Evidence map›Paper›PMID 40422124›Full record

ReviewBiomimetics (Basel, Switzerland)2025

A Narrative Review and Clinical Study on Er:YAG Laser Debonding of Ceramic and Composite Veneers.

Jose Villalobos-Tinoco, Fabio Andretti, Clint Conner, Silvia Rojas-Rueda, Nicholas G Fischer, Margiezel Pagan-Banchs, Carlos A Jurado

Abstract readReview
In one paragraph

Review in Biomimetics (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Jose Villalobos-TinocoDepartment of Restorative Dentistry, Centro de Estudios Odontologicos (CEO), Queretaro 76050, Mexico.
Fabio AndrettiDivision of Operative Dentistry, Department of General Dentistry, Health Science Center, College of Dentistry, The University of Tennessee, Memphis, TN 38163, USA.ORCID 0000-0002-3075-6250
Clint ConnerDivision of Operative Dentistry, Department of General Dentistry, Health Science Center, College of Dentistry, The University of Tennessee, Memphis, TN 38163, USA.
Silvia Rojas-RuedaDivision of Biomaterials, Department of Clinical and Community Sciences, School of Dentistry, The University of Alabama at Birmingham, Birmingham, AL 35233, USA.
Nicholas G FischerMDRCBB, Minnesota Dental Research Center for Biomaterials and Biomechanics, University of Minnesota, Minneapolis, MN 55455, USA.ORCID 0000-0003-2230-5158
Margiezel Pagan-BanchsSchool of Dental Medicine, Ponce Health Sciences University, Ponce 00716, Puerto Rico.
Carlos A JuradoDivision of Operative Dentistry, Department of General Dentistry, Health Science Center, College of Dentistry, The University of Tennessee, Memphis, TN 38163, USA.ORCID 0000-0001-7437-4855

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundComposite resin veneers have gained popularity due to their affordability and minimally invasive application as biomimetic restorations. However, long-term clinical challenges, such as discoloration, wear, and reduced fracture resistance, necessitate their replacement over time. Ceramic veneers, particularly feldspathic and lithium disilicate, offer superior esthetics and durability, as demonstrated by studies showing their high survival rates and enamel-preserving preparation designs. However, while ceramic veneers survive longer than composite resin veneers, ceramic veneers may need to be removed and replaced. Reports vary for using Er:YAG (erbium-doped yttrium aluminum garnet) lasers for the removal of existing veneers.

methodsA review was conducted to evaluate the effectiveness of removing restorative materials with an Er:YAG laser. A clinical study was included, highlighting the conservative removal of aged composite resin veneers using the Er:YAG laser. This method minimizes enamel damage and facilitates efficient debonding. Following laser application, minimally invasive tooth preparation was performed, and feldspathic porcelain veneers were bonded.

resultsThe review showed positive outcomes whenever the Er:YAG laser was used. In the case study, after a 3-year follow-up, the restorations exhibited optimal function and esthetics.

conclusionsLaser-assisted debonding provides a safe and predictable method for replacing failing composite veneers with ceramic alternatives, aligning with contemporary biomimetic principles.

Indexed as

ceramic veneerscomposite resin veneersEr:YAG laserlaser debondingminimally invasive dentistry

Identifiers

PMID40422124
PMCPMC12109528

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.