertion of a split Teflon matrix at an isolated site, sealant was applied. The specimens were thermocycled and stored at 37°C in distilled water for 72 h, then subjected to a tensile bond strength test (50 kgf at 0.5 mm/min). The mean tensile bond strengths (± SD, in megapascals) were: 18.51 ± 5.68 in group 1, 8.06 ± 2.69 in group 2, and 17.33 ± 5.04 in group 3. Data were submitted to analysis of variance and the Tukey test. No significant difference were found between groups 1 (37% phosphoric acid) and group 3 (Er:YAG laser + 37% phosphoric acid) but treatment with the Er:YAG laser alone (group 2) resulted in significantly lower tensile bond strength than seen in the other groups. In this setting, the Er:YAG laser prepared the enamel surface for sealing but did not eliminate the need for acid etching before sealant application.