Journals / Meandros Medical And Dental Journal / 2026 / Volume: 27 Issue: 1

The Effect of Laser Irradiation with Different Intensities on the Shear Bond Strength between Mineral Trioxide Aggregate and Glass Ionomer Cement

Farklı Enerji Yoğunluğundaki Lazer Uygulamalarının Mineral Trioksit Agregat ve Cam İyonomer Siman Arasındaki Bağlanmaya Etkisi

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Publication Date
2026-03-24
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Laser treatment with optimized parameters may serve as an effective surface modification method to improve bonding.

📌 3 Key Takeaways

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Objective & Hypothesis:Objectives: This study aimed to evaluate the effects of Erbium, chromium:yttrium-scandium-gallium-garnet (Er,Cr:YSGG) laser irradiation at different energy intensities on the shear bond strength (SBS) between mineral trioxide aggregate (MTA) and glass ionomer cement (GIC).
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Key Findings & Data:Material and Methods: Forty standardized MTA specimens were prepared and stored at 37 °C and 100% humidity for 72 hours.
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Conclusion & Impact:Laser treatment with optimized parameters may serve as an effective surface modification method to improve bonding.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Bioceramic Materials · Surface Modification · ErCr:YSGG Laser

Abstract

Objectives: This study aimed to evaluate the effects of Erbium, chromium:yttrium-scandium-gallium-garnet (Er,Cr:YSGG) laser irradiation at different energy intensities on the shear bond strength (SBS) between mineral trioxide aggregate (MTA) and glass ionomer cement (GIC). Material and Methods: Forty standardized MTA specimens were prepared and stored at 37 °C and 100% humidity for 72 hours. The specimens were randomly divided into four groups (n = 10). The control group received no surface treatment, while the other groups were irradiated with an Er,Cr:YSGG laser at 0.10 W, 0.25 W, or 0.50 W power settings, respectively. Following surface treatment, GIC was applied on all samples in accordance with the manufacturer’s instructions. SBS testing was performed using a universal testing machine at a crosshead speed of 0.5 mm/min until failure occurred. The failure modes were assessed under a stereomicroscope at ×32 magnification, and surface morphology was analyzed using scanning electron microscopy (SEM). Data were statistically analyzed using Welch’s ANOVA followed by Dunnett’s T3 post hoc test with a significance level set at P < 0.05. Results: SBS values differed significantly among groups (Welch ANOVA, p=0.021). The 0.25 W group showed significantly higher SBS than the control, 0.10 W, and 0.50 W groups (Dunnett’s T3, p<0.05). No significant differences were found among the control, 0.10 W, and 0.50 W groups. Conclusions: Er,Cr:YSGG laser irradiation, especially at 0.25 W, enhances the adhesion between MTA and GIC. Laser treatment with optimized parameters may serve as an effective surface modification method to improve bonding.

Özet

Amaç: Bu çalışmanın amacı, farklı enerji şiddetlerinde uygulanan Erbiyum, krom:yitriyum-skandiyum-galyum-garnet (Er,Cr:YSGG) lazer uygulamasının mineral trioksit agregat (MTA) ile cam iyonomer siman (GIC) arasındaki makaslama bağlanma dayanımı (SBS) üzerindeki etkilerini değerlendirmektir. Gereç ve Yöntem: Kırk adet MTA örneği hazırlandı, 72 saat boyunca 37 °C’de ve %100 nemde bekletildi ve rastgele olarak 4 gruba ayrıldı (n = 10). Kontrol grubundaki 10 örneğe herhangi bir işlem uygulanmazken, diğer gruplarda 2.78 µm dalga boyunda farklı enerji şiddetlerine sahip (0.10, 0.25 ve 0.50 W) Er,Cr:YSGG lazer uygulandı. Tüm örneklerin yüzeyine üretici talimatlarına uygun olarak GIC yerleştirildi ve kırılana kadar 0.5 mm/dakika çapraz başlık hızıyla SBS testi uygulandı. Ayırma işleminden sonra MTA-GIC ara yüzeyi ×32 büyütmede stereomikroskop ile incelendi; ayrıca örneklerin yüzey topografisi ve pürüzlülüğü taramalı elektron mikroskobu (SEM) ile değerlendirildi. SBS sonuçları, anlamlılık düzeyi α=0.05 olarak belirlenerek Levene testi sonrasında varyans homojenliği sağlanamadığı için Welch ANOVA ve Dunnett’s T3 post hoc testi ile analiz edildi. Bulgular: Gruplar arasında anlamlı farklılık bulundu (Welch ANOVA, p=0,021). 0,25 W grubu, kontrol, 0,10 W ve 0,50 W gruplarına göre anlamlı derecede daha yüksek SBS değerleri gösterdi (Dunnett’s T3, p<0,05). Kontrol, 0,10 W ve 0,50 W arasında anlamlı fark saptanmadı. Sonuç: MTA üzerine uygulanan 0.25 W lazer ışınımı, GIC’ye olan adezyonu artırabilir. Lazer ışınımı, uygun parametrelerle uygulandığında alternatif bir yüzey işlemi olarak kullanılabilir.

