Skip to main content

Advertisement

SpringerLink
Log in

Evaluation of the clinical success of class I cavities prepared by an Er:YAG laser—5-year follow-up study

  • Original Article
  • Published:
Lasers in Medical Science Aims and scope Submit manuscript

    We’re sorry, something doesn't seem to be working properly.

    Please try refreshing the page. If that doesn't work, please contact support so we can address the problem.

Abstract

The purpose of this study was to evaluate, after 5 years, the clinical success of preparing class 1 composite resin restorations with an Er:YAG laser. Sixty-five teeth of 30 patients were included in the study, and an Er:YAG laser emitting at a wavelength of 2.94 μm was used for the class I cavity preparations with not more than one third of the mesiodistal width of the occlusal surfaces of each tooth. All cavities were restored with a light-cured composite resin, following a single bond application. After the baseline examination, restorations were reevaluated by the same experienced clinician after 5 years, using the modified Ryge criteria. At the end of 5 years, 41 of the 65 restorations were evaluated in 22 patients and scored. With respect to marginal discoloration, anatomic form, color match, and surface texture, significant differences were found between baselines tested after 5 years. Clinical evaluation of postoperative sensitivity showed that 90.2 % were rated as alpha. All restorations evaluated in this study demonstrated acceptable clinical performance within the evaluation period based on the alpha and bravo ratings for clinically satisfactory restorations. Further evaluations are necessary for a better clinical performance analysis.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  1. Gwinnett AJ (1971) A comparison of proximal carious lesions as seen by clinical radiography, contact microradiography, and light microscopy. J Am Dent Assoc 83:1078–1080

    Article  CAS  PubMed  Google Scholar 

  2. Angmar-Mansson B, ten Bosch JJ (1987) Optical methods for the detection and quantification of caries. Adv Dent Res 1:14–20

    CAS  PubMed  Google Scholar 

  3. Banerjee A, Kidd EA, Watson TF (2000) In vitro evaluation of five alternative methods of carious dentine excavation. Caries Res 34:144–150

    Article  CAS  PubMed  Google Scholar 

  4. Versloot J, Veerkamp JS, Hoogstraten J (2008) Pain behaviour and distress in children during two sequential dental visits: comparing a computerised anaesthesia delivery system and a traditional syringe. Br Dent J 205, E2, discussion 30-31

    Article  CAS  PubMed  Google Scholar 

  5. Hibst R, Keller U, Stainer R (1988) The effect of pulsed Er:YAG laser radiation on dental hard tissues. Laser Med Surg 4:163–165

    Google Scholar 

  6. Cozean C, Arcoria CJ, Pelagalli J, Powell GL (1997) Dentistry for the 21st century? Erbium:YAG laser for teeth. J Am Dent Assoc 128:1080–1087

    Article  CAS  PubMed  Google Scholar 

  7. Romano EA (1999) Er:YAG laser: a credible option for children. Dent Today 18:74–75

    CAS  PubMed  Google Scholar 

  8. Matsumoto K, Hossain M, Tsuzuki N, Yamada Y (2003) Morphological and compositional changes of human dentin after Er:YAG laser irradiation. J Oral Laser Applic 3:15–20

    Google Scholar 

  9. Van Meerbeek B, De Munck J, Mattar D, Van Landuyt K, Lambrechts P (2003) Microtensile bond strengths of an etch&rinse and self-etch adhesive to enamel and dentin as a function of surface treatment. Oper Dent 28:647–660

    PubMed  Google Scholar 

  10. Powers JM, O’Keefe KL, Pinzon LM (2003) Factors affecting in vitro bond strength of bonding agents to human dentin. Odontology 91:1–6

    Article  PubMed Central  CAS  PubMed  Google Scholar 

  11. Bertrand MF, Semez G, Leforestier E, Muller-Bolla M, Nammour S, Rocca JP (2006) Er:YAG laser cavity preparation and composite resin bonding with a single-component adhesive system: relationship between shear bond strength and microleakage. Lasers Surg Med 38:615–623

    Article  PubMed  Google Scholar 

  12. Visuri SR, Gilbert JL, Wright DD, Wigdor HA, Walsh JT Jr (1996) Shear strength of composite bonded to Er:YAG laser-prepared dentin. J Dent Res 75:599–605

    Article  CAS  PubMed  Google Scholar 

  13. Kavo Co (2008) Instructions for use KEY Laser III 1243. http://www.kavo.com/functions/csdownload3.aspx?id=14433&org=003&key=e0daafc14830e37bb356874f0ede1117c2d99d7f44f90b9a89d4d2415167d810. Accessed 15 December 2014

