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Adhesion in Dentin Prepared with Er,Cr:YSGG Laser: Systematic Review
Ana Catarina Silva1, Paulo Melo1, João Cardoso Ferreira1
1Department of Operative Dentistry, Faculty of Dental Medicine, University of Porto, Porto, Portugal.
This review found Clearfil™ SE, a self-adhesive, offers superior bond strength on Er,Cr:YSGG laser-prepared dentin. Optimal laser settings and phosphoric acid preconditioning enhance adhesion for better dental restorations.
Area of Science:
- Dentistry
- Laser Dentistry
- Biomaterials
Background:
- Erbium lasers offer advantages for cavity preparation over traditional dental methods.
- Further research is needed on dentin surface adhesion following Er,Cr:YSGG laser preparation.
Purpose of the Study:
- To identify the optimal adhesive and laser parameters for achieving reliable adhesion on Er,Cr:YSGG laser-prepared dentin.
Main Methods:
- A systematic review of the PubMed database was conducted.
- Studies published between 2009 and 2016 were included.
- Selected articles adhered to the TRANSPARENT REPORTING of Systematic Reviews and Meta-ANALYSES checklist.
Main Results:
- Ten articles met the inclusion criteria for the systematic review.
- Clearfil™ SE, a self-adhesive material, demonstrated the highest bond strength.
- Preconditioning with 40% phosphoric acid was utilized.
Conclusions:
- Clearfil™ SE with 40% phosphoric acid preconditioning is recommended for Er,Cr:YSGG laser-prepared dentin.
- Specific laser parameters (2 W, 75% water, 60% air, 140 μs, 20 Hz) yielded the best adhesion outcomes.
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