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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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Wu X, Liu K, Luo R, Xu J, Chen M. Atmospheric plasma treatment: an alternative of HF etching in lithium disilicate glass-ceramic cementation. Front Bioeng Biotechnol 2023; 11:1259707. [PMID: 38107620 PMCID: PMC10722223 DOI: 10.3389/fbioe.2023.1259707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/18/2023] [Accepted: 11/20/2023] [Indexed: 12/19/2023] Open
Abstract
Objectives: This study aimed to investigate whether the atmospheric pressure plasma jet (APPJ) could modify the surface of lithium disilicate glass ceramics (LDC) instead of hydrofluoric acid (HF) in LDC resin cementation. Methods: Two hundred and thirty-two LDC blocks were randomly divided into seven groups: Group 1 (16 specimens) was the blank control group (without HF or APPJ treatment); Group 2 (36 specimens) was etched by HF; Groups 3-7 (36 specimens each) were treated with APPJ, and the relative air humidity (RAH) of the discharge was 22.8%, 43.6%, 59.4%, 75.2%, and 94.0%, respectively. Three LDC blocks in each group were characterized via X-ray photoemission spectroscopy (XPS) analyses, 3 blocks via contact angle measurements, and other 10 blocks via surface roughness measurements. The residual LDC blocks in groups 2-7 were cemented to composite cylinders. Testing the cemented specimens' shear bond strength (SBS) before and after thermocycling (6,500 cycles of 5°C and 55°C) revealed fracture patterns. Data were analyzed by ANOVA (post hoc: Bonferroni) (α = 0.05). Results: After APPJ treatment, the water contact angle values of APPJ treated blocks dropped from 31.37° to 5.66°, while that of HF etched ones dropped to 18.33°. The O/C ratio increased after HF etching or APPJ treatment according to the calculated results, except for the APPJ-treated samples at a RAH of 22.8%. The surface roughness of LDC blocks showed no statistic difference before and after APPJ treatment, but experienced significant difference after HF etching. The O/Si and O/C ratios varied after HF etching or APPJ treatment. No significant difference in SBS values could be found among groups 2-7 before or after artificial aging (p > 0.05). All specimens showed mixed failure patterns. Conclusion: The APPJ treatment method reported in this study is a promising novel strategy for surface modification of the LDC. With acceptable bonding strength, it might be an alternative to HF in LDC-resin cementation.
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Affiliation(s)
- Xiaoqian Wu
- Stomatological Hospital of Chongqing Medical University, Chongqing, China
- Chengdu Women’s and Children’s Central Hospital, School of Medicine, University of Electronic Science and Technology of China, Chengdu, China
| | - Kun Liu
- The State Key Laboratory of Power Transmission Equipment and System Security and New Technology, Chongqing University, Chongqing, China
| | - Rui Luo
- Stomatological Hospital of Chongqing Medical University, Chongqing, China
| | - Jianhao Xu
- Stomatological Hospital of Chongqing Medical University, Chongqing, China
| | - Mingsheng Chen
- Stomatological Hospital of Chongqing Medical University, Chongqing, China
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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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Choo SS, Ko KH, Huh YH, Park CJ, Cho LR. Fatigue resistance of anterior monolithic crowns produced from CAD-CAM materials: An in vitro study. J Prosthet Dent 2023; 130:620-628. [PMID: 34980473 DOI: 10.1016/j.prosdent.2021.09.034] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/04/2020] [Revised: 09/29/2021] [Accepted: 09/29/2021] [Indexed: 10/19/2022]
Abstract
STATEMENT OF PROBLEM Lithium disilicate and 5 mol% yttria partially stabilized zirconia (5Y-PSZ) are commonly used for anterior restorations. However, studies comparing the durability of 5Y-PSZ and lithium disilicates are sparse. PURPOSE The purpose of this in vitro study was to investigate the fracture load of anterior monolithic crowns made of 2 lithium disilicates and a 5Y-PSZ under dynamic loading. MATERIAL AND METHODS Titanium abutments of the maxillary incisors were prepared (N=48, 8 for each group). Monolithic anterior crowns were made from the lithium disilicates (e.max CAD, Rosetta SM) and 5Y-PSZ (Katana UTML). After cementation, the specimens were stored in water for 24 hours and then thermocycled 10 000 times. Dynamic loading (70 N, 200 000 cycles, 1 Hz) was applied to half the specimens. The fracture load was measured by using a universal testing machine. The fracture patterns were analyzed and fractography applied. Two-way ANOVA and the Fisher exact test were used for statistical analysis (α=.05). RESULTS The material and dynamic loading affected the fracture load of the anterior monolithic crowns (P<.05). However, there was no interaction between the material and the dynamic loading (P=.079). Both lithium disilicates had higher fracture loads than 5Y-PSZ (P<.05). The fracture load of each specimen was reduced after dynamic loading (P<.05). Lithium disilicate showed marginal and bulk fractures, and 5Y-PSZ presented catastrophic fractures (P<.001). CONCLUSIONS 5Y-PSZ materials with large grains and low flexural strength may be less resistant to fractures under dynamic loading than lithium disilicates.
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Affiliation(s)
- Seung-Sik Choo
- Graduate student, Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University, Gangneung, Republic of Korea
| | - Kyung-Ho Ko
- Assistant Professor, Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University, Gangneung, Republic of Korea
| | - Yoon-Hyuk Huh
- Associate Professor, Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University, Gangneung, Republic of Korea
| | - Chan-Jin Park
- Professor, Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University, Gangneung, Republic of Korea
| | - Lee-Ra Cho
- Professor, Department of Prosthodontics and Research Institute of Oral Science, College of Dentistry, Gangneung-Wonju National University, Gangneung, Republic of Korea.
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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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Al-Johani H, Haider J, Silikas N, Satterthwaite J. Effect of surface treatments on optical, topographical and mechanical properties of CAD/CAM reinforced lithium silicate glass ceramics. Dent Mater 2023; 39:779-789. [PMID: 37438204 DOI: 10.1016/j.dental.2023.07.004] [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: 03/21/2023] [Revised: 06/21/2023] [Accepted: 07/04/2023] [Indexed: 07/14/2023]
Abstract
OBJECTIVES To investigate the effect of different surface treatments on optical, topographical and mechanical properties of CAD/CAM lithium silicate-based glass ceramics (LSC's) and their combined effect on the output of a light curing unit (LCU). METHODS Four CAD/CAM LSC's were investigated: Lithium Disilicate (Emax CAD; EC), Zirconia-reinforced silicates (Vita Suprinity; VS and Celtra Duo;CD) and Lithium Aluminum Disilicate (CEREC Tessera; CT). Ceramic specimens (n = 240) were divided into six subgroups according to their surface treatment: (a) Control, (b) Hydrofluoric acid (HF) 5%, (c) HF 5% + Neutralizing agent (N), (d) HF 9%, (e) HF 9% +N and (f) Self-etching ceramic primer (SEP). Irradiance, power and radiant exposure of a LCU were measured with MARC-LC following ceramic specimen interposition. Direct light transmission (T%) and absorbance (Abs%) of the specimens were measured with UV-Vis spectrophotometry. Roughness (Sa, Sq) and wettability (θ°) were measured with optical profilometry and sessile drop profile analysis, respectively. Biaxial flexural strength (σ) of the ceramic specimens was measured by the ball-on-three-balls method and ceramic specimens were examined microscopically. Statistical analyses was performed by two-way ANOVA followed by post hoc multiple comparisons (α = 0.05). RESULTS Acid neutralization decreased T% and increased Abs% in all LSC's and highest T% was exhibited with VS. Neutralized EC, VS and CD displayed higher Sa in HF9, while neutralized CT displayed higher Sa in HF5. Self-etch primer significantly reduced θ° (p < 0.001). σ was observed in the followed ascending order: HF9 +N < HF9 < HF5 +N < HF5 < SEP < Control for all LSC's. SIGNIFICANCE Optical, topographical and mechanical properties of the CAD/CAM ceramic blocks were strongly dependent on the type of surface treatment. Results of neutralization post-etching indicate promising potential for future investigations.
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Affiliation(s)
- Hanan Al-Johani
- Division of Dentistry, School of Medical Sciences, University of Manchester, UK; Department of Restorative Dentistry, Division of Biomaterials, Faculty of Dentistry, King Abdulaziz University, Saudi Arabia
| | - Julfikar Haider
- Division of Dentistry, School of Medical Sciences, University of Manchester, UK; Department of Engineering, Manchester Metropolitan University, Manchester, United Kingdom
| | - Nick Silikas
- Division of Dentistry, School of Medical Sciences, University of Manchester, UK.
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Essam N, Soltan H, Attia A. Influence of thickness and surface conditioning on fracture resistance of occlusal veneer. BMC Oral Health 2023; 23:258. [PMID: 37138255 PMCID: PMC10157962 DOI: 10.1186/s12903-023-02932-0] [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: 01/30/2023] [Accepted: 04/03/2023] [Indexed: 05/05/2023] Open
Abstract
BACKGROUND The purpose of the current study was to assess the impact of restoration thickness, surface conditioning and the interaction between them on the fracture resistance of CAD/CAM fabricated lithium disilicate occlusal veneers. METHODS A total of 42 maxillary molars were prepared to receive CAD/CAM fabricated lithium disilicate occlusal veneer either with 0.5 mm (n = 21) or 1 mm (n = 21) thickness. Each main group was divided into 3 subgroups (n = 7), according to surface treatment, HF acid (HF-1, HF-0.5), acidulated phosphate fluoride (APF-1, APF-0.5) and Monobond etch & prime (MON-1, MON-0.5). Multilinik N (Ivoclar-Vivadent) adhesive resin cement was used for bonding according to the manufacturer instructions. One hour after bonding, specimens were stored in water bath for 75 days followed by cyclic loading fatigue for 240,000 cycles to simulate clinical situation. Finally, specimens were fractured under compressive load in (N) using a universal testing machine. Two and one-way ANOVA and Post Hoc Tukey test were used for statistical analysis. RESULTS The means ± SD (N) fracture load for each group were calculated. MON-1 group showed the highest fracture load (1644.7 ± 155.3) followed by HF-1 group (1514.6 ± 212.5). Meanwhile, APF-0.5 showed the lowest fracture load (962 ± 249.6). CONCLUSION CAD/CAM fabricated lithium disilicate occlusal veneers can be used with a thickness of 0.5 mm instead of conventional crowns. Monobond etch & prime is recommended as a surface treatment for CAD/CAM fabricated lithium disilicate occlusal veneer due to biological hazards of Hydrofluoric acid.
