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Muhetaer A, Tang C, Anniwaer A, Yang H, Huang C. Advances in ceramics for tooth repair: From bench to chairside. J Dent 2024; 146:105053. [PMID: 38729288 DOI: 10.1016/j.jdent.2024.105053] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2024] [Revised: 05/02/2024] [Accepted: 05/06/2024] [Indexed: 05/12/2024] Open
Abstract
OBJECTIVES To give a comprehensive review of advancement in dental ceramics, fabrication methods, and the challenges associated with clinical application. DATA, SOURCES AND STUDY SELECTION Researches on chemical composition, biomechanical behaviors, optical properties, bonding strategies and fabrication methods were included. The search of articles was independently conducted by two authors in the PubMed, Scopus, Medline and Web of Science. CONCLUSIONS Dental ceramics have shown significant advancements in terms of esthetics and function. However, improving fracture toughness without compromising optical properties remains a challenge. Repairing fractured zirconia or glass-matrix ceramic prostheses with the same material is difficult due to the sintering process. Developing innovative bonding techniques that provide strong and long-lasting bonding strength between ceramics and tooth structures poses a recurring obstacle. CLINICAL SIGNIFICANCE Despite the emergence of dental ceramics and fabrication techniques, certain limitations such as susceptibility to brittleness and fracture still exist. Therefore, the current review provided valuable information around the advanced dental ceramics in tooth repair. The laboratory test data and the clinical outcome are also presented in details, aiming to guide clinicians in making informed decisions regarding ceramic restorations.
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Affiliation(s)
- Aihemaiti Muhetaer
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, PR China; Department of Prosthodontics, School & Hospital of Stomatology, Wuhan University, Wuhan, PR China
| | - Chuliang Tang
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, PR China; Department of Prosthodontics, School & Hospital of Stomatology, Wuhan University, Wuhan, PR China
| | - Annikaer Anniwaer
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, PR China
| | - Hongye Yang
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, PR China; Department of Prosthodontics, School & Hospital of Stomatology, Wuhan University, Wuhan, PR China.
| | - Cui Huang
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan, PR China; Department of Prosthodontics, School & Hospital of Stomatology, Wuhan University, Wuhan, PR China.
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Nishizawa Y, Komagata Y, Nagamatsu Y, Kawamoto T, Ikeda H. Chemical etching of CAD-CAM glass-ceramic-based materials using fluoride solutions for bonding pretreatment. Dent Mater J 2024:2023-333. [PMID: 38825449 DOI: 10.4012/dmj.2023-333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2024]
Abstract
The surface treatment of glass-ceramic-based materials, namely, lithium disilicate glass (IPS e.max CAD), feldspar porcelain (VITABLOCS Mark II), and a polymer-infiltrated ceramic network (VITA ENAMIC), using aqueous fluoride solutions and their influence on luting agent bonding were investigated. Six experimental aqueous fluoride solutions were applied to these materials, and their effects were assessed by surface topological analysis. The obtained results were compared using non-parametric statistical analyses. Ammonium hydrogen fluoride (AHF) etchant demonstrated the greatest etching effect. Subsequent experiments focused on evaluating different concentrations of the AHF etchant for the bonding pretreatment of glass-ceramic-based materials with a luting agent (PANAVIA V5). AHF, particularly at concentrations above 5 wt%, effectively roughened the surfaces of the materials and improved the bonding performance. Notably, AHF at a concentration of 30 wt% exhibited a more pronounced effect on both etching and bonding capabilities compared to hydrofluoric acid.
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Affiliation(s)
- Yusaku Nishizawa
- Division of Biomaterials, Department of Oral Functions, Kyushu Dental University
- Division of Orofacial Functions and Orthodontics, Department of Health Improvement, Kyushu Dental University
| | - Yuya Komagata
- Division of Biomaterials, Department of Oral Functions, Kyushu Dental University
| | - Yuki Nagamatsu
- Division of Biomaterials, Department of Oral Functions, Kyushu Dental University
| | - Tatsuo Kawamoto
- Division of Orofacial Functions and Orthodontics, Department of Health Improvement, Kyushu Dental University
| | - Hiroshi Ikeda
- Division of Biomaterials, Department of Oral Functions, Kyushu Dental University
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Calixto ET, Kelmer VF, Komegae GH, Pacheco RR, Pini N, Sundfeld D. Influence of Varied Silane Commercial Brands and Adhesive Application on Bond Strength and Stability to Lithium Disilicate Glass Ceramic. Oper Dent 2024; 49:325-335. [PMID: 38632867 DOI: 10.2341/23-124-l] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/05/2023] [Indexed: 04/19/2024]
Abstract
OBJECTIVES This study aimed to evaluate the impact of various commercial silane brands with varied chemical compositions with or without the application of an adhesive layer on the microshear bond strength and durability of a resin luting agent to lithium disilicate glass ceramic. METHODS AND MATERIALS Lithium disilicate glass ceramic discs (EMX, IPS e.max Press, Ivoclar Vivadent) measuring 10 mm in diameter and 3 mm in thickness were fabricated (n=240). Surfaces were etched using 5% hydrofluoric acid and randomly assigned to 10 groups based on the commercial brand of silane used (n=24): [RP] RelyX Ceramic Primer (3M ESPE); [PS] Prosil (FGM); [SA] Silano (Angelus); [SM] Silano (Maquira); [SU] Silane (Ultradent); [GL] GLUMA Ceramic Primer (Kulzer); [CB] Ceramic Bond (VOCO); [MB] Monobond N (Ivoclar Vivadent); [CP] Clearfil Ceramic Primer (Kuraray); and [DE] 2-step silane (Dentsply Sirona). Half of the EMXs (n=12) received a thin adhesive layer (+) after the silane and prior to resin luting agent, while the other half (n=12) did not receive an adhesive layer (-). For the microshear bond strength test (μSBS), four light-cured resin luting agent cylinders (1 mm in diameter) were created on each EMX surface. Half of these specimens were tested after 24 hours, while the other half were stored in deionized water for 6 months. The μSBS test was conducted using a universal testing machine (DL 500, EMIC) at a crosshead speed of 1 mm/min until failure. The obtained data underwent statistical analysis using analysis of variance (ANOVA) and the Tukey test (α=0.05). RESULTS There was significant influence of the silane commercial brand on bond strength. Notably, "universal primers" yielded lower bond strength results compared to "pure" silane solutions. Water storage had a detrimental effect on microshear bond strength for certain silane commercial brands. Additionally, the application of an adhesive layer negatively impacted bond strength results for all silanes. CONCLUSIONS This study confirms the importance of both silane commercial brand and chemical composition in relation to bond strength of resin luting agents to lithium disilicate glass ceramic. Furthermore, the application of an adhesive layer may have an adverse effect on bond stability over time.
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Affiliation(s)
- E T Calixto
- Emerson Tavares Calixto, DDS, MSc student, Ingá University Center, Uningá, Maningá, PR, Brazil
| | - V F Kelmer
- Vinicius Fernandez Kelmer, DDS student, Ingá University Center, Uningá, Maningá, PR, Brazil
| | - G H Komegae
- Gabriely Hikari Komegae, DDS, MSc student, Ingá University Center, Uningá, Maningá, PR, Brazil
| | - R R Pacheco
- Rafael Rocha Pacheco, DDS, MSc, PhD, associate professor and section director of Dental Materials, Department of Restorative Sciences, The Dental College of Georgia at Augusta University, Augusta, GA, USA
| | - Nip Pini
- Nubia Inocencya Pavesi Pini, DDS, MSc, PhD, adjunct professor, School of Dentistry, Department of Restorative Dentistry and Prosthodontics, Ingá University Center, Uningá, Maningá, PR, Brazil
| | - D Sundfeld
- *Daniel Sundfeld, DDS, MSc, PhD, adjunct professor, Department of Restorative Dentistry and Prosthodontics, Ingá University Center, Uningá, Maningá, PR, Brazil
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Floriani F, Abuhammoud S, Rojas-Rueda S, Unnadkat A, Fischer NG, Fu CC, Jurado CA. The Influence of Thickness on Light Transmission for Pre- and Fully Crystallized Chairside CAD/CAM Lithium Disilicate Ceramics. MATERIALS (BASEL, SWITZERLAND) 2024; 17:2045. [PMID: 38730851 PMCID: PMC11084812 DOI: 10.3390/ma17092045] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/18/2024] [Revised: 04/19/2024] [Accepted: 04/22/2024] [Indexed: 05/13/2024]
Abstract
AIM This in vitro study aimed to compare the light-transmission properties of two chairside CAD/CAM lithium disilicate (LD) ceramics (a novel fully crystallized and a traditional pre-crystallized) across varying thicknesses. MATERIALS AND METHODS One hundred flat specimens were obtained from precrystallized (e.max CAD, Ivoclar Vivadent, Schaan, Liechtenstein) and fully crystallized (LiSi GC Block; GC, Tokyo, Japan) LD at five different thicknesses (0.5, 0.75, 1.0, 1.50 and 2.0 mm). All specimens were polished with a polishing system for lithium disilicate restorations following recommendations from the manufacturer. Light transmission was evaluated with a radiometer. The statistical analysis between e.max CAD and LiSi GC Block was performed using a Mann-Whitney test for each thickness at a significance level of 0.05 (p < 0.05), followed by a Kruskal-Wallis test to compare the light transmission between the thicknesses of e.max CAD and LiSi GC Block. RESULTS Light transmittance was significantly affected by ceramic thickness. The 0.5 mm thick specimens exhibited the highest transmittance values compared to all other groups, while a light transmittance of 0.00 was observed in the 2.0 mm thick specimens for both e.max CAD and LiSi GC Block. In the comparison between e.max CAD and LiSi GC Block according to thickness, there was a statistically significant difference exclusively between groups with a thickness of 1.50 mm (p = 0.002). CONCLUSIONS Light transmission for pre- and fully crystallized CAD/CAM lithium disilicate ceramics only showed a statistical difference at the thickness of 1.50 mm (p = 0.002). E.max CAD demonstrated acceptable light transmission up to a thickness of 1.5 mm. CLINICAL SIGNIFICANCE A thickness of 2 mm for chairside CAD/CAM lithium disilicate ceramics, whether pre-crystallized or fully crystallized, necessitates the use of dual-cure resin luting cement due to reduced light transmission.
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Affiliation(s)
- Franciele Floriani
- Department of Prosthodontics, The University of Iowa College of Dentistry and Dental Clinics, Iowa City, IA 52241, USA
| | - Salahaldeen Abuhammoud
- Department of Prosthodontics, The University of Iowa College of Dentistry and Dental Clinics, Iowa City, IA 52241, USA
| | - Silvia Rojas-Rueda
- Division of Dental Biomaterials, The University of Alabama at Birmingham School of Dentistry, Birmingham, AL 35233, USA
| | - Amit Unnadkat
- Division of Operative Dentistry, Department of General Dentistry, University of Tennessee Health Science Center, College of Dentistry, Memphis, TN 38103, USA
| | - Nicholas G. Fischer
- Minnesota Dental Research for Biomaterials and Biomechanics, University of Minnesota School of Dentistry, Minneapolis, MN 55455, USA
| | - Chin-Chuan Fu
- Department of Restorative Sciences, The University of Alabama at Birmingham School of Dentistry, Birmingham, AL 35233, USA
| | - Carlos A. Jurado
- Division of Operative Dentistry, Department of General Dentistry, University of Tennessee Health Science Center, College of Dentistry, Memphis, TN 38103, USA
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Durán Ojeda G, Bresser RA, Wendler M, Gresnigt MMM. Ceramic partial laminate veneers in anterior teeth: A literature review. J Prosthodont Res 2024; 68:246-254. [PMID: 37648480 DOI: 10.2186/jpr.jpr_d_23_00090] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 09/01/2023]
Abstract
STUDY SELECTION Partial laminate veneers, defined as small ceramic restorations adhesively luted onto unprepared anterior teeth, are an interesting and conservative alternative to conventional ceramic and composite resin veneers in the anterior region. This literature review aimed to summarize the available laboratory and clinical data on ceramic partial laminate veneers. An electronic search of the MEDLINE/PubMed, EBSCO, and Web of Science databases was conducted. The keywords used were "partial veneer," "partial laminate veneer," "ceramic fragment," and "sectional veneer." The Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines were followed. The risk of bias in the included studies was assessed using the QUIN tool. RESULTS Of the 266 identified articles, only 16 met the inclusion criteria (ten clinical reports, five laboratory studies, and one retrospective clinical study). To date, no randomized controlled clinical trials have been conducted. Most laboratory studies displayed a low risk of bias, with partial laminate veneers rendering adequate strength and color stability. Clinical reports have shown large variability in material selection, luting, and finishing/polishing protocols. CONCLUSIONS Low-quality evidence is available for ceramic partial laminate veneers. Available data from laboratory studies suggest good mechanical and optical performances comparable to those of conventional ceramic and composite resin veneers. Further clinical studies with longer follow-up periods are warranted.
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Affiliation(s)
- Gerardo Durán Ojeda
- University Medical Center Groningen, Department of Restorative Dentistry, Center for Dentistry and Oral Hygiene, University of Groningen, Groningen, The Netherlands
- Facultad de Ciencias de la Salud, Universidad Arturo Prat, Iquique, Chile
| | - Rijkje A Bresser
- University Medical Center Groningen, Department of Restorative Dentistry, Center for Dentistry and Oral Hygiene, University of Groningen, Groningen, The Netherlands
| | - Michael Wendler
- Department of Restorative Dentistry, Faculty of Dentistry, University of Concepción, Concepción, Chile
| | - Marco M M Gresnigt
- University Medical Center Groningen, Department of Restorative Dentistry, Center for Dentistry and Oral Hygiene, University of Groningen, Groningen, The Netherlands
- Facultad de Ciencias de la Salud, Universidad Arturo Prat, Iquique, Chile
- Martini Hospital, Department of Special Dental Care, Groningen, The Netherlands
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Pilecco RO, Machry RV, Ribeiro VF, Dal Piva AMDO, Tribst JPM, Kleverlaan CJ, Moraes RR, Pereira GKR. Impact of try-in paste removal on the fatigue behavior of bonded lithium disilicate ceramics. J Mech Behav Biomed Mater 2024; 151:106394. [PMID: 38218045 DOI: 10.1016/j.jmbbm.2024.106394] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2023] [Revised: 01/06/2024] [Accepted: 01/07/2024] [Indexed: 01/15/2024]
Abstract
This in vitro study assessed the effectiveness of three cleaning protocols (air-water spray, 37% phosphoric acid, or Ivoclean) on lithium disilicate restorations' fatigue behavior after try-in paste application, compared to a clean condition. Lithium disilicate discs (IPS e.max CAD, Ivoclar) with Ø-= 12 mm and 1 mm thickness were prepared from prefabricated CAD-CAM blocks, polished, subjected to CAD-CAM milling topography simulation and crystallization. After, etching with 5% hydrofluoric acid and the application of try-in paste (Variolink try-in paste shade white; load of 2.5 N for 5 min) was performed. Discs that received try-in paste were divided into three groups according to the removal protocol: SPRAY - air-water spray for 30 s; HPO - active application of 37% phosphoric acid for 60 s; IVOC - application of Ivoclean for 20 s. Control group (CTRL group) did not receive the try-in paste application. Half of the specimens (n= 15) were tested in the baseline condition (24 h up to 7 days), and the others underwent 25,000 thermal cycles (5 - 55 °C) + 210 days of distilled water storage (37 °C). Additional specimens (n= 3) underwent monotonic testing (1 mm/min). Fatigue testing involved a cyclic fatigue approach (20 Hz, initial load = 100 N - 5000 cycles, step size = 50 N - 10,000 cycles) until a visible crack appeared. Fractographic and topographic analyses were performed. Fatigue data were statistically analyzed with two-way ANOVA, Kaplan-Meier log-rank (Mantel-Cox), and independent t-test (α= 0.05). In the baseline condition, the IVOC group resulted in a superior fatigue behavior compared to the CTRL and SPRAY groups, but similar to the HPO group. The HPO and SPRAY presented a similar fatigue behavior to the CTRL group. It was noticed a decrease in fatigue behavior after aging, which resulted in all the cleaning protocols leading to similar fatigue behavior compared to the CTRL group. On the SPRAY group surface, try-in pastes remnants were noticed. In summary, despite a detrimental impact at baseline conditions, all tested cleaning protocols seem proper to remove the try-in paste from the ceramic's surface in the long-term evaluation.
