Laser-assisted debonding of ceramic veneers: A systematic review and meta-analysis.

Autor: Gassara Y; Assistant Professor, Department of Fixed Prosthodontics, Faculty of Dental Medicine, Research Laboratory of Occlusodontics and Ceramic Prostheses, University of Monastir, Monastir, Tunisia. Electronic address: chouchengassarayosra@gmail.com., Ben Mariem A; Graduate student, Dental Clinic of Monastir, University of Monastir, Monastir, Tunisia., Chebil M; Associate Professor, Department of Fixed Prosthodontics, Faculty of Dental Medicine, Research Laboratory of Occlusodontics and Ceramic Prostheses, University of Monastir, Monastir, Tunisia., Kallala R; Assistant Professor, Department of Fixed Prosthodontics, Faculty of Dental Medicine, Research Laboratory of Occlusodontics and Ceramic Prostheses, University of Monastir, Monastir, Tunisia., Nouira Z; Professor, Department of Fixed Prosthodontics, Faculty of Dental Medicine, Research Laboratory of Occlusodontics and Ceramic Prostheses, University of Monastir, Monastir, Tunisia., Saafi J; Professor, Department of Fixed Prosthodontics, Faculty of Dental Medicine, Research Laboratory of Occlusodontics and Ceramic Prostheses, University of Monastir, Monastir, Tunisia., Harzallah B; Professor, Department of Fixed Prosthodontics, Faculty of Dental Medicine, Research Laboratory of Occlusodontics and Ceramic Prostheses, University of Monastir, Monastir, Tunisia., Cherif M; Professor, Department of Fixed Prosthodontics, Faculty of Dental Medicine, Research Laboratory of Occlusodontics and Ceramic Prostheses, University of Monastir, Monastir, Tunisia.
Jazyk: angličtina
Zdroj: The Journal of prosthetic dentistry [J Prosthet Dent] 2024 Jan 13. Date of Electronic Publication: 2024 Jan 13.
DOI: 10.1016/j.prosdent.2023.12.001
Abstrakt: Statement of Problem: The process of removing ceramic veneers is difficult, time consuming, and invasive. However, although lasers should provide a straightforward method for the debonding of ceramic veneers, a systematic review is lacking.
Purpose: The purpose of this systematic review and meta-analysis was to investigate the efficacy of the laser-assisted debonding of ceramic veneers.
Material and Methods: A systematic search was conducted in Medline/PubMed, Cochrane, Scopus, and Web of Science databases. Then, an analysis was performed using the meta-analysis approach to investigate the efficacy of the laser-assisted debonding of ceramic veneers. Quality assessment of the included articles was carried out using the Cochrane Collaboration tool. For the meta-analysis, the RevMan 5.4 software program was used to perform a random-effects model of standardized mean differences with 95% confidence intervals.
Results: A total of 1108 studies were identified, of which 627 studies were selected for title and abstract analysis. The qualitative analysis included 16 studies, of which 3 studies were used in the quantitative synthesis. In the meta-analysis, the shear bond strength of the laser groups was compared with that of the control group. A substantial level of heterogeneity was noted in the included studies (I 2 =67%, P<.001).
Conclusions: The findings suggest that erbium lasers have a significant immediate effect in decreasing the shear bond strength of ceramic veneers. Furthermore, with proper laser settings, veneers can be safely removed without damaging the underlying tooth structure.
(Copyright © 2024 Editorial Council for The Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE
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