Since Buonocore, several researchers have been seeking for the best adhesive system and treatment for the enamel and dentin surfaces. The use of the acid has been presented as one of the best techniques of dentin conditioning, because this promotes the removal of the 'smear layer' and exhibition of dentinal structure, for a best penetration and micro-retention of the adhesive system. However, some conditioning methods have been appearing in the literature, for the substitution or interaction with the acid substances, as the laser. The objective of this work is to evaluate the tensile bond strength of the adhesive system 'self-etching' associated to a composed resin, in dentin surfaces conditioned with the Er:YAG laser. For this study, freshly extracted human teeth were used and in each one the dentinal surfaces, which were treated with three sandpapers of different granulations to obtain a standard of the smear layer, before the irradiation of the laser and of the restoring procedure. After these procedures the specimens were storage in distilled water at 37 degrees for 24 hours. Soon after, they were submitted to the tensile strength test. After analyzing the results, we can conclude that the use of the Er:YAG laser can substitute the drill without the need of conditioning, when using the adhesive system 'self etching' in the dentinal surfaces because there was a decline in the strength of adhesion in the groups conditioned with the laser.
The Er:YAG laser has been studied for periodontal therapies, so much for removal of the subgingival calculus and its bactericidal effects. The proposal of this study is to evaluate the effectiveness of the Er:YAG laser in root planning in comparison to the traditional method, not surgical. Six recently extracted due top the disease periodontal, were cut longitudinally tends like this two half of the root. These half were separate in four groups. The first group is the natural tooth, the second group was accomplished to rot planing with Graceycurette. And in the third to Er:YAG laser with a contact tip, using a 45 degree angle in relation to the root; in the fourth group was scraped and planed with Er:YAG laser and complemented rot planing with Graceycurette. The used energy was of 60 to 300mJ and the frequency of 10 Hz accomplished with irrigation. The obtained results were similar in the groups 2 and 3 in comparison to the amount of smear-layer. In group 4 however, better result was obtained, because the image was much more regular and with less amount of smear-layer. The conclusion of the work is that with the association of the Er:YAG laser technique and Graceycurette the results are superior to the conventional treatment.