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Affiliation(s)
- Rafaela Oliveira Pilecco
- Post-Graduate Program in Oral Sciences, Center for Development of Advanced Materials, Division of Prosthodontics-Biomaterials, Universidade Federal de Santa Maria (UFSM), Santa Maria, RS, Brazil.
| | - Renan Vaz Machry
- Post-Graduate Program in Oral Sciences, Center for Development of Advanced Materials, Division of Prosthodontics-Biomaterials, Universidade Federal de Santa Maria (UFSM), Santa Maria, RS, Brazil.
| | | | - Amanda Maria de Oliveira Dal Piva
- Department of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam en Vrije Universiteit, Amsterdam, the Netherlands.
| | - João Paulo Mendes Tribst
- Department of Reconstructive Oral Care, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam en Vrije Universiteit, Amsterdam, the Netherlands.
| | - Cornelis Johannes Kleverlaan
- Department of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam en Vrije Universiteit, Amsterdam, the Netherlands.
| | - Rafael R Moraes
- Graduate Program in Dentistry, Universidade Federal de Pelotas (UFPel), Pelotas, RS, Brazil.
| | - Gabriel Kalil Rocha Pereira
- Post-Graduate Program in Oral Sciences, Center for Development of Advanced Materials, Division of Prosthodontics-Biomaterials, Universidade Federal de Santa Maria (UFSM), Santa Maria, RS, Brazil.
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Abo-Alazm EAE, Abdou A, Hassouneh L, Safy RK. Reliability of an Innovative Slab Shear versus Microtensile Bond Strength Test: Mechanical and Finite Element Analysis. Eur J Dent 2024; 18:182-195. [PMID: 37059444 PMCID: PMC10959604 DOI: 10.1055/s-0043-1763498] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 04/16/2023] Open
Abstract
OBJECTIVE The aim of this study was to evaluate the efficiency of slab shear bond strength test (Slab_SBS) versus the microtensile in evaluation of the bond strength of different substrates. MATERIALS AND METHODS Forty-eight extracted caries-free human third molars were utilized for teeth specimens' preparation. After flattening of all molars' occlusal table, the specimens were divided into two groups based on the type of utilized restorative material: nanohybrid resin composite and resin-modified glass ionomer (RMGI). Each group was further subdivided into three subgroups according to the subsequently applied bond strength test and specimen width; microtensile bond strength test (μTBS), Slab_SBS [2 mm] and Slab_SBS [3 mm]. Both testing methods were additionally applied on CAD/CAM specimens, nanohybrid resin composite blocks (composite-to-composite), and ceramic blocks (ceramic-to-ceramic). CAD/CAM specimens were prepared and cemented and then sectioned and subdivided as followed for teeth specimens' preparation. Pretest failures (PTF), bond strength, and failure mode of each specimen were recorded. Representative three-dimensional (3D) finite element analysis (FEA) models were developed to simulate μTBS and Slab_SBS specimens. Data were statistically analyzed using Shapiro-Wilk test and Weibull analysis. RESULTS Pretest failures were only noted in the μTBS subgroups. Slab_SBS provided comparable bond strength to the μTBS of all substrates with adhesive mode of failure. CONCLUSION Slab_SBS is easier to prepare with consistent and predictable outcome with no pretest failures during specimen preparation and better stress distribution.
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Affiliation(s)
| | - Ahmed Abdou
- Department of Prosthetic Dentistry, Biomaterials Division, Faculty of Dentistry, King Salman International University, El Tur, South Sinai, Egypt
| | - Layla Hassouneh
- Department of Conservative Dentistry, Jordan University of Science and Technology, Ar-Ramtha, Jordan
| | - Rehab Khalil Safy
- Department of Conservative Dentistry, Suez Canal University, Ismailia Governorate, Egypt
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AlHelal AA. Biomechanical behavior of all-ceramic endocrowns fabricated using CAD/CAM: A systematic review. J Prosthodont Res 2024; 68:50-62. [PMID: 37286503 DOI: 10.2186/jpr.jpr_d_22_00296] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
PURPOSE This study performed a systematic review to assess the biomechanical behavior of all-ceramic endowcrowns fabricated using computer-aided design and computer-aided manufacturing (CAD/CAM) for the restoration of endodontically treated teeth. STUDY SELECTION Three electronic databases (PubMed, Web of Science, and Scopus) were searched by operators specializing in health sciences databases searches to answer the following focused question based on the Population, Intervention, Comparison, Outcome (PICO) format: "Whether all-ceramic CAD/CAM endocrowns (Intervention) used to restore human endodontically treated teeth (Population) exhibit superior fracture resistance (Outcome) compared to non-CAD/CAM all-ceramic or non-ceramic endocrowns (Comparison)." The methodological quality assessment was performed using previously conducted systematic reviews of in vitro studies. The outcomes were expressed as the mean ± the standard deviation (SD). RESULTS Seventeen in vitro studies were included. The materials used in these studies were lithium disilicate glass-ceramic, polymer-infiltrated ceramic, zirconia-reinforced lithium silicate glass-ceramic, resin/hybrid nanoceramics, zirconia-reinforced lithium silicate ceramics, and feldspathic ceramic. The fracture resistance of endocrowns using different ceramics varied as follows: (i) IPS e.max CAD (2863.62 ± 51.47 N), (ii) Vita Enamic (1952 ± 378 N), (iii) Vita Suprinity (1859 ± 588 N), (iv) Cerasmart (1981 ± 169.5 N), (v) LAVA Ultimate (2484 ± 464 N), (vi) Celtra Duo (1618.30 ± 585.00 N), and (vii) Cerec Blocs (236.29 ± 32.12 N). CONCLUSIONS CAD/CAM all-ceramic endocrowns can withstand occlusal forces in the posterior region. All-ceramic endocrowns improve the fracture strength of endodontically treated teeth. Lithium disilicate crowns were commonly and successfully used in the included studies. More in vitro investigations that implement uniformity in material and measurement approaches are required to strengthen the evidence currently available in the literature regarding the durability of all-ceramic endocrowns.
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Affiliation(s)
- Abdulaziz A AlHelal
- Department of Prosthetic Dental Sciences, King Saud University, College of Dentistry, Riyadh, Saudi Arabia
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Maqbool B, Rego HMC, Santos GC, Ari N, Santos MJMC. Effect of different surface treatment protocols on the bond strength between lithium disilicate and resin cements. Odontology 2024; 112:74-82. [PMID: 37036616 DOI: 10.1007/s10266-023-00809-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2022] [Accepted: 03/24/2023] [Indexed: 04/11/2023]
Abstract
Because the use of hydrofluoric acid (HF) poses health risks if handled improperly, many clinicians prefer to have the ceramic restorations pre-etched in dental laboratories. However, during the try-in procedure, the pre-etched glass-ceramic restorations may be contaminated with saliva resulting in reduced bond strength. This in-vitro study aimed to investigate the effect of different surface treatments on the bond strength of lithium disilicate (LD) glass-ceramic restorations (IPS e.max Press, Ivoclar Vivadent) to two resin cements. One-hundred eighty blocks (4X4X3mm) of LD glass-ceramic were divided into twelve groups (n = 15), of which six received Variolink Esthetic DC (VE) cement and six received RelyX Ultimate (RU) cement, following the surface treatments: G1) Control: Hydrofluoric Acid + Silane (HF + Sil); G2) Hydrofluoric Acid + Saliva + Silane (HF + S + Sil); G3) Hydrofluoric Acid + Saliva + Ivoclean + Silane (HF + S + IC + Sil); G4) Hydrofluoric Acid + Saliva + Phosphoric Acid + Silane (HF + S + P + Sil); G5) Hydrofluoric Acid + Saliva + Monobond Etch & Prime (HF + S + EP); G6) Monobond Etch & Prime (EP). Following treatment, a resin-cement cylinder (2.3 mm diameter) was built on the glass-ceramic surface, photocured (20 s), stored in distilled water (37 °C, 24 h) and submitted to the shear bond strength test. Bond strength data (MPa) were subjected to two-way ANOVA and Tukey (α = 0.01). Cement type and surface treatment had a significant effect on the bond strength (p < 0.001) (Table 4). Single-step Monobond Etch & Prime (EP) significantly improved the bond strength of resin-cements to glass-ceramic with and without saliva contamination.
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Affiliation(s)
- Bilal Maqbool
- Schulich Medicine and Dentistry, Western University, London, ON, Canada
| | - Heleine Maria Chagas Rego
- Department of Restorative Dentistry, Schulich Medicine and Dentistry, Western University, DSB, London, ON, N6A 5C1, Canada
| | - Gildo Coelho Santos
- Department of Restorative Dentistry, Schulich Medicine and Dentistry, Western University, DSB, London, ON, N6A 5C1, Canada
| | - Nilgun Ari
- Department of Restorative Dentistry, Schulich Medicine and Dentistry, Western University, London, ON, Canada
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10
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Awad MM, Alhalabi F, Alanazi AA, Alanazi AA, Alshahrani GA, Fu C, Albaijan RS, Alkattan R, Fawzy AS. "No-Primer" Resin Cementation of Lithium Disilicate Ceramic: A Microtensile Bond Strength Evaluation. MATERIALS (BASEL, SWITZERLAND) 2023; 17:137. [PMID: 38203993 PMCID: PMC10779915 DOI: 10.3390/ma17010137] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/23/2023] [Revised: 12/18/2023] [Accepted: 12/22/2023] [Indexed: 01/12/2024]
Abstract
OBJECTIVE The objective of this study was to evaluate the resin-ceramic adhesion of a long-carbon-chain silane (LCSI)-containing resin cement. METHODS Polished lithium disilicate ceramic discs were etched with hydrofluoric acid and randomly assigned into four groups; (PSAP), cemented using a silane-free resin cement with no prior priming; (PSAP-S), primed using a silane-containing primer before cementation using a silane-free resin cement; (PSAU), cemented using a LCSI-containing resin cement with no prior priming; (PSAU-S), primed as for the group (PSAP-S) and cemented using a LCSI-containing resin cement. The cemented blocks were sectioned into microbeams. The resin-ceramic microtensile bond strength (μTBS) was measured at 1 week and after thermocycling. The failure modes of the tested microbeams were evaluated. RESULTS The μTBS of the LCSI-containing and silane-free resin cements, either with or without a prior priming step, did not significantly differ. The adhesion of the LCSI-containing resin cement to lithium disilicate ceramic, either with or without a prior priming step, did not significantly deteriorate after artificial aging. CONCLUSIONS The long-carbon-chain silane (LCSI) monomer incorporated in the resin cement eliminated the need for a silane priming step of a hydrofluoric acid-etched lithium disilicate ceramic.
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Affiliation(s)
- Mohamed M. Awad
- UWA Dental School, University of Western Australia, 17 Monash Avenue, Nedlands, WA 6009, Australia; (C.F.) (A.S.F.)
| | - Feras Alhalabi
- Department of Conservative Dental Sciences, College of Dentistry, Prince Sattam Bin Abdulaziz University, Al-Kharj 11942, Saudi Arabia
| | - Abdulaziz Abdullah Alanazi
- College of Dentistry, Prince Sattam Bin Abdulaziz University, Al-Kharj 11942, Saudi Arabia; (A.A.A.); (A.A.A.); (G.A.A.)
| | - Abdulaziz Ali Alanazi
- College of Dentistry, Prince Sattam Bin Abdulaziz University, Al-Kharj 11942, Saudi Arabia; (A.A.A.); (A.A.A.); (G.A.A.)
| | - Ghanem Abdullah Alshahrani
- College of Dentistry, Prince Sattam Bin Abdulaziz University, Al-Kharj 11942, Saudi Arabia; (A.A.A.); (A.A.A.); (G.A.A.)
| | - Cheryl Fu
- UWA Dental School, University of Western Australia, 17 Monash Avenue, Nedlands, WA 6009, Australia; (C.F.) (A.S.F.)
| | - Refal Saad Albaijan
- Department of Prosthetic Dental Sciences, College of Dentistry, Prince Sattam Bin Abdulaziz University, Al-Kharj 11942, Saudi Arabia;
| | - Rana Alkattan
- Restorative and Prosthetic Dental Sciences, College of Dentistry, King Saud Bin Abdulaziz University for Health Sciences, Riyadh 11545, Saudi Arabia;
- King Abdullah International Medical Research Center, Ministry of National Guard Health Affairs, Riyadh 11545, Saudi Arabia
| | - Amr S. Fawzy
- UWA Dental School, University of Western Australia, 17 Monash Avenue, Nedlands, WA 6009, Australia; (C.F.) (A.S.F.)
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Pilecco RO, da Rosa LS, Pereira GKR, Tribst JPM, May LG, Valandro LF. The loss of resin cement adhesion to ceramic influences the fatigue behavior of bonded lithium disilicate restorations. J Mech Behav Biomed Mater 2023; 148:106169. [PMID: 37837872 DOI: 10.1016/j.jmbbm.2023.106169] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/01/2023] [Revised: 10/06/2023] [Accepted: 10/06/2023] [Indexed: 10/16/2023]
Abstract
When partial and/or non-retentive preparation, such as those for occlusal veneers, is indicated, a proper and stable adhesion is essential. Therefore, the aim of this in vitro study was to evaluate the effect of loss of adhesion in different regions of the bonding interface on the fatigue behavior of simplified lithium disilicate restorations. For this, lithium disilicate (IPS e.max CAD) discs (1 mm thick and Ø = 10 mm) were fabricated, polished with #400-, #600-, #1200-grit silicon carbide (SiC) papers, and crystallized. As substrate, fiber-reinforced resin epoxy discs (2.5 mm thick and Ø = 10 mm) were fabricated and polished with #600-grit SiC paper. The ceramic bonding surface was treated with 5% hydrofluoric acid and a silane-containing primer (Monobond N), while the substrate was etched with 10% hydrofluoric acid followed by the application of the bonding system primers (Primer A + B). A lacquer (nail polish) was used to simulate the loss of adhesion in specific areas according to the study design to compose the testing groups: bonded (control; did not received nail polish application); - non-bonded (loss of adhesion in the whole specimen area); - margin (loss of adhesion in the ceramic margin); - center (loss of adhesion in the ceramic central area). The adhesive area of partially bonded groups was 50% of the adhesive surface. Then, the discs (n = 12) were bonded to the respective substrate using a resin cement (Multilink N), light-cured, water-stored for 90 days, and subjected to thermocycling (25,000 cycles, 5° to 55 °C) before testing. A cyclic fatigue test was run (20 Hz, initial load of 200 N for 5000 cycles, 50 N step size for 10,000 cycles each until specimen failure), and the fatigue failure load and number of cycles for failure were recorded. As complementary analysis, finite element analysis (FEA) and scanning electron microscopy analysis were performed. Kaplan-Meier log-rank (Mantel-Cox) was conducted for survival analysis. The results showed that as the loss of adhesion reaches the central area, the worse is the fatigue behavior and the higher is the stress peak concentration in the ceramic bonding surface. The bonded specimens presented better fatigue behavior and stress distribution compared to the others. In conclusion in a non-retentive preparation situation, proper adhesion is a must for the restoration fatigue behavior even after aging; while the loss of adhesion reaches central areas the mechanical functioning is compromised.
