The indications of lasers in dentistry are numerous. The aim of this review is to compare the adhesion to cavities prepared with Er:YAG and Er,Cr:YSGG lasers with conventional techniques (rotary bur) and consequently highlight the most appropriate adhesion protocol(s) to cavities prepared by either technique. A literature search was conducted in three databases: PubMed, Google Scholar, and ScienceDirect. For outcomes, the morphological changes of the dental surfaces following laser irradiation are multiple: absence of dentinal sludge, open dentinal tubules, abundant peri-tubular dentin and exposed enamel crystals. Bonding to this dental substrate can be achieved using various adhesive systems. The chemical treatment of laser-prepared dental surfaces is a subject that still requires more precise and further studies are needed to establish universal protocols and recommendations of good practice.
Cite this paper
Merini, H. E. , Drouri, S. , Essafi, J. , Jabri, M. and Ouazzani, A. E. (2023). Chemical Treatments of Dental Surfaces Prepared with Er:Yag and Er,Cr:YSGG Lasers: A Literature Review. Open Access Library Journal, 10, e066. doi: http://dx.doi.org/10.4236/oalib.1110066.
Yaman, B.C., Efes, B.G., Dörter, C., Gömec, Y., Erdilek, D. and Yazicioglu, O. (2011) Microleakage of Repaired Class V Silorane and Nano-Hybrid Composite Restorations after Preparation with Erbium:Yttrium-Aluminum-Garnet Laser and Diamond Bur. Lasers in Medical Science, 26, 163-170.
https://doi.org/10.1007/s10103-010-0755-3
Keller, U. and Hibst, R. (1989) Experimental Studies of the Application of the Er:YAG Laser on Dental Hard Substances: II. Light Microscopic and SEM Investigations. Lasers in Medical Science, 9, 345-351.
https://doi.org/10.1002/lsm.1900090406
Ramos, T.M., Ramos-Oliveira, T.M., de Freitas, P.M., Azambuja, N., Esteves-Oliveira, M., Gutknecht, N., et al. (2015) Effects of Er:YAG and Er, Cr:YSGG Laser Irradiation on the Adhesion to Eroded Dentin. Lasers in Medical Science, 30, 17-26.
https://doi.org/10.1007/s10103-013-1321-6
Burkes, E.J., Hoke, J., Gomes, E. and Wolbarsht, M. (1992) Wet versus Dry Enamel Ablation by Er:YAG Laser. Journal of Prosthetic Dentistry, 67, 847-851.
https://doi.org/10.1016/0022-3913(92)90599-6
Meister, J., Franzen, R., Forner, K., et al. (2006) Influence of the Water Content in Dental Enamel and Dentin on Ablation with Erbium YAG and Erbium YSGG Lasers. Journal of Biomedical Optics, 11, 34030. https://doi.org/10.1117/1.2204028
Kim, K.S., Kim, M.E. and Shin, E.J. (2005) Irradiation Time and Ablation Rate of Enamel in Contact and Non-Contact Irradiation with Er:YAG Laser. Photomedicine and Laser Surgery, 23, 216-218. https://doi.org/10.1089/pho.2005.23.216
Serebro, L., Segal, T., Nordenberg, D., Gorfil, C. and Bar-Lev, M. (1987) Examination of Tooth Pulp Following Laser Beam Irradiation. Lasers in Medical Science, 7, 236-239. https://doi.org/10.1002/lsm.1900070306
Tzimas, K., Gerasimou, P., Strakas, D., Tolidis, K. and Tsitrou, E. (2019) Comparative Assessment of Diamond Bur and Er,Cr:YSGG Laser Irradiation for Cavity Preparation and Tissue Modification: A Microleakage Study. Lasers in Dental Science, 3, 53-60. https://doi.org/10.1007/s41547-019-00053-y
Dönmez, N., Gungör, A.S., Karabulut, B. and Siso, S.H. (2019) Comparison of the Micro-Tensile Bond Strengths of Four Different Universal Adhesives to Caries-Affected Dentin after ER:YAG Laser Irradiation. Dental Materials Journal, 38, 218-225. https://doi.org/10.4012/dmj.2017-428
Bishnoi, A.K., Adyanthaya, R., Singh, S., Kapasi, A.S. and Jain, K. (2019) Effect of Er:YAG Laser Cavity Preparation on the Bond Strength of 2-Hydroxyethyl Methacrylate-Free and 2-Hydroxyethyl Methacrylate-Rich Self-Etch Adhesive Systems: An in Vitro Study. Dental Research Journal, 16, 389-397.
