The aim of this work was to determine the optimal power setting of an Er,Cr:YSGG laser for cutting human dentine to produce a surface that remains suitable as a foundation on which to build and bond a dental restoration. The cutting efficiency and resulting microhardness of the dentine were evaluated for various laser power settings, and representative samples were examined by SEM. The microhardness of the dentine was significantly reduced by 30-50% (p < 0.05, paired t test) after laser irradiation, irrespective of the power setting used. The mean ablation efficiency increased in proportion to the power setting of the laser. Although the laser power setting did not affect the extent of reduction in microhardness, it did affect the microstructure of human dentine.
To obtain the maximum retention of a glass ionomer restoration to Er,Cr:YSGG laser-irradiated dentin, the results of this study confirm that pretreatment of the laser-prepared dentin with dentin conditioner is advantageous.
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