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Affiliation(s)
- Rafaela Oliveira Pilecco
- Post-Graduate Program in Oral Sciences, Center for Development of Advanced Materials, Division of Prosthodontics-Biomaterials, Federal University of Santa Maria (UFSM), Santa Maria, Brazil.
| | - Lucas Saldanha da Rosa
- Post-Graduate Program in Oral Sciences, Center for Development of Advanced Materials, Division of Prosthodontics-Biomaterials, Federal University of Santa Maria (UFSM), Santa Maria, Brazil.
| | - Gabriel Kalil Rocha Pereira
- Post-Graduate Program in Oral Sciences, Center for Development of Advanced Materials, Division of Prosthodontics-Biomaterials, Federal University of Santa Maria (UFSM), Santa Maria, Brazil.
| | - João Paulo Mendes Tribst
- Department of Reconstructive Oral Care, Academic Centre for Dentistry Amsterdam (ACTA), University of Amsterdam, the Netherlands.
| | - Liliana Gressler May
- Post-Graduate Program in Oral Sciences, Center for Development of Advanced Materials, Division of Prosthodontics-Biomaterials, Federal University of Santa Maria (UFSM), Santa Maria, Brazil.
| | - Luiz Felipe Valandro
- Post-Graduate Program in Oral Sciences, Center for Development of Advanced Materials, Division of Prosthodontics-Biomaterials, Federal University of Santa Maria (UFSM), Santa Maria, Brazil.
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12
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Dos Santos D, Pacheco RR, Komegae GH, da Silva JA, Lima D, Pini N, Sundfeld D. Effects of Hydrofluoric Acid Concentrations, Commercial Brands, and Adhesive Application on the Bond Strength of a Resin Luting Agent to Lithium Disilicate Glass Ceramic. Oper Dent 2023; 48:700-710. [PMID: 37881098 DOI: 10.2341/23-034-l] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 06/19/2023] [Indexed: 10/27/2023]
Abstract
OBJECTIVES To evaluate the surface topography/roughness and bond strength of a resin luting agent to a lithium disilicate glass ceramic after etching with different concentrations of hydrofluoric acid (HF) and commercial brands. METHODS For bond strength evaluation, 260 lithium disilicate glass ceramic (EMX) discs were randomly distributed into 13 groups based on concentrations of HF and commercial brands (n=20): 5% and 10%, Lysanda (LY5 and LY10); 5% and 10%, Maquira (MA5 and MA10); 5% and 10%, FGM (FG5 and FG10); 4.8%, Ivoclar Vivadent (IV5); 5% and 10%, PHS do Brasil (PH5 and PH10); 5% and 10%, BM4 (BM5 and BM10); 9%, Ultradent Inc (UL10); and Dentsply (DE10). A further random distribution (n=10) was made based on the application (+) or absence (-) of an adhesive layer. Resin luting agent cylinders (1 mm in diameter) were added on EMX surfaces, light-cured, and stored for 24 hours in deionized water at 37°C. On a universal testing machine (DL 500, EMIC), specimens were submitted to a microshear bond strength test at a crosshead speed of 1 mm/min until failure. A representative etched EMX disc from each group underwent surface topography analysis using field-emission scanning electron microscopy (n=1), and five (n=5) etched EMX discs from each group were tested for surface roughness. Data were statistically analyzed using analysis of variance and Tukey test (α=0.05). RESULTS A less conditioned and smoother surface was observed for 5% HF compared to 10%. Additionally, commercial brands of HF were shown to affect bond strength. When the adhesive layer was not used (-), a 10% concentration promoted higher bond strengths to EMX. However, when adhesive was applied (+), the concentrations of HF and commercial brands had no effect on bond strength results. CONCLUSIONS A 10% concentration of HF results in higher bond strength than a 5% concentration. If an adhesive layer is applied, neither this distinction nor the influence of commercial brands is observed.
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Affiliation(s)
- Drc Dos Santos
- Diogo Robert Claudino dos Santos, DDS, MSc student, Department of Restorative Dentistry and Prosthodontics, Ingá University Center - UNINGÁ, Maringá, PR, Brazil
| | - R R Pacheco
- Rafael Rocha Pacheco, DDS, MSc, PhD, associate professor, Department of Restorative Sciences, Dental College of Georgia - Augusta University, Augusta, GA, USA
| | - G H Komegae
- Gabriely Hikari Komegae, DDS student, School of Dentistry, Ingá University Center - UNINGÁ, Maringá, PR, Brazil
| | - J A da Silva
- Juliana Andrade da Silva, DDS, MSc, PhD student, Department of Restorative Dentistry, Piracicaba School of Dentistry, University of Campinas - UNICAMP, Piracicaba, SP, Brazil
| | - Danl Lima
- Debora Alves Nunes Leite Lima, DDS, MSc, PhD, professor, Department of Restorative Dentistry, Piracicaba School of Dentistry, University of Campinas - UNICAMP, Piracicaba, SP, Brazil
| | - Nip Pini
- Nubia Inocêncya Pavesi Pini, DDS, MSc, PhD, adjunct professor, Department of Restorative Dentistry and Prosthodontics, Ingá University Center - UNINGÁ, Maringá, PR, Brazil
| | - D Sundfeld
- *Daniel Sundfeld, DDS, MSc, PhD, adjunct professor, Department of Restorative Dentistry and Prosthodontics, Ingá University Center - UNINGÁ, Maringá, PR, Brazil
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13
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Adak IO, Aguloglu S, Adak BM, Sari I. Comparison of the translucency parameters and bond strength of 5Y-ZP zirconia, 3-YTZP zirconia, and lithium disilicate. Niger J Clin Pract 2023; 26:1491-1497. [PMID: 37929525 DOI: 10.4103/njcp.njcp_91_23] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2023]
Abstract
Background E-max is a more aesthetic material than traditional zirconia. In addition, the bond strength of traditional zirconia with adhesive cements is lower. There are not enough studies on how the aesthetic values and bond strength of 5-YZP, the new generation zirconia, compare to e-max and traditional zirconia. Can 5-YZP be an alternative to e-max in terms of aesthetics and bond strength? Aim The aim of the study is to compare the translucency property and bonding ability of 5y-zp zirconias with previous generation zirconias and lithium disilicate. Materials and Methods Two types of zirconia Katana UT and Katana HT for measuring translucency values; and using a type of lithium disilicate IPS e.max CAD LT, three groups were formed (n = 10). Translucency specimens were fabricated (n = 10). Their L*a*b* values were measured against a black-and-white background with a spectrophotometer, and DE00 was calculated. To perform micro-shear tests, a cylinder design was made from zirconia and IPS e.max CAD blocks (n = 20). After the samples were aged by thermal cycle, the micro-shear test was applied to specimens cemented to teeth extracted with two different adhesive cement systems. Results According to the results of one-way analysis of variance, a statistically significant difference was found between the translucency parameter (TP) values of the groups. According to Tukey's honestly significant difference (HSD) multiple comparisons, the values of the three groups are statistically different from each other. Although IPS e.max CAD group has the highest TP values, the Katana HT group has the lowest values. Conclusion 5Y-PZ has a TP intermediate to those of 3Y-TZP and lithium disilicate. Long-term bond strength of 3Y-TZP and 5Y-ZP were similar to those of lithium disilicate. To be an alternative to glass ceramics in the anterior region, translucency and bond strength values need to be improved.
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Affiliation(s)
- I Ozkan Adak
- Department of Prosthetic Dentistry, Izmir Katip Celebi University, Izmir, Turkey
| | - S Aguloglu
- Department of Prosthetic Dentistry, Izmir Katip Celebi University, Izmir, Turkey
| | - B M Adak
- Deparment of Oral and Maxillofacial Surgery, Izmir Katip Celebi University, Izmir, Turkey
| | - I Sari
- Department of Prosthetic Dentistry, Izmir Katip Celebi University, Izmir, Turkey
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14
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Deng J, Jin C, Zhu L, Liu L, Huang Y, Zhao P, Gao S. Effects of Different Primers on the Bond Strength to Properly and Excessively Etched Ceramic-coated Zirconia. Oper Dent 2023; 48:552-563. [PMID: 37482890 DOI: 10.2341/22-122-l] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/18/2023] [Indexed: 07/25/2023]
Abstract
PURPOSE To determine the effects of various primers on the immediate and long-term bond strength of ceramic-coated ultratranslucent zirconia that is properly or excessively etched. METHODS AND MATERIALS Ceramic-coated zirconia plates were etched with 9.5% hydrofluoric acid (HF) for 2 or 5 minutes, after which the surface morphology and elemental composition were examined. The etched specimens were treated with different primers including methacryloyloxydecyl dihydrogen phosphate (MDP)-only containing primer, silane-only containing primer, MDP and silane-containing ceramic primer as well as MDP and silane-containing adhesive system. For surface contact angle and shear bond strength (SBS) data, the difference between groups was evaluated by one-way analysis of variance (ANOVA) and three-way ANOVA factorial analysis, respectively. The statistical significance level of 0.05 was set and the Tukey test and the Dunnett-T3 test were used for post-hoc multiple comparisons. RESULTS Excessive etching (9.5% HF for 5 minutes) led to overconsumption of the glass layer and exposure of zirconia substrate compared to proper etching (9.5% HF for 2 minutes). Among different primers, the surface contact angle of the silane-only containing primer group was the lowest. The silane-only containing primer and MDP and silane-containing ceramic primer produced higher shear bond strength of properly and excessively etched ceramic-coated zirconia, respectively, both before and after thermal aging. CONCLUSIONS The silane-only containing primer and MDP and silane-containing primer can obtain better immediate and long-term shear bond strength for properly and excessively etched ceramic-coated zirconia, respectively.
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Affiliation(s)
- J Deng
- Jiuhong Deng, postgraduate, State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China
| | - C Jin
- Chunxiao Jin, postgraduate, State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China
| | - L Zhu
- Liqing Zhu, postgraduate, State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China
| | - L Liu
- Liren Liu, postgraduate, State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China
| | - Y Huang
- Yun Huang, postgraduate, State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China
| | - P Zhao
- Peng Zhao, postgraduate, State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China
| | - S Gao
- *Shanshan Gao, DDS, associate professor, State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University, Chengdu, PR China
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15
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Yiğit E, Güngör Erdoğan H, Eyüboğlu TF, Özcan M. Effect of Various Beverages on Adhesion of Repaired CAD/CAM Restorative Materials. J Funct Biomater 2023; 14:380. [PMID: 37504875 PMCID: PMC10381350 DOI: 10.3390/jfb14070380] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2023] [Revised: 07/16/2023] [Accepted: 07/17/2023] [Indexed: 07/29/2023] Open
Abstract
(1) Background: The purpose of this study was to determine the effect of commonly consumed beverages on the bond strength of three different computer-aided design-computer-aided manufacturing (CAD/CAM) resin-ceramic hybrid materials repaired with resin-based composite (RBC) materials. (2) Materials and Methods: Rectangular prism specimens (N = 138) measuring 6 mm × 5 mm × 2 mm were obtained from GC Cerasmart (GC), Lava Ultimate (LU), and Vita Enamic (VE) blocks. These blocks were polished and then subjected to thermal cycling (10,000 cycles, 5 °C to 55 °C). After the surface treatment was applied, the average surface roughness value was measured. All the surfaces were repaired with RBC. Thermal cycling was performed for the second time. Each group was then distributed into three subgroups according to the beverage used: tea (t), cola (c), and distilled water (0) (n = 15). The specimens were stored in these solutions for 28 days and then subjected to the shear bond strength (SBS) test. Statistical analysis was performed using a two-way ANOVA test with Bonferroni adjustment. (3) Results: The surface roughness of the materials presented no significant difference after different surface treatments (p > 0.05). No significant difference was observed among the materials (p > 0.05). Tea and cola presented similar SBS values (p > 0.05). Both were significantly lower than distilled water (p < 0.001, p < 0.001, respectively). (4) Conclusions: Consumption of beverages reduces the bond strength in surfaces repaired with RBC to CAD/CAM resin-ceramic hybrid materials. (5) Clinical Significance: Repairing damaged resin matrix dental restorations with RBC is advantageous in terms of time and cost by achieving adequate bond strengths. Frequently consumed beverages reduce the bond strength of repaired CAD/CAM resin-ceramic hybrid materials.
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Affiliation(s)
- Elif Yiğit
- Department of Prosthodontics, Faculty of Dentistry, University of Karabük, Karabük 78050, Türkiye
| | - Hamiyet Güngör Erdoğan
- Department of Prosthodontics, Faculty of Dentistry, Lokman Hekim University, Ankara 06510, Türkiye
| | - Tan Fırat Eyüboğlu
- Department of Endodontics, Faculty of Dentistry, Istanbul Medipol University, Istanbul 34083, Türkiye
| | - Mutlu Özcan
- Clinic of Masticatory Disorders and Dental Biomaterials, Center of Dental Medicine, University of Zurich, CH-8032 Zurich, Switzerland
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16
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Fuchs F, Westerhove SM, Schmohl L, Koenig A, Suharbiansah RSR, Hahnel S, Rauch A. Influence of the Application Time of Silane for the Bonding Performance between Feldspar or Lithium Disilicate Ceramics and Luting Resin Composites. J Funct Biomater 2023; 14:jfb14040231. [PMID: 37103321 PMCID: PMC10143910 DOI: 10.3390/jfb14040231] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/06/2023] [Revised: 04/11/2023] [Accepted: 04/14/2023] [Indexed: 04/28/2023] Open
Abstract
A correct silanization time is essential for successful surface functionalization and sufficient bonding to dental ceramics. The shear bond strength (SBS) of lithium disilicate (LDS) and feldspar (FSC) ceramics and luting resin composite was investigated with respect to different silanization times, taking into account the physical properties of the individual surfaces. The SBS test was performed with a universal testing machine, and the fracture surfaces were evaluated by stereomicroscopy. The surface roughness of the prepared specimens was analyzed after etching. Changes in surface properties due to surface functionalization were evaluated by surface free energy (SFE) via contact angle measurement. Fourier transform infrared spectroscopy (FTIR) was used to determine the chemical binding. The roughness and SBS of the control group (no silane, etched) were higher for FSC than for LDS. Regarding the SFE, the dispersive fraction increased and the polar fraction decreased after silanization. FTIR confirmed the presence of silane on the surfaces. The SBS of LDS showed a significant increase from 5 to 15 s, depending on the silane and luting resin composite. For FSC, cohesive failure was observed for all samples. For LDS specimens, a silane application time of 15 to 60 s is recommended. Based on clinical conditions, no difference between the silanization times was observed for FSC specimens, indicating that etching alone produces sufficient bonding.
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Affiliation(s)
- Florian Fuchs
- Department of Prosthetic Dentistry and Material Science, Leipzig University, 04109 Leipzig, Germany
| | - Sina Maria Westerhove
- Department of Prosthetic Dentistry and Material Science, Leipzig University, 04109 Leipzig, Germany
| | - Leonie Schmohl
- Department of Prosthetic Dentistry and Material Science, Leipzig University, 04109 Leipzig, Germany
| | - Andreas Koenig
- Department of Prosthetic Dentistry and Material Science, Leipzig University, 04109 Leipzig, Germany
| | | | - Sebastian Hahnel
- Department of Prosthetic Dentistry and Material Science, Leipzig University, 04109 Leipzig, Germany
- Department of Dental Prosthetics, UKR University Hospital Regensburg, 93053 Regensburg, Germany
| | - Angelika Rauch
- Department of Prosthetic Dentistry and Material Science, Leipzig University, 04109 Leipzig, Germany
- Department of Dental Prosthetics, UKR University Hospital Regensburg, 93053 Regensburg, Germany
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17
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Uğur M, Kavut İ, Tanrıkut ÖO, Cengiz Ö. Effect of ceramic primers with different chemical contents on the shear bond strength of CAD/CAM ceramics with resin cement after thermal ageing. BMC Oral Health 2023; 23:210. [PMID: 37041493 PMCID: PMC10091622 DOI: 10.1186/s12903-023-02909-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/23/2022] [Accepted: 03/24/2023] [Indexed: 04/13/2023] Open
Abstract
BACKGROUND This study evaluated the effect of ceramic primers containing 10-methacryloyloxydecyl phosphate (10-MDP) and γ-methacryloxypropyl trimethoxysilane (γ-MPTS) agents on the shear bond strength (SBS) of CAD/CAM ceramics with different chemical structures and resin cement. METHODS A total of 640 CAD/CAM ceramic specimens were obtained from Vita Mark II (VM), IPS E.max CAD (EM), Vita Suprinity (VS) and Vita Enamic (VE). The specimens were divided into two groups: etched with hydrofluoric acid (HF) and unetched. Each group was treated with a different ceramic primer (Clearfil Ceramic Primer Plus, G-Multi Primer and Monobond S), except for an untreated group (n = 10). After ceramic primers and resin cement were applied to each ceramic surface, half of the specimens were thermally aged at 10,000 cycles, 5-55 ± 1 °C, with a dwell time of 30 s. The SBS was tested with a universal testing machine at a 0.5 mm/min crosshead speed. Data were analysed by using statistical software (SPSS 20). Normal data distribution was checked with the Shapiro‒Wilk test. Three-way ANOVA was used to analyse the difference between the numeric data of the HF etched and thermally aged groups. A post hoc Tukey test was applied in the paired comparison of significant difference. The statistical significance level was accepted as p < 0.05. RESULTS The highest SBS values were obtained in the HF etched G-Multi primer applied nonaged EM group (28.3 ± 2.62 MPa), while the lowest values were obtained in the nonetched and thermally aged EM group that received no treatment (2.86 ± 0.04 Mpa). The SBS significantly increased in all specimens on which the ceramic primer was applied (p < 0.001). Thermal ageing had a significant negative effect on the SBS values in all groups (p < 0.001). CONCLUSION The positive combined effects of the 10-MDP and γ-MPTS agents resulted in a significant increase in the bonding strength of the resin cement to the CAD/CAM ceramics. In addition, the increase in the amount of inorganic filler provided a favourable effect on durable adhesion.