  14. Hibst R (2002) Lasers for caries removal and cavity preparation: state of the art and future directions. J Oral Laser Applic 2:203–212

    Google Scholar 

  15. Armengol V, Jean A, Marion D (2000) Temperature rise during Er:YAG and Nd:YAP laser ablation of dentin. J Endod 26:138–141

    Article  CAS  PubMed  Google Scholar 

  16. Harashima T, Kinoshita J, Kimura Y, Brugnera A, Zanin F, Pecora JD, Matsumoto K (2005) Morphological comparative study on ablation of dental hard tissues at cavity preparation by Er:YAG and Er, Cr:YSGG lasers. Photomed Laser Surg 23:52–55

    Article  PubMed  Google Scholar 

  17. Wanderley RL, Monghini EM, Pecora JD, Palma-Dibb RG, Borsatto MC (2005) Shear bond strength to enamel of primary teeth irradiated with varying Er:YAG laser energies and SEM examination of the surface morphology: an in vitro study. Photomed Laser Surg 23:260–267

    Article  CAS  PubMed  Google Scholar 

  18. Aranha AC, De Paula EC, Gutknecht N, Marques MM, Ramalho KM, Apel C (2007) Analysis of the interfacial micromorphology of adhesive systems in cavities prepared with Er, Cr:YSGG, Er:YAG laser and bur. Microsc Res Tech 70:745–751

    Article  PubMed  Google Scholar 

  19. Tokonabe H, Kouji R, Watanabe H, Nakamura Y, Matsumoto K (1999) Morphological changes of human teeth with Er:YAG laser irradiation. J Clin Laser Med Surg 17:7–12

    CAS  PubMed  Google Scholar 

  20. de Barceleiro MO, Dias KR, Sales HX, Silva BC, Barceleiro CG (2008) SEM evaluation of the hybrid layer after cavity preparation with Er:YAG laser. Oper Dent 33:294–304

    Article  PubMed  Google Scholar 

  21. De Munck J, Van Meerbeek B, Yudhira R, Lambrechts P, Vanherle G (2002) Micro-tensile bond strength of two adhesives to Erbium:YAG-lased vs. bur-cut enamel and dentin. Eur J Oral Sci 110:322–329

    Article  PubMed  Google Scholar 

  22. Ramos RP, Chimello DT, Chinelatti MA, Nonaka T, Pecora JD, Palma Dibb RG (2002) Effect of Er:YAG laser on bond strength to dentin of a self-etching primer and two single-bottle adhesive systems. Lasers Surg Med 31:164–170

    Article  PubMed  Google Scholar 

  23. Martinez-Insua A, Da Silva Dominguez L, Rivera FG, Santana-Penin UA (2000) Differences in bonding to acid-etched or Er:YAG-laser-treated enamel and dentin surfaces. J Prosthet Dent 84:280–288

    Article  CAS  PubMed  Google Scholar 

  24. Eduardo CP, Myaki SI, Oliveira Jr WT, Arana-Chavez VE, Tanji EY (1996) Micromorphological evaluation of enamel surface and the shear bond strength of a composite resin after Er:YAG laser irradiation. An “in vitro” study. 5th Congress of International Society for Laser in Dentistry. Jerusalem, Israel. May 5-9

  25. Sasaki LH, Lobo PD, Moriyama Y, Watanabe IS, Villaverde AB, Tanaka CS, Moriyama EH, Brugnera A Jr (2008) Tensile bond strength and SEM analysis of enamel etched with Er:YAG laser and phosphoric acid: a comparative study in vitro. Braz Dent J 19:57–61

    Article  PubMed  Google Scholar 

  26. Lee BS, Lin PY, Chen MH, Hsieh TT, Lin CP, Lai JY, Lan WH (2007) Tensile bond strength of Er, Cr:YSGG laser-irradiated human dentin and analysis of dentin-resin interface. Dent Mater 23:570–578

    Article  CAS  PubMed  Google Scholar 

  27. Turkmen C, Sazak-Ovecoglu H, Gunday M, Gungor G, Durkan M, Oksuz M (2010) Shear bond strength of composite bonded with three adhesives to Er, Cr:YSGG laser-prepared enamel. Quintessence Int 41:e119–124

    PubMed  Google Scholar 

  28. Hibst R, Keller U (1990) Ultrastructural changes of enamel and dentin following Er:YAG laser radiation on teeth. Proc SPIE 1200:408–415

