International Journal of Dental Sciences and Research
ISSN (Print): 2333-1135 ISSN (Online): 2333-1259 Website: Editor-in-chief: Marcos Roberto Tovani Palone
Open Access
Journal Browser
International Journal of Dental Sciences and Research. 2018, 6(5), 124-128
DOI: 10.12691/ijdsr-6-5-3
Open AccessArticle

Effect of Laser Conditioning and Different Adhesive Strategies on Bond Strength of a Bulk Fill and a Microhybrid Resin Composite

Zumrut Ceren Ozduman1, , Duygu Tuncer2, Çiğdem Çelik3 and Neslihan Arhun1

1Başkent University, Faculty of Dentistry, Department of Restorative Dentistry, Ankara, Turkey

2Yildirim Beyazit University, Faculty of Dentistry, Department of Restorative Dentistry, Ankara, Turkey

3Kirikkale University, Faculty of Dentistry, Department of Restorative Dentistry, Kirikkale, Turkey

Pub. Date: August 14, 2018

Cite this paper:
Zumrut Ceren Ozduman, Duygu Tuncer, Çiğdem Çelik and Neslihan Arhun. Effect of Laser Conditioning and Different Adhesive Strategies on Bond Strength of a Bulk Fill and a Microhybrid Resin Composite. International Journal of Dental Sciences and Research. 2018; 6(5):124-128. doi: 10.12691/ijdsr-6-5-3


Purpose: To evaluate the effect of laser conditioning and adhesive strategies on bond strength of a bulk fill and a microhybrid resin composite. Methods: 96 human posterior teeth’s buccal and lingual surfaces were ground flat to expose dentin surfaces with standard smear layer (N=192). The specimens were divided into 16 experimental groups according to (1) Laser-conditioning (Laser-etched group/control group); (2) Adhesive strategies (etch&rinse, Adper Single Bond2(SB2), two step self-etch ClearfilSE Bond(CSE), multi-mode adhesive All-Bond Universal with self-etching technique(ABU-SE), or etch&rinse technique(ABU-ER); (3) Restorative materials (Z250/SDR). All the restorative applications were applied according to the manufacturer’s directions. The specimens were stored in 100% humidity for 24 hours. The specimens were placed on a shear bond test machine at a crosshead speed of 1 mm/min. The values were recorded at the time of failure of composite resins. The bond strength values for shear forces were reported in MPa and derived by dividing the imposed force at the time of fracture by the bonded area. The failed samples were examined under a streomicroscope at X20 magnification to determine the mode of failure. The data were statistically analyzed with three-way ANOVA and multiple comparisons were made by Bon Ferroni test at 5% significance level (p<0.05). Results: SDR and Z250 yielded statistically significant difference when bonded with ABU-ER without laser conditioning (p=0.008). The predominant mode of failure was mixed type. Conclusion: Laser conditioning did not affect shear bond strength values of a bulk fill and a microhybrid resin composites regardless of adhesive system.

bond strength adhesive systems laser bulk fill resin composites

Creative CommonsThis work is licensed under a Creative Commons Attribution 4.0 International License. To view a copy of this license, visit


