Er, Cr: YSGG laser as a novel method for rebonding failed ceramic brackets

A Sohrabi, S Jafari, S Kimyai… - Photomedicine and laser …, 2016 - liebertpub.com
A Sohrabi, S Jafari, S Kimyai, S Rikhtehgaran
Photomedicine and laser surgery, 2016liebertpub.com
Objective: Since there is no standard method for rebonding loose ceramic brackets, the aim
of this study was to evaluate the possibility of using Er, Cr: YSGG laser to eliminate the
remaining composite materials from the base of ceramic brackets and to compare the bond
strength of rebonded brackets with the new ones. Materials and methods: Sixty-two
extracted human premolars were mounted in acrylic cylinders. Thirty-one ceramic brackets
were bonded, and shear bond strength was tested using Hounsfield testing machine. The …
Abstract
Objective: Since there is no standard method for rebonding loose ceramic brackets, the aim of this study was to evaluate the possibility of using Er,Cr:YSGG laser to eliminate the remaining composite materials from the base of ceramic brackets and to compare the bond strength of rebonded brackets with the new ones. Materials and methods: Sixty-two extracted human premolars were mounted in acrylic cylinders. Thirty-one ceramic brackets were bonded, and shear bond strength was tested using Hounsfield testing machine. The remnants of the bonding material were removed from the bases of brackets using Er,Cr:YSGG laser. These brackets were rebonded to 31 fresh teeth and again shear bond strength was measured. Pattern of debonding was assessed in both cases under a stereomicroscope and graded according to ARI index. Data were analyzed with independent t-test and Fisher's exact test. Results: Mean shear bond strength of the bond and rebond groups was 12.29 ± 5.46 and 10.58 ± 5.16 MPa, respectively. There were no significant differences between the two groups (p = 0.21). Pattern of bond failure was not statistically different between the two groups. Conclusions: Er,Cr:YSGG laser was effective in removing the remnants of bonding material from the base of ceramic brackets without any interference with the ceramic base itself, demonstrating that it might be a suitable method for rebonding ceramic brackets.
Mary Ann Liebert
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