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Influence of different laser-assisted retrograde cavity preparation techniques on bond strength of bioceramic-based material to root dentine

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Abstract

The purposes of the study were to evaluate the bond strength of bioceramic TotalFill root repair material (RRM) in retrograde cavities prepared using Er:YAG and Er,Cr:YSGG laser and steel bur, and to analyze failure modes. The root canals of 30 single-rooted teeth were endodontically treated, their root-ends were resected using a diamond bur, and the teeth were randomly divided into three groups (N = 10) according to the retrograde cavity preparation technique: (1) Er:YAG laser, (2) Er,Cr:YSGG laser, and (3) steel bur. All retrograde cavities were filled with the TotalFill RRM which was prepared according to the manufacturers’ instructions. Push-out test was performed using universal testing machine, and failure mode was analyzed using a scanning electron microscope. The data were analyzed using one-way ANOVA, post hoc analysis with Bonferroni correction, and Fisher-Freeman-Halton exact test (p < 0.05). In the Er:YAG-, Er,Cr:YSGG-, and steel bur–prepared cavities, mean bond strengths (MPa) were 12.76, 8.44, and 6.01, respectively. The bond strength of the TotalFill RRM to dentin was significantly higher in the Er:YAG laser compared with the steel bur–prepared cavities (p = 0.004). The bond strength was not significantly different between the Er:YAG and Er,Cr:YSGG cavities (p = 0.074) and between the Er,Cr:YSGG and bur cavities (p = 0.648). In the cavities prepared by the Er,Cr:YSGG laser and bur, the failure mode of the TotalFill RRM was predominantly mixed, then adhesive and cohesive. In the Er:YAG laser–prepared cavities, the most common failure mode was adhesive, followed by mixed type and no cohesive failure. The bond strength of the TotalFill RRM to dentin was highest in the group of retrograde cavities prepared by the Er:YAG laser.

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Funding

This work was supported by the University of Zagreb, Croatia, grants: “Investigation of bioactive materials: applications in dental medicine” (2017) and “Applications of lasers in dental medicine” (2018). The leader of the grants is Professor Ivana Miletić.

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Authors and Affiliations

  1. Department of Pediatric and Preventive Dentistry, Dental Polyclinic Zagreb, Zagreb, Croatia

    Snježana Kadić

  2. Department of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb, Gundulićeva 5, HR-10000, Zagreb, Croatia

    Anja Baraba, Ivana Miletić & Ana Ivanišević Malčić

  3. Department of Biomedical, Surgical and Dental Sciences, University of Milan, Milan, Italy

    Andrei Cristian Ionescu & Eugenio Brambilla

  4. Department of Oral Surgery, School of Dental Medicine, University of Zagreb, Clinical Hospital Center Zagreb, Zagreb, Croatia

    Dragana Gabrić

Authors
  1. Snježana Kadić
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  2. Anja Baraba
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  3. Ivana Miletić
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  4. Andrei Cristian Ionescu
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  5. Eugenio Brambilla
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  6. Ana Ivanišević Malčić
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  7. Dragana Gabrić
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Correspondence to Ana Ivanišević Malčić.

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Kadić, S., Baraba, A., Miletić, I. et al. Influence of different laser-assisted retrograde cavity preparation techniques on bond strength of bioceramic-based material to root dentine. Lasers Med Sci 35, 173–179 (2020). https://doi.org/10.1007/s10103-019-02835-z

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  • DOI: https://doi.org/10.1007/s10103-019-02835-z

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