Er:YAG Laser Versus Sandblasting for Build-Up Conditioning in Adhesive Cementation: A Retrospective Study of 187 Posterior Indirect Restorations
Abstract
Background: Adhesive indirect restorations have become increasingly common in daily clinical routine in most dental practices. Before etching and adhesive application, a sandblasting procedure is essential to clean and increase the microporosity of the surface. Air abrasion with aluminum oxide particles significantly improves the bond strength. However, this procedure may have some limitations, such as the presence of powder particles. Recently, the Er:YAG laser in QSP mode has been proposed for conditioning build-ups prior to adhesive cementation. The aim of this study was a retrospective analysis of adhesive indirect restoration in which build-up was conditioned or using a traditional sandblaster with alumina powder or using the Er:YAG laser in QSP mode. Methods: 187 posterior indirect adhesive restorations were cemented using two different conditioning techniques: in 96 cases (51.34%) build-up conditioning was performed using an intraoral sandblaster with alumina oxide (Microetcher CD, Kavo, Biberach, Germany); in 91 cases (48.66%) build-up conditioning was performed using the Er:YAG laser (Fotona LighWalker®, Ljubljana, Slovenia) in QSP modality (1 W, 10 Hz, 100 mJ). The clinical efficacy of the two techniques was evaluated and compared, assessing the occurrence of complications such as debonding, fracture, secondary leakage, and hypersensitivity over time. Results: The frequency of secondary complications was very low in both groups. Only one case of debonding and one…
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