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Affiliation(s)
- Noha Essam
- Department of Fixed Prosthodontics, Faculty of Dentistry, Mansoura university, El Gomhouria St, Mansoura, Dakahlia Governorate, Egypt
| | - Hassan Soltan
- Faculty of Engineering, Mansoura university, Dakahlia Governorate, Egypt
| | - Ahmed Attia
- Department of Fixed Prosthodontics, Faculty of Dentistry, Mansoura university, El Gomhouria St, Mansoura, Dakahlia Governorate, Egypt.
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Alayed A. Influence of Lithium disilicate pretreatment using photodynamic therapy, non-thermal plasma, and laser treatment on surface roughness and bond strength. Photodiagnosis Photodyn Ther 2023; 42:103512. [PMID: 36935048 DOI: 10.1016/j.pdpdt.2023.103512] [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: 02/07/2023] [Revised: 02/26/2023] [Accepted: 03/08/2023] [Indexed: 03/19/2023]
Abstract
AIMS To assess the shear bond strength (SBS) and surface roughness (Ra) of lithium disilicate ceramic (LDC) after using different pretreatment methods i.e., Non-Thermal Plasma (NTP), self-etching ceramic primer (SECP), curcumin photosensitizer (CP), Er and Cr: YSGG lasers (ECL) in comparison to hydrofluoric acid + Silane (HF + S) MATERIALS AND METHODS: : A total of fifty LDC discs were prepared. All the discs were arbitrarily divided into five groups based on the surface conditioning used (n=10). Group 1: PDT+S, group 2: HF+ S, group 3: NTP + S, group 4: SECP, and group 5: ECL+ S. A confocal optical microscope was used to calculate Ra for each sample. A self-adhesive resin cement was applied followed by LED light curing. A universal testing machine was used to assess SBS and a stereomicroscope was used to determine the failure mode. Two-way analysis of variance (ANOVA), and a Tukey post hoc test was used to analyze data (p=0.05) RESULTS: : The highest bond integrity of resin luting bonded to conditioned LDS ceramics were presented by group 2 (HF+ S) (21.48±1.39 MPa) and lowest by group 1 (CP+S) (13.01±1.19 MPa) respectively. Intergroup comparison analysis revealed that group 1(13.01±1.19 MPa) and group 3 (14.28±0.62 MPa) displayed comparable outcomes of bond integrity(p>0.05). Similarly, it was observed that group 2 (21.48±1.39 MPa) and group 5 (21.31±1.85MPa) exhibited comparable values of bond strength(p>0.05). Specimens conditioned with HF+ S showed the highest Ra (1445.86±0.019µm). However, discs treated with SECP exhibited the lowest Ra (0139.76±0.081µm) CONCLUSION: Er, Cr: YSGG laser retains the ability to be used as an LDC surface conditioner as an alternative to HF+ S.Both the methods of pretreatment results in high surface roughness of LDC.
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Affiliation(s)
- Abdullah Alayed
- Department of Restorative Dentistry, College of Dentistry, King Saud University, Riyadh, Saudi Arabia.
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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, 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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11
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da Silva SEG, de Araújo GM, Souza KB, Moura DMD, Aurélio IL, May LG, Vila-Nova TEL, Zhang Y, de Assunção E Souza RO. Biaxial flexure strength and physicochemical characterization of a CAD/CAM lithium disilicate ceramic: effect of etching time, silane, and adhesive applications. Clin Oral Investig 2022; 26:6753-6763. [PMID: 35980474 PMCID: PMC9902029 DOI: 10.1007/s00784-022-04635-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Accepted: 07/12/2022] [Indexed: 01/21/2023]
Abstract
OBJECTIVE To evaluate the effect of different acid etching time and bonding agent (silane and/or adhesive system) on biaxial flexural strength and physico-chemical properties of a lithium disilicate ceramic. MATERIAL AND METHODS One hundred twenty ceramic discs were made and divided into 8 groups (n = 15) according to factors "etching time" (20 and 120 s) with hydrofluoric acid (HF) and "bonding agent" (C, no bonding agent; S, silane, A, adhesive; and SA, silane + adhesive). After surface treatment, a resin cement layer was applied to the surface and all specimens were subjected to biaxial flexural strength (BFS) test with treated surfaces loaded in tension (1 mm/min). The Weibull analyses and complementary analyses were also performed. Statistical analysis was done with 2-way ANOVA and the Tukey test (α = 0.05). RESULTS ANOVA revealed that the factors "etching time" (p = 0.0003) and "bonding agent" (p = 0.007) were statistically significant. In the overall analysis, the HF120S group (272.02 ± 35.30A MPa) presented significantly higher BFS than that of HF120C (218.45 ± 17.15CD MPa) and HF20S (228.40 ± 37.83BCDMPa). On the other hand, the HF20A group (208.92 ± 31.16D MPa) had significantly lower BFS than HF120S (272.02 ± 35.30A), HF120A (254.42 ± 26.87ABC) and HF120SA (259.30 ± 36.55AB) groups (Tukey). The Weibull modulus (m) of all groups was significantly different from each other (p = 0.000). CONCLUSIONS Regardless of etching time, the application of silane alone is sufficient to increase the flexural strength of glass ceramic, eliminating the need for the application of adhesive systems. Moreover, if only silane or adhesive is applied, 120-s HF application should increase the flexural resistance of the lithium disilicate ceramic. CLINICAL SIGNIFICANCE Applications of adhesive systems after silanization can be suppressed from the surface treatment protocol of glass ceramics, since it does not improve their mechanical strength.
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Affiliation(s)
- Sarah Emille Gomes da Silva
- Department of Dentistry, Federal University of Rio Grande Do Norte (UFRN), Av. Salgado FilhoLagoa Nova, Natal, RN, CEP, 178759056-000, Brazil
| | - Gabriela Monteiro de Araújo
- Department of Dentistry, Oral Science, Federal University of Rio Grande Do Norte (UFRN), Av. Salgado FilhoLagoa Nova, Natal, RN. CEP, 178759056-000, Brazil
| | - Karina Barbosa Souza
- Institute of Science and Technology, Univ Estadual Paulista - UNESP, Francisco Jose Longo, Av. Eng, Sao Jose dos Campos, SP, 777, Brazil
| | - Dayanne Monielle Duarte Moura
- Department of Dentistry, State University of Rio Grande Do Norte (UERN), Rua Almino Afonso, 478 - Centro - Mossoró/RN CEP: 59.610-210, Rio, Brazil
| | - Iana Lamadrid Aurélio
- Department of Restorative Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul, Brazil
| | - Liliana Gressler May
- Department of Restorative Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul, Brazil
| | | | - Yu Zhang
- School of Dental Medicine, Department of Preventive and Restorative, University of Pennsylvania, Philadelphia, PA, 19104, USA
| | - Rodrigo Othávio de Assunção E Souza
- Department of Dentistry, Federal University of Rio Grande Do Norte (UFRN), Av. Salgado FilhoLagoa Nova, Natal, RN, CEP, 178759056-000, Brazil.
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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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Martins JD, Moura DMD, Lima CM, de Carvalho RLA, Leite FPP, Souza ROA. Surface Treatment and Cementation of Lithium Silicate Ceramics Containing ZrO2. Oper Dent 2022; 47:202-213. [DOI: 10.2341/20-156-l] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/10/2021] [Indexed: 11/23/2022]
Abstract
SUMMARY
Objective
To evaluate the effect of different surface treatments on the shear bond strength (SBS) of lithium silicate (LS) and lithium disilicate (LD) ceramics, after thermocycling.
Methods and Materials
For SBS test, 72 ceramic blocks (18×14×2 mm) were made (24 blocks from each ceramic material): VITA Suprinity (LSS), Celtra Duo (LSC), and Lithium disilicate (LD). The blocks were polished with sandpaper of increasing grit (#280, #400, #800, and #1200) and embedded in chemically activated acrylic resin. Afterwards, they were randomly divided into 12 groups (6 blocks per group) according to: “Ceramic” (LD, LSC, and LSS) and “Surface treatment” (HFS: hydrofluoric acid + silane; MEP: Monobond Etch & Prime/Ivoclar). From each treated surface ceramic block, four dual-curing resin cement cylinders (RelyX U200, 3M Oral Care) were prepared using a Tygon tube (Ø=3 mm and h=2 mm) and light cured for 40 seconds (1000 mW/cm2) (N=288/n=24). All specimens were submitted to thermocycling (10,000 cycles, 5°C and 55°C, 30 seconds) and then to SBS test at a crosshead speed of 1 mm/min using a 50-kgf load cell. Forty-five additional blocks were made for roughness and SEM analysis. Failure mode was also performed. The data (MPa) were statistically analyzed by oneway analysis of variance (ANOVA), Tukey test (5%), and Weibull analysis. The Ra was analyzed by Kruskal–Wallis and Dunn Test (5%). The other variables were analyzed qualitatively.