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Affiliation(s)
- Mehmet Uğur
- Department of Prosthodontics, Faculty of Dentistry, Van Yuzuncu Yil University, Van, Turkey
| | - İdris Kavut
- Department of Prosthodontics, Faculty of Dentistry, Van Yuzuncu Yil University, Van, Turkey.
| | - Özgür Ozan Tanrıkut
- Department of Prosthodontics, Faculty of Dentistry, Mersin University, Mersin, Turkey
| | - Önder Cengiz
- Gungoren Oral and Dental Health Center, Istanbul, Turkey
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18
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Sağlam G, Cengiz S, Köroğlu A, Şahin O, Velioğlu N. Comparison of the Micro-Shear Bond Strength of Resin Cements to CAD/CAM Glass Ceramics with Various Surface Treatments. MATERIALS (BASEL, SWITZERLAND) 2023; 16:2635. [PMID: 37048927 PMCID: PMC10095943 DOI: 10.3390/ma16072635] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 02/10/2023] [Revised: 03/15/2023] [Accepted: 03/24/2023] [Indexed: 06/19/2023]
Abstract
This study aimed to compare the effect of acid etching, sandblasting, or silica coating on the micro-shear bond strength of dual-cured resin cements to computer-aided design and computer-aided manufacturing (CAD/CAM) glass ceramic materials. Feldspathic, lithium disilicate, and zirconia-reinforced CAD/CAM ceramics were divided into four groups: control group (C), no surface treatment; hydrofluoric (HF) group, 5% HF acid-etched; sandblasting (SB) group, abraded with 50 µm aluminum oxide (Al2O3) particles; silica-coated (CJ) group, abraded with 30 µm silica-modified Al2O3 particles. Roughness values were obtained by using a profilometer. The cements were condensed on the surface-treated specimens and a micro-shear bond test was conducted. The ceramic material (p < 0.001) and surface treatment type (p < 0.001) significantly affected the micro-shear bond strength values. HF acid etching can be recommended for the surface pretreatment of feldspathic, lithium disilicate, and zirconia-reinforced CAD/CAM ceramics. Better bond strengths can be obtained with HF acid etching than with sandblasting and silica coating.
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Affiliation(s)
- Gaye Sağlam
- Department of Prosthodontics, Faculty of Dentistry, Zonguldak Bülent Ecevit University, Zonguldak 67600, Turkey
| | - Seda Cengiz
- Department of Prosthodontics, Faculty of Dentistry, Zonguldak Bülent Ecevit University, Zonguldak 67600, Turkey
| | - Ayşegül Köroğlu
- Department of Prosthodontics, Faculty of Dentistry, Zonguldak Bülent Ecevit University, Zonguldak 67600, Turkey
| | - Onur Şahin
- Department of Prosthodontics, DCT Clinic, Antalya 07000, Turkey
| | - Neslin Velioğlu
- Department of Prosthodontics, Navadent Oral and Dental Health Policlinic, Zonguldak 67000, Turkey
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19
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Mert Eren M, Celebi AT, İçer E, Baykasoğlu C, Mugan A, Yücel T, Yıldız E. Biomechanical Behavior Evaluation of Resin Cement with Different Elastic Modulus on Porcelain Laminate Veneer Restorations Using Micro-CT-Based Finite Element Analysis. MATERIALS (BASEL, SWITZERLAND) 2023; 16:2378. [PMID: 36984260 PMCID: PMC10054651 DOI: 10.3390/ma16062378] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/30/2023] [Revised: 03/02/2023] [Accepted: 03/10/2023] [Indexed: 06/18/2023]
Abstract
The aim of this study is to evaluate the biomechanical behavior of the porcelain laminate veneer restorations (PLV) of the maxillary central incisor luted with two types of resin cements having different incisal preparations: butt joint and palatal chamfer. Biomechanical analyses were performed using the micro-CT-based finite element models, and von Mises stress and strain values of the PLV, resin cement, adhesive layer, and tooth structure were computed. The PLV with butt joint preparation showed larger stress values than those of restored with palatal chamfer preparation, regardless of the elasticity of the cement and loading conditions. An increase in the elasticity modulus of the resin cement induced slightly larger stresses on the adhesive layer, tooth tissues, and restorative materials. Overall, this study demonstrates the role of the preparation design and luting materials on the mechanical behavior of the PLV restorations and discusses the potential failure mechanisms of the PLV restorations under different loading mechanisms.
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Affiliation(s)
- Meltem Mert Eren
- Department of Restorative Dentistry, Faculty of Dentistry, Altınbas University, 34147 Istanbul, Türkiye
| | - Alper Tunga Celebi
- Institute of Applied Physics, Vienna University of Technology, 1040 Vienna, Austria
| | - Esra İçer
- Department of Informatics, Technische Universität München, 85748 Garching, Germany
| | - Cengiz Baykasoğlu
- Faculty of Engineering Mechanical Engineering Department, Hitit University, 19030 Çorum, Türkiye
| | - Ata Mugan
- Mechanical Engineering Department, Faculty of Mechanical Engineering, Istanbul Technical University, 34437 Istanbul, Türkiye
| | - Taner Yücel
- Department of Restorative Dentistry, Faculty of Dentistry, Istanbul University, 34116 Istanbul, Türkiye
| | - Esra Yıldız
- Department of Restorative Dentistry, Faculty of Dentistry, Istanbul University, 34116 Istanbul, Türkiye
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Dapieve KS, Velho HC, da Rosa LS, Pivetta JP, Maidana FC, Venturini AB, Kleverlaan CJ, Pereira GKR, Valandro LF. Ceramic surface conditioning, resin cement viscosity, and aging relationships affect the load-bearing capacity under fatigue of bonded glass-ceramics. J Mech Behav Biomed Mater 2023; 139:105667. [PMID: 36657192 DOI: 10.1016/j.jmbbm.2023.105667] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/11/2022] [Revised: 01/03/2023] [Accepted: 01/05/2023] [Indexed: 01/09/2023]
Abstract
This study aimed to evaluate the influence of ceramic surface treatments, resin cement viscosities, and storage regimens on the fatigue performance of bonded glass-ceramics (lithium disilicate, LD; feldspathic, FEL). Ceramic discs (Ø = 10 mm; thickness = 1.5 mm) were allocated into eight groups per ceramic (n = 15), considering three factors: "ceramic surface treatment" in two levels - 5% hydrofluoric acid etching and silane-based coupling agent application (HF), or self-etching ceramic primer (E&P); "resin cement viscosity" in two levels - in high or low viscosity; and "storage regimen" in two levels - baseline, 24 h to 5 days; or aging, 180 days + 25,000 thermal cycles. Adhesive luting was performed onto glass fiber-reinforced epoxy resin discs (Ø = 10 mm; thickness = 2 mm) and the bonded assemblies were subjected to cyclic fatigue tests: initial load = 200 N; step-size = 25 N (FEL) and 50 N (LD); 10,000 cycles/step; 20 Hz. Scanning electron microscopy (SEM) inspections were performed. Regarding the LD ceramic, the fatigue behavior was reduced after aging for HF_HIGH and E&P_LOW conditions, while stable performance was observed for HF_LOW and E&P_HIGH. Regarding the FEL results, aging negatively affected HF_HIGH, E&P_HIGH, and E&P_LOW, being that only the HF_LOW condition presented a stable behavior. The failure initiated from defects on the etched surface of the ceramics, where the cross-sectional analysis commonly revealed unfilled areas. Long-term aging might induce a decrease in mechanical behavior. The 'ceramic microstructure/surface conditioning/resin cement viscosity relationships' modulate the fatigue performance of lithium disilicate and feldspathic glass-ceramics.
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Affiliation(s)
- Kiara Serafini Dapieve
- Post-Graduate Program in Oral Sciences, Prosthetic Dentistry Unit, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Helder Callegaro Velho
- Post-Graduate Program in Oral Sciences, Prosthetic Dentistry Unit, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Lucas Saldanha da Rosa
- Post-Graduate Program in Oral Sciences, Prosthetic Dentistry Unit, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Jordana Pavanelo Pivetta
- Post-Graduate Program in Oral Sciences, Prosthetic Dentistry Unit, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Fernanda Cocco Maidana
- Post-Graduate Program in Oral Sciences, Prosthetic Dentistry Unit, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Andressa Borin Venturini
- Post-Graduate Program in Oral Sciences, Prosthetic Dentistry Unit, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Cornelis Johannes Kleverlaan
- Department of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, Amsterdam, North-Holland, the Netherlands.
| | - Gabriel Kalil Rocha Pereira
- Post-Graduate Program in Oral Sciences, Prosthetic Dentistry Unit, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Luiz Felipe Valandro
- Post-Graduate Program in Oral Sciences, Prosthetic Dentistry Unit, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
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Irie M, Okada M, Maruo Y, Nishigawa G, Matsumoto T. Shear Bond Strength of Resin Luting Materials to Lithium Disilicate Ceramic: Correlation between Flexural Strength and Modulus of Elasticity. Polymers (Basel) 2023; 15:polym15051128. [PMID: 36904369 PMCID: PMC10006982 DOI: 10.3390/polym15051128] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/20/2023] [Revised: 02/16/2023] [Accepted: 02/16/2023] [Indexed: 02/26/2023] Open
Abstract
This study investigates the effect of the curing mode (dual-cure vs. self-cure) of resin cements (four self-adhesive and seven conventional cements) on their flexural strength and flexural modulus of elasticity, alongside their shear bond strength to lithium disilicate ceramics (LDS). The study aims to determine the relationship between the bond strength and LDS, and the flexural strength and flexural modulus of elasticity of resin cements. Twelve conventional or adhesive and self-adhesive resin cements were tested. The manufacturer's recommended pretreating agents were used where indicated. The shear bond strengths to LDS and the flexural strength and flexural modulus of elasticity of the cement were measured immediately after setting, after one day of storage in distilled water at 37 °C, and after 20,000 thermocycles (TC 20k). The relationship between the bond strength to LDS, flexural strength, and flexural modulus of elasticity of resin cements was investigated using a multiple linear regression analysis. For all resin cements, the shear bond strength, flexural strength, and flexural modulus of elasticity were lowest immediately after setting. A clear and significant difference between dual-curing and self-curing modes was observed in all resin cements immediately after setting, except for ResiCem EX. Regardless of the difference of the core-mode condition of all resin cements, flexural strengths were correlated with the LDS surface upon shear bond strengths (R2 = 0.24, n = 69, p < 0.001) and the flexural modulus of elasticity was correlated with them (R2 = 0.14, n = 69, p < 0.001). Multiple linear regression analyses revealed that the shear bond strength was 17.877 + 0.166, the flexural strength was 0.643, and the flexural modulus was (R2 = 0.51, n = 69, p < 0.001). The flexural strength or flexural modulus of elasticity may be used to predict the bond strength of resin cements to LDS.
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Affiliation(s)
- Masao Irie
- Department of Biomaterials, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science, 2-5-1 Shikata-cho, Okayama 700-8525, Japan
- Correspondence: ; Tel.: +81-86-235-6668
| | - Masahiro Okada
- Department of Biomaterials, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science, 2-5-1 Shikata-cho, Okayama 700-8525, Japan
| | - Yukinori Maruo
- Department of Prosthodontics, Division of Dentistry, Okayama University, 2-5-1 Shikata-cho, Okayama 700-8525, Japan
| | - Goro Nishigawa
- Department of Prosthodontics, Division of Dentistry, Okayama University, 2-5-1 Shikata-cho, Okayama 700-8525, Japan
| | - Takuya Matsumoto
- Department of Biomaterials, Okayama University Graduate School of Medicine, Dentistry and Pharmaceutical Science, 2-5-1 Shikata-cho, Okayama 700-8525, Japan
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22
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da Rosa LS, Velho HC, Tribst JPM, Valandro LF, Kleverlaan CJ, Pereira GKR. Weak adhesion between ceramic and resin cement impairs the load-bearing capacity under fatigue of lithium disilicate glass-ceramic crowns. J Mech Behav Biomed Mater 2023; 138:105604. [PMID: 36509013 DOI: 10.1016/j.jmbbm.2022.105604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Revised: 11/28/2022] [Accepted: 12/01/2022] [Indexed: 12/12/2022]
Abstract
OBJECTIVE To evaluate the fatigue behavior of lithium disilicate crowns with a simplified anatomy against progressive cement/ceramic debonding scenarios. MATERIALS AND METHODS Lithium disilicate crowns were fabricated via CAD/CAM and luted onto a dentin analogue material using resin cement following the manufacturer's instructions. Then, the different crown regions were isolated with paraffin oil for the absence of chemical adhesion according to four experimental groups (n = 15): Shoulder; Shoulder + Axial; Fully isolated; and Control (no insulation/fully bonded). Load to failure tests (n = 3) were run to determine cyclic fatigue parameters, and the specimens were subsequently submitted to a cyclic fatigue test (n = 12) (initial load 200 N for 5000 cycles, step 100 N, 15,000 cycles/step, frequency 20 Hz) until cracks were observed, and later fracture. The data were analyzed by Kaplan-Meier + Mantel-Cox post-hoc tests for both outcomes (cracks and fracture). Fractographic, cross-sectional surface, and finite element (FEA) analyzes were performed. RESULTS When it comes to crack occurrence when the chemical adhesion to the occlusal surface is compromised, there is worsening (p < 0.05) in fatigue behavior compared to groups where the occlusal portion of the crown is still bonded. Considering fracture occurrence, there was no difference (p > 0.05) among the tested groups. All cracks occurred in the occlusal portion, first as a radial crack at the ceramic intaglio surface, and posteriorly unleashing a Hertzian cone crack at the top surface, resulting in fractures on the frontal walls. The interface analysis showed no interference of the insulating agent. FEA showed that as the isolated areas increased, there was also an increase in both tensile and shear stresses concentration in the crown and in the cement layer. CONCLUSION The chemical adhesion between cement and ceramic is essential for better fatigue behavior of lithium disilicate crowns with a simplified anatomy, especially in the occlusal portion, but the restoration performance is impaired when such adhesion is compromised. There is an increase in crown and cement stress concentration with the progressive loss of chemical bonding of the crown's walls.
