Morphological, optical, and elemental analysis of dental enamel after debonding laminate veneer with Er,Cr:YSGGlaser: A pilot study

Author(s)

Zanini, Nathalia A. ^[1] ; Rabelo, Thais F. ^[1] ; Zamataro, Claudia B. ^[1] ; Caramel-Juvino, Amanda ^[1] ; Ana, Patricia A. ^[2] ; Zezell, Denise M. ^[1]

Affiliation

^[1] Ctr Lasers & Applicat, Nucl & Energy Res Inst IPEN CNEN SP, Av Prof Lineu Prestes 2242, Sao Paulo, SP - Brazil

^[2] Fed Univ ABC UFABC, Ctr Engn Modelling & Appl Social Sci CECS, Sao Bernardo Do Campo, SP - Brazil

• Document type: Journal article
• Source: MICROSCOPY RESEARCH AND TECHNIQUE; v. 84, n. 3, p. 489-498, MAR 2021.
• Web of Science Citations: 0

Abstract

Laminate veneer removal is becoming a routine procedure at the dental clinic and the use of laser can facilitate its removal. This work aimed to evaluate the morphological, elemental, and optical changes in the remaining enamel after veneer removal using Er,Cr:YSGG laser. Forty-four enamel slabs were prepared and randomly distributed into nine experimental groups, for bonding using lithium disilicate laminates with three different luting agents (Variolink Veneer, RelyX U200, and RelyX Veneer). Then each agent was debonded using Er,Cr:YSGG laser (2.78 mu m) using two different protocols:3.5 W, 48.14 J/cm(2), 20 Hz non-contact and 3.0 W, 48.14 J/cm(2), 20 Hz non-contact. The morphological, optical, and elemental analysis of enamel was performed before cementation and after laser debonding, using scanning electron microscopy (SEM), optical coherence tomography (OCT), and energy-dispersive X-ray spectroscopy (EDS). The level of statistical significance adopted was 5%. The EDS analysis of enamel after debonding revealed a significant increase in silane and carbon, as well as a decrease in calcium and phosphate contents. Analysis showed the presence of residual cement in most experimental groups but the morphological analysis showed alteration of the enamel's prisms only in the groups that used RelyX Veneer and Variolink Veneer cements. There was no evidence of deleterious morphological changes resulting from irradiation. However, an increase in the optical attenuation coefficient by the OCT was observed due to the presence of the remaining cement. It can be concluded that the Er,Cr:YSGG laser, in the mean powers used, is efficient for veneer removal without causing deleterious effects for the enamel. (AU)

• FAPESP's process: 17/50332-0 - Scientific, technological and infrastructure qualification in radiopharmaceuticals, radiation and entrepreneurship for health purposes (PDIp)
• Grantee: Marcelo Linardi
• Support Opportunities: Research Grants - State Research Institutes Modernization Program
• FAPESP's process: 05/51689-2 - Optics and Photonics Research Center at UNICAMP
• Grantee: Hugo Luis Fragnito
• Support Opportunities: Research Grants - Research, Innovation and Dissemination Centers - RIDC