Results
ANOVA revealed that “surface treatment” was significant for all ceramic materials (p<0.05). The LD-HFS (18.66±3.49), LSC-HFS (16.81±2.62), and LSS-HFS (16.33±3.08) groups had significantly higher SBS than the LD-MEP (7.00±4.2), LSC-MEP (14.12±3.51), and LSS-MEP (13.87±2.52) groups. Complete adhesive failures at the cement– dentin interface were more frequent. Weibull modulus was superior for the LD-HFS (6.22), LSC-HFS (8.8), and LSS-HFS (7.4) groups.
Conclusion
HF followed by silanization is the most suitable surface treatment for the cementation of LS and LD glass ceramics.
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Affiliation(s)
- JD Martins
- Jordana Dias Martins, DDS, MSc, Department of Restorative Dentistry, School of Dentistry, Federal University of Juiz de Fora (UFJF), São Pedro, Juiz de Fora, Brazil
| | - DMD Moura
- Dayanne Monielle Duarte Moura, DDS, MSc, PhD, professor, Department of Dentistry, State University of Rio Grande do Norte (UERN), Caicó/RN, Brazil
| | - CM Lima
- Camila Moreira Lima, DDS, MSc, PhD student, Department of Restorative Dentistry, School of Dentistry, Federal University of Juiz de Fora (UFJF), São Pedro, Juiz de Fora, Brazil
| | - RLA de Carvalho
- Ronaldo Luís Almeida de Carvalho, MSc, PhD, professor, Department of Dentistry, School of Dentistry, Centro Universitário Braz Cubas, Mogi das Cruzes, Brazil
| | - FPP Leite
- Fabíola Pessôa Pereira Leite, DDS, MSc, PhD, professor Department of Restorative Dentistry, School of Dentistry, Federal University of Juiz de Fora (UFJF), São Pedro, Juiz de Fora, Brazil
| | - ROA Souza
- *Rodrigo Othávio Assunção e Souza, DDS, MSc, PhD, adjunct professor, Health Science Center, Department of Dentistry, School of Dentistry, Federal University of Rio Grande do Norte (UFRN), Lagoa Nova, Natal, Brazil
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14
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Dapieve KS, Pereira GKR, Venturini AB, Daudt N, Valcanaia A, Bottino MC, Valandro LF. Do resin cement viscosity and ceramic surface etching influence the fatigue performance of bonded lithium disilicate glass-ceramic crowns? Dent Mater 2021; 38:e59-e67. [PMID: 34969523 DOI: 10.1016/j.dental.2021.12.015] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2021] [Revised: 12/04/2021] [Accepted: 12/08/2021] [Indexed: 11/03/2022]
Abstract
OBJECTIVE To assess the effects of a resin cement in high and low viscosity and distinct conditioning of the intaglio surface of lithium disilicate glass-ceramic crowns on fatigue performance of the crowns. METHODS Prosthetic preparations (full-crown) in resin epoxy and crowns in lithium disilicate glass-ceramic were machined and allocated considering 2 factors (n = 10): "surface treatment" (HF - 5% hydrofluoric acid etching, followed by silane application; or E&P-self-etching ceramic primer) and "resin cement" (high or low viscosity). The preparations were etched with 10% hydrofluoric acid and an adhesive was applied. The intaglio surfaces of the ceramic crowns were treated as aforementioned (HF or E&P) and luted with high or low viscosity. The bonded sets were subjected to fatigue testing (step-stress approach: initial load of 200 N, step-size of 50 N, 10,000 cycles/step, 20 Hz) and complementary analyses (fractographic, topographic, and cross-sectional bonded interfacial zone analyses) were performed. RESULTS Treatment with HF and silane with high viscosity resin cement (955 N/156,000 cycles) and E&P with low viscosity resin cement (1090 N/183,000 cycles) showed the best fatigue performance (statistical similarity between them). The failures originated from defects of the cement-ceramic interface, and the HF treatment induced a more pronounced topographical alteration. SIGNIFICANCE Distinct topographical patterns from the HF and E&P treatments induced better fatigue results for the specific viscosity of the resin cement. Therefore, the fatigue performance depended on the existing topography, type of intaglio surface's defects/irregularities after surface treatment, and how the luting agent filled the irregularities.
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Affiliation(s)
- Kiara Serafini Dapieve
- Post-Graduate Program in Oral Science, Prosthetic Dentistry Unit, 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, 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 Science, Prosthetic Dentistry Unit, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - Natália Daudt
- Post-Graduate Program in Mechanical Engineering, Department of Mechanical Engineering, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
| | - André Valcanaia
- Department of Cariology, Restorative Sciences and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, USA.
| | - Marco Cícero Bottino
- Department of Cariology, Restorative Sciences and Endodontics, School of Dentistry, University of Michigan, Ann Arbor, USA.
| | - Luiz Felipe Valandro
- Post-Graduate Program in Oral Science, Prosthetic Dentistry Unit, Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil.
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15
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Lima CM, Silva NRD, Martins JD, Miranda JS, Tanaka R, Souza RODAE, Leite FPP. Effect of different surface treatments on the biaxial flexure strength, Weibull characteristics, roughness, and surface topography of bonded CAD/CAM silica-based ceramics. Dent Mater 2020; 37:e151-e161. [PMID: 33298316 DOI: 10.1016/j.dental.2020.11.009] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Revised: 06/28/2020] [Accepted: 11/13/2020] [Indexed: 11/26/2022]
Abstract
OBJECTIVE To investigate the influence of different surface treatments on biaxial flexure strength, roughness, and surface topography of lithium silicate/disilicate-based ceramics. METHODS 225 discs (∅: 12 mm; 1.2 mm - ISO 6872) were made from three ceramics: IPS e.max CAD (LD - Ivoclar Vivadent), Suprinity (LSS - Vita) and Celtra Duo (LSC - Dentsply). The samples were randomly divided into 5 groups (n = 15): no treatment (C); 10% hydrofluoric acid + silane (HF); sandblasting Al2O3 + silane (SB); silicatization + silane (SC); and self-etching ceramic primer (SEP). After surface treatment, a resin cement layer was applied to the disc surface (RelyX U200, 3M ESPE), mechanical cycled (1.2 × 106 cycles, 50 N, 3.8 Hz) and submitted to biaxial flexural strength test (1 mm/min, 1000 Kgf). Roughness, EDS and SEM were also performed. Data were analyzed by one-way ANOVA, Tukey test (5%) and Weibull. RESULTS ANOVA revealed that the "surface treatment" factor was significant for all ceramics (p < 0.05). The groups LD-HF (289.30 ± 40) LD-SEP (298. 87 ± 53.29), LSC-HF (195.51 ± 42.12), LSS-HF (269.58 ± 27.07) and LSS-SEP (207.45 ± 28.63) presented significantly higher biaxial flexure strength than respective control groups, except for the LSC-SEP (165.41 ± 33.86), which was statistically similar to the control. The Weibull modulus was significantly higher for the LD-SB, LSC-SC groups. Additionally, the LD-SB, LSC-SC and LSS-HF groups showed higher roughness compared to the other treatments. SIGNIFICANCE HF etching followed by silanization and self-etching ceramic primer are the most suitable surface treatments for lithium silicate/disilicate-based glass-ceramics.
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Affiliation(s)
- Camila Moreira Lima
- Federal University of Juiz de Fora (UFJF), Dental School, St. José Lourenço Kelmer, s/n - São Pedro, Juiz de Fora, MG, CEP: 36036-900, Brazil.
| | - Nathalia Ramos da Silva
- Federal University of Rio Grande do Norte (UFRN), Department of Dentistry, Av. Salgado Filho, 1787 - Lagoa Nova, Natal, RN, CEP: 59056-000, Brazil.
| | - Jordana Dias Martins
- Federal University of Juiz de Fora (UFJF), Dental School, St. José Lourenço Kelmer, s/n - São Pedro, Juiz de Fora, MG, CEP: 36036-900, Brazil.
| | - Jean Soares Miranda
- Braz Cubas University, Department of Dentistry, Av. Francisco Rodrigues Filho, 1233 - Vila Mogilar, Mogi das Cruzes, SP, CEP: 08773-380, Brazil.
| | - Ricardo Tanaka
- University of São Paulo (USP), Dental School, St. João de Santa Maria, 129 - Vila Brasilina, São Paulo, SP, CEP: 04158-070, Brazil.
| | - Rodrigo Othávio de Assunção E Souza
- Federal University of Rio Grande do Norte (UFRN), Department of Dentistry, Av. Salgado Filho, 1787 - Lagoa Nova, Natal, RN, CEP: 59056-000, Brazil.
| | - Fabíola Pessôa Pereira Leite
- Federal University of Juiz de Fora (UFJF), Dental School, St. José Lourenço Kelmer, s/n - São Pedro, Juiz de Fora, MG, CEP: 36036-900, Brazil.