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Affiliation(s)
- Lucas Saldanha da Rosa
- MSciD and PhD Post-Graduate Program in Oral Sciences, Federal University of Santa Maria (UFSM), Santa Maria, RS, Brazil.
| | - Helder Callegaro Velho
- MSciD and PhD Post-Graduate Program in Oral Sciences, Federal University of Santa Maria (UFSM), Santa Maria, RS, Brazil.
| | - João Paulo Mendes Tribst
- Academic Centre for Dentistry Amsterdam (ACTA), Department of Oral Regenerative Medicine, University of Amsterdam and Vrije Universiteit Amsterdam, 1081 LA, Amsterdam, the Netherlands.
| | - Luiz Felipe Valandro
- MSciD and PhD Post-Graduate Program in Oral Sciences, Federal University of Santa Maria (UFSM), Santa Maria, RS, Brazil.
| | - Cornelis Johannes Kleverlaan
- Academic Centre for Dentistry Amsterdam (ACTA), Department of Dental Material Sciences, University of Amsterdam and Vrije Universiteit Amsterdam, 1081 LA, Amsterdam, the Netherlands.
| | - Gabriel Kalil Rocha Pereira
- MSciD and PhD Post-Graduate Program in Oral Sciences, Federal University of Santa Maria (UFSM), Santa Maria, RS, Brazil.
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Venturini AB, Dapieve KS, de Kok P, Pereira GKR, Valandro LF, Kleverlaan CJ. Effect of the region of the CAD/CAM block on the flexural strength and structural reliability of restorative materials. J Mech Behav Biomed Mater 2023; 138:105597. [PMID: 36459706 DOI: 10.1016/j.jmbbm.2022.105597] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2022] [Revised: 11/20/2022] [Accepted: 11/22/2022] [Indexed: 11/25/2022]
Abstract
The aim of the study was to evaluate whether the region (internal or external) of the CAD/CAM block influences the mechanical performance of restorative materials. Blocks of different CAD/CAM materials (Composites: KAV - Katana Avencia; LULT - LULT Ultimate; Ceramics: ENAM - Vita Enamic; NICE - N!CE; EMP - IPS Empress CAD; VMII - Vita Mark II; EMAX - IPS e.max CAD) were selected, and direct resin composite blocks (APX - Clearfil AP-X; FSUP - Filtek Supreme) were built using the incremental technique on a mold from one of the CAD/CAM blocks. All blocks were sectioned into bar-shaped specimens (1 × 1 × 14 mm), which were separated into two groups according to the region of the block (inside or outside). 3-point bending tests were performed following ISO 6872:2015 and flexural strength data were analyzed using one-way ANOVA and Bonferroni post-hoc tests (p < 0.05). Weibull module and characteristic strength were also calculated. In general, the mean flexural strength values were not statistically different (p > 0.05) between the inside and outside regions of each material, except for LULT (inside > outside) and EMAX (outside > inside). Comparing the materials, a similar strength (only discrete variations) was observed for inside, outside or merged (inside and outside data assembled together) regions: EMAX > KAV = LULT > NICE = APX > EMP = ENAM = VMII ≥ FSUP (merged condition). Characteristic strength at 63.2% failure probability and at 5% failure probability generally corroborates such observations. There were no statistical differences for Weibull module data (inside, outside, or merged), except for KAV and NICE (outside > inside). Thus, the region from where the restoration is milled within the CAD/CAM block generally does not influence the mechanical performance hereof (flexural strength, failure probability, risk of premature failures, and mechanical reliability) of the material, except for LULT and EMAX.
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Affiliation(s)
- Andressa Borin Venturini
- Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Kiara Serafini Dapieve
- Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Paul de Kok
- Department of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, Amsterdam, Noord-Holland, the Netherlands.
| | - Gabriel Kalil Rocha Pereira
- Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Luiz Felipe Valandro
- Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Cornelis Johannes Kleverlaan
- Department of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, Amsterdam, Noord-Holland, the Netherlands.
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A brief review on fatigue test of ceramic and some related matters in Dentistry. J Mech Behav Biomed Mater 2023; 138:105607. [PMID: 36549251 DOI: 10.1016/j.jmbbm.2022.105607] [Citation(s) in RCA: 8] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2022] [Revised: 11/28/2022] [Accepted: 12/05/2022] [Indexed: 12/12/2022]
Abstract
The characteristics of dental ceramics have been extensively studied over the years to provide highly qualified materials for use in prosthetic restorations. The ability to adhere to dental substrates, outstanding aesthetics (translucency, color, and substrate masking ability) and improved mechanical properties provide these materials with optical features and high strength to withstand masticatory stimuli. Different classifications are adopted, and it is generally considered that glass-ceramics have better optical characteristics due to the high glass content, and polycrystalline ceramics have superior strength favored by their densified and organized crystals, hampering crack growth. This knowledge was largely built-up during years of scientific research through different testing methodologies, but mainly employing static loads. It is important to not only take into account the intensity of loads that these materials will be exposed to, but also the effect of the intermittence of cyclic load application leading to mechanical fatigue and the influence of factors related to the crack origin and their propagation under this condition. Furthermore, the bonding surface of ceramic restorations requires surface treatments that improve the bond strength to luting agents; however, these treatments require caution because of their potential to produce defects and affect the structural behavior. Moreover, ceramic restorations often require internal adjustments for proper seating or external adjustments for fitting the occlusal contact with the antagonist. In this sense, finishing/polishing protocols may alter the defect population, as luting agents may also interact by filling in the superficial defects on the restoration intaglio surface. Thus, the balance among all these factors will define the performance of a restorative setup, as well as the posterior exposure to the humid environment and the masticatory stimuli (cyclical loading), which may favor developing slow and subcritical growth of cracks in ceramic materials and the degradation of the bond interface. Therefore, it is essential that the concepts which explain the fatigue mechanism are understood, as well as the crack propagation and failure patterns of restorative ceramic materials.
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Komagata Y, Ikeda H, Yano HT, Nagamatsu Y, Masaki C, Hosokawa R, Shimizu H. Influence of the thickening agent contained in a phosphoric acid etchant on bonding between feldspar porcelain and resin cement with a silane coupling agent. Dent Mater J 2023. [PMID: 36709988 DOI: 10.4012/dmj.2022-176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/28/2023]
Abstract
Phosphoric acid (PA) etchants are widely used for the bonding pretreatment of teeth; however, their influences on the bonding between glass-ceramics and resin cement have not been clarified yet. This study investigated the effect of a thickening agent on the bonding strength between feldspar porcelain treated with a PA etchant and resin cement with a silane coupling agent. The experiments were performed using two PA etchants: commercial one and prepared one consisting a PA aqueous solution and poly(ethylene glycol) thickening agent. The samples were evaluated by shear bond strength testing, scanning electron microscopy, and Fourier-transform infrared spectroscopy. The obtained results revealed that the thickening agent adhered to the porcelain surface and inhibited cement bonding. Meanwhile, PA remained on the surface due to the presence of the thickening agent and activated the silane coupling agent. Overall, the PA etchant did not improve the bond durability.
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Affiliation(s)
- Yuya Komagata
- Division of Biomaterials, Department of Oral Functions, Kyushu Dental University
| | - Hiroshi Ikeda
- Division of Biomaterials, Department of Oral Functions, Kyushu Dental University
| | - Haruka Takasue Yano
- Division of Biomaterials, Department of Oral Functions, Kyushu Dental University.,Division of Oral Reconstruction and Rehabilitation, Department of Oral Functions, Kyushu Dental University
| | - Yuki Nagamatsu
- Division of Biomaterials, Department of Oral Functions, Kyushu Dental University
| | - Chihiro Masaki
- Division of Oral Reconstruction and Rehabilitation, Department of Oral Functions, Kyushu Dental University
| | - Ryuji Hosokawa
- Division of Oral Reconstruction and Rehabilitation, Department of Oral Functions, Kyushu Dental University
| | - Hiroshi Shimizu
- Division of Biomaterials, Department of Oral Functions, Kyushu Dental University.,Fukuoka Dental College
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26
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Komagata Y, Ikeda H, Fujio Y, Nagamatsu Y, Shimizu H. Effect of phosphoric acid and sodium hydroxide on cleaning and bonding of saliva-contaminated feldspar porcelain. J Prosthodont Res 2023; 67:132-137. [PMID: 35431286 DOI: 10.2186/jpr.jpr_d_21_00326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/12/2023]
Abstract
Purpose Hydrofluoric acid has been used to remove salivary contamination in dental glass-ceramics before bonding treatment. However, alternative methods are required because hydrofluoric acid is harmful. This study examined the cleaning effects of phosphoric acid and sodium hydroxide on glass-ceramics for bonding pre-treatment.Methods Feldspar porcelain was divided into four groups: (C) cleaned porcelain without any contamination, (S) porcelain contaminated with saliva, (SPA) porcelain cleaned with 37% phosphoric acid after saliva contamination, and (SSH) porcelain cleaned with 10% sodium hydroxide after saliva contamination. Each sample was bonded to the resin cement using a silane-containing primer. They were then subjected to a shear bond strength (SBS) test. Each surface was analyzed by scanning electron microscopy (SEM), contact angle measurements, and Fourier transform infrared spectroscopy (FT-IR).Results The SBS of group SSH was comparable to that of group C but significantly higher than that of groups S and SPA. SEM observations showed that saliva-like structures remained on the samples of groups S and SPA, but not on the SSH group. The contact angles of groups C and SSH were comparable and significantly smaller than those of groups S and SPA, respectively. FT-IR analysis also revealed saliva in groups S and SPA, which was absent in the SSH group.Conclusions The saliva remained on the porcelain even after cleaning with phosphoric acid, and SBS was not restored to the same level as before the contamination. In contrast, sodium hydroxide eliminated saliva and restored SBS to the same level as before contamination.
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Affiliation(s)
- Yuya Komagata
- Division of Biomaterials, Department of Oral Functions, Kyushu Dental University, Fukuoka, Japan
| | - Hiroshi Ikeda
- Division of Biomaterials, Department of Oral Functions, Kyushu Dental University, Fukuoka, Japan
| | - Yuki Fujio
- Sensing System Research Center, National Institute of Advanced Industrial Science and Technology (AIST), Saga, Japan
| | - Yuki Nagamatsu
- Division of Biomaterials, Department of Oral Functions, Kyushu Dental University, Fukuoka, Japan
| | - Hiroshi Shimizu
- Division of Biomaterials, Department of Oral Functions, Kyushu Dental University, Fukuoka, Japan
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27
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Alhomuod M, Phark JH, Duarte S. Bond strength to different CAD/CAM lithium disilicate reinforced ceramics. J ESTHET RESTOR DENT 2023; 35:129-137. [PMID: 36424883 DOI: 10.1111/jerd.12984] [Citation(s) in RCA: 5] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2022] [Revised: 11/08/2022] [Accepted: 11/11/2022] [Indexed: 11/27/2022]
Abstract
OBJECTIVE To evaluate the microstructure and the influence of applying universal adhesive only versus universal adhesive with additional silane application on shear bond strength (SBS) to four different lithium disilicate ceramic (LDC) materials. MATERIAL AND METHODS Specimens (n = 240, 1.5 mm thick) cut from four different CAD/CAM materials were polished and etched with 4.5% hydrofluoric (HF) acid according to manufacturers' instructions (20 s: IPS e.max CAD, n!ce; 30 s: Amber Mill, CEREC Tessera). For cementation, either universal adhesive only or silane + universal adhesive were applied before prefabricated composite cylinders were cemented using a dual-cure resin cement. SBS testing was performed either after 24 h or after 20,000 cycles thermocycling +2 months water storage. Surfaces were analyzed with stereomicroscope for failure mode and with scanning-electron microscopy for microstructure of the LDC. Statistical analysis of the data was performed with non-parametric tests at α = 0.001. RESULT SBS values for non-aged specimens ranged from 29.08 to 17.87 MPa and for aged specimens from 22.24 to 3.01 MPa. SBS was significantly reduced when silane was omitted after aging, (p < 0.001). Failure mode was mostly mixed with some cohesive failures in the LDC. CONCLUSION Bond strengths are highly affected by the CAD/CAM LDC and their microstructures. The application of silane after hydrofluoric etching is still essential to obtain long-term bonding, irrespective of the presence of silane in the universal adhesive. Water degradation can significantly affect long-term bonding to novel LDC. CLINICAL SIGNIFICANCE When using a universal adhesive for bonding to LDC restorations, the best long-term bond is achieved if an additional application of silane precedes the universal adhesive.
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Affiliation(s)
- Mona Alhomuod
- Advanced Operative and Adhesive Dentistry, Department of Operative Dentistry, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, California, USA
| | - Jin-Ho Phark
- Advanced Operative and Adhesive Dentistry, Department of Operative Dentistry, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, California, USA
| | - Sillas Duarte
- Advanced Operative and Adhesive Dentistry, Department of Operative Dentistry, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, California, USA
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Carek A, Slokar Benić L, Komar D, Krebelj E. Roughness of the Surface of Zirconia Reinforced Lithium Disilicate Ceramic Treated by Different Procedures. MATERIALS (BASEL, SWITZERLAND) 2022; 16:ma16010265. [PMID: 36614604 PMCID: PMC9822208 DOI: 10.3390/ma16010265] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/19/2022] [Revised: 12/15/2022] [Accepted: 12/20/2022] [Indexed: 05/27/2023]
Abstract
Lithium disilicate and zirconia are the two most popular materials for aesthetic and dental prosthetic work; however, due to their limitations, a new material is being researched, namely zirconia-reinforced lithium disilicate, the surface of which is treated with different procedures to achieve the best possible surface properties. In this study, the surface of zirconia-reinforced lithium disilicate glass-ceramic was treated using different methods (conventional and laser) to determine the effects of the treatment procedures on the surface properties and surface roughness to achieve a higher strength of adhesion from the self-adhesive resin cement to zirconia-reinforced lithium disilicate. The treated surfaces were investigated using profilometry, X-ray diffraction and energy dispersive X-ray fluorescence. The results obtained were statistically evaluated. The results show that the surface roughness is highest for the samples treated with Er:YAG (erbium-doped yttrium aluminium garnet laser) and silanisation. Furthermore, the surface treatment procedures applied did not change the composition of the surface.
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Affiliation(s)
- Andreja Carek
- School of Dental Medicine, University of Zagreb, Ivana Gundulića 5, 10000 Zagreb, Croatia
| | - Ljerka Slokar Benić
- Faculty of Metallurgy, University of Zagreb, Aleja narodnih heroja 3, 44000 Sisak, Croatia
| | - Daniel Komar
- School of Dental Medicine, University of Zagreb, Ivana Gundulića 5, 10000 Zagreb, Croatia
| | - Ena Krebelj
- School of Dental Medicine, University of Zagreb, Ivana Gundulića 5, 10000 Zagreb, Croatia
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29
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Queiroz-Lima G, Strazzi-Sahyon HB, Maluly-Proni AT, Fagundes TC, Briso ALF, Assunção WG, Delben JA, Santos PHD. Surface characterization of indirect restorative materials submitted to different etching protocols. J Dent 2022; 127:104348. [PMID: 36280006 DOI: 10.1016/j.jdent.2022.104348] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/28/2022] [Revised: 09/27/2022] [Accepted: 10/16/2022] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVES This in vitro study aimed to evaluate the effect of different times and concentrations of hydrofluoric acid etching on the surface of indirect restorative materials obtained from blocks used in CAD-CAM technology. METHODS Specimens (4 mm × 4 mm × 0.8 mm) were obtained for each indirect restorative material: zirconia-reinforced lithium monosilicate ceramic (Celtra Duo), nanoceramic resin (Lava Ultimate), and polymer-infiltrated ceramic network material (Vita Enamic). The materials were submitted to etching with 5% or 10% hydrofluoric acid for 20, 40, 60, or 90 s. A control group for each material was evaluated without any surface treatment, totaling nine experimental groups for each material (n = 10). The specimens were evaluated for surface roughness (Ra and Rz), confocal optical microscopy, the contact angle (θ), surface free energy (γs), total free interaction energy (∆G) using a goniometer, and microshear bond strength to resin cement. Specimen images were obtained using scanning electron microscopy, confocal optical microscopy, and atomic force microscopy. Data on the surface roughness, the contact angle, surface free energy, total free interaction energy, and bond strength were subjected to two-way ANOVA and Tukey´s test (α=0.05). RESULTS In general, Celtra Duo showed better results after etching with 10% hydrofluoric acid for 40 or 60 s. Lava Ultimate showed better performance after etching with 10% hydrofluoric acid for 20 or 40 s, whereas Vita Enamic showed better results after etching with 5% hydrofluoric acid for 90 s. CONCLUSION Each material showed different characteristics after etching with hydrofluoric acid. Knowledge of the proper protocol for each material is essential to ensure improvements in the adhesion process and durability of indirect restorations. In general, Celtra Duo presented mechanical properties superior to those of Lava Ultimate and Vita Enamic. CLINICAL SIGNIFICANCE Specific etching protocols must be recommended for each indirect material because longer exposure to hydrofluoric acid can jeopardize the surface, thus affecting the mechanical and bond strength properties.