[1]  Furness, A., Tadros, M.Y., Looney, S.W., Rueggeberg, F.A. “Effect of bulk/incremental fill on internal gap formation of bulk-fill composites”, J Dent, 42(4). 439-449. 2014.
[2]  Van Meerbeek, B., Yoshihara, K., Yoshida, Y., Mine, A., De Munck, J., Van Landuyt, K.L. “State of the art of self-etch adhesives”, Dent Mater, 27(1). 17-28. 2011.
[3]  Wagner, A., Wendler, M., Petschelt, A., Belli, R., Lohbauer, U. “Bonding performance of universal adhesives in different etching modes”, J Dent, 42(7). 800-807. 2014.
[4]  de Goes, M.F, Shinohara, M.S, Freitas, M.S., “Performance of a new one-step multi-mode adhesive on etched vs non- etched enamel on bond strength and interfacial morphology”, J. Adhes. Dent, 16(3). 243-250. 2014.
[5]  Hanabusa, M., Mine, A., Kuboki, T., Momoi, Y., Van Ende, A., Van Meerbeek, B., De Munck, J., “Bonding effectiveness of a new ‘multi-mode’ adhesive to enamel and dentine”, J Dent, 40(6). 475-484. 2012.
[6]  Munoz, M.A., Sezinando, A, Luque-Martinez, I., Szesz, A.L., Reis A., Loguercio, A.D., Bombarda N.H., Perdigão, J., “Influence of a hydrophobic resin coating on the bonding efficacy of three universal adhesives”, J Dent, 42(5). 595-602. 2014.
[7]  Gutknecht, N., Apel, C., Schäfer, C., Lampert, F., “Microleakage of composite fillings in Er, Cr:YSGG laser prepared class II cavities”, Lasers Surg Med, 28(4). 371-374. 2001.
[8]  Shahabi S, Ebrahimpour L, Walsh LJ. “Microleakage of composite resin restorations in cervical cavities prepared by Er, Cr:YSGG laser radiation”, Aust Dent J, 53(2). 172-175. 2008.
[9]  Jaberi Ansari, Z., Fekrazad, R., Feizi, S., Younessian, F., Kalhori, K.A., Gutknecht N. “The effect of an Er, Cr: YSGG laser on the micro‐shear bond strength of composite to the enamel and dentin of human permanent teeth”, Lasers Med Sci, 27(2): 761-765. 2012.
[10]  Eversole, L.R, Rizoiu, I., Kimmel, A.I. “Pulpal response to cavity preparation by an erbium, chromium: YSGG laser-powered hydrokinetic system”, J Am Dent Assoc, 128(8). 1099-106. 1997.
[11]  Baygin, O., Korkmaz F.M., Tüzüner, T., Tanriver, M. “The effect of different enamel surface treatments on the microleakage of fissure sealants”, Lasers Med Sci, 27(1):153-160. 2012.
[12]  Türkmen, C., Sazak-Oveçoğlu, H., Günday, M., Güngör, G., Durkan, M., Oksüz, M. “Shear bond strength of composite bonded with three adhesives to Er,Cr:YSGG laser–prepared enamel”, Quintessence Int, 41(6). 119-24. 2010.
[13]  Shahabi, S., Chiniforush, N., Bahramian, H., Monzavi, A., Baghalian, A., Kharazifard, M.J. “The effect of erbium family laser on tensile bond strength of composite to dentin in comparison with conventional method”. Lasers Med Sci, 28(1). 139-42. 2013.
[14]  Hossain M, Nakamura Y, Yamada Y, Kimura Y, Matsumoto N, Matsumoto K. “Effects of Er, Cr:YSGG laser irradiation in human enamel and dentin: ablation and morphological studies” J Clin. Laser Med Surg, 17(4):155-159. 1999.
[15]  Trajtenberg C.P., Pereira P.N., Powers J.M., “Resin bond strength and micromorphology of human teeth prepared with an erbium: YAG laser”, Am J Dent, 17(5). 331-336. 2004.
[16]  Aranha, A.C., De Paula, E.C., Gutknecht, N., Marques, M.M., Ramalho, K.M., Apel, C. “Analysis of the interfacial micromorphology of adhesive systems in cavities prepared with Er, Cr: YSGG, Er: YAG laser and bur” Micros. Res. Tech, 70(8). 745-751. 2007.
[17]  Basaran, G., Ozer, T., Berk, N., Hamamci, O. “Etching enamel for orthodontics with an erbium, chromium:yttrium-scandium-gallium-garnet laser system”, Angle Orthod, 77(1). 117-123. 2007.
[18]  Basaran, G., Hamamci, N., Akkurt, A. “Shear bond strength of bonding to enamel with different laser irradiation distances”, Lasers Med Sci, 26(2). 14-156. 2011.
[19]  Esteves-Oliveira, M., Zezell, D.M., Apel, C., Turbino, M.L., Aranha, A.C., Eduardo, C., Gutknecht N. “Bond strength of self-etching primer to bur cut, Er, Cr:YSGG, and Er:YAG lased dental surfaces”, Photomed Laser Surg, 25(5) 37-380. 2007.
