A Comparative Study of Enamel Surface Roughness after Bleaching with Diode Laser and Nd: YAG Laser

Introduction: Bleaching process can affect surface roughness of enamel, which is a vital factor in esthetic and resistance of tooth. The aim of this study was to compare surface roughness of enamel in teeth bleached using Diode and Neodymium-Doped Yttrium Aluminium Garnet (Nd: YAG) lasers with those bleached using conventional method.Methods: In this study, 75 anterior human teeth from upper and lower jaws were randomly divided into 5 groups. Group 1: Laser white gel (Biolase, USA) with 45% hydrogen peroxide concentration and GaAlAs Diode laser (CHEESETM, GIGAA, China), group 2: Heydent gel (JW, Germany) with 30% Hydrogen peroxide concentration and Diode laser, group 3: Laser white gel and Nd:YAG laser (FIDELISTM, Fotona, Slovenia), group 4: Heydent gel and Nd:YAG laser and group 5: The Iranian gel Kimia (Iran) with 35% hydrogen peroxide concentration were used. Surface roughness of the samples was measured using the Surface Roughness Tester system (TR 200 Time Group, Germany) before and after bleaching. In each group, one sample was randomly selected for SEM analysis.Results: The results showed that the mean surface roughness of the teeth before and after bleaching had a significant difference in all the study groups. It was indicated that after bleaching, the mean surface roughness had increased in all the study groups. The highest surface roughness was seen in the conventional bleaching group and the lowest surface roughness was reported in group 3 (laser white gel + diode laser), in which the average surface roughness increased by only 0.1 μm.Conclusion: It was concluded that using the Laser white gel and the diode laser for bleaching resulted in the least surface roughness compared to conventional method

The Effect of Different Powers of Er:YAGLaser Treatment on Surface Morphology of an Indirect Composite Resin: SEM Evaluation

Introduction: Indirect composites are developed to overcome the shortcomings of direct composites but, the adhesion of resin cements to indirect composites is still difficult.The purpose of this study was to evaluate the surface morphology of indirect resin composite treated by different powers of Er:YAGlaser using Scanning Electron Microscopy (SEM).Methods: indirect resin composite blocks (GC Gradia DA2, Japan) with 15× 10 × 10 mm dimensions were made according to manufacturer's instructions (n=7). The bonding surface of these blocks were polished, then the samples were divided to seven groups as follow: Erbium-Doped Yttrium Aluminum Garnet (Er:YAG )laser with output power of 2, 3, 4, 5, 6,7 W (frequency of 20 Hz, very short pulse) and no treatment. Then, the surfaces were evaluated by scanning electron microscope.Results: The surface treated by Er:YAG laser showed a porous surface. But the amount and pattern of these irregularities differ in each group which may produce micromechanical retention compared to control group with no treatment.Conclusion: Er:YAG laser can be used as an alternative technique for surface treatment and roughening  of indirect resin composites

The Micro-Shear Bond Strength of Various Resinous Restorative Materials to Aged Biodentine

Introduction: The type of materials and application time of veneering restorations on calcium silicate cements are important factors which influence the interfacial properties. The aim of this study was to measure the micro-shear bond strength of a resin composite (RC) using several adhesive systems and a resin-modified glass ionomer cement (RM-GIC) to different aged Biodentine specimens. Methods and Materials: A total of 15 Biodentine blocks were prepared and assigned to three aging periods: 12 min, one week and one month. Then they were subdivided into five sub-groups to receive cylinders of resinous materials. RC was applied using different adhesive systems: A) no adhesive B) etch and rinse C) two-step self-etch and D) universal adhesive in self-etch mode and E) RM-GIC applied directly over Biodentine. Micro-shear bond strength was measured and the data were analyzed using one-way and two-way ANOVA. The level of significance was set at 0.05. Result: There was significant interaction between Biodentine aging periods and resinous materials (P<0.05). The highest value was obtained in group D bonded to the recently set Biodentine. Increasing the aging period to one week resulted in increased micro-shear bond strength in all groups expect for group D. One-month incubation time led to reduced shear bond strength in group A, C and D. Micro-shear bond strength values of group E increased to the longer aged Biodentine. Conclusion: Group D showed the highest bond strength to freshly mixed Biodentine.Keywords: Bond Strength; Composite Resin; Dental Adhesive; Glass Ionomer Cement; Tricalcium Silicat

The effect of mechanical load cycling and polishing time on microleakage of class V glass-ionomer and composite restorations: A scanning electron microscopy evaluation