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Affiliation(s)
- Glívia Queiroz-Lima
- Department of Preventive and Restorative Dentistry, Araçatuba School of Dentistry, São Paulo State University - UNESP, Araçatuba, SP, Brazil
| | - Henrico Badaoui Strazzi-Sahyon
- Department of Dental Materials and Prosthodontics, Araçatuba School of Dentistry, Araçatuba School of Dentistry, São Paulo State University - UNESP, Rua José Bonifácio, 1193, Araçatuba, SP 16015050, Brazil
| | - Ana Teresa Maluly-Proni
- Department of Dental Materials and Prosthodontics, Araçatuba School of Dentistry, Araçatuba School of Dentistry, São Paulo State University - UNESP, Rua José Bonifácio, 1193, Araçatuba, SP 16015050, Brazil
| | - Ticiane Cestari Fagundes
- Department of Preventive and Restorative Dentistry, Araçatuba School of Dentistry, São Paulo State University - UNESP, Araçatuba, SP, Brazil
| | - André Luiz Fraga Briso
- Department of Preventive and Restorative Dentistry, Araçatuba School of Dentistry, São Paulo State University - UNESP, Araçatuba, SP, Brazil
| | - Wirley Gonçalves Assunção
- Department of Dental Materials and Prosthodontics, Araçatuba School of Dentistry, Araçatuba School of Dentistry, São Paulo State University - UNESP, Rua José Bonifácio, 1193, Araçatuba, SP 16015050, Brazil
| | - Juliana Aparecida Delben
- Department of Dentistry, Western State University of Paraná, Dental School, Cascavel, PR, Brazil
| | - Paulo Henrique Dos Santos
- Department of Dental Materials and Prosthodontics, Araçatuba School of Dentistry, Araçatuba School of Dentistry, São Paulo State University - UNESP, Rua José Bonifácio, 1193, Araçatuba, SP 16015050, Brazil.
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Kraipok A, Mamanee T, Ruangsuriya J, Nawarat P, Leenakul W. Phase Formation, Mechanical Strength, and Bioactive Properties of Lithium Disilicate Glass-Ceramics with Different Al 2O 3 Contents. MATERIALS (BASEL, SWITZERLAND) 2022; 15:8283. [PMID: 36499779 PMCID: PMC9738710 DOI: 10.3390/ma15238283] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 10/17/2022] [Revised: 11/17/2022] [Accepted: 11/18/2022] [Indexed: 06/17/2023]
Abstract
Owing to its excellent mechanical properties and aesthetic tooth-like appearance, lithium disilicate glass-ceramic is more attractive as a crown for dental restorations. In this study, lithium disilicate glass-ceramics were prepared from SiO2-Li2O-K2O-P2O5-CeO2 glass systems with various Al2O3 contents. The mixed glass was then heat-treated at 600 °C and 800 °C for 2 h to form glass-ceramic samples. Phase formation, microstructure, mechanical properties and bioactivity were investigated. The phase formation analysis confirmed the presence of Li2Si2O5 in all the samples. The glass-ceramic sample with an Al2O3 content of 1 wt% showed rod-like Li2Si2O5 crystals that could contribute to the delay in crack propagation and demonstrated the highest mechanical properties. Surface treatment with hydrofluoric acid followed by a silane-coupling agent provided the highest micro-shear bond strength for all ceramic conditions, with no significant difference between ceramic samples. The biocompatibility tests of the material showed that Al2O3-added lithium disilicate glass-ceramic sample was bioactive, thus activating protein production and stimulating the alkaline phosphatase (ALP) activity of osteoblast-like cells.
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Affiliation(s)
- Arnon Kraipok
- Department of Physics and Materials Science, Faculty of Science, Chiang Mai University, Chiang Mai 50200, Thailand
- Graduate School, Chiang Mai University, Chiang Mai 50200, Thailand
| | - Teerapong Mamanee
- Department of Restorative Dentistry and Periodontology, Faculty of Dentistry, Chiang Mai University, Chiang Mai 50200, Thailand
| | - Jetsada Ruangsuriya
- Department of Biochemistry, Faculty of Medicine, Chiang Mai University, Chiang Mai 50200, Thailand
| | - Poomirat Nawarat
- Division of Industrial Materials Science, Faculty of Science and Technology, Rajamangala University of Technology Phra Nakhon, Bangkok 10800, Thailand
| | - Wilaiwan Leenakul
- Division of Industrial Materials Science, Faculty of Science and Technology, Rajamangala University of Technology Phra Nakhon, Bangkok 10800, Thailand
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Marchioro RR, Pini NIP, Kelmer VF, Freitas KMS, Santos PH, Pacheco RR, Sundfeld D. Influence of Fit-checking Material and Cleaning Protocols on the Bond Strength of Lithium Disilicate Glass-ceramics. Oper Dent 2022; 47:E264-E272. [DOI: 10.2341/22-036-l] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/20/2022] [Indexed: 11/30/2022]
Abstract
SUMMARY
Objectives
To evaluate the bond strength of a resin luting agent to a lithium disilicate glass-ceramic after the use of different fit-checking materials and cleaning protocols.
Methods and Materials
Two hundred and forty-two (242) ceramic specimens were etched with 5% hydrofluoric acid for 20 seconds and distributed into 22 groups (n=10), in total. Four (4) groups were created based on fit-checking material and that had no following cleaning protocol: no fit-checking material used (control group); articulating paper; articulating spray; and fit-checker liquid. For each fit-checking material (3), 6 cleaning protocols were tested creating an additional 18 groups (n=10): air/water spray; 70% alcohol (ethanol); acetone; 35% phosphoric acid; 5% hydrofluoric acid; and a commercially available cleaning paste (Ivoclean, Ivoclar Vivadent). Silane and bonding resin were applied to all ceramic surfaces. Resin luting agent cylinders (1 mm in diameter) were created using silicone matrices, light-cured, and specimens were stored in deionized water at 37°C for 24 hours. Microshear bond strength test (μSBS) was performed on a universal testing machine (DL 500, EMIC) at a crosshead speed of 1 mm/min until failure. Results were statistically analyzed using ANOVA and Tukey’s test (α=0.05).
Results
Articulating paper and fit-checker liquid, when not properly removed, negatively affected the bond strength (p<0.05). None of the tested cleaning protocols were effective for articulating paper (p<0.05). There was no significant difference in bond strength after the cleaning protocols between articulating spray and fit-checker liquid when compared to the control group (no contamination) (p>0.05).
Conclusion
The cleaning protocols tested can effectively restore the bond strength of resin luting agents to lithium disilicate ceramics that were exposed to articulating spray or fit-checker liquid. The use of articulating paper is not recommended for fit-checking indirect lithium disilicate restorations.
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Affiliation(s)
- RR Marchioro
- Rayssa Ribeiro Marchioro, DDS, MSc student, Department of Restorative Dentistry and Prosthodontics, Ingá University Center – UNINGÁ, Maringá, PR, Brazil
| | - NIP Pini
- Nubia Inocêncya Pavesi Pini, DDS, MSc, PhD, adjunct professor, Department of Restorative Dentistry and Prosthodontics, Ingá University Center – UNINGÁ, Maringá, PR, Brazil
| | - VF Kelmer
- Vinícius Fernandez Kelmer, DDS graduate student, Ingá University Center – UNINGÁ, Maringá, PR, Brazil
| | - KMS Freitas
- Karina Maria Salvatore de Freitas, DDS, MSc, PhD, professor, Department of Orthodontics and Pediatric Dentistry, Ingá University Center – UNINGÁ, Maringá, PR, Brazil
| | - PH Santos
- Paulo Henrique dos Santos, DDS, MSc, PhD, associate professor, Department of Dental Materials and Prosthodontics, São Paulo State University, School of Dentistry, Araçatuba, SP, Brazil
| | - RR Pacheco
- Rafael Rocha Pacheco, DDS, MSc, PhD, associate professor, Division Director of Clinical Essentials and Simulation, University of Detroit Mercy, School of Dentistry, USA
| | - D Sundfeld
- *Daniel Sundfeld, DDS, MSc, PhD, adjunct professor, Department of Restorative Dentistry and Prosthodontics, Ingá University Center – UNINGÁ, Maringá, PR, Brazil
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Abstract
Resin-bonded ceramic restorations are common treatment options. Clinical longevity of resin-bonded ceramic restorations depends on the quality and durability of the resin-ceramic bond. The type and composition of the specific ceramic determines the selection of the most effective bonding protocol. Such protocol typically includes a surface pretreatment step followed by application of a priming agent. Understanding of fundamental ceramic properties and chemical compositions enables the clinician to make proper material selection decisions for clinically successful and long-lasting restorations. Based on research accrued over the past decades, this article reviews and discusses current resin-bonding protocols to most commonly used dental ceramics.
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Affiliation(s)
- Markus B Blatz
- Department of Preventive and Restorative Sciences, University of Pennsylvania School of Dental Medicine, 240 South 40th Street, Philadelphia, PA 19104, USA.
| | - Julian Conejo
- Department of Preventive and Restorative Sciences, University of Pennsylvania School of Dental Medicine, 240 South 40th Street, Philadelphia, PA 19104, USA
| | - Amirah Alammar
- Sijam Medical Center, Northern Ring Road, Alghadeer District, Riyadh, Saudi Arabia
| | - Jose Ayub
- Department of Preventive and Restorative Sciences, University of Pennsylvania School of Dental Medicine, 240 South 40th Street, Philadelphia, PA 19104, USA
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33
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Cyclic fatigue vs static loading for shear bond strength test of lithium disilicate and dentin substrates: A comparison of resin cement viscosities. Dent Mater 2022; 38:1910-1920. [DOI: 10.1016/j.dental.2022.09.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/05/2022] [Revised: 09/22/2022] [Accepted: 09/22/2022] [Indexed: 11/16/2022]
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Velho HC, da Rosa LS, Temp RW, Cocco FM, Pereira GKR, May LG, Valandro LF. Adhesive application after ceramic surface treatment is detrimental to load-bearing capacity under fatigue of a lithium disilicate glass-ceramic. J Mech Behav Biomed Mater 2022; 135:105453. [PMID: 36126505 DOI: 10.1016/j.jmbbm.2022.105453] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Revised: 08/30/2022] [Accepted: 09/03/2022] [Indexed: 11/15/2022]
Abstract
OBJECTIVE To evaluate whether an adhesive application after surface treatment on a lithium disilicate ceramic (LD) has an influence on its load-bearing capacity under fatigue. METHODS LD discs (Ø= 10 mm; thickness= 1 mm) were allocated into 8 groups (n= 15), considering 3 factors: "ceramic surface treatment" - HF: hydrofluoric acid + universal primer application; or MEP: single-component ceramic primer; "adhesive application" - with or without; and "aging protocol" - baseline: 24 h to 7 days; or aging: 180 days of storage + 25,000 thermal cycles. The LD discs were adhesively bonded to glass fiber-reinforced epoxy resin discs (Ø= 10 mm; thickness= 2 mm) and stored according to the condition and each group. Cyclic fatigue testing (initial load= 100 N; step size= 100 N until600 N and after step size= 25 N to failure; 10,000 cycles/step; 20 Hz frequency) was performed. Fractographic and adhesive interface analyzes were also performed. The collected data were then analyzed by Kaplan Meier and Mantel-Cox tests and One-way ANOVA. RESULTS The adhesive application in the baseline condition had no influence on the load-bearing capacity under fatigue when the HF surface treatment was performed, however, adhesive application for the MEP treatment led to worse results than without it. The adhesive application in the aged condition showed worse fatigue outcomes for both treatments. All specimens presented radial cracks. MEP treatment followed by adhesive application presented the thickest luting layer. CONCLUSION The adhesive application after surface treatments of a lithium disilicate glass-ceramic is detrimental to its load-bearing capacity under fatigue when adhesively luted onto a supporting substrate.
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Affiliation(s)
- Helder Callegaro Velho
- Post-Graduate Program in Oral Science, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Lucas Saldanha da Rosa
- Post-Graduate Program in Oral Science, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Renatta Wrasse Temp
- Post-Graduate Program in Oral Science, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Fernanda Maidana Cocco
- Post-Graduate Program in Oral Science, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Gabriel Kalil Rocha Pereira
- Post-Graduate Program in Oral Science, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Liliana Gressler May
- Post-Graduate Program in Oral Science, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Luiz Felipe Valandro
- Post-Graduate Program in Oral Science, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
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35
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Ojeda G D, Lz N, A O, R K, A BK, G K, M W, Gresnigt MMM. 8-year multicenter retrospective study on partial laminate veneers. J Prosthodont Res 2022; 67:206-213. [PMID: 35793984 DOI: 10.2186/jpr.jpr_d_22_00079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE This retrospective study aimed to evaluate the survival and success rates of ceramic partial laminate veneers. Scanning electron microscopy was used to evaluate fractures and marginal defects. METHODS In total, 31 patients received 79 partial laminate veneers on the maxillary anterior teeth. After adhesive luting, restorations were evaluated by calibrated clinicians for up to eight years using modified United States Public Health Service (USPHS) criteria. In addition, epoxy resin replicas were fabricated from silicone impressions and analyzed using scanning electron microscopy. Survival analyses were performed using the Kaplan-Meier and log-rank tests (α = 0.05). Success was analyzed in percentages by comparing the baseline and last follow-up. RESULTS The cumulative survival rates were 100% after 1 year; 95.9% (SE 2.8%) after 5 years; and 61.4% (SE 25.3%) after 8 years. No significant differences (P > 0.05) were observed between functional and non-functional restorations. Changes in the USPHS criteria evaluation were only observed for adaptation: 12.5% (SE 4.7%), marginal discoloration: 4.2% (SE 3.0%), color match: 4.2% (SE 3.0%), and fractures: 16.7% (SE 5.3%). Scanning electron microscopy evaluations revealed undetected initial cracks and deficiencies in the restorations. CONCLUSION Partial laminate veneers displayed good survival rates during the long-term follow-up. The main problems observed were related to the quality of the margins, color mismatch, and restoration integrity. However, in most cases, restoration replacement was not required.