https://doi.org/10.4103/1735-3327.270789
Cebe, F., Bulbul, M., Simsek, I., Cebe, M.A. and Ozturk, B. (2017) Effect of Erbium:Yttrium Aluminum Garnet Laser on Bond Strength of a Total-Etch Adhesive System to Caries-Affected Dentin on Gingival Wall. Nigerian Journal of Clinical Practice, 20, 734-740. https://doi.org/10.4103/1119-3077.181321
Chen, M.L., Ding, J.F., He, Y.J., Chen, Y. and Jiang, Q.Z. (2015) Effect of Pretreatment on Er:YAG Laser-Irradiated Dentin. Lasers in Medical Science, 30, 753-759.
https://doi.org/10.1007/s10103-013-1415-1
Vohra, F., Alghamdi, A., Aldakkan, M., Alharthi, S., Alturaigi, O., Alrabiah, M., et al. (2018) Influence of Er:Cr:YSGG Laser on Adhesive Strength and Microleakage of Dentin Bonded to Resin Composite. In-Vitro Study. Photodiagnosis and Photodynamic Therapy, 23, 342-346. https://doi.org/10.1016/j.pdpdt.2018.08.002
Takada, M., Shinkai, K., Kato, C. and Suzuki, M. (2015) Bond Strength of Composite Resin to Enamel and Dentin Prepared with Er,Cr:YSGG Laser. Dental Materials Journal, 34, 863-871. https://doi.org/10.4012/dmj.2015-053
Ahmed, Z.A. and Chakmakchi, M.N. (2015) Bond Strength of Resin Composite to Laser Treated Dentin Using Different Adhesive Systems. Al-Rafidain Dental Journal, 15, 405-411. https://doi.org/10.33899/rden.2015.160882
Kallis, A., Tolidis, K., Gerasimou, P. and Dionysopoulos, D. (2019) Qualitative Evaluation of Hybrid Layer Formation Using Er:YAG Laser in QSP Mode for Tooth Cavity Preparations. Lasers in Medical Science, 34, 23-34.
https://doi.org/10.1007/s10103-018-2575-9
Guven, Y. and Aktoren, O. (2015) Shear Bond Strength and Ultrastructural Interface Analysis of Different Adhesive Systems to Er:YAG Laser-Prepared Dentin. Lasers in Medical Science, 30, 769-778. https://doi.org/10.1007/s10103-013-1424-0
Shadman, N., Ebrahimi, S.F., Amanpour, S. and Mehdizadeh, S. (2019) Shear Bond Strength of a Multi-Mode Adhesive to Bur-Cut and Er,Cr:YSGG Lased Dentin in Different Output Powers. Journal of Dentistry, 20, 118.
Jhingan, P., Sachdev, V., Sandhu, M. and Sharma, K. (2015) Shear Bond Strength of Self-Etching Adhesives to Cavities Prepared by Diamond Bur or Er,Cr:YSGG Laser and Effect of Prior Acid Etching. The Journal of Adhesive Dentistry, 17, 505-512.
Diaci, J. and Gaspirc, B. (2012) Review. Comparison of Er:YAG and Er,Cr:YSGG Lasers Used in Dentistry. Journal of the Laser and Health Academy, 1, 1-13.
