Effect of Photodynamic Therapy, Er,Cr:YSGG, and Nd:YAG Laser on the Push-Out Bond Strength of Fiber Post to Root Dentin

Faisal Abdullah Alonaizan; Raneem S Alofi; Yasser F AlFawaz; Abdulaziz Alsahhaf; Khulud Abdulrahman Al-Aali; Fahim Vohra; Tariq Abduljabbar

doi:10.1089/photob.2019.4687

Effect of Photodynamic Therapy, Er,Cr:YSGG, and Nd:YAG Laser on the Push-Out Bond Strength of Fiber Post to Root Dentin

Photobiomodul Photomed Laser Surg. 2020 Jan;38(1):24-29. doi: 10.1089/photob.2019.4687. Epub 2019 Aug 6.

Authors

Faisal Abdullah Alonaizan¹, Raneem S Alofi², Yasser F AlFawaz², Abdulaziz Alsahhaf³, Khulud Abdulrahman Al-Aali⁴, Fahim Vohra^{5

6}, Tariq Abduljabbar^{5

6}

Affiliations

¹ Department of Restorative Dental Sciences, College of Dentistry, Imam Abdulrahman Bin Faisal University, Dammam, Saudi Arabia.
² Department of Restorative Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.
³ Department of Prosthodontics, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.
⁴ Department of Clinical Dental Sciences, College of Dentistry, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia.
⁵ Department of Prosthetic Dental Science, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.
⁶ Research Chair for Biological Research in Dental Health, College of Dentistry, Riyadh, Saudi Arabia.

PMID: 31386591
DOI: 10.1089/photob.2019.4687

Abstract

Objective: To evaluate the push-out bond strength and modes of failure of fiber post to root dentin by using photodynamic therapy (PDT), Er,Cr:YSGG, Nd:YAG laser, and conventional cleaning and shaping (CCS). Materials and methods: Eighty anterior teeth were sectioned in a horizontal manner being 2 mm incisal to the cementoenamel junction, and root canal was prepared for post space. After post space was made, fiber posts were placed inside the root canal system. The fiber posts were subjected to PDT, Er,Cr:YSGG laser, Nd:YAG laser, and conventional cleaning and shaping (CSS) with 20 specimens in each group. Cervical and apical sections were obtained from the specimens. For performing the push-out test, the universal testing machine was used. The formula used for calculating the push-out bond strength was σ = N/mm². Results: PDT group (8.16 ± 2.19 MPa) achieved the highest mean push-out bond strength, whereas Er,Cr:YSGG (7.24 ± 1.27 MPa) reported the lowest value in the specimens. Among the experimental groups, the ANOVA test expressed statistical difference (p = 0.481). In the cervical segments, the mean push-out bond strength was found to be higher in all of the experimental groups. For the cervical segments, the independent t-test results showed higher mean push-out bond strength values than the apical segments in PDT, Er,Cr:YSGG, Nd:YAG, and CSS groups, respectively (p < 0.05). Twenty failures were observed at the interface level between the adhesive and surface of dentin. Seven failures were found at the interface between mixed and the adhesive and post, respectively. Conclusions: Push-out bond strength to root canal dentin was not affected by PDT, Er,Cr:YSGG, and Nd:YAG laser compared with CCS. However, PDT produced the smallest number of failure modes and slightly higher push-out bond strength to root dentin. Laser treatment using PDT and Er,Cr:YSGG appeared to be clinically efficient showing acceptable push-out bond strength of fiber post with less number of failures at different regions of the root dentin.

Keywords: fiber post; laser; photodynamic therapy; push-out bond strength.

MeSH terms

Dental Bonding
Dental Pulp Cavity / radiation effects*
Dental Stress Analysis
Dentin / radiation effects*
Humans
In Vitro Techniques
Incisor
Lasers, Semiconductor*
Lasers, Solid-State*
Materials Testing
Post and Core Technique*
Root Canal Preparation / methods
Surface Properties
Tooth Root / radiation effects*