Effect of Er:YAG laser surface treatment on surface properties and shear-bond strength of resin-cement to three translucent zirconia: An in-vitro study

Abstract Achieving optimal bonding to translucent zirconia poses certain challenges as there is no consensus on ideal surface treatment method. Therefore, the aim of present investigation is to evaluate effect of Er:YAG laser treatment on wettability, surface roughness and shear-bond strength of three Yttrium oxide-stabilized zirconium-oxide polycrystal translucent zirconias. 120 specimens (n = 40 /zirconia type) were prepared from three commercially-available translucent zirconias (Dentsply Sirona, USA); Translucent, High-Translucent and Ultra-Translucent zirconia. Specimens were sub-divided (n = 20/surface-treatment) into control and Er:YAG laser surface-treated groups. Regarding water wettability test; goniometer was used to measure contact angle before and after laser treatment. Surface roughness was measured using atomic force microscope. For shear-bond strength (SBS) test; the control group was sandblasted. All resin-bonded zirconia specimens were thermocycled for 5000 cycle and subjected to shear force using universal testing machine with 0.5mm/min crosshead-speed. Results were statistically analyzed using two-way-analysis-of- variance ( p ≤ 0.05). There was significant decrease in average contact angles (p-value < 0.001) in all zirconia groups after laser treatment. For roughness test; insignificant difference in average R a in Translucent zirconia group. However, significant increase in mean R a was revealed after laser treatment for High and Ultra-Translucent zirconias. For SBS test, results revealed insignificant difference in average bond strength after laser treatment in Translucent and High-translucent zirconia groups. Significant increase in mean bond strength of Ultra-Translucent zirconia was recorded. Er: YAG laser treatment significantly affected surface properties and shear-bond strength of Ultra-Translucent zirconia. Er:YAG laser irradiation may be a promising zirconia surface treatment method.