Moosavi, H., Ghorbanzadeh, S. and Ahrari, F. (2016) Structural and Morphological Changes in Human Dentin after Ablative and Subablative Er:YAG Laser Irradiation. Journal of Lasers in Medical Sciences, 7, 86-91.
https://doi.org/10.15171/jlms.2016.15
Korkmaz, Y., Ozel, E., Attar, N., Bicer, C.O. and Firatli, E. (2010) Microleakage and Scanning Electron Microscopy Evaluation of All-in-One Self-Etch Adhesives and Their Respective Nanocomposites Prepared by Erbium:Yttrium-Aluminum-Garnet Laser and Bur. Lasers in Medical Science, 25, 493-502.
https://doi.org/10.1007/s10103-009-0672-5
Ceballos, L., Osorio, R., Toledano, M. and Marshall, G.W. (2001) Microleakage of Composite Restorations after Acid or Er-YAG Laser Cavity Treatments. Dental Materials, 17, 340-346. https://doi.org/10.1016/S0109-5641(00)00092-0
Ozel, E., Tuna, E.B. and Firatli, E. (2016) The Effects of Cavity-Filling Techniques on Microleakage in Class II Resin Restorations Prepared with Er:YAG Laser and Diamond Bur: A Scanning Electron Microscopy Study. Scanning, 38, 389-395.
https://doi.org/10.1002/sca.21282
Bahrololoomi, Z., Kabudan, M. and Gholami, L. (2015) Effect of Er:YAG Laser on Shear Bond Strength of Composite to Enamel and Dentin of Primary Teeth. Journal of Dentistry Tehran Iran, 12, 163.
Hossain, M., Nakamura, Y., Yamada, Y., Kimura, Y., Nakamura, G. and Matsumoto, K. (1999) Ablation Depths and Morphological Changes in Human Enamel and Dentin after Er:YAG Laser Irradiation with or without Water Mist. Journal of Clinical Laser Medicine & Surgery, 17, 105-109. https://doi.org/10.1089/clm.1999.17.105
Korkmaz, F.M., Baygin, O., Tuzuner, T., Bagis, B. and Arslan, I. (2013) The Effect of an Erbium, Chromium:Yttrium-Scandium-Gallium-Garnet Laser on the Microleakage and Bond Strength of Silorane and Micro-Hybrid Composite Restorations. European Journal of Dentistry, 7, S033-S040.
https://doi.org/10.4103/1305-7456.119061
Marotti, J., Geraldo-Martins, V.R., Bello-Silva, M.S., de Paula Eduardo, C., Apel, C. and Gutknecht, N. (2010) Influence of Etching with Erbium, Chromium:Yttrium-Scandium-Gallium-Garnet Laser on Microleakage of Class V Restoration. Lasers in Medical Science, 25, 325-329. https://doi.org/10.1007/s10103-008-0623-6
Moldes, V.L., Capp, C.I., Navarro, R.S., Matos, A.B., Youssef, M.N. and Cassoni, A. (2009) In Vitro Microleakage of Composite Restorations Prepared by Er:YAG/Er, Cr:YSGG Lasers and Conventional Drills Associated with Two Adhesive Systems. The Journal of Adhesive Dentistry, 11, 221-229.
Dela Rosa, A., Sarma, A.V., Le, C.Q., Jones, R.S. and Fried, D. (2004) Peripheral Thermal and Mechanical Damage to Dentin with Microsecond and Sub-Microsecond 9.6 Microm, 2.79 Microm, and 0.355 Microm Laser Pulses. Lasers in Medical Science, 35, 214-228. https://doi.org/10.1002/lsm.20090
Bachmann, L., Diebolder, R., Hibst, R. and Zezell, D.M. (2005) Changes in Chemical Composition and Collagen Structure of Dentine Tissue after Erbium Laser Irradiation. Spectrochimica Acta, Part A: Molecular and Biomolecular Spectroscopy, 61, 2634-2639. https://doi.org/10.1016/j.saa.2004.09.026
Lee, B.-S., Lin, P.-Y., Chen, M.-H., et al. (2007) Tensile Bond Strength of Er,Cr:YSGG Laser-Irradiated Human Dentin and Analysis of Dentin-Resin Interface. Dental Materials, 23, 570-578. https://doi.org/10.1016/j.dental.2006.03.016
Sirin Karaarslan, E., Yildiz, E., Cebe, M.A., Yegin, Z. and Ozturk, B. (2012) Evaluation of Micro-Tensile Bond Strength of Caries-Affected Human Dentine after Three Different Caries Removal Techniques. Journal of Dentistry, 40, 793-801.