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Cite This Article

Er, K., Kırmalı, Ö., Çınar, S., Çakmak, Y. E., Kustarcı, A. (2026). The Effect of Laser Irradiation with Different Intensities on the Shear Bond Strength between Mineral Trioxide Aggregate and Glass Ionomer Cement. Meandros Medical And Dental Journal, Volume: 27 Issue: 1. https://doi.org/10.69601/meandrosmdj.1746792

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References (35)

  1. Torabinejad M, Chivian N. Clinical applications of mineral trioxide aggregate. J Endod 1999; 25: 197-205.
  2. Torabinejad M, Watson TF, Pitt Ford TR. Sealing ability of a mineral trioxide aggregate when used as a root end filling material. J Endod 1993; 19: 591-5.
  3. Çakmak YE, Erkal D, Er K. Vital pulpa tedavilerinde biyoseramiklerin kullanımı. In: Yiğit Özer SG, editör. Endodontide Biyoseramik. 1. Baskı. Ankara: Türkiye Klinikleri; 2025: 9-24.
  4. Kaur M, Singh H, Dhillon JS, Batra M, Saini M. MTA versus Biodentine: review of literature with a comparative analysis. J Clin Diagn Res 2017; 11: ZG01-5.
  5. Prakash V, Darsini HJ, Karthick A, Venkatesh A, Darsini H. Mineral trioxide aggregate (MTA) - an overview. Eur J Mol Clin Med 2020; 7: 2115-2120.
  6. Çakmak YE, Er K. Clinical Applications of Mineral Trioxide Aggregate in Endodontics: A Case Series. Dentistry Kazakhstan 2024; (3): 4-14.
  7. Leye Benoist F, Gaye Ndiaye F, Kane AW, Benoist HM, Farge P. Evaluation of mineral trioxide aggregate (MTA) versus calcium hydroxide cement (Dycal) in the formation of a dentine bridge: a randomised controlled trial. Int Dent J 2012; 62: 33-9.
  8. Hilton TJ, Ferracane JL, Mancl L. Comparison of CaOH with MTA for direct pulp capping: a PBRN randomized clinical trial. J Dent Res 2013; 92: S16-22.
  9. Taneja S, Singh A. Evaluation of effectiveness of calcium hydroxide and MTA as pulpotomy agents in permanent teeth: a meta-analysis. Pediatric Dent J 2019; 29: 90-6.
  10. Mente J, Hufnagel S, Leo M, Michel A, Gehrig H, Panagidis D, et al. Treatment outcome of mineral trioxide aggregate or calcium hydroxide direct pulp capping: long-term results. J Endod 2014; 40: 1746-51.
  11. Dawood AE, Parashos P, Wong RHK, Reynolds EC, Manton DJ. Calcium silicate-based cements: composition, properties, and clinical applications. J Investig Clin Dent 2017; 8: e12195.
  12. Camilleri J. Staining potential of Neo MTA Plus, MTA Plus, and Biodentine used for pulpotomy procedures. J Endod 2015; 41: 1139-45.
  13. Yesilyurt C, Yildirim T, Taşdemir T, Kusgoz A. Shear bond strength of conventional glass ionomer cements bound to mineral trioxide aggregate. J Endod 2009; 35: 1381-3.
  14. Xavier MT, Costa AL, Ramos JC, Caramês J, Marques D, Martins JNR. Calcium Silicate-Based Cements in Restorative Dentistry: Vital Pulp Therapy Clinical, Radiographic, and Histological Outcomes on Deciduous and Permanent Dentition—A Systematic Review and Meta-Analysis. Materials 2024; 17: 4264.
  15. Tsujimoto M, Tsujimoto Y, Ookubo A, Shiraishi T, Watanabe I, Yamada S, Hayashi Y. Timing for composite resin placement on mineral trioxide aggregate. J Endod. 2013 Sep;39(9):1167-70. doi: 10.1016/j.joen.2013.06.009.
  16. Palma PJ, Marques JA, Falacho RI, Vinagre A, Santos JM, Ramos JC. Does Delayed Restoration Improve Shear Bond Strength of Different Restorative Protocols to Calcium Silicate-Based Cements? Materials 2018; 11: 2216.
  17. Daniele L. Mineral trioxide aggregate (MTA) direct pulp capping: 10 years clinical results. Giornale Italiano di Endodonzia. 2017;31(1):48-57.
