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International Journal of Dentistry
Volume 2012, Article ID 617264, 6 pages
http://dx.doi.org/10.1155/2012/617264
Research Article

Er:YAG Laser and Fractured Incisor Restorations: An In Vitro Study

1Oral Medicine and Laser-Assisted Surgery Unit, Dental School, Faculty of Medicine, University of Parma, Via Gramsci 14, 43126 Parma, Italy
2Laser Unit, Dental Sciences Department, Faculty of Medicine, University of Liège, Quai Godefroid Kurth, 45, 4020 Liège, Belgium

Received 1 May 2012; Revised 20 July 2012; Accepted 23 August 2012

Academic Editor: H. S. Loh

Copyright © 2012 C. Fornaini et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Introduction. The aim of this study was to analyse the effects of an Er:YAG laser on enamel and dentine in cases of dental restorations involving fractured teeth, utilizing the dental fragment. Materials and Methods. Seventy-two freshly extracted bovine incisors were fractured at the coronal level by using a hammer applied with a standardized method, and the fragment was reattached by using three different methods: Er:YAG laser, orthophosphoric acid, and laser plus acid. The different groups were evaluated by a test realized with the dynamometer to know the force required to successfully detach the reattached fragment and by a microinfiltration test by using a 0.5% methylene blue solution followed by the optic microscope observation. Results. The compression test showed only a slight difference between the three groups, without any statistical significance. The infiltration test used to evaluate the marginal seal between the fracture fragment and the tooth demonstrated that etching with Er:YAG laser alone or in combination with orthophosphoric acid gives better results than orthophosphoric acid alone, with a highly significant statistical result. Discussion. Reattaching a tooth fragment represents a clinically proven methodology, in terms of achieving resistance to detachment, and the aim of this work was to demonstrate the advantages of Er:YAG laser on this procedure. Conclusion. This “in vitro” study confirms that Er:YAG laser can be employed in dental traumatology to restore frontal teeth after coronal fracture.