PMID- 38318224 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240207 IS - 2008-9783 (Print) IS - 2228-6721 (Electronic) IS - 2008-9783 (Linking) VI - 14 DP - 2023 TI - Evaluation of the Effect of Phosphoric Acid or Er: YAG Laser on the Shear Bond Strength of Orthodontic Brackets to Enamel Surfaces Followed by 980-Laser Assisted Bleaching: An In Vitro Study. PG - e62 LID - 10.34172/jlms.2023.62 [doi] LID - e62 AB - Introduction: The residual oxygen remained on tooth surface after bleaching may interfere with adhesion of brackets to enamel surface. This study aimed to evaluate the influence of phosphoric acid and Er: YAG laser as an etching technique on the shear bond strength (SBS) of orthodontic brackets to enamel surfaces after 980-laser-assisted bleaching. Methods: A total of 84 human premolars were recruited in the present study. Samples were divided into 6 groups including conventional bleaching with conventional etching, conventional bleaching with Er: YAG laser etching, laser-assisted bleaching with conventional etching, and Laser-assisted bleaching with Er: YAG laser etching, without bleaching with traditional etching, and without bleaching+Er: YAG laser etching. Following thermocycling, the debonding of brackets was conducted using a universal testing machine. Scanning electron microscope (SEM) microscope evaluation and adhesive remnant index (ARI) scores were assessed. The comparison of SBS values between groups was carried out by means of a one-way analysis of variance, followed by post-hoc tests. Results: The non-bleaching with conventional etching group showed the highest SBS mean value (23.45+/-5.16 MPa), whereas the conventional bleaching with conventional etching group represented the lowest SBS mean value (8.8+/-3.83 MPa). In all groups, the most common type of failure was classified as either score 1 or score 2. No significant difference was observed in terms of SBS mean between the groups (P=0.165); however, the average SBS of bleached teeth was significantly lower, compared to the non-bleached group (P=0.000). Honeycomb structure and porosity were observed following Er: YAG laser etching on the tooth surface. Conclusion: Increased bond strength of brackets was observed in bleached teeth following Er: YAG laser etching. Therefore, if necessary, bond the brackets on the same day of bleaching will be done, the application of Er:YAG laser as etching technique will can be recommended. CI - Copyright (c) 2023 J Lasers Med Sci. FAU - Oladzad, Mohammad AU - Oladzad M AUID- ORCID: 0009-0009-2811-0328 AD - School of Dentistry, Tehran University of Medical, Sciences, Tehran, Iran. FAU - Chiniforush, Nasim AU - Chiniforush N AUID- ORCID: 0000-0002-3490-170X AD - Department of Surgical Sciences and Integrated Diagnostics, University of Genoa, Genoa, Italy. FAU - Bahrami, Rashin AU - Bahrami R AD - Department of Orthodontics, School of Dentistry, Guilan University of Medical Sciences, Rasht, Iran. FAU - Mirhashemi, Amirhossein AU - Mirhashemi A AUID- ORCID: 0000-0001-9302-8368 AD - Department of Orthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran. LA - eng PT - Journal Article DEP - 20231213 PL - Iran TA - J Lasers Med Sci JT - Journal of lasers in medical sciences JID - 101580415 PMC - PMC10843250 OTO - NOTNLM OT - Bleaching OT - Diode OT - Er:YAG OT - Laser OT - Laser etching OT - Shear bond strength COIS- The authors declare that they have no competing interests. EDAT- 2024/02/06 06:42 MHDA- 2024/02/06 06:43 PMCR- 2023/12/13 CRDT- 2024/02/06 03:55 PHST- 2023/04/25 00:00 [received] PHST- 2023/10/15 00:00 [accepted] PHST- 2024/02/06 06:43 [medline] PHST- 2024/02/06 06:42 [pubmed] PHST- 2024/02/06 03:55 [entrez] PHST- 2023/12/13 00:00 [pmc-release] AID - 10.34172/jlms.2023.62 [doi] PST - epublish SO - J Lasers Med Sci. 2023 Dec 13;14:e62. doi: 10.34172/jlms.2023.62. eCollection 2023.