Abstract
Bonding orthodontic brackets to ceramic materials is a challenging procedure; femtosecond (FS) laser conditioning could provide improved results, but the ideal settings for effective bracket-zirconia bonding have never been established. This study aimed to analyze the differences in surface roughness and shear bond strength (SBS) produced by different femtosecond laser settings and establish a protocol to prepare zirconia surfaces for optimal adhesion to metal orthodontic brackets. One hundred eighty zirconia samples were assigned to six groups according to surface treatment: (1) control; (2) air-particle abrasion (APA); (3) FS laser irradiation (300 mW output power, 60 μm inter-groove distance); (4) FS laser irradiation (200 mW, 100 μm); (5) FS laser irradiation (40 mW, 60 μm); and (6) FS laser irradiation (200 mW, 60 μm). Surface roughness was measured. Orthodontic brackets were bonded to the zirconia specimens, and SBS was measured. SBS in groups 3 and 6 was significantly higher than the other groups (5.92 ± 1.12 MPa and 5.68 ± 0.94 MPa). No significant differences were found between groups 1, 2, 4, and 5 (3.87 ± 0.77 MPa, 4.25 ± 0.51 MPa, 3.74 ± 0.10 MPa, and 3.91 ± 0.53 MPa). Surface roughness was significantly greater for FS laser than for control and APA groups (p = 1.28 × 10−8). FS laser at 200 mW, 60 μm can be recommended as the ideal settings for treating zirconia surfaces, producing good SBS and more economical energy use.
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Acknowledgements
The authors are very grateful to the Serveis Centrals d’Instrumentació Científica (SCIC) of the University Jaume I for the use of the femtosecond laser and microscopy facilities.
The authors thank William James Packer, professional English language editor, for translating the manuscript.
Funding
The present research received financial support from the Generalitat Valenciana through the project PROMETEU/2016/079, the Ministerio de Economía y Competitividad (MINECO) through the project FIS2016-75618-R, and the Ministry of Education Youth and Sports of the Czech Republic through project no. LM2015073.
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García-Sanz, V., Paredes-Gallardo, V., Bellot-Arcís, C. et al. Femtosecond laser settings for optimal bracket bonding to zirconia. Lasers Med Sci 34, 297–304 (2019). https://doi.org/10.1007/s10103-018-2589-3
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DOI: https://doi.org/10.1007/s10103-018-2589-3