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        Comparison of the effect of hand instruments, an ultrasonic scaler, and an erbium-doped yttrium aluminium garnet laser on root surface roughness of teeth with periodontitis: a profilometer study

        Amid, Reza,Kadkhodazadeh, Mahdi,Fekrazad, Reza,Hajizadeh, Farzin,Ghafoori, Arash Korean Academy of Periodontology 2013 Journal of Periodontal & Implant Science Vol.43 No.2

        Purpose: The present study aimed to measure root surface roughness in teeth with periodontitis by a profilometer following root planning with ultrasonic and hand instruments with and without erbium-doped yttrium aluminium garnet (Er:YAG) laser irradiation. Methods: Sixty single-rooted maxillary and mandibular teeth, extracted because of periodontal disease, were collected. The crowns and apices of the roots were cut off using a diamond bur and water coolant. The specimens were mounted in an acrylic resin block such that a plain root surface was accessible. After primary evaluation and setting a baseline, the samples were divided into 4 groups. In group 1, the samples were root planned using a manual curette. The group 2 samples were prepared with an ultrasonic scaler. In group 3, after scaling with hand instrumentation, the roots were treated with a Smart 1240D plus Er:YAG laser and in group 4, the roots were prepared with ultrasonic scaler and subsequently treated with an Er:YAG laser. Root surface roughness was then measured by a profilometer (MahrSurf M300+RD18C system) under controlled laboratory conditions at a temperature of $25^{\circ}C$ and 41% humidity. The data were analyzed statistically using analysis of variance and a t-test (P<0.05). Results: Significant differences were detected in terms of surface roughness and surface distortion before and after treatment. The average reduction of the surface roughness after treatment in groups 1, 2, 3, and 4 was 1.89, 1.88, 1.40, and 1.52, respectively. These findings revealed no significant differences among the four groups. Conclusions: An Er:YAG laser as an adjunct to traditional scaling and root planning reduces root surface roughness. However, the surface ultrastructure is more irregular than when using conventional methods.

      • KCI등재

        Comparison of the effect of hand instruments, an ultrasonic scaler, and an erbium-doped yttrium aluminium garnet laser on root surface roughness of teeth with periodontitis: a profilometer study

        Reza Amid,Mahdi Kadkhodazadeh,Reza Fekrazad,Farzin Hajizadeh,Arash Ghafoori 대한치주과학회 2013 Journal of Periodontal & Implant Science Vol.43 No.2

        Purpose: The present study aimed to measure root surface roughness in teeth with periodontitis by a profilometer following root planning with ultrasonic and hand instruments with and without erbium-doped yttrium aluminium garnet (Er:YAG) laser irradiation. Methods: Sixty single-rooted maxillary and mandibular teeth, extracted because of periodontal disease, were collected. The crowns and apices of the roots were cut off using a diamond bur and water coolant. The specimens were mounted in an acrylic resin block such that a plain root surface was accessible. After primary evaluation and setting a baseline, the samples were divided into 4 groups. In group 1, the samples were root planned using a manual curette. The group 2 samples were prepared with an ultrasonic scaler. In group 3, after scaling with hand instrumentation, the roots were treated with a Smart 1240D plus Er:YAG laser and in group 4, the roots were prepared with ultrasonic scaler and subsequently treated with an Er:YAG laser. Root surface roughness was then measured by a profilometer (MahrSurf M300+RD18C system) under controlled laboratory conditions at a temperature of 25°C and 41% humidity. The data were analyzed statistically using analysis of variance and a t-test (P<0.05). Results: Significant differences were detected in terms of surface roughness and surface distortion before and after treatment. The average reduction of the surface roughness after treatment in groups 1, 2, 3, and 4 was 1.89, 1.88, 1.40, and 1.52, respectively. These findings revealed no significant differences among the four groups. Conclusions: An Er:YAG laser as an adjunct to traditional scaling and root planning reduces root surface roughness. However,the surface ultrastructure is more irregular than when using conventional methods.

      • KCI등재

        Effects of motion direction and power of Er,Cr:YSGG laser on pull-out bond strength of fiber post to root dentin in endodontically-treated single-canal premolar teeth

        Loghman Rezaei-Soufi,Leili Tapak,Mahsa Forouzande,Reza Fekrazad 한국생체재료학회 2019 생체재료학회지 Vol.23 No.4

        Background: Inadequate retention and gradual debonding of intracanal post from root dentin is a major cause of failure of endodontically treated teeth restored with fiber post. Main body: This study aimed to assess the effect of surface treatment of quartz fiber posts with different powers and motion directions of Er,Cr:YSGG laser on their pull-out bond strength to root dentin in endodontically treated premolar teeth. In this study, 105 fiber posts were divided into 7 groups according to their surface treatment with different powers of Er,Cr:YSGG laser at 2780 nm wavelength, 20 Hz frequency and 150 μs pulse duration in circumferential (C) or longitudinal (L) motion directions: Control group (no treatment), 0.5W laser in longitudinally (L0.5), 1.0W laser in longitudinally (L1), 1.5W laser in longitudinally (L1.5), 0.5W laser in circumferentially (C0.5), 1.0 W laser in circumferentially (C1) and 1.5W laser in circumferentially (C1.5). After cementation, pull-out bond strength was measured in Newton (N). Each sample was inspected under a stereomicroscope at × 25 magnification to determine the mode of failure. Two samples of each group were inspected under a scanning electron microscope (SEM). Data were analyzed using two-way ANOVA and Tukey’s test with significant level of 0.05. The pull-out bond strength of 0.5W groups had significant differences with the control group (P = 0.009). The bond strength of 1.0W and 1.5W groups were not significantly different (P = 0.630) but were higher than the control and 0.5W groups (P < 0.001). Motion direction of laser irradiation had no significant effect on the bond strength (P = 0.384). The interaction effect of power and motion direction of laser irradiation had no significant effect on the bond strength (P = 0.092). Conclusion: Fiber posts treated with 0.5, 1.0 and 1.5W Er,Cr:YSGG laser showed higher bond strength to dentin compared to posts with no surface treatment. However, the motion directions of laser irradiation had no significant effect on the bond strength. In order to minimize damage to post surface and achieving maximum bond strength, longitudinal surface treatment of posts with 1.0W power of Er,Cr:YSGG laser is recommended.

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