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Affiliation(s)
- Durán Ojeda G
- University Medical Center Groningen, Department of Restorative Dentistry and Biomaterials, Center for Dentistry and Oral Hygiene, Groningen, University of Groningen, The Netherlands.,Facultad de Ciencias de la Salud, Universidad Arturo Prat, Iquique, Chile
| | - Naves Lz
- University Medical Center Groningen, Department of Restorative Dentistry and Biomaterials, Center for Dentistry and Oral Hygiene, Groningen, University of Groningen, The Netherlands
| | - Oosterhaven A
- University Medical Center Groningen, Department of Restorative Dentistry and Biomaterials, Center for Dentistry and Oral Hygiene, Groningen, University of Groningen, The Netherlands
| | | | - Bäumer-König A
- Private Practice, Bielefeld, Germany.,Section of Periodontology, Department of Conservative Dentistry, Clinic for Oral, Dental and Maxillofacial Diseases, University Hospital Heidelberg, Germany
| | - Körner G
- Private Practice, Bielefeld, Germany
| | - Wendler M
- Department of Restorative Dentistry, Faculty of Dentistry, University of Concepción, Concepción, Chile
| | - Marco M M Gresnigt
- University Medical Center Groningen, Department of Restorative Dentistry and Biomaterials, Center for Dentistry and Oral Hygiene, Groningen, University of Groningen, The Netherlands.,Facultad de Ciencias de la Salud, Universidad Arturo Prat, Iquique, Chile.,Martini Hospital, Department of Special Dental Care, Groningen, The Netherlands
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36
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Chen Y, Lee JKY, Kwong G, Pow EHN, Tsoi JKH. Morphology and fracture behavior of lithium disilicate dental crowns designed by human and knowledge-based AI. J Mech Behav Biomed Mater 2022; 131:105256. [DOI: 10.1016/j.jmbbm.2022.105256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2022] [Revised: 04/20/2022] [Accepted: 04/25/2022] [Indexed: 11/25/2022]
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37
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Harouny R, Hardan L, Harouny E, Kassis C, Bourgi R, Lukomska-Szymanska M, Kharouf N, Ball V, Khairallah C. Adhesion of Resin to Lithium Disilicate with Different Surface Treatments before and after Salivary Contamination—An In-Vitro Study. Bioengineering (Basel) 2022; 9:bioengineering9070286. [PMID: 35877337 PMCID: PMC9312288 DOI: 10.3390/bioengineering9070286] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/31/2022] [Revised: 06/15/2022] [Accepted: 06/23/2022] [Indexed: 11/25/2022] Open
Abstract
The salivary contamination occurring at the try-in procedures of lithium disilicate (LDS) can jeopardize their bond strength. Various laboratory reports have concluded that applying 37% phosphoric acid (H3PO4) could be considered as a predictable way of removing salivary contaminants. An experimental method that consists of sealing the intaglio of the ceramic restorations with a layer of cured adhesive could allow consequent time saving for dental practitioners. It is, besides, necessary to establish an optimal decontamination protocol. Hence, this study aimed to determine the most efficient surface treatment, before and after salivary contamination, by comparing the adhesion between resin and LDS. In order to do so, five groups of ten specimens (n = 10) each underwent the different types of surface treatments before bonding, followed by 2500 cycles in the thermocycler. A shear bond strength (SBS) test was then conducted on a universal testing machine (YLE GmbH Waldstraße Bad König, Germany), followed by a fracture-type analysis on an optical microscope (Olympus BX53, Shinjuku, Tokyo, Japan). Statistical analysis was set with a level of significance of α = 0.05. The surface treatment significantly affected the SBS results. The decontamination with HF (12.59 ± 2.71 MPa) and H3PO4 (13.11 ± 1.03 MPa) obtained the highest values, silanizing only before contamination obtained intermediate values (11.74 ± 3.49 MPa), and silanizing both before and after the salivary contamination (10.41 ± 2.75 MPa) along with applying a bonding agent before contamination (9.65 ± 1.99 MPa) resulted in the lowest values. In conclusion, H3PO4 proved to be efficient, thus, allowing the practitioner to avoid the clinical use of HF; it can, therefore, be considered as a valid alternative. Presilanization and resilanization of specimens, along with applying a bonding agent before contamination, did not yield satisfying results.
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Affiliation(s)
- Ryan Harouny
- Department of Restorative Dentistry, School of Dentistry, Saint-Joseph University, Beirut 1107 2180, Lebanon; (R.H.); (L.H.); (E.H.); (C.K.); (R.B.); (C.K.)
- Craniofacial Research Laboratory, Division of Biomaterials, School of Dentistry, Saint-Joseph University, Beirut 1107 2180, Lebanon
| | - Louis Hardan
- Department of Restorative Dentistry, School of Dentistry, Saint-Joseph University, Beirut 1107 2180, Lebanon; (R.H.); (L.H.); (E.H.); (C.K.); (R.B.); (C.K.)
| | - Elie Harouny
- Department of Restorative Dentistry, School of Dentistry, Saint-Joseph University, Beirut 1107 2180, Lebanon; (R.H.); (L.H.); (E.H.); (C.K.); (R.B.); (C.K.)
| | - Cynthia Kassis
- Department of Restorative Dentistry, School of Dentistry, Saint-Joseph University, Beirut 1107 2180, Lebanon; (R.H.); (L.H.); (E.H.); (C.K.); (R.B.); (C.K.)
| | - Rim Bourgi
- Department of Restorative Dentistry, School of Dentistry, Saint-Joseph University, Beirut 1107 2180, Lebanon; (R.H.); (L.H.); (E.H.); (C.K.); (R.B.); (C.K.)
| | | | - Naji Kharouf
- Department of Endodontics, Faculty of Dental Medicine, Strasbourg University, 67000 Strasbourg, France;
- Department of Biomaterials and Bioengineering, INSERM UMR_S 1121, Strasbourg University, 67000 Strasbourg, France
| | - Vincent Ball
- Department of Endodontics, Faculty of Dental Medicine, Strasbourg University, 67000 Strasbourg, France;
- Department of Biomaterials and Bioengineering, INSERM UMR_S 1121, Strasbourg University, 67000 Strasbourg, France
- Correspondence:
| | - Carlos Khairallah
- Department of Restorative Dentistry, School of Dentistry, Saint-Joseph University, Beirut 1107 2180, Lebanon; (R.H.); (L.H.); (E.H.); (C.K.); (R.B.); (C.K.)
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Falacho RI, Marques JA, Palma PJ, Roseiro L, Caramelo F, Ramos JC, Guerra F, Blatz MB. Luting indirect restorations with resin cements versus composite resins: Effects of preheating and ultrasound energy on film thickness. J ESTHET RESTOR DENT 2022; 34:641-649. [PMID: 34897958 DOI: 10.1111/jerd.12851] [Citation(s) in RCA: 8] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2021] [Revised: 11/12/2021] [Accepted: 11/23/2021] [Indexed: 11/29/2022]
Abstract
OBJECTIVE This study aims to evaluate and compare the film thickness obtained with a resin cement and two composite resins, preheated and/or ultrasonically vibrated, as luting agents. MATERIALS AND METHODS One hundred and twenty-six (126) pairs of resin discs were randomly assigned to six experimental groups (n = 21) according to luting agent (Variolink Esthetic LC, IPS Empress Direct or Estelite Omega) and cementation technique (preheating at 68°C and/or ultrasonic vibration). Specimens were luted by applying a controlled force. Following sectioning and film thickness measurement through field emission gun scanning electron microscopy, statistical analysis was carried out considering a 5% significance level. RESULTS Statistically significant lower film thickness was observed in Variolink Esthetic LC group when compared to all composite resin groups (p < 0.001), except IPS Empress Direct preheated and ultrasonically vibrated group (p = 0.073). IPS Empress Direct with ultrasonic vibration yielded statistically lower film thickness values than Estelite Omega groups, regardless of luting technique (p < 0.05). Ultrasonically vibrated Estelite Omega groups showed statistically lower film thickness values than solely preheated groups (p < 0.05). CONCLUSIONS Both Variolink Esthetic LC and IPS Empress Direct preheated and ultrasonically vibrated provided the lowest film thickness. The addition of ultrasonic vibration during cementation proved to be effective in reducing film thickness of both tested composite resins. CLINICAL SIGNIFICANCE The cementation technique will have variable results depending on the luting material. Adhesive cementation protocols with composite resins should mainly consider ultrasonic vibration, but also preheating, as strategies for reducing film thickness. The tested resin cement, alongside with IPS Empress Direct composite resin preheated and ultrasonically vibrated, provided the lowest film thickness among the tested materials and techniques.
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Affiliation(s)
- Rui I Falacho
- Institute of Oral Implantology and Prosthodontics, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
| | - Joana A Marques
- Institute of Endodontics, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
| | - Paulo J Palma
- Institute of Endodontics, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
- Center for Innovation and Research in Oral Sciences (CIROS), Faculty of Medicine, University of Coimbra, Coimbra, Portugal
| | - Luís Roseiro
- Department of Mechanical Engineering, Institute of Engineering of Coimbra, Polytechnic-ISEC, Coimbra, Portugal
| | - Francisco Caramelo
- Coimbra Institute for Clinical and Biomedical Research (iCBR), Laboratory of Biostatistics and Medical Informatics (LBIM), Faculty of Medicine, University of Coimbra, Coimbra, Portugal
| | - João Carlos Ramos
- Center for Innovation and Research in Oral Sciences (CIROS), Faculty of Medicine, University of Coimbra, Coimbra, Portugal
- Institute of Operative Dentistry, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
| | - Fernando Guerra
- Institute of Oral Implantology and Prosthodontics, Faculty of Medicine, University of Coimbra, Coimbra, Portugal
- Center for Innovation and Research in Oral Sciences (CIROS), Faculty of Medicine, University of Coimbra, Coimbra, Portugal
| | - Markus B Blatz
- Department of Preventive and Restorative Sciences, University of Pennsylvania School of Dental Medicine, Philadelphia, Pennsylvania, USA
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Hawthan M, Chrcanovic BR, Larsson C. Retrospective clinical study of tooth-supported single crowns: A multifactor analysis. Eur J Oral Sci 2022; 130:e12871. [PMID: 35613306 PMCID: PMC9546353 DOI: 10.1111/eos.12871] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Accepted: 04/24/2022] [Indexed: 11/28/2022]
Abstract
The purpose of the study was to investigate the influence of multiple factors on the survival of tooth‐supported single crowns and assess the biological and technical complications. This retrospective study included patients rehabilitated with single crowns with a minimum follow‐up time of 6 months after delivery. The cumulative survival rate was calculated over the maximum period of follow‐up time and reported in a life‐table survival analysis. Univariate and multivariate Cox regression was used to evaluate the associations between clinical covariates and crown failure. The included cohort group consisted of 1037 single crowns delivered in 401 patients and followed for a mean of 134.8 ± 80.2 months. Cumulative survival rate was 89.9% and 80.9% after 5 and 10 years and 70.5% and 61.8% after 15 and 20 years, respectively. The main reasons for single crown failure were loss of retention, tooth loss, and fracture. Anterior placement, non‐vital abutments, and bruxism significantly influenced the survival of single crowns. The survival of single crowns was not influenced by patient's age and sex, location of the crowns in relation to the jaws, type of tooth, presence of post and core, and type of crown material, treatment providers, or smoking. Anterior placement, non‐vital abutments, and bruxism are factors suggested to increase the risk of single crown failure and the prevalence of technical and biological complications.
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Affiliation(s)
- Mohammed Hawthan
- Department of Prosthodontics, Faculty of Odontology, Malmö University, Malmö, Sweden.,Department of Oral and Maxillofacial Surgery and Diagnostic Sciences, Faculty of Dentistry, Umm Al-Qura University, Makkah, Saudi Arabia
| | - Bruno R Chrcanovic
- Department of Prosthodontics, Faculty of Odontology, Malmö University, Malmö, Sweden
| | - Christel Larsson
- Department of Prosthodontics, Faculty of Odontology, Malmö University, Malmö, Sweden
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40
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Fagan J, Vesselovcz J, Puppin-Rontani J, Correr-Sobrinho L, Freitas KMS, Robertson TC, Pacheco RR, Pini NIP, Sundfeld D. Evaluation of Cleaning Methods on Lithium Disilicate Glass Ceramic Surfaces After Organic Contamination. Oper Dent 2022; 47:E81-E90. [DOI: 10.2341/20-176-l] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/24/2021] [Indexed: 11/23/2022]
Abstract
SUMMARY
The purposes of this study were to 1) evaluate the effectiveness of different cleaning methods from a previously etched and silanized lithium disilicate glass ceramic (EMX) surface after contact with organic fluids (saliva or human blood) and 2) assess the effect of applying a new silane layer after the cleaning methods on the microshear bond strength (mSBS) of resin cement to EMX. EMX discs were etched with 5% hydrofluoric acid (HF) and properly silanized. Three control groups were created (n=10): control (without contamination), saliva positive, and human blood positive. Later, after new contaminations, the samples were distributed into four groups according to the cleaning method (n=20): air–water spray (AWS), 35% phosphoric acid, 70% alcohol, or Ivoclean cleaning paste. After the cleaning methods, subgroups were submitted to a new silane layer application, or not (n=10). All samples received a thin layer of a bonding agent and, subsequently, three light-cured resin cement cylinders were prepared on each EMX surface for the mSBS test. This test was performed on a universal testing machine at a vertical speed of 1 mm/minute until rupture. Contaminated and cleaned silanized EMX surfaces were assessed by scanning electron microscopy (SEM) (n=1). The noncontaminated control group showed an average mSBS of 18.7 MPa, and the positive saliva and human blood control groups yielded a 34% and 42% reduction in bond strength, respectively, compared to the uncontaminated control (p<0.05). For saliva-contaminated surfaces, all cleaning methods were effective and not different from one another or the control group (p>0.05). However, for human blood contamination, only Ivoclean cleaning paste was effective in restoring μSBS to uncontaminated control group levels (p>0.05). SEM images showed a clean surface (ie, with no contaminant residues) after the cleaning methods, regardless of the organic contaminant type. All the assessed cleaning methods were effective in removing saliva from the silanized EMX surface; however, only Ivoclean was able to restore the adhesion quality when the silanized EMX surface was contaminated with human blood.
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Affiliation(s)
- J Fagan
- João Fagan Junior, DDS, MSc student, Department of Restorative Dentistry and Prosthodontics, Ingá University Center – UNINGÁ, Maringá, PR, Brazil
| | - J Vesselovcz
- João Vesselovcz Junior, DDS, MSc student, Department of Restorative Dentistry and Prosthodontics, Ingá University Center – UNINGÁ, Maringá, PR, Brazil
| | - J Puppin-Rontani
- Júlia Puppin Rontani, DDS, MSc, PhD, Dental Materials Division, Piracicaba School of Dentistry – UNICAMP, Piracicaba, SP, Brazil
| | - L Correr-Sobrinho
- Lourenço Correr Sobrinho, DDS, MSc, PhD, professor, Dental Materials Division, Piracicaba School of Dentistry – UNICAMP, Piracicaba, SP, Brazil
| | - KMS Freitas
- Karina Maria Salvatore de Freitas, DDS, MSc, PhD, professor, Department of Orthodontics and Pediatric Dentistry, Ingá University Center – UNINGÁ, Maringá, PR, Brazil
| | - TC Robertson
- Taylor Cliffe Robertson, DDS candidate, University of Detroit Mercy, School of Dentistry, Detroit, MI, USA
| | - RR Pacheco
- Rafael Rocha Pacheco, DDS, MSc, PhD, assistant professor, Restorative Dentistry, University of Detroit Mercy, School of Dentistry, Detroit, MI, USA
| | - NIP Pini
- Nubia Inocêncya Pavesi Pini, DDS, MSc, PhD, adjunct professor, Department of Restorative Dentistry and Prosthodontics, Ingá University Center – UNINGÁ, Maringá, PR, Brazil
| | - D Sundfeld
- *Daniel Sundfeld, DDS, MSc, PhD, adjunct professor, Department of Restorative Dentistry and Prosthodontics, Ingá University Center – UNINGÁ, Maringá, PR, Brazil
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Shear Bond Strength of Lithium Disilicate Bonded with Various Surface-Treated Titanium. Int J Dent 2022; 2022:4406703. [PMID: 35437442 PMCID: PMC9013295 DOI: 10.1155/2022/4406703] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/05/2021] [Revised: 02/01/2022] [Accepted: 03/28/2022] [Indexed: 11/17/2022] Open
Abstract
Purpose Retention is one of the most important factors for fixed dental prostheses, especially in implant dentistry. Accordingly, the goal of this study was to evaluate the level of shear bond strength between titanium (Ti) subjected to different surface treatments and lithium disilicate glass-ceramics. Materials and Methods In this work, 90 titanium alloy specimens were divided into six groups as follows: the control group (CT), 50 μm alumina airborne-particle abrasion group (SB), silica-coated group (CJ), anodization group (AN), anodization followed by alumina 50 μm airborne-particle abrasion group (ANSB), and anodization followed by silica coating group (ANCJ). Titanium specimens were bonded to lithium disilicate specimens with resin cement (Multilink N). The specimens were restored in water at 37°C for 24 h, and then, shear bond strength (SBS) tests were performed using a universal testing machine (Shimadzu, Japan). The SBS values were statistically analyzed. The failure mode of the debonded titanium was classified after viewing the samples under a stereoscope. Results The results demonstrated that the mean SBSs of CT and AN were significantly lower than those of the other groups (p < 0.05). The SB group showed the highest SBS (29.47 ± 2.41 MPa); however, there was no significant difference between SB, ANSB, ANCJ, and CJ. The stereoscopic analysis demonstrated that the failure mode of AN was predominantly adhesive failure; whereas, the other groups showed cohesive and mixed failures. Conclusions In this study, it was found that the surface treatment with 50 μm alumina airborne-particle abrasion, silica coating with Cojet™ sand, anodization followed by 50 μm alumina airborne-particle abrasion, and anodization followed by silica coating with Cojet™ sand improved the SBS between titanium and lithium disilicate luted with Multilink N resin cement.
