It is known that Nd:YAG laser radiation on dental structure can increase enamel resistance to demineralization; however, few studies report its impact in orthodontics. This study aimed to verify the interaction of Nd:YAG laser and aluminum oxide sandblasting (Al2O3) as preconditioning treatment of lingual brackets bonding to quantify the shear bond strength (SBS) and to characterize the enamel after different surface preconditioning techniques. Thirty-five bovines’ incisors were divided in 5 groups (n=7), according to the preconditioning. All groups had the lingual brackets bonded with Transbond XT adhesive according to manufacturer’ protocol, and shear bonded after 72h. Samples were analyzed by Optical Coherence Tomography (OCT) and Scanning Eletronic Microscope (SEM) to verify enamel alterations. Optical attenuation coefficient (α) was measured before any preconditioning (T0) and after preconditioning surface (T1) for each group. Statistics analysis ANOVA-test was used, followed by Post Hoc Tukey for shear bond strength data, and Kruskal Wallis and post hoc Dunn test for α data. SEM and OCT qualitative analysis showed the melting effect with laser irradiation and enamel crystal surface disorganization with sandblasting in T1 and after shear bond. All groups were adequate for SBS and the statistical differences (p=0.0034) among groups showed better results for groups with techniques association (laser and Al2O3 used in this or in reverse order) and the highest SBS when laser was used after. The Al2O3 removes part of melting effect. The α had statistical difference (p= 0.0124) among groups, increasing with laser and Al2O3 isolated and decrease with techniques association.
This work aims was to correlate the changes in the optical attenuation coefficients obtained through the OCT technique with the values obtained in Knoop sectional microhardness tests over time in dental human enamel samples irradiated with the Nd: YAG laser and Acid Phosphate Fluoride (APF), aiming the prevention of caries lesions in vitro. After Ethical Committee approval, 160 enamel samples, obtained from 40 human tooth molars, were divided into 4 groups: Control group (where no treatment was performed); Fluoride group (APF - fluoride phosphate acidulated for 4 minutes); Fluoride-Laser group: APF followed by irradiation with Nd:YAG laser (DE = 84.9 J/cm2, contact mode, with the use of carbon paste as photoabsorver); Laser-fluoride group (irradiation with Nd:YAG laser followed by APF). The samples of all groups were subjected to pH cycling during 20 days. On days 5, 10, 15 and 20, 10 samples from each group were removed from the cycling for the Knoop sectional microhardness test. Two samples of each group, at each time, were randomly selected for the analysis with FTIR-ATR (Fourier transform infrared spectroscopy associated with attenuated total reflection technique). The analysis by ATR-FTIR showed changes in the chemical composition of the samples of the irradiated groups in relation to Control and Fluoride group. There was correlation between the values of sectional microhardness tests and the measured optical attenuation coefficient by OCT in irradiated dental enamel, showing that the association between fluoride application and Nd:YAG laser irradiation is an important tool for the prevention of tooth enamel demineralization.
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