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16
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Influence of Low-Pressure Plasma on the Surface Properties of CAD-CAM Leucite-Reinforced Feldspar and Resin Matrix Ceramics. APPLIED SCIENCES-BASEL 2020. [DOI: 10.3390/app10248856] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/03/2023]
Abstract
The introduction of new ceramic materials for dental restorations is currently a reality; however, little information is available on their surface treatment for the bonding process. Furthermore, surface treatment with plasma on ceramic materials has been recently introduced, although not many studies are available. The aim of this study was to evaluate the surface properties of a leucite-reinforced feldspar ceramic (LIC) and resin matrix ceramic (RMC) after low-pressure plasma treatment. From each material, 48 discs were prepared and subject to surface treatment. The LIC group was treated by hydrofluoric acid (HF) (LIC-HF), plasma with oxygen (LIC-O2), and plasma with argon (LIC-Ar). The RMC group was treated by sandblasting with alumina (RMC-SB), plasma with oxygen (RMC-O2), and plasma with argon (RMC-Ar). The groups whose surfaces were not subjected to treatment were considered as the control group. Surface wettability and roughness was analyzed. The results showed significant differences among the treatments for both ceramics regarding wettability and roughness. Plasma treatments increased the wettability and had a very low effect on the roughness. Plasma treatments achieved similar values for both surface properties in each ceramic group with no differences between both treatments. Plasma treatment seems to be a promising alternative for ceramic surface treatments since it increased the surface energy of the ceramics analyzed and hardly affects the roughness. Further studies are necessary to evaluate the effect of plasma treatment on the bond strength of ceramics.
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17
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Perdigão J, Araujo E, Ramos RQ, Gomes G, Pizzolotto L. Adhesive dentistry: Current concepts and clinical considerations. J ESTHET RESTOR DENT 2020; 33:51-68. [PMID: 33264490 DOI: 10.1111/jerd.12692] [Citation(s) in RCA: 56] [Impact Index Per Article: 14.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/08/2020] [Accepted: 11/16/2020] [Indexed: 01/07/2023]
Abstract
OBJECTIVES To address contemporary concepts in adhesive dental materials with emphasis on the evidence behind their clinical use. OVERVIEW Adhesive dentistry has undergone major transformations within the last 20 years. New dental adhesives and composite resins have been launched with special focus on their user-friendliness by reducing the number of components and/or clinical steps. The latest examples are universal adhesives and universal composite resins. While clinicians prefer multipurpose materials with shorter application times, the simplification of clinical procedures does not always result in the best clinical outcomes. This review summarizes the current evidence on adhesive restorative materials with focus on universal adhesives and universal composite resins. CONCLUSIONS (a) Although the clinical behavior of universal adhesives has exceeded expectations, dentists still need to etch enamel to achieve durable restorations; (b) there is no clinical evidence to back some of the popular adjunct techniques used with dental adhesives, including glutaraldehyde-based desensitizers and matrix metalloproteinase inhibitors; and (c) the color adaptation potential of new universal composite resins has simplified their clinical application by combining multiple shades without using different translucencies of the same shade. CLINICAL SIGNIFICANCE New adhesive restorative materials are easier to use than their predecessors, while providing excellent clinical outcomes without compromising the esthetic quality of the restorations.
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Affiliation(s)
- Jorge Perdigão
- Department of Restorative Sciences, Division of Operative Dentistry, University of Minnesota, Minneapolis, Minnesota, USA
| | - Edson Araujo
- Department of Comprehensive Care, School of Dentistry, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - Renato Q Ramos
- Department of Operative Dentistry, School of Dentistry, Federal University of Santa Catarina, Florianópolis, Santa Catarina, Brazil
| | - George Gomes
- George Gomes Dental Center, Oeiras, Lisbon, Portugal
| | - Lucas Pizzolotto
- Department of Dental Materials, Faculty of Dental Sciences, Federal University of Rio Grande do Sul, Porto Alegre, Rio Grande do Sul, Brazil
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Miotti LL, Follak AC, Montagner AF, Pozzobon RT, da Silveira BL, Susin AH. Is Conventional Resin Cement Adhesive Performance to Dentin Better Than Self-adhesive? A Systematic Review and Meta-Analysis of Laboratory Studies. Oper Dent 2020; 45:484-495. [PMID: 32101496 DOI: 10.2341/19-153-l] [Citation(s) in RCA: 29] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/30/2019] [Indexed: 11/23/2022]
Abstract
CLINICAL RELEVANCE Conventional multistep resin cements presented higher adhesive performance to dentin than simplified self-adhesive cements, which is an important criterion for indirect restoration prognosis. SUMMARY This study aimed to conduct a systematic review of the literature on laboratory studies assessing bonding performance to dentin of conventional and self-adhesive resin cements, in cementing indirect restorations. This review was reported according to the PRISMA Statement. Of a total of 518 studies, 36 were screened full text and reviewed according to exclusion criteria. Nineteen papers were included in the systematic review and meta-analyses, according to the following inclusion criteria: studies that evaluated the bond strength to dentin of indirect restorations cemented with dual conventional or self-adhesive resin cements and those that presented bond strength data in MPa as an outcome. Statistical analyses were conducted using Rev-Man 5.1. Comparisons were performed with random effects models at 5% significance level. A global analysis comparing conventional and self-adhesive cements and three subgroup analyses comparing immediate and long-term results were performed. Global analysis showed a difference between groups, with conventional resin cements presenting higher bond strength results than self-adhesive resin cements, in immediate and long-term time periods (both p=0.03). Immediate and longterm bond strength results were different for self-adhesive cements, favoring immediate bond strength (p=0.03), but immediate and long-term bond strength results for conventional resin cements were not different (p=0.06). Medium or high risk of bias was found in all studies. Conventional multistep resin cements showed superior overall adhesive performance compared with simplified self-adhesive resin cements when used to cement indirect restorations to dentin.
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19
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Alves DM, Cadore-Rodrigues AC, Prochnow C, Burgo TADL, Spazzin AO, Bacchi A, Valandro LF, Rocha Pereira GK. Fatigue performance of adhesively luted glass or polycrystalline CAD-CAM monolithic crowns. J Prosthet Dent 2020; 126:119-127. [PMID: 32636073 DOI: 10.1016/j.prosdent.2020.03.032] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2019] [Revised: 03/23/2020] [Accepted: 03/23/2020] [Indexed: 11/17/2022]
Abstract
STATEMENT OF PROBLEM Data comparing the fatigue performance of adhesively luted glass or polycrystalline ceramic systems for computer-aided design and computer-aided manufacturing (CAD-CAM) are scarce. PURPOSE The purpose of this in vitro study was to evaluate and compare the fatigue performance of monolithic crowns manufactured from glass or polycrystalline CAD-CAM ceramic systems adhesively luted to a dentin analog. MATERIALS AND METHODS Fifty-four pairs of standardized preparations of dentin analog (NEMA Grade G10) and simplified ceramic crowns of 1.5-mm thickness were obtained with 3 ceramic materials: lithium disilicate (LD) glass-ceramic (IPS e.max CAD); zirconia-reinforced lithium silicate (ZLS) glass-ceramic (Vita Suprinity); and translucent yttrium fully stabilized polycrystalline zirconia (Trans YZ) (Prettau Anterior). The simplified crowns (n=15) were adhesively cemented onto the preparations and subjected to step-stress fatigue test (initial load of 400 N, 20 Hz, 10 000 cycles, followed by 100-N increment steps until failure). Collected data (fatigue failure load [FFL] and cycles for failure [CFF]) were submitted to survival analysis with the Kaplan-Meier and Mantel-Cox post hoc tests (α=.05) and to Weibull analysis (Weibull modulus and its respective 95% confidence interval). Failed crowns were submitted to fractography analysis. The surface characteristics of the internal surface (roughness, fractal dimension) of additional crowns were accessed, and the occlusal cement thickness obtained in each luted system was measured. RESULTS Trans YZ crowns presented the highest values of FFL, CFF, and survival rates, followed by ZLS and LD (mean FFL: 1740 N>1187 N>987 N; mean CFF: 149 000>92 613>73 667). Weibull modulus and cement thickness were similar for all tested materials. LD presented the roughest internal surface, followed by ZLS (mean Ra: 226 nm>169 nm>93 nm). The LD and ZLS internal surfaces also showed higher fractal dimension, pointing to a more complex surface topography (mean fractal dimension: 2.242=2.238>2.147). CONCLUSIONS CAD-CAM monolithic crowns of Trans YZ show the best fatigue performance. In addition, ZLS crowns also showed better performance than LD crowns.
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Affiliation(s)
- Daniela Meira Alves
- Post-Graduate Program in Dentistry, School of Dentistry, Meridional Faculty, IMED, Passo Fundo, Rio Grande do Sul, Brazil
| | - Ana Carolina Cadore-Rodrigues
- PhD student, MSciD and PhD Post-Graduate Program in Oral Science (Prosthodontics Units), Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul, Brazil
| | - Catina Prochnow
- MSciD and PhD Post-Graduate Program in Oral Science (Prosthodontics Units), Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul, Brazil
| | - Thiago Augusto de Lima Burgo
- Adjunct Professor, Department of Physics, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul, Brazil
| | - Aloísio Oro Spazzin
- Professor, Post-Graduate Program in Dentistry, School of Dentistry, Meridional Faculty, IMED, Passo Fundo, Rio Grande do Sul, Brazil
| | - Ataís Bacchi
- Professor, Post-Graduate Program in Dentistry, School of Dentistry, Meridional Faculty, IMED, Passo Fundo, Rio Grande do Sul, Brazil
| | - Luiz Felipe Valandro
- Professor, MSciD and PhD Post-Graduate Program in Oral Science (Prosthodontics Units), Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul, Brazil
| | - Gabriel Kalil Rocha Pereira
- Adjunct Professor, MSciD and PhD Post-Graduate Program in Oral Science (Prosthodontics Units), Faculty of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul, Brazil.
