PubMed · 382227
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F C Fielder. 1977. Composites--to etch or not to etch.. https://pubmed.ncbi.nlm.nih.gov/382227/
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Current interest in the use of layers in clinical dentistry has suggested that this technique may be applicable to enamel etching in orthodontics. A pulsed Nd:YAG laser was used to etch the enamel surfaces of teeth in vivo prior to the bonding of orthodontic brackets with composite resin. Overall laser bonding took considerably longer, was less reliable in terms of bond strength, and produced more discomfort than conventional acid etching. The use of the ND:YAG laser for etching teeth prior to bonding orthodontic brackets is not recommended.
Recently, new luting materials have been claimed to have adhesion to metal and tooth structure. This study determined if rebonding the specimens affected their tensile bond strength. Ten samples each of Rexillium III metal cylinders (12 x 6.3 mm) were bonded and rebonded with Comspan Panavia and Super-bond materials. The film thickness was controlled with a micrometer device at 20 microns. The samples were stored for 24 hours in deionized water at 37 degrees C and were then thermocycled for 24 hours and tested for tensile failure on an Instron testing machine. A stereomicroscope was used to determine adhesive/cohesive failure. The results showed a significant difference at p greater than 0.01 in tensile bond strengths (bond versus rebond strength) for all three luting agents. Most of the failures were adhesive in nature.
This study evaluated the bond strength between glass ionomer cements and laser-etched dentin. Extracted human molars were sectioned sagittally, creating a flat surface. Samples were shear tested on an Instron testing machine, and mean bond strengths were recorded; statistical analyses indicated no significant differences between the Ketac cements. The bond strengths of both Ketac cements were significantly decreased when applied to laser-etched dentin, but bond strengths of Fuji-II were substantially elevated compared with the control values.