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

IF 4.8 2区医学 Q1 DENTISTRY, ORAL SURGERY & MEDICINE Journal of Prosthetic Dentistry Pub Date : 2025-10-01 Epub Date: 2024-01-13 DOI:10.1016/j.prosdent.2023.12.001

Yosra Gassara DMD , Ameni Ben Mariem DMD , Mohamed Chebil DMD , Rim Kallala DMD , Zohra Nouira DMD , Jilani Saafi DMD , Belhassen Harzallah DMD , Mounir Cherif DMD

{"title":"Laser-assisted debonding of ceramic veneers: A systematic review and meta-analysis","authors":"Yosra Gassara DMD , Ameni Ben Mariem DMD , Mohamed Chebil DMD , Rim Kallala DMD , Zohra Nouira DMD , Jilani Saafi DMD , Belhassen Harzallah DMD , Mounir Cherif DMD","doi":"10.1016/j.prosdent.2023.12.001","DOIUrl":null,"url":null,"abstract":"<div><h3>Statement of problem</h3><div>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.</div></div><div><h3>Purpose</h3><div>The purpose of this systematic review and meta-analysis was to investigate the efficacy of the laser-assisted debonding of ceramic veneers.</div></div><div><h3>Material and methods</h3><div>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.</div></div><div><h3>Results</h3><div><span>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</span><sup>2</sup>=67%, <em>P</em><.001).</div></div><div><h3>Conclusions</h3><div>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.</div></div>","PeriodicalId":16866,"journal":{"name":"Journal of Prosthetic Dentistry","volume":"134 4","pages":"Pages 1040-1051"},"PeriodicalIF":4.8000,"publicationDate":"2025-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Journal of Prosthetic Dentistry","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0022391323008107","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/13 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"DENTISTRY, ORAL SURGERY & MEDICINE","Score":null,"Total":0}

引用次数: 0

Abstract

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 (I²=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.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

激光辅助陶瓷贴面脱粘：系统回顾与荟萃分析

问题陈述去除陶瓷贴面的过程困难、耗时且具有侵入性。本系统综述和荟萃分析旨在研究激光辅助陶瓷贴面剥离的疗效。材料和方法在 Medline/PubMed、Cochrane、Scopus 和 Web of Science 数据库中进行了系统检索。然后，采用荟萃分析法对陶瓷贴面激光辅助脱粘的疗效进行了分析。使用 Cochrane 协作工具对纳入的文章进行了质量评估。在进行荟萃分析时，使用 RevMan 5.4 软件程序对标准化均值差异和 95% 置信区间进行随机效应模型分析。定性分析包括 16 项研究，其中 3 项用于定量综合分析。在荟萃分析中，对激光组与对照组的剪切粘接强度进行了比较。结论研究结果表明，铒激光对降低陶瓷贴面的剪切粘接强度有显著的立竿见影的效果。此外，通过适当的激光设置，可以安全地去除贴面，而不会损坏下层牙齿结构。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Journal of Prosthetic Dentistry 医学-牙科与口腔外科

CiteScore

7.00

自引率

13.00%

发文量

599

审稿时长

69 days

期刊介绍： The Journal of Prosthetic Dentistry is the leading professional journal devoted exclusively to prosthetic and restorative dentistry. The Journal is the official publication for 24 leading U.S. international prosthodontic organizations. The monthly publication features timely, original peer-reviewed articles on the newest techniques, dental materials, and research findings. The Journal serves prosthodontists and dentists in advanced practice, and features color photos that illustrate many step-by-step procedures. The Journal of Prosthetic Dentistry is included in Index Medicus and CINAHL.