Background: Dentin hypersensitivity is a common clinical condition that frequently
develops following tooth preparation, gingival recession, and cervical dentin
exposure. High-power diode lasers have emerged as an effective modality for
dentin desensitization by promoting dentinal tubule occlusion while minimizing
pulpal injury. However, laser-induced morphological alterations may influence
subsequent adhesive procedures, particularly the bonding of resin cements to
dentin. Although previous investigations have evaluated the effect of diode
laser desensitization on bond strength, limited evidence exists regarding the ideal
waiting period between laser treatment and definitive adhesive cementation.
Objective: To evaluate the effect of different time intervals following 980-nm
diode laser desensitization on the shear bond strength of a self-adhesive resin
cement to dentin.
Materials and Methods: Sixty freshly extracted human premolars were
prepared to expose flat coronal dentin surfaces. All specimens received diode
laser desensitization using a 980-nm diode laser at 1.0 W in continuous mode
for 20 seconds. Specimens were randomly allocated into three groups (n = 20)
according to the interval between laser treatment and bonding:
·
Immediate bonding (within 30 minutes)
·
Bonding after one week
·
Bonding after two weeks
RelyX U200 self-adhesive resin cement was
bonded to dentin using standardized cylindrical molds. Shear bond strength
testing was performed using a universal testing machine at a crosshead speed of
1 mm/min. Data were analyzed using SPSS Version 23. Normality was assessed
using the Shapiro-Wilk test. Intergroup comparisons were performed using
non-parametric statistics with statistical significance set at p < 0.05.
Results: The one-week group demonstrated the highest mean shear bond strength
(12.67 ± 3.62 MPa), followed by the two-week group (10.60 ± 5.25 MPa) and the
immediate bonding group (9.93 ± 3.38 MPa). Pairwise comparisons revealed
significantly greater bond strength in the one-week group compared with
immediate bonding, whereas no significant difference was observed between the
immediate and two-week groups. These findings indicate that delaying bonding
for one week after diode laser desensitization provides a more favourable
substrate for resin cement adhesion than immediate or two-week delayed bonding.
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