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Albaker AM, Al Deeb L, Alhenaki AM, Aldeeb M, Al Ahdal K, Abduljabbar T, Vohra F. Bonding integrity and compressive strength of re-bonded, surface conditioned and Er Cr YSGG laser treated lithium disilicate ceramics. J Appl Biomater Funct Mater 2020; 18:2280800020910954. [PMID: 32421423 DOI: 10.1177/2280800020910954] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2022] Open
Abstract
AIM The aim of the study was to investigate the shear bond strength (SBS) and compressive strength (CS) of Er Cr YSGG laser (ECL) treated, re-bonded lithium disilicate (LD) ceramic in comparison to standard conventional conditioning (hydrofluoric acid (HFA) and silane). METHODS One hundred LD ceramic disks were divided equally for SBS and CS testing. Eighty samples were conventionally surface treated and bonded to resin cement followed by de-bonding of the cement build-up. All de-bonded specimens were divided into four groups based on re-bonding surface treatments (HFA, primer, adhesive, and ECL). Resin cement build-ups were performed in 40 specimens for SBS testing (universal testing machine); however, the remaining 40 specimens were tested for CS. Ten specimens each were used as controls (surface treatment was performed once and no primary resin cement bonding) for SBS and CS assessment. Surface topography was assessed using a scanning electron microscope. RESULTS The maximum and minimum SBS values were shown by groups: control (33.42 ± 3.28 megapascals (MPa)); and ECL (17.50 ± 2.22 MPa) respectively. The maximum and minimum CSs were displayed by specimens in the ECL group (439.45 ± 70.68 MPa) and the control group (237.28 ± 19.96 MPa), respectively. For ECL specimens, SBS was significantly lower and CS was significantly higher as compared to control specimens. CONCLUSIONS Application of the Er Cr YSGG laser significantly improved the CS of de-bonded ceramic specimens. However, it did not show a positive influence on the bond integrity of re-bonded ceramics in comparison to conventional surface treatment regimes.
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Affiliation(s)
- Abdulaziz M Albaker
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Laila Al Deeb
- Department of Restorative Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Aasem M Alhenaki
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Modhi Aldeeb
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Khold Al Ahdal
- Department of Restorative Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Tariq Abduljabbar
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
| | - Fahim Vohra
- Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh, Saudi Arabia
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Dapieve KS, Machry RV, Pilecco RO, Kleverlaan CJ, Rocha Pereira GK, Venturini AB, Valandro LF. One-step ceramic primer as surface conditioner: Effect on the load-bearing capacity under fatigue of bonded lithium disilicate ceramic simplified restorations. J Mech Behav Biomed Mater 2020; 104:103686. [DOI: 10.1016/j.jmbbm.2020.103686] [Citation(s) in RCA: 13] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/22/2020] [Revised: 02/06/2020] [Accepted: 02/07/2020] [Indexed: 10/25/2022]
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The Effect of Thermocycling and Surface Treatments on the Surface Roughness and Microhardness of Three Heat-Pressed Ceramics Systems. CRYSTALS 2020. [DOI: 10.3390/cryst10030160] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Dental ceramic restorations are widely used in restorative dentistry. However, these restorations can be affected once cemented in the oral cavity by several factors. How can conventional surface treatments, such as glazing and mechanical polishing, diminish the effects of aging? The purpose of this in vitro study was to evaluate the effect of thermocycling and conventional surface treatments on the surface roughness and microhardness of three types of glass-ceramics by using a profilometer, scanning electron microscopy (SEM), atomic force microscopy (AFM), and a microhardness tester. Three types of ceramic systems (zirconia reinforced lithium silicate glass-ceramic, lithium disilicate glass-ceramic, and feldspathic glass-ceramic) (n = 48) were prepared. The samples were subjected to thermocycling for 10,000 cycles. Surface roughness was evaluated numerically using a profilometer and visually by using SEM and AFM. Microhardness was performed using a microhardness tester. The data were interpreted using the ANOVA test, and the results were correlated using Pearson’s correlation formula (r). Significant differences were found before and after thermocycling for the Ra (p < 0.01) and Rz (p < 0.05) parameters. As well, differences between glazed and polished surfaces were significant before and after thermocycling for surface roughness and microhardness (p < 0.05). A correlation was made between average surface roughness and microhardness (r = −460) and for the maximum surface roughness and microhardness (r = −606). Aging increases the roughness and decreases in time the microhardness. The tested ceramic systems behaved differently to the aging and surface treatments. Surface treatments had a significant impact on the microhardness and surface characteristics. The glazed groups were reported with higher surface roughness and lower microhardness when compared to the polished groups before and after thermocycling. The measuring roughness techniques determine the scale-dependent values for the Ra (Sa) and Rz (Sq) parameters. Thermocycling almost doubled the surface roughness for all the tested samples. Microhardness decreased only for the Celtra glazed samples. Nano-roughness increased the values for Vita and slightly for Emax. Thermocycling had little effect on Emax ceramic and a more significant impact on Celtra Press ceramic.
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Biaxial flexural strength and translucent characteristics of dental lithium disilicate glass ceramics with different translucencies. J Prosthodont Res 2020; 64:71-77. [DOI: 10.1016/j.jpor.2019.04.007] [Citation(s) in RCA: 15] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/12/2018] [Revised: 04/05/2019] [Accepted: 04/06/2019] [Indexed: 11/20/2022]
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Guilardi LF, Pereira GKR, Vallau AS, Silva IA, Giordani JC, Valandro LF, Rippe MP. Fatigue Failure Load of a Bonded Simplified Monolithic Feldspathic Ceramic: Influence of Hydrofluoric Acid Etching and Thermocycling. Oper Dent 2020; 45:E21-E31. [DOI: 10.2341/19-069-l] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Objective:
To evaluate the effect of hydrofluoric acid (HF) etching and thermocycling (Tc) on fatigue failure load of feldspathic ceramic restorations cemented with two resin cements.
Methods:
Disc-shaped feldspathic ceramic (Vitablocs Mark II; Ø=10 mm, 1.0-mm thick) and G10 epoxy resin (Ø=10 mm, 2.5-mm thick) specimens were made and randomly allocated considering three factors: ceramic etching (ie, with vs without 10% HF plus silane application), resin cement (ie, self-adhesive [RelyX U200; U200] or conventional [Multilink Automix; MA]), and Tc (ie, with vs without 5-55°C/12,000 cycles). Adhesive cementation followed each manufacturer's instructions. The fatigue test (n=20) was based on the staircase approach (250,000 cycles; 20 Hz). Contact angle, surface topography, and fractography analysis were also executed. Specific statistical tests were employed for each outcome (α=0.05).
Results:
The interaction of HF and Tc factors decreased the fatigue resistance for both cements (U200 542.63>U200/HF-Tc 495.00; MA 544.47>MA/HF-Tc 506.84). Comparing the cements associated with HF or Tc, there was statistical superiority for MA (U200-Tc 537.37<MA-Tc 561.32; U200/HF 535.79<MA/HF 557.11), and no statistical difference was detected when only cement type or its association with HF-Tc was compared (U200 542.63=MA 544.47; U200/HF-Tc 495.00=MA/HF-Tc 506.84). The fracture always originated from defects at the ceramic-intaglio surface as radial cracks.
Conclusion:
HF etching plus silane agent increased the ceramic surface free energy and its wettability, but it did not provide better results in terms of fatigue resistance compared with silane agent application only. The association of HF etching and aging significantly reduced the fatigue resistance of the material, regardless of the resin cement used.
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Affiliation(s)
- LF Guilardi
- Luís Felipe Guilardi, DDS, MSD, MSciD and PhD, Post-Graduate Program in Oral Sciences (Prosthodontics Units), School of Dentistry, Federal University of Santa Maria, Santa Maria, Rio Grande do Sul State, Brazil
| | - GKR Pereira
- Gabriel Kalil Rocha Pereira, DDS, MSciD, PhD, Division of Prosthodontics, Department of Restorative Dentistry, Federal University of Santa Maria, Santa Maria, Rio Grande do Sul State, Brazil
| | - AS Vallau
- Amanda da Silveira Vallau, DDS, Graduate Program in Dentistry, School of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil
| | - IA Silva
- Isadora Ames Silva, DDS, Graduate Program in Dentistry, School of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil
| | - JC Giordani
- João Carlos Giordani, DDS, Graduate Program in Dentistry, School of Dentistry, Federal University of Santa Maria (UFSM), Santa Maria, Rio Grande do Sul State, Brazil
| | - LF Valandro
- Luiz Felipe Valandro, DDS, MSciD, PhD, Division of Prosthodontics, Department of Restorative Dentistry, Federal University of Santa Maria, Santa Maria, Rio Grande do Sul State, Brazil
| | - MP Rippe
- Marília Pivetta Rippe, DDS, MSciD, PhD, Division of Prosthodontics, Department of Restorative Dentistry, Federal University of Santa Maria, Santa Maria, Rio Grande do Sul State, Brazil
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Alqerban A. Lithium di silicate ceramic surface treated with Er,Cr:YSGG and other conditioning regimes bonded to orthodontic bracket. Saudi Dent J 2019; 33:188-193. [PMID: 34025080 PMCID: PMC8117366 DOI: 10.1016/j.sdentj.2019.11.012] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/15/2019] [Revised: 11/25/2019] [Accepted: 11/25/2019] [Indexed: 11/28/2022] Open
Abstract
Aim To assess bond integrity and modes of failure of metallic brackets to lithium disilicate ceramics (LDC) conditioned with Er,Cr:YSGG laser (ECL). Material and methods Sixty LDC were arbitrarily allocated into six groups (n = 15) according to the type of ceramic surface conditioning treatment. Group 1 surface treated with silane (S) only, group 2 surface etched with hydrofluoric acid (HF)+ S, group 3 surface conditioned with HF+ ultrasonic bath (UB)+ S, group 4 sand blasting (SB) of glass ceramic surface with 50 µm Al2O3, group 5 surface conditioned with self-etch ceramic primer (SECP) and in group 6 surface treated with ECL + S. After conditioning, the specimens were positioned in a universal testing device for shear bond strength (SBS) testing. Adhesive Remnant Index (ARI) was used to determine sites of bond failure. Among experimental groups analysis of variance (ANOVA) and Tukey multiple comparison test was used at a significance level of (p < 0.05). Results The highest SBS values were observed in group 3 HF+ UB + S (18.21 ± 1.241) and the lowest SBS values were displayed group 1 surface treated with S only (5.21 ± 0.23). Specimens surface conditioned in group 2 with HF+ S (17.85 ± 1.25), group 3 HF+ UB + S (18.21 ± 1.241) and group 6 ECL + S (17.09 ± 1.114) unveiled comparable SBS values (p > 0.05). Conclusion LDC conditioned with ECL at (4.5 W and 30 Hz) has a potential to be used in clinical settings alternate to HF acid.