https://doi.org/10.1016/j.jdent.2012.05.013
Sattabanasuk, V., Burrow, M.F., Shimada, Y. and Tagami, J. (2006) Resin Adhesion to Caries-Affected Dentine after Different Removal Methods. Australian Dental Journal, 51, 162-169. https://doi.org/10.1111/j.1834-7819.2006.tb00421.x
Kataumi, M., Nakajima, M., Yamada, T. and Tagami, J. (1998) Tensile Bond Strength and SEM Evaluation of Er:YAG Laser Irradiated Dentin Using Dentin Adhesive. Dental Materials Journal, 17, 125-138. https://doi.org/10.4012/dmj.17.125
Ceballo, L., Toledano, M., Osorio, R., Tay, F.R. and Marshall, G.W. (2002) Bonding to Er-YAG-Laser-Treated Dentin. Journal of Dental Research, 81, 119-122.
https://doi.org/10.1177/0810119
Abo-Hamar, S.E., Hiller, K.-A., Jung, H., Federlin, M., Friedl, K.-H. and Schmalz, G. (2005) Bond Strength of a New Universal Self-Adhesive Resin Luting Cement to Dentin and Enamel. Clinical Oral Investigations, 9, 161-167.
https://doi.org/10.1007/s00784-005-0308-5
Diniz, A.C., Bandeca, M.C., Pinheiro, L.M., et al. (2016) Influence of Different Etching Modes on Bond Strength to Enamel Using Universal Adhesive Systems. The Journal of Contemporary Dental Practice, 17, 820-825.
https://doi.org/10.5005/jp-journals-10024-1937
Esteves-Oliveira, M., Zezell, D.M., Apel, C., et al. (2007) Bond Strength of Self-Etching Primer to Bur Cut, Er,Cr:YSGG, and Er:YAG Lased Dental Surfaces. Photomedicine and Laser Surgery, 25, 373-380. https://doi.org/10.1089/pho.2007.2044
Ramos, A.C.B., Esteves-Oliveira, M., Arana-Chavez, V.E. and de Paula Eduardo, C. (2010) Adhesives Bonded to Erbium:Yttrium-Aluminum-Garnet Laser-Irradiated Dentin: Transmission Electron Microscopy, Scanning Electron Microscopy and Tensile Bond Strength Analyses. Lasers in Medical Science, 25, 181-189.
https://doi.org/10.1007/s10103-008-0600-0
Tay, F.R., Sano, H., Carvalho, R., Pashley, E.L. and Pashley, D.H. (2000) An Ultrastructural Study of the Influence of Acidity of Self-Etching Primers and Smear Layer Thickness on Bonding to Intact Dentin. The Journal of Adhesive Dentistry, 2, 83-98.
Nikhil, V., Singh, V. and Chaudhry, S. (2011) Comparative Evaluation of Bond Strength of Three Contemporary Self-Etch Adhesives: An ex Vivo Study. Contemporary Clinical Dentistry, 2, 94-97. https://doi.org/10.4103/0976-237X.83068
Ergucu, Z., Celik, E.U., Unlu, N., Turkun, M. and Ozer, F. (2009) Effect of Er,Cr:YSGG Laser on the Microtensile Bond Strength of Two Different Adhesives to the Sound and Caries-Affected Dentin. Operative Dentistry, 34, 460-466.
https://doi.org/10.2341/08-005-L
Hossain, M., Kimura, Y., Nakamura, Y., Yamada, Y., Kinoshita, J.I. and Matsumoto, K. (2001) A Study on Acquired Acid Resistance of Enamel and Dentin Irradiated by Er,Cr:YSGG Laser. Journal of Clinical Laser Medicine & Surgery, 19, 159-163.
https://doi.org/10.1089/10445470152927991
