How Er,Cr:YSGG Laser

debond veneers – Unveiling the secret

Ahmed Ibrahim Youssef

 Statement of problem.

Historic Overview & Classification.

Index Er,Cr:YSGG (2780nm) laser. biophysical interaction.

Concept behind veneers debonding. (unveiling the secret).

Literature Review.

Conclusion.
 Removal Or
Replacement of
ALL ceramic
restoration for
various reasons
pulsed
lasers in
dentistry
 HISTORY

01
Daghigh Ahmadi, E., Hafeji, S., Khurshid,
Z., Imran, E., Zafar, M.S., Saeinasab, M.
and Sefat, F., 2022. Biophotonics in
Dentistry. Applied Sciences, 12(9),
p.4254.
Strobl, K., et al., Laser-aided debonding of orthodontic Broome, P., Utilization of an Er, Cr: YSGG laser for the
ceramic brackets. American journal of orthodontics and removal of all-ceramic restorations. Practical procedures
dentofacial orthopedics, 1992. 101(2): p. 152-158. & aesthetic dentistry: PPAD, 2007. 19(1): p. 23.
 Classification

Hard Tissue Laser

Soft Tissue Laser
• Diode 445, 810, • Er,Cr:YSGG

02 940, 960 nm 2780 nm

•
• Nd:YAG 1064 nm • Er:YAG
2940 nm
• CO2 10600 nm
• CO2
9300 nm

Daghigh Ahmadi, E., Hafeji, S., Khurshid, Z., Imran, E., Zafar, M.S., Saeinasab, M. and Sefat, F., 2022. Biophotonics in Dentistry. Applied Sciences, 12(9),
p.4254.
Abdulsamee, N., 2017. Erbium family laser: silent revolution in dentistry, Review. EC
Dental Science, 13, pp.168-190.
Diaci, J. and Gaspirc, B., 2012. Comparison of Er: YAG and Er, Cr: YSGG lasers used in dentistry. J laser health
Acad, 1(1), pp.1-13.
 Er,Cr:YSGG
(2780nm) laser
03 Biophysical
interaction.

Parker, S., Cronshaw, M., Anagnostaki, E., Mylona, V., Lynch, E. and
Grootveld, M., 2020. Current concepts of laser–Oral tissue
interaction. Dentistry journal, 8(3), p.61.
 Depending on optical
properties of tissue ,
laser have four
different interactions
with targeted tissue

Parker, S., Cronshaw, M., Anagnostaki, E., Mylona, V., Lynch, E. and Grootveld, M.,
2020. Current concepts of laser–Oral tissue interaction. Dentistry journal, 8(3), p.61.
 Absorption spectrum
biophysical interaction

Chromophores
of Er,Cr:YSGG
(2780nm)

• H2O (OH- ion)

• Hydroxyapatite

Parker, S., Cronshaw, M., Anagnostaki, E., Mylona, V., Lynch, E. and Grootveld, M.,
2020. Current concepts of laser–Oral tissue interaction. Dentistry journal, 8(3), p.61.
 biophysical interaction
Mechanism of action

Er,Cr:YSGG (2780nm)
laser
Water mediated
thermo-mechanical
ablation

Depth of penetration
In water
2.28 μm

Parker, S., Cronshaw, M., Anagnostaki, E., Mylona, V., Lynch,

E. and Grootveld, M., 2020. Current concepts of laser–Oral
tissue interaction. Dentistry journal, 8(3), p.61.
 biophysical interaction
Selectivity (Transmission capability) 2019
 biophysical interaction
Selectivity (Transmission capability)

2780nm laser
energy can transmit
through plastic cup
material with no
effect on it, then
absorb in the water
droplet.
 biophysical interaction
Selectivity (Transmission capability)

• When Laser is
radiating in the
water filled area.

(Popping sound)

• When Laser is
radiating in the
water free area.

(sound disappears)

So popping sound
represents water
explosions.
 Concept behind veneers
04 debonding
(unveiling the secret)
 Concept behind veneers debonding (unveiling the secret)

Cement ablation Visualization video

1. Putty holding
frame fabrication
 Concept behind veneers debonding (unveiling the secret)

Cement ablation Visualization video

2. Porcelain
etching & silanization
 Concept behind veneers debonding (unveiling the secret)

Cement ablation Visualization video

3. Resin cement
injection and curing
 Concept behind veneers debonding (unveiling the secret)

Cement ablation Visualization video

4. Resin
cement line
 Concept behind veneers debonding (unveiling the secret)

Cement ablation Visualization video

5. Irradiation setup
 Concept behind veneers debonding (unveiling the secret)

Cement ablation Visualization video

 .

05 01

2018
2019

02
03

2021
2022

04
 Er:YAG laser with a non-contact sapphire tip with air-water
spray was used for veneer debonding at 100 mJ of energy
SEM observation confirms that and 30 Hz of frequency
residual tooth structure is not
altered.

Zhang, Y., Rocca, J.P., Fornaini, C., Zhen, Y., Zhao, Z. and Merigo, E., 2018. Erbium-doped, yttrium-aluminum-garnet laser debonding of porcelain laminate veneers: An ex vivo
study. Contemporary Clinical Dentistry, 9(4), p.570.
ALBalkhi, M., Swed, E. and Hamadah, O., 2018. Efficiency of Er: YAG laser in debonding of porcelain laminate veneers by contact and non‐contact laser application modes
(in vitro study). Journal of esthetic and restorative dentistry, 30(3), pp.223-228.
Methodology
The average debonding time was remarkably less in the NCM mode
group (A) than that in the CM mode group (B). Despite the fact that the
average temperature change in the NCM group (A) was higher than that
in group B, it did not exceed a threshold of 5.25°C.
2
0
1
9
For debonding, the Er,Cr:YSGG (2870 nm) laser
with pulse duration of 60 μs was applied to each
specimen at 2.5 W
20
21
Results :
• Er,Cr:YSGG laser has no effect on surface roughness
of laminate veneer after debonding.

• Er,Cr:YSGG laser has no effect on tooth structure

roughness or topography after debonding.

• Er,Cr:YSGG laser has no effect on calcium and

phosphorus content of enamel of tooth structure
after debonding.

• The optimum laser power is 4 Watt. As 2 Watt needs

longer time and 6 Watt caused a burning line in the
veneer in one sample

Sayed, A.S., Elmahallawi, O., Sedky, Y. and Ghanem, L., 2021. The Effect of different power settings of Er, Cr: YSGG Laser on Tooth Structure Chemistry and
Topography and time of Debonding of Laminate Veneers. Journal of Fundamental and Clinical Research, 1(1), pp.17-32.
2
0
2
2
Methodology
Al-Araji, S.I. and Sulaiman, A.R., 2022. The efficiency of ErCr: YSGG laser on the debonding of different thicknesses of ceramic veneers. Brazilian Journal of Oral
Sciences, 21.
 Laser Technique
06 and parameters
 “What we see with our eyes is not all there is to see”

“Repeated experience is necessary to reveal the whole”

Toyohiko hidaka
Laser Technique and parameters
First section
Start water on
Laser Technique and parameters
Second section
Start water off
 Finally Erbium lasers are
07 effective noninvasive tools to
remove all ceramic
restorations.
Thank You