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Affiliation(s)
- Ali Alqerban
- Department of Preventive Dental Sciences College of Dentistry, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia.,Department of Preventive Dental Sciences, College of Dentistry, Dar Al-Uloom University, Riyadh, Saudi Arabia
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Alteration of the intaglio surface of lithium disilicate glass-ceramic. J Prosthet Dent 2019; 122:411.e1-411.e10. [DOI: 10.1016/j.prosdent.2019.06.010] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2018] [Revised: 06/12/2019] [Accepted: 06/12/2019] [Indexed: 11/19/2022]
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Dimitriadi M, Zafiropoulou M, Zinelis S, Silikas N, Eliades G. Silane reactivity and resin bond strength to lithium disilicate ceramic surfaces. Dent Mater 2019; 35:1082-1094. [PMID: 31171365 DOI: 10.1016/j.dental.2019.05.002] [Citation(s) in RCA: 20] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/16/2019] [Revised: 04/23/2019] [Accepted: 05/03/2019] [Indexed: 11/19/2022]
Abstract
OBJECTIVE To evaluate the silane status in commercially available products and their bonding capacity with polished glass-ceramic surfaces before and after hydrofluoric (HF) acid-etching. METHODS The products tested were Calibra Silane Coupling Agent/CS, G-Multi Primer/GM, Kerr Silane Primer/KS, Monobond Plus/MB and Scotchbond Universal Adhesive/SB. The silane status was studied by 13C nuclear magnetic resonance spectroscopy (13C-NMR). The roughness parameters of polished (group A) and HF acid-etched (group B) lithium disilicate glass-ceramic surfaces were measured by optical profilometry (n = 5/group). The interaction of the products with group A and B ceramic surfaces was examined by attenuated total reflection Fourier transform infrared spectroscopy (ATR-FTIR). The shear strength (SBS) of a flowable composite bonded to the ceramic surfaces (groups A, B) was assessed before (NS) and after silane treatment (n = 20/group, product). RESULTS The NMR analysis showed the presence of silanol monomers only in CS. Methoxylated-siloxane adducts were found in GM, silanol-siloxane adducts in MB, SB, and siloxane polymers in KS. Acid-etching greatly increased Sa, Sz, Sdr, Sc and Sv parameters (p < 0.001) and ATR-FTIR analysis demonstrated evidence of bonding with the substrate in CS. Weibull analysis of SBS revealed the following rankings in characteristic life (p < 0.05): CS > SB,KS,MB > GM > NS (group A) and CS > GM > SB,KS,MB,NS (group B). The most reliable treatment in both groups was CS. For the same silane treatment, the SBS of group B were significantly higher from group A. Failures were mainly of adhesive type, except of several partial resin cohesive failures found in group B. SIGNIFICANCE The chemical bonding capacity of the silanes was highest in products with silanol monomers. Acid-etching increased bond strength to a level that neutralized the silane contribution in products with silanol-siloxane adducts and siloxane polymers, providing thus bond strength values similar to silane-free treatments.
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Affiliation(s)
- Maria Dimitriadi
- Department of Biomaterials, School of Dentistry, National and Kapodistrian University of Athens, Greece
| | - Maria Zafiropoulou
- Department of Biomaterials, School of Dentistry, National and Kapodistrian University of Athens, Greece
| | - Spiros Zinelis
- Department of Biomaterials, School of Dentistry, National and Kapodistrian University of Athens, Greece
| | - Nick Silikas
- Biomaterials Unit, Dentistry, School of Medical Sciences, University of Manchester, UK
| | - George Eliades
- Department of Biomaterials, School of Dentistry, National and Kapodistrian University of Athens, Greece.
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Schmitt de Andrade G, Diniz V, Datte CE, Pereira GKR, Venturini AB, Campos TMB, Amaral M, Bottino MA, Valandro LF, Marques de Melo R. Newer vs. older CAD/CAM burs: Influence of bur experience on the fatigue behavior of adhesively cemented simplified lithium-disilicate glass-ceramic restorations. J Mech Behav Biomed Mater 2019; 95:172-179. [PMID: 31009901 DOI: 10.1016/j.jmbbm.2019.04.002] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2019] [Revised: 04/02/2019] [Accepted: 04/05/2019] [Indexed: 10/27/2022]
Abstract
This study evaluated the effect of the CAD/CAM burs experience (newer vs older as consequence of the milling sequence) on fatigue failure load (FFL), number of cycles for failure (CFF), and survival rates of lithium disilicate glass-ceramic simplified restorations adhesively cemented to a dentin analogue substrate. Three sets of CAD/CAM burs were used to mill disc-shaped ceramic specimens (1 bur set - 18 milled discs with 10 mm diameter and 1.5 mm thickness), considering the bur experience as a result of the milling sequence to compose the study groups: G1-6 - discs obtained from the 1st to 6th milling of each bur set; G7-12 - specimens from the 7th to 12th milling; G13-18 - discs from the 13th to 18th. Discs of dentin analogue (G10, 10 mm diameter and 2.0 mm thickness) were made to serve as substrate (base material) and randomly assigned into pairs with the respective ceramic discs. Then, the ceramic discs were adhesively cemented onto the dentin analogue substrate, composing a three-layer specimen that mimics a monolithic restoration of a posterior tooth. Specimens were tested under stepwise fatigue approach: frequency = 20 Hz, 5000 cycles at maximum load of 400 N to accommodate the testing assembly, followed by incremental steps of 200 N with initial load ranging from 10 to 1000 N, to a maximum of 20,000 cycles/each step, until the occurrence of failure (radial crack). FFL and CFF were recorded at the end of the testing and subjected to statistical analysis. Supplementary roughness analysis of the milled surface was performed (n = 18) using a contact profilometer. Residual stress after milling and acid etching were accessed via X-ray Diffractometry analysis. FFL and CFF were not affected by increase on bur experience (no statistical differences among groups), despite that, it affected both Ra and Rz parameters (G1-6 had the smoothest surface). The residual stress concentration was negligible (milling did not induce residual stress concentration). It is concluded that the fatigue behavior of adhesively cemented lithium-disilicate glass-ceramic restorations was not influenced by CAD/CAM bur experience (newer vs older as consequence of the milling sequence), and so the residual stress concentration induced by milling was negligible.
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Affiliation(s)
- Guilherme Schmitt de Andrade
- Department of Dental Materials and Prosthodontics, São Paulo State University (Unesp) - Institute of Science and Technology, São José dos Campos, Brazil.
| | - Vandeberg Diniz
- Department of Dental Materials and Prosthodontics, São Paulo State University (Unesp) - Institute of Science and Technology, São José dos Campos, Brazil.
| | - Carlos Eduardo Datte
- Department of Dental Materials and Prosthodontics, São Paulo State University (Unesp) - Institute of Science and Technology, São José dos Campos, Brazil.
| | | | - Andressa Borin Venturini
- Oral Science, Prosthodontics Unit, Faculty of Odontology, Federal University of Santa Maria (UFSM), Santa Maria, Brazil.
| | | | - Marina Amaral
- Department of Dentistry (Prosthetic Dentistry), University of Taubaté (UNITAU), Taubaté, Brazil.
| | - Marco Antonio Bottino
- Department of Dental Materials and Prosthodontics, São Paulo State University (Unesp) - Institute of Science and Technology, São José dos Campos, Brazil.
| | - Luiz Felipe Valandro
- Oral Science, Prosthodontics Unit, Faculty of Odontology, Federal University of Santa Maria (UFSM), Santa Maria, Brazil.
| | - Renata Marques de Melo
- Department of Dental Materials and Prosthodontics, São Paulo State University (Unesp) - Institute of Science and Technology, São José dos Campos, Brazil.