    Article  Google Scholar 

  29. Shahabi S, Chiniforush N, Juybanpoor N (2013) Morphological changes of human dentin after erbium-doped yttrium aluminum garnet (Er:YAG) and carbon dioxide (CO2) laser irradiation and acid-etch technique: an scanning electron microscopic (SEM) evaluation. J Lasers Med Sci 4:48–52

    PubMed Central  PubMed  Google Scholar 

  30. Tyas MJ (2005) Placement and replacement of restorations by selected practitioners. Aust Dent J 50:81–89, quiz 127

    Article  CAS  PubMed  Google Scholar 

  31. Deligeorgi V, Mjor IA, Wilson NH (2001) An overview of reasons for the placement and replacement of restorations. Prim Dent Care 8:5–11

    Article  CAS  PubMed  Google Scholar 

  32. Boeckh C, Schumacher E, Podbielski A, Haller B (2002) Antibacterial activity of restorative dental biomaterials in vitro. Caries Res 36:101–107

    Article  CAS  PubMed  Google Scholar 

  33. Hossain M, Nakamura Y, Yamada Y, Suzuki N, Murakami Y, Matsumoto K (2001) Analysis of surface roughness of enamel and dentin after Er, Cr:YSGG laser irradiation. J Clin Laser Med Surg 19:297–303

    Article  CAS  PubMed  Google Scholar 

  34. Dostalova T, Jelinkova H, Kucerova H, Krejsa O, Hamal K, Kubelka J, Prochazka S (1998) Noncontact Er:YAG laser ablation: clinical evaluation. J Clin Laser Med Surg 16:273–282

    CAS  PubMed  Google Scholar 

  35. de Andrade AK, Duarte RM, Medeiros e Silva FD, Batista AU, Lima KC, Monteiro GQ, Montes MA (2014) Resin composite class I restorations: a 54-month randomized clinical trial. Oper Dent 39:588–594

    Article  PubMed  Google Scholar 

  36. de Andrade AK, Duarte RM, Guedes Lima SJ, Passos TA, Lima KC, Montes MA (2011) Nanohybrid versus nanofill composite in class I cavities: margin analysis after 12 months. Microsc Res Tech 74:23–27

    Article  PubMed  Google Scholar 

  37. Yazici AR, Ustunkol I, Ozgunaltay G, Dayangac B (2014) Three-year clinical evaluation of different restorative resins in class I restorations. Oper Dent 39:248–255

    Article  CAS  PubMed  Google Scholar 

  38. Yazici AR, Baseren M, Gorucu J (2010) Clinical comparison of bur- and laser-prepared minimally invasive occlusal resin composite restorations: two-year follow-up. Oper Dent 35:500–507

    Article  PubMed  Google Scholar 

  39. Berggren U, Meynert G (1984) Dental fear and avoidance: causes, symptoms, and consequences. J Am Dent Assoc 109:247–251

    Article  CAS  PubMed  Google Scholar 

  40. Eberhard J, Bode K, Hedderich J, Jepsen S (2008) Cavity size difference after caries removal by a fluorescence-controlled Er:YAG laser and by conventional bur treatment. Clin Oral Investig 12:311–318

    Article  CAS  PubMed  Google Scholar 

  41. Tachibana A, Marques MM, Soler JM, Matos AB (2008) Erbium, chromium:yttrium scandium gallium garnet laser for caries removal: influence on bonding of a self-etching adhesive system. Lasers Med Sci 23:435–441

    Article  PubMed  Google Scholar 

Download references

Conflict of interest

The authors have no conflict of interest with this manuscript.

Author information

Authors and Affiliations

  1. Department of Restorative Dentistry, Faculty of Dentistry, Kırıkkale University, Kırıkkale, Turkey

    Mehmet Mustafa Hamidi, Ertuğrul Ercan & Çoruh Türksel Dülgergil

  2. Department of Operative Dentistry, Faculty of Dentistry, Ishik University, Arbil, KRG, Iraq

    Hakan Çolak

Authors
  1. Mehmet Mustafa Hamidi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ertuğrul Ercan
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Çoruh Türksel Dülgergil
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Hakan Çolak
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mehmet Mustafa Hamidi.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Hamidi, M.M., Ercan, E., Dülgergil, Ç.T. et al. Evaluation of the clinical success of class I cavities prepared by an Er:YAG laser—5-year follow-up study. Lasers Med Sci 30, 1895–1901 (2015). https://doi.org/10.1007/s10103-015-1751-4

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10103-015-1751-4

Keywords

Search

Navigation