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Objective: The purpose of this research was to evaluate the influence of the Nd:YAG laser on microleakage of class V composite restorations., Background Data: There has been very little research that concerns microleakage resulting from the use of lasers and restorative materials., Materials and Methods: Thirty-six cavities were prepared and divided into three groups (n = 12) as follows: Group 1, control; Group 2, Nd:YAG laser irradiation before adhesive technique; Group 3, Nd:YAG laser irradiation after adhesive technique. Nd:YAG laser parameters were 320 micro m of fiberoptics; energy/pulse of 40 mJ of energy/pulse; repetition rate of 15 Hz; power of 0.6 W; pulsed and non-contact, 1 mm from the surface; 30 sec in scanning mode; energy density was 49,76 J/cm(2). Cavities were restored with microhybrid composite. After polishing, thermocycling and impermeabilization procedures were performed and specimens were submitted to a microleakage test, with complete immersion in aqueous solution of 50% silver nitrate for 8 h, in the total absence of light. After washing and drying, teeth were embedded to facilitate buccal-lingual vertical sectioning. Microleakage was revealed by light., Results: We used the Kruskal-Wallis test at a 5% level of confidence and observed no statistically significant difference among the tested groups., Conclusion: It was possible to conclude that Nd:YAG laser does not influence marginal microleakage on composite restorations, independent of the moment the laser had been used.

Objective: We evaluated the tensile bond strength of composite resin on enamel and dentine, treated with Nd:YAG laser before and after bonding procedures., Background Data: The use of laser radiation in dentistry is being developed day by day. One of the possible applications of dental lasers includes increasing the quality of self-etching bonding systems., Methods: Forty-eight human teeth were used and separated into six groups: Group 1 (enamel control), Clearfil Liner Bond 2V (CLB 2V); group 2 (enamel), Nd:YAG + CLB 2V; group 3 (enamel), CLB 2V + Nd:YAG; group 4 (dentine control), CLB 2V; group 5 (dentine), Nd:YAG + CLB 2V; group 6 (dentine), CLB 2V + Nd:YAG. Tensile bond strength was performed., Results: Enamel means (15,54) were lower than dentine means (20,38). Bond strength of laser before (15,73) was lower than laser after (20,65). Interaction results G1 x G3; G2 x G3; G4 x G1; G2 x G5 were statistically significant., Conclusions: Tensile bond strength of composites reached with self-etching adhesive systems were greater in dentine than in enamel. The best moment for application of Nd:YAG laser is after the use of adhesive system. Self-etching adhesive systems tested in this study can be used together with Nd:YAG laser without compromising to adhesion to dentine.

Objective: This study evaluated microleakage of composite restorations submitted to marginal treatment with Nd:YAG laser and surface sealant., Background Data: Previous studies have demonstrated that Nd:YAG-lased enamel melted and became recrystallized with a morphologic appearance similar to lava, and has been used clinically in the sealing of enamel pits and fissures., Methods: Class V cavities in enamel of human premolars were restored with composite resin (Z100, 3M) and randomly divided in six groups: G1, control; G2, surface sealant marginal treatment; G3 to G6, were treated with pulsed Nd:YAG laser (1.064 microm) marginal treatment, contact fiberoptic (300 microm), air cooling, for 30 seconds, powers of 1.2-2 W, repetition rates of 20-30 Hz, energies of 40-100 mJ. Teeth were impermeabilized, immersed in a rhodamine dye, sectioned, and evaluated under stereomicroscope microscopy with scores., Results: There were significant differences between marginal treatments; there were no differences between groups 1, 2, and 4, and 3,5, and 6; lower values of microleakage were at groups 3, 5, and 6 (Kruskal-Wallis,p = 0.05)., Conclusion: Nd:YAG laser showed improved marginal sealing and decreased microleakage of composite resins restorations.

Objective: In the present study, the authors evaluated tensile bond strength of composite resin to dentin treated with Nd:YAG laser before and after bonding procedures., Summary Background Data: Lasers have been widely used in dentistry and have contributed to the development of new technologies. Adhesive systems have been indicated for most dental procedures and have produced good results. Studies concerned with the combined use of this adhesive system was the subject of this study., Methods: Thirty noncarious human anterior teeth, freshly extracted, for periodontal reasons, were used. After grinding the buccal dentinal surface until its exposition, specimens were separated into three groups and received the following treatments: (group 1) control--acid etching plus primer plus bond; (group 2) laser plus acid etching plus primer plus bond; (group 3) acid etching plus primer plus bond plus laser. Specimens of composite resin (Z100, 3M, Saint Paul, MN) were constructed on an inverted truncated 3-mm diameter cone mold. Tensile bond strength was performed using Inströn Universal machine, at 0.5 mm/min speed., Results: Analysis of variance (ANOVA) (p < 0.05) determined that the type of dentinal treatments used had an influence on tensile bond strength. Tukey's test, however, showed that group 1 (15.46) and 3 (15.67) had similar results both of which were higher than group 2 (4.57)., Conclusions: Based on the results obtained, one can conclude that group 1 (without laser) and group 3 (laser after bonding) had similar results, both higher than those observed for group 2 (laser before bonding). These results indicate that more research is needed about how a hybrid layer is formed when laser radiation is used.