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Lopes GC, Perdigão J, Baptista D, Ballarin A. Does a Self-etching Ceramic Primer Improve Bonding to Lithium Disilicate Ceramics? Bond Strengths and FESEM Analyses. Oper Dent 2018; 44:210-218. [PMID: 30106332 DOI: 10.2341/17-355-l] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVE: To compare the effect of hydrofluoric acid (HF) vs self-etching ceramic primer on resin cement microshear bond strength (μSBS) and ultramorphology of lithium disilicate (LD) ceramic. METHODS AND MATERIALS: LD (IPS e.max CAD, Ivoclar Vivadent) blocks (14×4×2 mm3) were polished to 1200 grit and assigned to nine groups (n=5): CON: control, no LD surface treatment; IVO: 5.0% HF (IPS Ceramic Etching Gel, Ivoclar Vivadent); VIT: 5.0% HF (Vita Ceramics Etch, VITA Zahnfabrik); FGM: 5.0% HF (Condac Porcelana, FGM); ULT: 9.0% HF (Porcelain Etch, Ultradent); PRM: 9.6% HF (Premier Porcelain Etch Gel, Premier); BIS: 9.5% HF (Porcelain Etchant, Bisco Inc); DEN: 10.0% HF (Condicionador de Porcelanas, Dentsply Brazil); and MEP: self-etching ceramic primer (Monobond Etch & Prime, Ivoclar Vivadent). For all HF groups and control, an MDP-containing silane solution (MB+, Monobond Plus, Ivoclar Vivadent) was applied on rinsing the HF gel and air drying. Three transparent matrices for each specimen were filled with light-cured resin cement (Variolink Veneer, Ivoclar Vivadent). After storage in water for 48 hours at 37°C, specimens were tested in shear mode to measure μSBS. Mode of failure was analyzed at 50×. Statistical analysis included one-way analysis of variance and the Duncan post hoc test (α=0.05). Thirty-six additional LD specimens were assigned to the same experimental groups (n=4) and observed under a field-emission scanning electron microscope (FESEM) at magnifications ranging from 10,000× to 100,000×. RESULTS: IVO resulted in statistically higher mean μSBS than all the other groups. MEP resulted in statistically lower μSBS than all HF groups. The failure mode for MEP was predominantly adhesive. The most frequent failure mode for the HF groups was mixed. CON resulted in 100% pretesting failures. For FESEM, no retentive pattern was observed for CON specimens. MEP resulted in the least pronounced etching pattern, few areas around crystals exhibited a slight increase in retention pattern compared to the control group. All HF gels created microporosities on the LD surface with distinct etching patterns. VIT and DEN resulted in an LD ultramorphology that suggested overetching. CONCLUSIONS: HF etching followed by a silane solution resulted in higher bond strengths than a self-etching ceramic primer. Some HF gels may cause overetching of the LD intaglio surface.
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Uwalaka CO, Karpukhina N, Cao X, Bissasu S, Wilson RM, Cattell MJ. Effect of sandblasting, etching and resin bonding on the flexural strength/bonding of novel glass-ceramics. Dent Mater 2018; 34:1566-1577. [PMID: 30072165 DOI: 10.1016/j.dental.2018.07.001] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2018] [Revised: 07/03/2018] [Accepted: 07/03/2018] [Indexed: 11/27/2022]
Abstract
OBJECTIVES To process novel leucite glass-ceramics and test the effects of surface treatment and resin bonding on the biaxial flexural strength (BFS) and shear bond strength (SBS). METHODS Alumino-silicate glasses were ball-milled, and heat treated to form leucite glass-ceramics (LG-C, OLG-C), then sintered into ingots. Ingots were heat extruded into a refractory mould to form disc specimens (1.3×14mm diameter). IPS e.max® was used as a commercial comparison. Glass-ceramic test groups were sandblasted (Groups. 1, 4, 6), sandblasted, etched and adhesively bonded (Groups. 2, 5, 7) or lapped, etched and adhesively bonded (Groups. 3, 8). Specimens were adhesively bonded with Monobond S, followed by the application of Variolink II® cement and light curing. BFS testing was at 1mm/min and SBS testing at 0.5mm/min. Samples were characterised using XRD, SEM and profilometry. RESULTS XRD confirmed tetragonal leucite in LG-C/OLG-C and lithium disilicate/lithium orthophosphate in IPS e.max®. Mean BFS (MPa (SD)) were: Gp1 LG-C; 193.1 (13.9), Gp2 LG-C; 217.7 (23.0), Gp3 LG-C; 273.6 (26.7), Gp4 OLG-C; 255.9 (31); Gp5 OLG-C; 288.6 (37.4), Gp6 IPS e.max®; 258.6 (20.7), Gp7 IPS e.max®; 322.3 (23.4) and Gp8 IPS e.max®; 416.4 (52.6). The Median SBS (MPa) were Gp1 LG-C; 14.2, Gp2 LG-C (10s etch); 10.6 and Gp3 IPS e.max®; 10.8. Mean surface roughness was 5-5.1μm (IPS e.max®) and 2.6μm (LG-C). SIGNIFICANCE Novel leucite glass-ceramics with reduced flaw size and fine microstructures produced enhanced BFS and SBS by resin bonding. These properties may be useful for the fabrication of minimally invasive aesthetic and fracture resistant restorations.
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Affiliation(s)
- Chinwe O Uwalaka
- Centre for Oral Bioengineering, Bart's and the London, School of Medicine and Dentistry, Queen Mary University of London, Turner Street, Whitechapel, E1 2AD, UK
| | - Natalia Karpukhina
- Centre for Oral Bioengineering, Bart's and the London, School of Medicine and Dentistry, Queen Mary University of London, Turner Street, Whitechapel, E1 2AD, UK
| | - Xu Cao
- Centre for Oral Bioengineering, Bart's and the London, School of Medicine and Dentistry, Queen Mary University of London, Turner Street, Whitechapel, E1 2AD, UK
| | - Sami Bissasu
- Centre for Oral Bioengineering, Bart's and the London, School of Medicine and Dentistry, Queen Mary University of London, Turner Street, Whitechapel, E1 2AD, UK
| | - Rory M Wilson
- School of Engineering and Materials Science, Queen Mary University of London, London, Mile End Road, E1 4NS, UK
| | - Michael J Cattell
- Centre for Oral Bioengineering, Bart's and the London, School of Medicine and Dentistry, Queen Mary University of London, Turner Street, Whitechapel, E1 2AD, UK.
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Mirhashemi A, Chiniforush N, Jadidi H, Sharifi N. Comparative study of the effect of Er:YAG and Er:Cr;YSGG lasers on porcelain: etching for the bonding of orthodontic brackets. Lasers Med Sci 2018; 33:1997-2005. [PMID: 29980947 DOI: 10.1007/s10103-018-2573-y] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/16/2017] [Accepted: 06/27/2018] [Indexed: 10/28/2022]
Abstract
This study investigated the effect of Er:YAG (smart 2940 Dplus, DEKA, Italy) and Er:CrYSGG (Waterlase iPlus, Biolase, USA) lasers on the shear bond strength (SBS) between the orthodontic brackets and dental porcelain in comparison with conventional acid etching with 9% hydrofluoric acid (HF, Ultradent, USA). A total of 60 specimens of maxillary incisor crown were prepared and randomly assigned to five groups; each group was subjected to a different porcelain surface conditioning: (1) etching with the 9% HF for 2 min; (2) etching with the 9% HF for 2 min followed by irradiation with the Er:CrYSGG laser (3-W power, 10-Hz frequency for 10 s); (3) etching with the 9% HF for 2 min followed by irradiation with the Er:YAG laser (3-W power, 10-Hz frequency for 10 s); (4) Irradiation with the Er:CrYSGG laser (3-W power, 10-Hz frequency for 10 s without acid etching) and (5) irradiation with the Er:YAG laser (3-W power,10-Hz frequency for 10 s without acid etching). After using Transbond XT primer and Transbond XT adhesive, the metal brackets (Dentaurum, Germany equilibrium 2, optimal design) bonded to the conditioned porcelain surface. Subsequently, the specimens were thermocycled for 5000 cycles and then debonded using the Universal Testing Machine (Zwick). In each group, one specimen was not bonded to brackets to allow further examination with electron microscopy. After debonding, the specimens were examined by stereomicroscope to determine their adhesive remnant index (ARI). The average SBS [Mean (SD)] values in the five groups were as follows: HF (32.58 ± 9.21 MPa), Er:CrYSGG + HF (27.81 ± 7.66 MPa), Er:YAG + HF (23.08 ± 9.55 MPa), Er:CrYSGG (14.11 ± 9.35 MPa), and Er:YAG (6.30 ± 3.09 MPa). A statistically significant difference in SBS existed between the first three groups and the two laser groups (df = 4, F = 18.555, p < 0.001). Evaluation of ARI values showed that bond failures in the first three groups were mostly of cohesive and mixed types, but in the laser groups, they were mostly adhesive. Chi-square was not significant between groups (p = 0.219). The Er:YAG laser with the stated specifications is not a suitable alternative to HF etching. In the case of Er:CrYSGG laser, although the conditioning outcome met the bond strength requirement for orthodontic brackets (that is, 6-8 MPa). Therefore, the bond strength must be further improved by fine-tuning the irradiation details.
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Affiliation(s)
- Amirhossein Mirhashemi
- Department of Orthodontics, School of Dentistry, Tehran University of Medical Sciences, North amirabad Ave, Tehran, 1441987566, Iran
| | - Nasim Chiniforush
- Laser Research Center of Dentistry, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Hanieh Jadidi
- School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | - Nastaran Sharifi
- Department of Orthodontics, School of Dentistry, Tehran University of Medical Sciences, North amirabad Ave, Tehran, 1441987566, Iran.
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Sundfeld D, Palialol ARM, Fugolin APP, Ambrosano GMB, Correr-Sobrinho L, Martins LRM, Pfeifer CS. The effect of hydrofluoric acid and resin cement formulation on the bond strength to lithium disilicate ceramic. Braz Oral Res 2018; 32:e43. [PMID: 29846386 DOI: 10.1590/1807-3107bor-2018.vol32.0043] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/02/2017] [Accepted: 04/11/2018] [Indexed: 11/22/2022] Open
Abstract
To investigate how the hydrofluoric acid (HF) concentrations applied to a lithium disilicate glass-ceramic (EMX) affects the surface morphology and microtensile bond strength (μTBS) of ceramics to dentin, using light-cured resin cements with or without UDMA. Sixty-three EMX square ceramic blocks were etched for 20 seconds using different HF concentrations (1%, 5% and 10%) and luted to dentin using two types of resin cement combinations: BisGMA/TEGDMA and BisGMA/TEGDMA/UDMA (n = 10). Each bonded EMX-dentin block was sectioned to obtain 1 mm2 sticks for μTBS evaluation. Half of the sticks were tested after 24 hours and the other half was assessed after 6 months of water storage. Data were statistically assessed using split-plot three-way ANOVA and multiple comparisons were performed using the Tukey's post hoc test (α = 0.05). One EMX sample from each HF concentration was analyzed using field-emission scanning electron microscope (FE-SEM) to characterize the etching pattern. According to the FE-SEM images, increasing the concentration of HF from 1 to 5 and then to 10% led to increased removal of glassy matrix and greater exposure of lithium disilicate crystals. The 10% HF concentration yielded higher μTBS when compared to 1% for BisGMA/TEGDMA formulation (p < 0.05); whereas HF 1% and 5% showed similar μTBS values when compared to 10% HF for BisGMA/TEGDMA/UDMA resin matrix (p > 0.05) at both storage times. Water aging decreased the μTBS values (p < 0.05), except when 10% HF was associated with BisGMA/TEGDMA resin cement. Resin cement formulation and hydrofluoric acid concentrations can interfere with the immediate and long-term glass-ceramic bond strength to dentin.