Background: Microleakage is one of the challenging concerns in direct filling restorations. Understanding of its related factors is important in clinical practice. The aim of this study was scanning electron microscopy (SEM) evaluation of marginal integrity in three types of tooth-colored restorative materials in class V cavity preparations and the effect of load cycling and polishing time on the microleakage. Materials and Methods: In this in vitro experimental study, class V cavity preparations were prepared on the buccal and lingual surfaces of 60 bovine incisors. The specimens were divided into three groups each containing 20 teeth: group 1: Filtek Z350, Group 2: Fuji IX/G Coat Plus, Group 3: Fuji II LC/GC varnish. In each group, 2 subgroups (n = 20) were established based on finishing time (immediate or delayed by 24 h). All specimens were thermocycled (×2,000, 5-50°C). In each sub groups, half of the teeth were load cycled. Epoxy resin replicas of 24 specimens were evaluated under field emission-SEM and interfacial gaps were measured. All teeth were then immersed in 0.5% basic fuchsin dye for 24 h, sectioned and observed under stereomicroscope. Data were analyzed with Kruskal-Wallis′ test and Mann-Whitney U test and a comparison between incisal and cervical microleakage was made with Wilcoxon test. P < 0.05 was considered as significant. Results: Load cycling and filling material had a significant effect on microleakage, but polishing time did not. Cervical microleakage in Z350/load cycle/immediate polish and Fuji IX/load cycle/immediate or delayed polish and Fuji IX/no load cycle/immediate polish were significantly higher than incisal microleakage. Conclusion: It was concluded that the cervical sealing ability of Fuji IX under load cycling was better than Fuji II LC. Under load cycling and immediate polishing Z350 showed better marginal integrity than both Fuji II LC and Fuji IX. The immediate polishing didn′t cause a statistically significant increase in microleakage of evaluated tooth-colored class V restorations

Contrast ratio of glazed and polished dental ceramics after accelerated aging

Background and Aims: The purpose of this in vitro study was to assess the effect of two different surface treatments on the contrast ratio of IPS e.max press ceramic submitted to accelerated aging. Materials and Methods: Ten ceramic (IPS e.max Press) disks (10-mm diameter and 1.5-mm thick) were fabricated according to the manufacturer's recommendations. The samples were randomly divided into 2 groups (n=5): polishing and glazing. Contrast ratio ware obtained with a spectrophotometer before and after accelerated aging. The contrast ratio (CR=Yb/Yw), was defined as the ratio of illuminance (Y) of the test material when it is placed on the black background (Yb) to the illuminance of the same material when it is placed over a white background (Yw), was determined. The data were statistically analyzed by two-way analysis of variance (P<0.05). Results: All specimens of IPS e.max press ceramic showed significant increase in CR after 300-hour accelerated aging time (P=0.005). Polished samples showed significantly higher opacity compared with that of the glazed ones (P=0.018). Conclusion: Within the limitations of this study, it may be concluded that the glazed specimens showed higher stability in their translucency than the polished specimens

Effect of Accelerated Aging on Color Stability of Two Silica-Based Ceramics with Leucite and Lithium-Disilicate Crystalline Phases After Glazing and Polishing

Background and Aim: Color match between prosthetic restorations and natural teeth is challenging in dentistry. The aim of the current study was to assess the effect of accelerated aging on color stability of two silica-based ceramics with leucite and lithium disilicate crystalline phases after glazing and polishing surface treatments. Materials and Methods: In this experimental study, 30 disc-shaped specimens (1.5x10mm) of IPS e.max Press and Ceramco III ceramics were fabricated according to the manufacturers’ instructions. The specimens were randomly divided into two groups of surface treatments (glazing and polishing) and were then subjected to accelerated aging for 300 hours. Color parameters were measured before and after aging using a spectrophotometer. The L*, a* and b* parameters and the color change (∆E) of ceram-ics (based on the CIE L*a*b* system) before and after glazing were determined by spectrophotometry. Data were analyzed using two-way ANOVA and t-test. P<0.05 was considered statistically significant. Results: After 300 hours of aging, the color stability (∆E), ∆L and ∆b of polished group was less than that of glazed group. The two ceramic types were not significantly different in terms of ∆E (range: 1.31 to 2.53; P=0.055). Conclusion: Glazed silica-based ceramics had higher color stability than polished ceramics after aging in our study. Color stability of silica-based ceramic systems was influenced by the surface texture and not the type of crystalline phase