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Erbium laser-assisted ceramic debonding: a scoping review.

Janina Golob Deeb1, Kinga Grzech-Leśniak1,2, Erica R Brody3

  • 1Department of Periodontics, School of Dentistry, Virginia Commonwealth University, Richmond, Virginia.

Journal of Prosthodontics : Official Journal of the American College of Prosthodontists
|October 21, 2022
PubMed
Summary

Erbium lasers offer a noninvasive method for removing ceramic restorations and appliances from teeth and implants. This laser-assisted debonding is effective and safe, presenting a viable alternative to traditional rotary instruments.

Keywords:
Ceramic crownEr,Cr:YSGG laserEr:YAG laserErbium lasersdebonding

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Area of Science:

  • Dental materials science
  • Laser dentistry
  • Restorative dentistry

Background:

  • Traditional removal of ceramic restorations can be invasive and time-consuming.
  • Erbium lasers present a potential noninvasive alternative for debonding ceramic appliances.

Purpose of the Study:

  • To comprehensively review the current literature on the effectiveness of erbium lasers for removing ceramic restorations and appliances.
  • To evaluate the efficacy of erbium lasers on natural teeth and dental implants.

Main Methods:

  • A systematic literature search was conducted across seven major databases.
  • Inclusion and exclusion criteria were pre-defined, with independent screening by two reviewers.
  • Thirty-eight full-text articles were reviewed for data extraction.

Main Results:

  • Erbium laser removal times vary by restoration type, with zirconia taking longer than lithium disilicate.
  • Pulpal temperature rise was minimal (≤5.5 degrees Celsius).
  • No structural damage to debonded ceramics was observed.

Conclusions:

  • Erbium lasers effectively and safely remove ceramic restorations from teeth and implants noninvasively.
  • Laser-assisted debonding is a viable alternative to rotary instrumentation for ceramic crowns.
  • Further clinical studies are recommended to support erbium-assisted ceramic retrieval.