Effect of Er,Cr:YSGG and Nd:YAG Lasers on Microleakage of Composite Resin Restorations Using Universal Adhesives

Abstract

Background: Clinical long-term success of bonded restorations is depended to reduce marginal microleakage and the laser application with combination of new bonding systems may play positive role. The aim of this study was comparative evaluation of Er,Cr:YSGG and Nd:YAG lasers effect on microleakage of class V composite resin restorations using several universal adhesives. Methods: In this in vitro study, standard class V cavities were prepared on both lingual and buccal surfaces of 72 intact premolar teeth. For evaluation of microleakage, the cavities were divided into 9 groups according to conditioning method (n=15): G1: G-Premio Bond [GP]; G2: Scotchbond Universal Adhesive [SU]; G3: All-Bond Universal [AB]; G4: GP+Nd:YAG Laser; G5: SU+Nd:YAG Laser; G6: AB+Nd:YAG Laser; G7: GP+Er,Cr:YSGG Laser; G8: SU+Er,Cr:YSGG Laser; and G9: AB+Er,Cr:YSGG Laser. The cavities were filled with composite resin and then subjected to thermocycling, placed in methylene blue solutions, embedded in resin blocks and vertically cut in the bucco­lingual direction. The microleakage in occlusal and gingival margins was defined as linear penetration of methylene blue and determined with a stereomicroscope to assign microleakage scores using a four­point scale. Data were analyzed by using SPSS software and Kruskal-wallis and Mann-Whitney U tests. Results: Microleakage scores had statistically significant different before and after laser irradiation in dependent to the adhesive used (P<0.05) but there were no significant different between Nd:YAG and ER,Cr:YSGG laser, also between different universal adhesives (GP, SU, AB). The results showed that total microleakage scores of occlusal margins had significant statistical different in comparison with gingival margins (P<0.001). Conclusion: The results indicate that Nd:YAG and Er,Cr:YSGG lasers irradiation, after using the investigated universal adhesives, had a positive effect on reducing the microleakage of composite Class V restorations. The microleakage rate was shown to be independent of adhesives and lasers type used in this study.