  18. Palma PJ, Marques JA, Antunes M, et al. Effect of restorative timing on shear bond strength of composite resin/calcium silicate–based cements adhesive interfaces. Clin Oral Invest 2021; 25: 3131-3139.
  19. Hatipoğlu FP, Hatipoğlu Ö, Taha N, Lehmann AP, Aldhelai TA, Madfa AA, et al. Attitude and practice of regenerative endodontic procedures among endodontists and paediatric dentists: A multinational survey from 13 countries. Int J Paediatr Dent 2023; 33: 521-534.
  20. Yanık D, Er K, Kuştarci A. Shear bond strength of resin-modified glass ionomer cement bound to mineral trioxide aggregate after various disinfection protocols. Aust Endod J 2023; 49: 159-64.
  21. Nandini S, Ballal S, Kandaswamy D. Influence of glass-ionomer cement on the interface and setting reaction of mineral trioxide aggregate when used as a furcal repair material using laser Raman spectroscopic analysis. J Endod 2007; 33: 167-72.
  22. Ballal S, Venkateshbabu N, Nandini S, Kandaswamy D. An in vitro study to assess the setting and surface crazing of conventional glass ionomer cement when layered over partially set mineral trioxide aggregate. J Endod 2008; 34: 478-80.
  23. Dong X, Xu X. Bioceramics in endodontics: updates and future perspectives. Bioengineering (Basel) 2023; 10: 354.
  24. Stringhini Junior E, Dos Santos MGC, Oliveira LB, Mercadé M. MTA and biodentine for primary teeth pulpotomy: a systematic review and meta-analysis of clinical trials. Clin Oral Investig 2019; 23: 1967-1976.
  25. Nicholson JW. Adhesion of glass-ionomer cements to teeth: a review. Int J Adhes Adhes 2016; 69: 33-38.
  26. Zheng B, Cao S, Al-Somairi MAA, He J, Liu Y. Effect of enamel-surface modifications on shear bond strength using different adhesive materials. BMC Oral Health 2022; 22: 224.
  27. Lagunov VL, Rybachuk M, Itthagarun A, Walsh LJ, George R. Modification of dental enamel, dentin by an ultra-fast femtosecond laser irradiation: a systematic review. Optics & Laser Technology. 2022;155:108439.
  28. Kayahan MB, Nekoofar MH, Kazandağ M, Canpolat C, Malkondu O, Kaptan F, et al. Effect of acid‐etching procedure on selected physical properties of mineral trioxide aggregate. Int Endod J 2009; 42: 1004-1014.
  29. Atabek D, Sillelioğlu H, Ölmez A. Bond Strength of Adhesive Systems to Mineral Trioxide Aggregate with Different Time Intervals. J Endod 2012; 38: 1288-1292.
  30. Samimi P, Kazemian M, Shirban F, Alaei S, Khoroushi M. Bond strength of composite resin to white mineral trioxide aggregate: Effect of different surface treatments. J Conserv Dent 2018; 21: 350-353.
  31. Gulati S, Shenoy VU, Margasahayam SV. Comparison of shear bond strength of resin-modified glass ionomer to conditioned and unconditioned mineral trioxide aggregate surface: an in vitro study. J Conserv Dent 2014; 17: 440-443.
  32. Koç C, Aslan B, Ulusoy Z, Oruçoğlu H. Sealing ability of three different materials to repair furcation perforations using computerized fluid filtration method. J Dent Res Dent Clin Dent Prospects 2021; 15: 183-187.
  33. Karabucak B, Li D, Lim J, Iqbal M. Vital pulp therapy with mineral trioxide aggregate. Dent Traumatol 2005; 21: 240-243.
  34. Xavier MT, Costa AL, Caramelo FJ, Palma PJ, Ramos JC. Evaluation of the Interfaces between Restorative and Regenerative Biomaterials Used in Vital Pulp Therapy. Materials 2021; 14: 5055.
  35. Bayrak S, Tunç ESen, Saroğlu I, Eğilmez T. Shear bond strengths of different adhesive systems to white mineral trioxide aggregate. Dent Mater J 2009; 28: 62-67.