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Alsaeed AY. Bonding CAD/CAM materials with current adhesive systems: An overview. Saudi Dent J 2022; 34:259-269. [PMID: 35692241 PMCID: PMC9177874 DOI: 10.1016/j.sdentj.2022.03.005] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2021] [Revised: 03/17/2022] [Accepted: 03/23/2022] [Indexed: 01/01/2023] Open
Abstract
Objective Data sources Results Conclusion
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Lührs A, Brachmann C, Jacker‐Guhr S. Dentin contamination during repair procedures: A threat to universal adhesives? Clin Exp Dent Res 2022. [PMCID: PMC9209802 DOI: 10.1002/cre2.551] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Objective This study examined the influence of surface contamination during repair procedures with hydrofluoric acid, silane, or ammonium polyfluoride on the bond strength of universal adhesives to dentin using different etching modes before and after thermocycling. Materials and Methods Dentin surfaces of human molars were contaminated in different ways (silane, hydrofluoric acid, ammonium polyfluoride, and no pretreatment as control) followed by application of a universal adhesive (etch & rinse or self‐etch mode). After a composite build‐up was placed onto each tooth, sticks for the microtensile bond strength (MTBS) test were sectioned. Half of the sticks were tested after water storage for 24 h, the other half after thermocycling (15,000 cycles, 5/55°C). The MTBS data were analyzed statistically by using the Kolmogorov–Smirnov test, one‐way analysis of variance, and Tukey HSD test (p < 0.05). The fracture patterns of all specimens were evaluated and analyzed using a χ2 test. Results Dentin contamination with a multifunctional silane does not influence microtensile bond strength irrespective of aging. Contamination with hydrofluoric acid or an ammonium polyfluoride primer leads to a significantly lower bond strength after aging, irrespective of the etch mode. Conclusion Dentin contamination with hydrofluoric acid or ammonium polyfluorides during repair procedures should be avoided, as they appear to decrease the bond strength of universal adhesives.
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Affiliation(s)
- Anne‐Katrin Lührs
- Department of Conservative Dentistry, Periodontology and Preventive Dentistry Hannover Medical School Hannover Germany
| | - Cosima Brachmann
- Department of Prosthetic Dentistry and Biomedical Materials Research Hannover Medical School Hannover Germany
| | - Silke Jacker‐Guhr
- Department of Conservative Dentistry, Periodontology and Preventive Dentistry Hannover Medical School Hannover Germany
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Do you know your ceramics? Part 3: lithium disilicate. Br Dent J 2022; 232:147-150. [PMID: 35149803 DOI: 10.1038/s41415-022-3882-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2020] [Accepted: 06/07/2021] [Indexed: 11/08/2022]
Abstract
Lithium disilicate has become very popular and is very commonly used, especially for highly aesthetic cases. It has also proven to be a very durable material and can be used in a variety of clinical situations. It is important as a clinician, technician or ceramist to be able to confidently use this material by appreciating the detail in its construction. The microstructure has a significant impact on the optical and physical properties of this material. Hence, before the prescription of this type of restoration, it is imperative to be knowledgeable in this aspect. This article explores lithium disilicate as a dental ceramic material in detail.
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Bracket Bonding to All-Ceramic Materials with Universal Adhesives. MATERIALS 2022; 15:ma15031245. [PMID: 35161189 PMCID: PMC8839010 DOI: 10.3390/ma15031245] [Citation(s) in RCA: 4] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/05/2021] [Revised: 01/19/2022] [Accepted: 01/28/2022] [Indexed: 01/27/2023]
Abstract
The need for bracket bonding to ceramic restorations is increasing. The aim of this study was to evaluate the effect of universal adhesives on bracket adhesion to polished or glazed lithium disilicate (LDS) and monolithic zirconia (MZ) surfaces. One hundred and twenty brackets (N = 10) were bonded to either polished or glazed LDS (e.max CAD B32, Ivoclar Vivadent, Schaan, Liechtenstein) and MZ (In-Ceram® YZ, VITA, Bad Sackingen, Germany) blocks using three different adhesives combined with Transbond™ XT Paste (3M Unitek, Monrovia, CA, USA). Tested universal adhesives were Scotchbond™ Universal Adhesive (SU, 3M St. Paul, MN, USA) and Assure Plus (AP, Reliance, Itasca, IL, USA). Transbond™ XT Primer (XTP, 3M Unitek, Monrovia, CA, USA) served as a control adhesive. Bracket bond strength was measured in shear mode (SBS). Failure type was determined by the Modified Adhesive Remnant Index (ARI). Data were statistically analyzed. On polished LDS, SU yielded bracket SBS significantly superior to those of AP and XTP. On polished MZ, the use of SU and AP significantly enhanced bracket retention as compared with XTP. Low SBS values, below the threshold of clinical acceptability, were reached by all tested adhesives on glazed LDS and MZ specimens. SBS measurements corresponded with failure type observations. Universal adhesives SU and AP could be considered for use on polished LDS and MZ surfaces.
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Tosun B, Yanıkoğlu N. Evaluation of the effects of different surface modification methods on the bond strength of high-performance polymers and resin matrix ceramics. Clin Oral Investig 2022; 26:3781-3790. [DOI: 10.1007/s00784-021-04348-y] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2021] [Accepted: 12/14/2021] [Indexed: 11/30/2022]
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Simasetha S, Klaisiri A, Sriamporn T, Sappayatosok K, Thamrongananskul N. Surface Treatment Effect on Shear Bond Strength between Lithium Disilicate Glass-Ceramic and Resin Cement. Eur J Dent 2021; 16:373-380. [PMID: 34921384 PMCID: PMC9339943 DOI: 10.1055/s-0041-1735908] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022] Open
Abstract
OBJECTIVE The study aimed to evaluate the shear bond strength (SBS) of lithium disilicate glass-ceramic (LDGC) and resin cement (RC) using different surface treatments. MATERIALS AND METHODS LDGC blocks (Vintage LD Press) were prepared, etched with 4.5% hydrofluoric acid, and randomly divided into seven groups (n = 10), depending on the surface treatments. The groups were divided as follows: 1) no surface treatment (control), 2) Silane Primer (KS), 3) Signum Ceramic Bond I (SGI), 4) Signum Ceramic Bond I/Signum Ceramic Bond II (SGI/SGII), 5) experimental silane (EXP), 6) experimental silane/Signum Ceramic Bond II (EXP/SGII), and 7) Experimental/Adper Scotchbond Multi-purpose Adhesive (EXP/ADP). The specimens were cemented to resin composite blocks with resin cement and stored in water at 37 °C for 24 hours. The specimens underwent 5,000 thermal cycles and were subjected to the SBS test. Mode of failure was evaluated under the stereo microscope. STATISTICAL ANALYSIS Data were analyzed with Welch ANOVA and Games-Howell post hoc tests (α = 0.05). RESULTS The highest mean SBS showed in group EXP/ADP (45.49 ± 3.37 MPa); however, this was not significantly different from group EXP/SGII (41.38 ± 2.17 MPa) (p ≥ 0.05). The lowest SBS was shown in the control group (18.36 ± 0.69 MPa). This was not significantly different from group KS (20.17 ± 1.10 MPa) (p ≥ 0.05). CONCLUSIONS The different surface treatments significantly affected the SBS value between LDGC and RC. The application of pure silane coupling agent with or without the application of an adhesive improved the SBS value and bond quality.
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Affiliation(s)
- Siripan Simasetha
- Department of Prosthodontics, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
| | - Awiruth Klaisiri
- Division of Operative Dentistry, Faculty of Dentistry, Thammasat University, Pathumthani, Thailand
| | - Tool Sriamporn
- Department of Prosthodontics, College of Dental Medicine, Rangsit University, Pathumthani, Thailand
| | - Kraisorn Sappayatosok
- Department of Oral Diagnostic Science, College of Dental Medicine, Rangsit University, Pathumthani, Thailand
| | - Niyom Thamrongananskul
- Department of Prosthodontics, Faculty of Dentistry, Chulalongkorn University, Bangkok, Thailand
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Ergun-Kunt G, Sasany R, Koca MF, Özcan M. Comparison of Silane Heat Treatment by Laser and Various Surface Treatments on Microtensile Bond Strength of Composite Resin/Lithium Disilicate. MATERIALS 2021; 14:ma14247808. [PMID: 34947402 PMCID: PMC8706105 DOI: 10.3390/ma14247808] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 10/24/2021] [Revised: 12/09/2021] [Accepted: 12/12/2021] [Indexed: 11/16/2022]
Abstract
In the current study, we evaluated the effects of heat treatment (by Er:YAG or furnace) and various surface treatments on the microtensile bond strength (μTBS) of silanized lithium disilicate ceramic. Seventy lithium disilicate (IPS e. max Press; Ivoclar Vivadent) and composite resin (Tetric N-Ceram; Ivoclar Vivadent) blocks were made and distributed into seven groups (n = 10) at random: S: silanization alone; ALS: airborne particle abrasion (APA) and silanization; SC: APA modified with silica and silanization; SHT1: silanization and heat treatment by Er:YAG; SHT2: silanization and heat treatment performed in the furnace (100 °C, 1 min); HF: etching with HF; and HFS: etching with HF and silanization. Every ceramic specimen was cemented to a composite resin block after surface treatment. Cemented specimens were embedded into acrylic resin and were tested with the μTBS test. Data were analyzed using one-way ANOVA and Tamhane T2 tests (α = 0.05). The SHT1 group had the highest bond of strength compared to the other groups (27.46 MPa). The ALS group had the lowest strength of the groups (15.56 MPa). Between SHT2 and HFS (p = 1), the comparison of the mean µTBS values showed no significant differences. It was concluded that silane heat treatment increased the resin composite–ceramic bond strength; however, within the terms of μTBS, the Er:YAG laser treatment was more successful than other surface treatment applications.
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Affiliation(s)
- Goknil Ergun-Kunt
- Department of Prosthodontics, Faculty of Dentistry, University of Ondokuz Mayıs, Samsun 55420, Turkey;
| | - Rafat Sasany
- Independent Researcher, Samsun 55020, Turkey
- Correspondence:
| | - Mehmet Faruk Koca
- Department of Periodontology, Faculty of Dentistry, University of Ondokuz Mayıs, Samsun 55420, Turkey;
| | - Mutlu Özcan
- Center of Dental Medicine, Division of Dental Biomaterials, Clinic for Reconstructive Dentistry, University of Zurich, 8032 Zurich, Switzerland;
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Zhang LX, Hong DW, Zheng M, Yu H. Is the bond strength of zirconia-reinforced lithium silicate lower than that of lithium disilicate? A systematic review and metaanalysis. J Prosthodont Res 2021; 66:530-537. [PMID: 34853237 DOI: 10.2186/jpr.jpr_d_20_00112] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE This study systematically reviewed the literature to compare the bond strength of resin composites with that of zirconia-reinforced lithium silicate (ZLS) and lithium disilicate (LD). STUDY SELECTION This review was structured based on the Preferred Reporting Items for Systematic Reviews and MetaAnalyses (PRISMA 2020) statement. This study was registered at the International Prospective Register of Systematic Reviews (CRD42021256900). Studies were searched via PubMed, Web of Science, and Google Scholar databases without language or publication year limits. In vitro studies that evaluated the bond strength of the resin composites to ZLS and LD were included. The risk of bias in all the included articles was evaluated. Statistical analyses were performed using the Review Manager software (version 5.3, Cochrane Collaboration, Oxford, UK). RESULTS Of the 90 potentially related articles, the full texts of 16 articles were evaluated after screening. Finally, sevenstudies were included in the qualitative synthesis and meta-analysis. All the studies presented a medium risk of bias. The results showed no significant difference in bond strength between the ZLS and LD groups (P = 0.94, mean difference=0.08, and 95% confidence interval=-1.93 to 2.10). However, a significant difference was found in the subgroup analysis considering different types of aging treatments (P = 0.0008) and different types of bond strength tests (P < 0.00001). CONCLUSION The bond strength of resin composites was found to be similar to that of ZLS and LD, but different aging treatments and bond strength tests exhibited varying effects on the bond strength.
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Affiliation(s)
- Li-Xian Zhang
- Fujian Key Laboratory of Oral Diseases & Fujian Provincial Engineering Research Center of Oral Biomaterial & Stomatological Key Laboratory of Fujian College and University, School and Hospital of Stomatology, Fujian Medical University, Fuzhou, China
| | - Deng-Wei Hong
- Fujian Key Laboratory of Oral Diseases & Fujian Provincial Engineering Research Center of Oral Biomaterial & Stomatological Key Laboratory of Fujian College and University, School and Hospital of Stomatology, Fujian Medical University, Fuzhou, China
| | - Ming Zheng
- Fujian Key Laboratory of Oral Diseases & Fujian Provincial Engineering Research Center of Oral Biomaterial & Stomatological Key Laboratory of Fujian College and University, School and Hospital of Stomatology, Fujian Medical University, Fuzhou, China
| | - Hao Yu
- Fujian Key Laboratory of Oral Diseases & Fujian Provincial Engineering Research Center of Oral Biomaterial & Stomatological Key Laboratory of Fujian College and University, School and Hospital of Stomatology, Fujian Medical University, Fuzhou, China.,Department of Applied Prosthodontics, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan
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Comparison between Hydrofluoric Acid and Single-Component Primer as Conditioners on Resin Cement Adhesion to Lithium Silicate and Lithium Disilicate Glass Ceramics. MATERIALS 2021; 14:ma14226776. [PMID: 34832176 PMCID: PMC8621437 DOI: 10.3390/ma14226776] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/23/2021] [Revised: 10/25/2021] [Accepted: 10/30/2021] [Indexed: 11/17/2022]
Abstract
This study aimed at evaluating the effects of different surface conditionings on the microshear bond strength (µSBS) of a self-adhesive resin cement to VITA Suprinity (ZLS) and IPS e.max CAD (LD). Three surface conditioning protocols were performed on ZLS and LD before luting with a self-adhesive resin cement (RelyX Unicem 2, RXU): hydrofluoric acid (HF), HF + silane (HF + S), or Monobond Etch & Prime (EP). In each group, 15 cylindrical buildups of RXU were prepared on five milled bars and submitted to a µSBS test. Data were statistically analyzed with two-way ANOVA and Tukey’s post hoc test (p < 0.05). Failure modes were recorded and classified as adhesive, mixed, cohesive in resin, or ceramic, and statistically analyzed with Fisher’s exact test (p = 0.05). One additional bar per group was used for the morphological characterization of the conditioned surface by means of SEM. The material per se did not significantly influence adhesion (p = 0.744). Conditioning protocol was a significant factor: EP yielded significantly higher μSBS than HF (p = 0.005), while no significant differences emerged between EP and HF + S (p = 0.107), or HF + S and HF (p = 0.387). The material-conditioning protocol interaction was not statistically significant (p = 0.109). Significant intergroup differences were found in distribution of failure modes: mixed failures were predominant in the ZLS/EP group, while the other groups showed a prevalence of adhesive failures. The self-etching primer showed promising results in terms of immediate bond strength of a self-adhesive resin cement to lithium-silica-based glass ceramics, suggesting its alternative use to hydrofluoric acid and silane conditioning protocols.
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