THE USE OF THE ER:YAG LASER FOR DEBONDING IN ALL CERAMIC RESTORATIONS

Abstract

Objective:The aim of this review was to investigate the litheratures about removing all ceramic restorations by using Er:YAG laser.

Methods:In our study Pubmed database was searched by entering the keywords; “laser debonding veneer” (n=6), “laser crown removal” (n=48), “Er:YAG laser ceramic” (n=189).   From 2000 to 2018, all studies within the scope of SCI were determined. Seven clinical studies reporting a total of 15 cases and 9 in vitro experimental studies were included.

Conclusion:Debonding with Er:YAG laser of all ceramic restorations is a promising treatment protocol. Further clinical trials and studies are needed to determine the precise laser parameters and duration of irradiation that could be used for removal of ceramic restorations with varying thicknesses.

Keywords

• Er:YAG laser
• debonding
• all ceramic
• removal lithium disilicate ceramic.

ER:YAG LAZERİN TAM SERAMİK RESTORASYONLARDA DEBONDİNG AMACIYLA KULLANIMI

Abstract

Amaç: Bu derlemenin amacı, tam seramik restorasyonların çıkarılmasında Er:YAG lazerin kullanıldığı çalışmaların değerlendirilmesidir.

Metod: Çalışmamızda Pubmed veri tabanında “laser debonding veneer” (n=6), “laser crown removal” (n=48), “Er:YAG laser ceramic” (n=189) anahtar kelimeleri girilerek arama yapılmıştır. 2000 yılından 2018 yılına kadar SCI kapsamındaki tüm çalışmalar belirlenmiştir. Toplamda 9 adet in vitro çalışma ve 15 adet vaka içeren 7 adet vaka sunumu çalışması değerlendirilmiştir. 

Sonuç: Tam seramik restorasyonların Er: YAG lazer ile çıkarılması umut verici bir protokolüdür. Farklı kalınlıktaki seramik restorasyonların çıkarılması için kullanılabilecek lazer parametreleri ve süreyi daha net belirleyebilmek için daha fazla klinik ve deneysel çalışmalara ihtiyaç duyulmaktadır.

Keywords

• debonding
• Er:YAG lazer
• tam seramik
• lityum disikat seramiklerin çıkarılması

References

1. 1. Albalkhi M, Swed E, Hamadah O. Efficiency of Er:YAG laser in debonding of porcelain laminate veneers by contact and non-contact laser application modes (İn vitro study). J Esthet Restor Dent 2018;1-6. DOI: 10.1111/jerd.12361
2. 2. Azzeh E and Feldon PJ. Laser debonding of ceramic brackets: a comprehensive review. Am J Orthod Dentofacial Orthop. 2003;123(1):79-83.
3. 3. Bulut AC, Atsü SS. The effect of repeated bonding on the shear bond strength of different resin cements to enamel and dentin. J Adv Prosthodont 2017;9:57-66
4. 4. Coluzzi DJ. An overwiew of laser wavelengths used in dentistry. Dent Clin North Am 2000; 44:753-765.
5. 5. Cranska JP. Laser removal of all-ceramic restorations. Solving a difficult clinical challenge. Dent Today 2015;34:110–3.
6. 6. Cranska JP. Removing all-ceramic restorations with lasers. Dent Today 2013;32(6):101–2. 104.
7. 7. Feldon, P.J., Murray, P.E., Burch, J.J., Meister, M. A, Freedman MA. Diode Laser Debonding of Ceramic Brackets. Am J Orthod Dentofacial Orthop 2010;138:458–62.
8. 8. Alakus Sabuncuoglu F, Ersahan S, Ertürk E. DEBONDING OF CERAMIC BRACKETS BY ER:YAG LASER. J Istanbul Univ Fac Dent 2016;50(2):24-30. http://dx.doi.org/10.17096/jiufd.39114

