PMID- 23919623 OWN - NLM STAT- MEDLINE DCOM- 20160408 LR - 20220331 IS - 1559-2863 (Electronic) IS - 0361-7734 (Linking) VI - 39 IP - 3 DP - 2014 May-Jun TI - Effects of pulsed Nd:YAG laser on tensile bond strength and caries resistance of human enamel. PG - 273-82 LID - 10.2341/12-416-L [doi] AB - This study aims to evaluate the effects of pulsed Nd:YAG laser on the tensile bond strength (TBS) of resin to human enamel and caries resistance of human enamel. A total of 201 human premolars were used in this in vitro study. A flat enamel surface greater than 4 x 4 mm in area was prepared on each specimen using a low-speed cutting machine under a water coolant. Twenty-one specimens were divided into seven groups for morphology observations with no treatment, 35% phosphoric acid etching (30 seconds), and laser irradiation (30 seconds) of pulsed Nd:YAG laser with five different laser-parameter combinations. Another 100 specimens were used for TBS testing. They were embedded in self-cured acrylic resin and randomly divided into 10 groups. After enamel surface pretreatments according to the group design, resin was applied. The TBS values were tested using a universal testing machine. The other 80 specimens were randomly divided into eight groups for acid resistance evaluation. Scanning electron microscope (SEM) results showed that the enamel surfaces treated with 1.5 W/20 Hz and 2.0 W/20 Hz showed more etching-like appearance than those with other laser-parameter combinations. The laser-parameter combinations of 1.5 W/15 Hz and 1.5 W/20 Hz were found to be efficient for the TBS test. The mean TBS value of 14.45 +/- 1.67 MPa in the laser irradiated group was significantly higher than that in the untreated group (3.48 +/- 0.35 MPa) but lower than that in the 35% phosphoric acid group (21.50 +/- 3.02 MPa). The highest mean TBS value of 26.64 +/- 5.22 MPa was identified in the combination group (laser irradiation and then acid etching). Acid resistance evaluation showed that the pulsed Nd:YAG laser was efficient in preventing enamel demineralization. The SEM results of the fractured enamel surfaces, resin/enamel interfaces, and demineralization depths were consistent with those of the TBS test and the acid resistance evaluation. Pulsed Nd:YAG laser as an enamel surface pretreatment method presents a potential clinical application, especially for the caries-susceptible population or individuals with recently bleached teeth. FAU - Wen, X AU - Wen X FAU - Zhang, L AU - Zhang L FAU - Liu, R AU - Liu R FAU - Deng, M AU - Deng M FAU - Wang, Y AU - Wang Y FAU - Liu, L AU - Liu L FAU - Nie, X AU - Nie X LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20130806 PL - United States TA - Oper Dent JT - Operative dentistry JID - 7605679 MH - Dental Bonding/methods MH - Dental Caries/*prevention & control MH - Dental Enamel/*radiation effects/surgery/ultrastructure MH - Dental Restoration, Permanent/methods MH - Humans MH - In Vitro Techniques MH - Lasers, Solid-State/*therapeutic use MH - Microscopy, Electron, Scanning MH - Tensile Strength/radiation effects EDAT- 2013/08/08 06:00 MHDA- 2016/04/09 06:00 CRDT- 2013/08/08 06:00 PHST- 2013/08/08 06:00 [entrez] PHST- 2013/08/08 06:00 [pubmed] PHST- 2016/04/09 06:00 [medline] AID - 10.2341/12-416-L [doi] PST - ppublish SO - Oper Dent. 2014 May-Jun;39(3):273-82. doi: 10.2341/12-416-L. Epub 2013 Aug 6.