Do erbium lasers promote changes in the tooth enamel during debonding of ceramic laminate veneers? A systematic review

Alves, Luísa Valente Gotardo Lara; da Silva, Marcelle Beathriz Fernandes; Borsatto, Maria Cristina; Corona, Silmara Aparecida Milori

doi:10.1007/s10103-023-03882-3

Cited by 3 publications

(1 citation statement)

References 46 publications

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“…Recently, the debonding of ceramic brackets with the use of laser application was assessed in diverse research. Examples included carbon dioxide (CO 2 ) laser [ 10 - 13 ], neodymium-doped yttrium-aluminium garnet (Nd:YAG) [ 14 , 15 ], diode laser [ 16 - 19 ], erbium, chromium-doped yttrium, scandium, gallium and garnet (Er,Cr:YSGG) [ 20 - 22 ], and erbium-doped yttrium aluminum garnet (Er:YAG) [ 23 - 26 ].…”

Section: Introductionmentioning

confidence: 99%

Efficacy of Lasers in Debonding Ceramic Brackets: Exploring the Rationale and Methods

Khalil,

Baowideen,

Alhujaili

et al. 2024

Cureus

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The development of ceramic brackets in orthodontics three decades ago emerged as a response to the increasing patient demand for less visible orthodontic appliances. While these brackets provide superior aesthetics, they are characterized by lower fracture toughness and higher bond strength in contrast to metal brackets. These properties present challenges during the debonding step, including the risk of enamel microfractures and cracks. Historically, various strategies have been developed to address challenges associated with debonding, reduce patient discomfort, and ensure that the bond failure site is confined to the bracketadhesive interface. This included the use of specially designed debonding pliers, electrothermal debonding, ultrasonic technique, and chemical agents. Recently, there has been a shift towards utilizing different types of laser irradiation for this purpose. The burgeoning strategy, however, requires diligent scientific scrutiny to establish a standardized protocol with particular laser parameters and ultimately achieve the goal of enhancing the patient experience by reducing discomfort. This article offers a narrative review of laser-aided debonding of ceramic brackets, aimed at comparing different laser types, presenting their benefits and downsides, validating the efficiency of each method, and summarizing the published literature on this subject. It also provides insights for orthodontists on reducing patient discomfort that usually accompanies debonding ceramic brackets by delving into the science behind the use of lasers for this purpose

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Section: Introductionmentioning

confidence: 99%

Efficacy of Lasers in Debonding Ceramic Brackets: Exploring the Rationale and Methods

Khalil,

Baowideen,

Alhujaili

et al. 2024

Cureus

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Performance of two laser motion modes versus conventional orthodontic ceramic brackets debonding technique on enamel surface topography

Abdulaziz,

El-Kholy,

Bushra

et al. 2024

Lasers Med Sci

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Effect of Er,Cr: YSGG laser debonding treatment on the optical properties and surface roughness of ceramic laminate veneers: An in vitro study

Abo Zaid,

Ebeid,

Wahsh

et al. 2024

Journal of Prosthodontics

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PurposeThe objective of this study was to evaluate the effect of (Er,Cr: YSGG) laser debonding treatment on optical properties and surface roughness of veneers made of different ceramic materials.Materials and MethodsThirty bovine incisors were prepared to receive laminate veneers and divided into three groups (n = 10) according to ceramic material where group (E): IPS e.max CAD, group (S): Vita Suprinity, and group (C): Celtra Duo. Blocks were sectioned into 0.5 mm thickness plates and cemented on the labial surface of incisors using resin cement. The Er,Cr: YSGG laser was applied to each specimen at 4.5 W and 25 Hz for group E and at 6 W and 25 Hz for groups S and C. Color change (△E00), translucency parameter (TP) and surface roughness in µm (Ra) values were measured and calculated before and after laser treatment. Data were analyzed using two‐way mixed model ANOVA at a significance level of p < 0.05.ResultsThe highest mean △E00 value was recorded in group E (1.35 ± 0.09) followed by group S (1.08 ± 0.16) and then group C (0.93 ± 0.10) with a significant difference between them (p < 0.001). All groups exceeded the perceptibility threshold but remained below the acceptability threshold. No statistically significant difference was found in TP except for group E (p = 0.019). Ra values after laser debonding showed significantly higher values than before laser treatment in all three groups (p < 0.001).ConclusionEr,Cr: YSGG laser can be safely used for debonding ceramic veneers without altering the optical properties but it does increase the roughness of debonded ceramic restorations.

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Do erbium lasers promote changes in the tooth enamel during debonding of ceramic laminate veneers? A systematic review

Cited by 3 publications

References 46 publications

Efficacy of Lasers in Debonding Ceramic Brackets: Exploring the Rationale and Methods

Efficacy of Lasers in Debonding Ceramic Brackets: Exploring the Rationale and Methods

Performance of two laser motion modes versus conventional orthodontic ceramic brackets debonding technique on enamel surface topography

Effect of Er,Cr: YSGG laser debonding treatment on the optical properties and surface roughness of ceramic laminate veneers: An in vitro study

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