9. 9. Fried D, shouri N, Breunig T, Shori R. Mechanism of water augmentation during IR laser ablation of dental enamel. Lasers Surg Med 2002;31(3):186-93. 10. Glenn A. van As. Using the Erbium Laser to Remove Porcelain Veneers in 60 Seconds minimally Invasive, Efficient, and Safe. J Cosmet Dent. 2013;28(4):20– 34.
10. 11. Gracis S, Thompson VP, Ferencz JL, Silva NS, Bonfante EA. New Classi cation system for all-ceramic and ceramic-like restorative materials. Int J Prosthodont 2015;28:227–235.
11. 12. Hayakawa K. Nd:YAG laser for debonding ceramic orthodontic brackets. Am J Orthod Dentofacial Orthop. 2005;128:638–47.
12. 13. Iseri U, Oztoprak MO, Ozkurt Z, Kazazoğlu E, Arun T.Effect of Er:YAG laser on debonding strength of laminate veneer. Eur J Dent 2004;8(1): 58-62. doi: 10.4103/1305-7456.126243
13. 14. Jelinkova H, Sulc J, Dostalova T, Koranda P, Nemec M, Hofmanova P, Bracket debonding by mid-infrared laser radiation. Laser phys Lett 2009;6(3):222-228.
14. 15. Kumbuloğlu O, Lasilla LVJ, User A, Toksavul S, Vallittu PK. Shear bond strength of composite resin cements to lithium disilicate ceramics. J Oral Rehabil 2005; 32; 128–133
15. 16. Morford CK, Cm DDS, Buu NCH, Nb DMD, Rechmann BMT. Er : YAG Laser Debonding of Porcelain Veneers. 2011;974:965–74.
16. 17. Nalbantgil D, Tozlu M, Oztoprak MO. Pulpal Thermal Changes following Er-YAG Laser Debonding of Ceramic Brackets. ScientificWorldJournal. 2014;2014:912429. doi: 10.1155/2014/912429.
17. 18. Obata A, Tsumura T, Niwa K, Ashizawa Y, Deguchi T IM. Super pulse CO2 laser for bracket bonding and debonding. Eur J Orthod. 1999;21:193–8.
18. 19. Oztoprak MO, Nalbantgil D, Erdem AS, Tozlu M, Arun T. Debonding of ceramic brackets by a new scanning laser method. Am J Orthod Dentofacial Orthop. 2010;138(2):195–200.
19. 20. Oztoprak MO, Tozlu M, Iseri U, Ulkur F, Arun T. Effects of different application durations of scanning laser method on debonding strength of laminate veneers. Lasers Med Sci. 2012;27(4):713–6.
20. 21. Pich O, Franzen R, Gutknecht N, Wolfart S. Laser treatment of dental ceramic/cement layers: transmitted energy, temperature effects and surface characterisation. Lasers Med Sci. 2013;1–7.
21. 22. Rechmann P, Buu NC, Rechmann BM, Finzen FC. Laser all-ceramic crown removal and pulpal temperature--a laboratory proof-of-principle study. Lasers Med Sci. 2015;30(8):2087-93. doi: 10.1007/s10103-015-1738-1.
22. 23. Rechmann P, Buu NC, Rechmann BM, Le CQ, Finzen FC. FJ. Laser all- ceramic crown removal-A laboratory proof-of-principle study-Phase 1 material characteristics. Lasers Surg Med. 2014;46:628–35.
23. 24. Rechmann P., Buu NC., Rechmann BM. FF. Laser all-ceramic crown removal-a laboratory proof-of-principle study-phase 2 crown debonding time. Lasers Surg Med. 2014;643:636–43.
24. 25. Rickabaugh JL., Marangoni RD. MK. Ceramic bracket debonding with the carbon dioxide laser. Am J Orthod Dentofac Orthop. 1996;110:388–93.
25. 26. Sari T, Tuncel I, Usumez A. Transmission of Er:Yag laser through different dental ceramics. Photomed Laser Surg. 2013; 32(1):37-41. DOI: 10.1089/pho.2013.3611
26. 27. Sarp, A.S., and Gulsoy M. Ceramic bracket debonding with ytterbium fiber laser. Lasers Med Sci 2010;26:577–84.
27. 28. Stern RH, Sognnaes RF, Goodman F. Laser effect on in vitro enamel permeability and solubility. J Am Dent Assoc 1966; 78:838-843.
28. 29. Strobl, K., Bahns, T.L., Willham, L., Bishara, S.E. A, Stwalley WC. Laser-aided debonding of orthodontic ceramic brackets. Am J Orthod Dentofacial Orthop. 1992;101:152–8.
29. 30. Tak O, Sari T, Malkoc MA , Altintas S, Usumez A, Gutknecht N. The Effect of Transmitted Er:YAG Laser Energy Through A Dental Ceramic on Different Types of Resin Cements. Lasers Surg Med 2015; 47:602–607.
30. 31. Tocchio RM, Williams PT, Mayer FS SK. Laser debonding of ceramic orthodontic brackets. Am J Orthod Dentofac Orthop. 1993;103:155–62.
31. 32. Zhang Y, Rocca J, Fornaini C, Zhen Y, Zhao Z, Merigo E. Er:YAG Laser Debonding of Porcelain Laminate Veneers. Preprints 2018; 2018060086 (doi: 10.20944/preprints201806.0086.v1).