[20]  Zhang, S., Chen, T., Ge, L.H., “Scanning electron microscopy study of cavity preparation in deciduous teeth using the Er:YAG laser with different powers”, Lasers Med Sci, 27(1):141-144. 2012.
[21]  Yoshikawa, T., Burrow, M.F., Tagami J. A light curing method for improving marginal sealing and cavity wall adaptation of resin composite restorations. Dent Mater, 17(4). 359-366. 2001.
[22]  Al-Boni R., Raja O.M., “Microleakage evaluation of silorane based composite versus methacrylate based composite”, J. Conserv. Dent, 13(3):152-155. 2010.
[23]  Yazici, A.R., Yıldırım, Z, Antonson, S.A., Kilinc, E., Koch, D., Antonson, D.E., Dayangaç, B, Ozgünaltay, G. “Comparison of the Er, Cr:YSGG laser with a chemical vapour deposition bur and conventional techniques for cavity preparation: A microleakage study” Lasers Med Sci, 27(1):23-29. 2012.
[24]  Obeidi, A., Liu, P.R., Ramp, L.C., Beck, P., Gutknecht, N., “Acid‐etch interval and shear bond strength of Er, Cr:YSGG laser prepared enamel and dentin”, Lasers Med Sci,; 25(3). 363-369. 2010.
[25]  Ramos, T.M., Ramos-Oliveira, T.M., Moretto, S.G., de Freitas, P.M., Esteves-Oliveira, M., de Paula Eduardo, C. “Microtensile bond strength analysis of adhesive systems to Er:YAG and Er. Cr:YSGG laser- treated dentin” Lasers Med Sci, 29(2). 565-73. 2014.
[26]  Chou, J.C., Chen, C.C., Ding, S.J., “Effect of Er, Cr:YSGG laser parameters on shear bond strength and microstructure of dentine”, Photomed Laser Surg, 27(3). 481-486. 2009.
[27]  Bachmann, L., Diebolder, R., Hibst, R., Zezell, D.M., “Changes in chemical composition and collagen structure of dentine tissue after erbium laser irradiation” Spectrochimica Acta Part A, Mol Biomol Spectrosc, 61:2634-2639. 2005
[28]  De Munck, J., Van Landuyt, K., Peumans, M., Poitevin, A., Lambrechts, P., Braem, M., Van Meerbeek, B. “A critical review of the durability of adhesion to tooth tissue: methods and results” J Dent Res, 84(2). 118-132. 2005.
[29]  Başaran, E.G., Ayna, E., Başaran, G., Beydemir, K. “Influence of different power outputs of erbium, chromium: yttrium-scandium-gallium-garnet laser and acid etching on shear bond strengths of a dual-cure resin cement to enamel”, Lasers Med Sci, 26(1). 13-19. 2011.
[30]  Sun, X., Ban, J., Sha, X., Wang, W., Jiao, Y., Wang, W., Yang, Y., Wei, J., Shen, L., Chen, J. “Effect of Er,Cr:YSGG Laser at Different Output Powers on the Micromorphology and the Bond Property of Non-Carious Sclerotic Dentin to Resin Composites” PLoS One, 10(11). e0142311. 2015.
[31]  Visuri SR, Gilbert JL, Wright DD, Wigdor HA, Walsh JT Jr. “Shear strength of composite bonded to Er: YAG laser-prepared dentin”, J Dent Res, 75(1): 599–605. 1996.
[32]  De Munch, J., Van Meerbeek, B., Yudhira, R., Lambrechts, P., Vanherle, G. “Micro-tensile bond strength of two adhesives to Erbium: YAG-lased vs. bur-cut enamel and dentin” Eur J Oral Sci, 110(4). 322-329. 2002.
[33]  Ilie, N., Schöner, C., Bücher, K., Hickel, R. “An in-vitro assessment of the shear bond strength of bulk-fill resin composites to permanent and deciduous teeth” J Dent, 42(7):850-855. 2014.
[34]  Colak, H., Ercan, E., Hamidi, M.M., “Shear bond strength of bulk-fill and nano-restorative materials to dentin” Eur J Dent, 10(1): 40-45. 2016.
[35]  Jang, J.H., Lee, M.G., Woo, S.U., Lee, C.O., Yi, J.K., Kim, D.S. “Comparative study of the dentin bond strength of a new universal adhesive” Dent. Mater J, 35(4): 606-612. 2016.
[36]  Vermelho, P.M., Reis, A.F., Ambrosano, G.M., Giannini, M. “Adhesion of multimode adhesives to enamel and dentin after one year of water storage” Clin Oral Investig, 21(5): 1707-1715. 2017.
[37]  Scherrer, S.S., Cesar, P.F., Swain, M.V. “Direct comparison of the bond strength results of the different test methods: a critical literature review” Dent Mater, 26(2). 78-93. 2010.
[38]  De Munck, J., Mine, A., Poitevin, A., Van Ende, A., Cardoso, M.V., Van Landuyt, K.L., Peumans, M., Van Meerbeek, B. “Meta-analytical review of parameters involved in dentin bonding” J Dent Res, 91. 351-357. 2012.