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Oper Dent ; 38(4): 447-55, 2013.
Artículo en Inglés | MEDLINE | ID: mdl-23215546

RESUMEN

PURPOSE: The aim of this study was to investigate the influence of Nd:YAG laser on the shear bond strength to enamel and dentin of total and self-etch adhesives when the laser was applied over the adhesives, before they were photopolymerized, in an attempt to create a new bonding layer by dentin-adhesive melting. MATERIAL AND METHODS: One-hundred twenty bovine incisors were ground to obtain flat surfaces. Specimens were divided into two substrate groups (n=60): substrate E (enamel) and substrate D (dentin). Each substrate group was subdivided into four groups (n=15), according to the surface treatment accomplished: X (Xeno III self-etching adhesive, control), XL (Xeno III + laser Nd:YAG irradiation at 140 mJ/10 Hz for 60 seconds + photopolymerization, experimental), S (acid etching + Single Bond conventional adhesive, Control), and SL (acid etching + Single Bond + laser Nd:YAG at 140 mJ/10 Hz for 60 seconds + photopolymerization, experimental). The bonding area was delimited with 3-mm-diameter adhesive tape for the bonding procedures. Cylinders of composite were fabricated on the bonding area using a Teflon matrix. The teeth were stored in water at 37°C/48 h and submitted to shear testing at a crosshead speed of 0.5 mm/min in a universal testing machine. Results were analyzed with three-way analysis of variance (ANOVA; substrate, adhesive, and treatment) and Tukey tests (α=0.05). ANOVA revealed significant differences for the substrate, adhesive system, and type of treatment: lased or unlased (p<0.05). The mean shear bond strength values (MPa) for the enamel groups were X=20.2 ± 5.61, XL=23.6 ± 4.92, S=20.8 ± 4.55, SL=22.1 ± 5.14 and for the dentin groups were X=14.1 ± 7.51, XL=22.2 ± 6.45, S=11.2 ± 5.77, SL=15.9 ± 3.61. For dentin, Xeno III self-etch adhesive showed significantly higher shear bond strength compared with Single Bond total-etch adhesive; Nd:YAG laser irradiation showed significantly higher shear bond strength compared with control (unlased). CONCLUSION: Nd:YAG laser application prior to photopolymerization of adhesive systems significantly increased the bond strength to dentin.


Asunto(s)
Recubrimiento Dental Adhesivo , Esmalte Dental/ultraestructura , Recubrimientos Dentinarios/efectos de la radiación , Dentina/ultraestructura , Láseres de Estado Sólido , Grabado Ácido Dental/métodos , Animales , Bisfenol A Glicidil Metacrilato/química , Bisfenol A Glicidil Metacrilato/efectos de la radiación , Bovinos , Resinas Compuestas/química , Materiales Dentales/química , Análisis del Estrés Dental/instrumentación , Recubrimientos Dentinarios/química , Curación por Luz de Adhesivos Dentales/instrumentación , Curación por Luz de Adhesivos Dentales/métodos , Ensayo de Materiales , Ácidos Fosfóricos/química , Polimerizacion , Dosis de Radiación , Resistencia al Corte , Estrés Mecánico , Temperatura , Factores de Tiempo , Agua/química
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