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Affiliation(s)
- Daniel Sundfeld
- Ingá University Center - UNINGÁ, School of Dentistry, Department of Restorative Dentistry and Prosthodontics, Maringá, PR, Brazil
| | - Alan Rodrigo Muniz Palialol
- Universidade Estadual de Campinas - Unicamp, Piracicaba Dental School, Department of Restorative Dentistry, Piracicaba, SP, Brazil
| | - Ana Paula Piovesan Fugolin
- Oregon Health & Science University - OHSU, Department of Restorative Dentistry, Division of Biomaterials and Biomechanics, Portland, Oregon, United States
| | - Gláucia Maria Bovi Ambrosano
- Universidade Estadual de Campinas - Unicamp, Piracicaba Dental School, Department of Social Dentistry, Piracicaba, SP, Brazil
| | - Lourenço Correr-Sobrinho
- Universidade Estadual de Campinas - Unicamp, Piracicaba Dental School, Department of Restorative Dentistry, Piracicaba, SP, Brazil
| | - Luis Roberto Marcondes Martins
- Universidade Estadual de Campinas - Unicamp, Piracicaba Dental School, Department of Restorative Dentistry, Piracicaba, SP, Brazil
| | - Carmem Silvia Pfeifer
- Oregon Health & Science University - OHSU, Department of Restorative Dentistry, Division of Biomaterials and Biomechanics, Portland, Oregon, United States
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Scherer MM, Prochnow C, Venturini AB, Pereira GKR, Burgo TADL, Rippe MP, Valandro LF. Fatigue failure load of an adhesively-cemented lithium disilicate glass-ceramic: Conventional ceramic etching vs etch & prime one-step primer. Dent Mater 2018; 34:1134-1143. [PMID: 29789162 DOI: 10.1016/j.dental.2018.04.012] [Citation(s) in RCA: 30] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/07/2018] [Revised: 04/13/2018] [Accepted: 04/30/2018] [Indexed: 11/26/2022]
Abstract
OBJECTIVES To evaluate the effect of different glass-ceramic surface treatments and aging on the fatigue failure load of a lithium disilicate glass-ceramic adhesively cemented to a dentin analogue material. METHODS One hundred and twenty (120) disc-shaped lithium disilicate specimens (Ø=10mm, thickness=1.5mm) were produced and randomly allocated (n=20) into 6 groups, considering 2 study factors: "surface treatment" in 3 levels (SIL-silane application only; HF5+SIL-5% hydrofluoric acid etching and silane application; ME&P-etching with an one-step ceramic primer), and "storage" in 2 levels (baseline-storage for 7 days; aging-storage for 90 days+12,000 thermal cycles). Ceramic discs were adhesively cemented to discs of a dentin analogue material (Ø=10mm, thickness=2.0mm) following the manufacturers' instructions. The fatigue failure load was determined by the staircase approach (250,000 cycles; 20Hz; initial load=1050N [∼70% of mean load-to-failure]; step size=52.5N [5% of initial load]). Micro-morphologic, fractographic, and atomic force microscope analysis were also performed. Fatigue failure load data were evaluated by one-way ANOVA, Bonferroni and t-tests for independent samples. RESULTS HF5+SIL presented higher fatigue failure load in both conditions (baseline and aging); ME&P presented intermediary mean values, while the SIL group presented the worst performance. All groups had a statistically significant decrease in the fatigue performance after aging. SIGNIFICANCE Hydrofluoric acid followed by silane application showed the best fatigue performance for an adhesively-cemented lithium disilicate ceramic. Aging negatively influenced the fatigue performance for all tested groups.
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Affiliation(s)
- Maitê Munhoz Scherer
- MSciD and PhD Post-Graduate Program in Oral Science (Prosthodontics Units), Faculty of Dentistry, Federal University of Santa Maria (UFSM), Marechal Floriano Peixoto Street, 1184, Centro, 97015372, Santa Maria, Rio Grande do Sul State, Brazil.
| | - Catina Prochnow
- MSciD and PhD Post-Graduate Program in Oral Science (Prosthodontics Units), Faculty of Dentistry, Federal University of Santa Maria (UFSM), Marechal Floriano Peixoto Street, 1184, Centro, 97015372, Santa Maria, Rio Grande do Sul State, Brazil.
| | - Andressa Borin Venturini
- MSciD and PhD Post-Graduate Program in Oral Science (Prosthodontics Units), Faculty of Dentistry, Federal University of Santa Maria (UFSM), Marechal Floriano Peixoto Street, 1184, Centro, 97015372, Santa Maria, Rio Grande do Sul State, Brazil.
| | - Gabriel Kalil Rocha Pereira
- MSciD and PhD Post-Graduate Program in Oral Science (Prosthodontics Units), Faculty of Dentistry, Federal University of Santa Maria (UFSM), Marechal Floriano Peixoto Street, 1184, Centro, 97015372, Santa Maria, Rio Grande do Sul State, Brazil; MSciD Graduate Program, School of Dentistry, Meridional Faculty-IMED, Senador Pinheiro Street, 304, Vila Rodrigues, 99070220, Passo Fundo, Rio Grande do Sul State, Brazil.
| | - Thiago Augusto de Lima Burgo
- Department of Physics, Federal University of Santa Maria (UFSM), Roraima Avenue, 1000, Camobi, 97105900, Santa Maria, Rio Grande do Sul State, Brazil.
| | - Marília Pivetta Rippe
- MSciD and PhD Post-Graduate Program in Oral Science (Prosthodontics Units), Faculty of Dentistry, Federal University of Santa Maria (UFSM), Marechal Floriano Peixoto Street, 1184, Centro, 97015372, Santa Maria, Rio Grande do Sul State, Brazil.
| | - Luiz Felipe Valandro
- MSciD and PhD Post-Graduate Program in Oral Science (Prosthodontics Units), Faculty of Dentistry, Federal University of Santa Maria (UFSM), Marechal Floriano Peixoto Street, 1184, Centro, 97015372, Santa Maria, Rio Grande do Sul State, Brazil.
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Ramadhan A, Thompson GA, Maroulakos G, Berzins D. Analysis of flexural strength and contact pressure after simulated chairside adjustment of pressed lithium disilicate glass-ceramic. J Prosthet Dent 2018; 120:439-446. [PMID: 29724557 DOI: 10.1016/j.prosdent.2017.12.025] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/10/2017] [Revised: 12/25/2017] [Accepted: 12/27/2017] [Indexed: 11/26/2022]
Abstract
STATEMENT OF PROBLEM Research evaluating load-to-failure of pressed lithium disilicate glass-ceramic (LDGC) with a clinically validated test after adjustment and repair procedures is scarce. PURPOSE The purpose of this in vitro study was to investigate the effect of the simulated chairside adjustment of the intaglio surface of monolithic pressed LDGC and procedures intended to repair damage. MATERIAL AND METHODS A total of 423 IPS e.max Press (Ivoclar Vivadent AG) disks (15 mm diameter, 1 mm height) were used in the study. The material was tested by using an equibiaxial loading arrangement (n≥30/group) and a contact pressure test (n≥20/group). Specimens were assigned to 1 of 14 groups. One-half was assigned to the equibiaxial load test and the other half underwent contact pressure testing. Testing was performed in 2 parts, before glazing and after glazing. Before-glazing specimens were devested and entered in the test protocol, while after-glazing specimens were devested and glazed before entering the test protocol. Equibiaxial flexure test specimens were placed on a ring-on-ring apparatus and loaded until failure. Contact pressure specimens were cemented to epoxy resin blocks with a resin cement and loaded with a 50-mm diameter hemisphere until failure. Tests were performed on a universal testing machine with a crosshead speed of 0.5 mm/min. Weibull statistics and likelihood ratio contour plots determined intergroup differences (95% confidence bounds). RESULTS Before glazing, the equibiaxial flexural strength test and the Weibull and likelihood ratio contour plots demonstrated a significantly higher failure strength for 1EC (188 MPa) than that of the damaged and/or repaired groups. Glazing following diamond-adjustment (1EGG) was the most beneficial post-damage procedure (176 MPa). Regarding the contact pressure test, the Weibull and likelihood ratio contour plots revealed no significant difference between the 1PC (98 MPa) and 1PGG (98 MPa) groups. Diamond-adjustment, without glazing (1EG and 1PG), resulted in the next-to-lowest equibiaxial flexure strength and the lowest contact pressure. After glazing, the strength of all the groups, when subjected to glazing following devesting, increased in comparison with corresponding groups in the before-glazing part of the study. CONCLUSIONS A glazing treatment improved the mechanical properties of diamond-adjusted IPS e.max Press disks when evaluated by equibiaxial flexure and contact pressure tests.
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Affiliation(s)
- Ali Ramadhan
- Resident, Graduate Prosthodontics, Marquette University School of Dentistry, Milwaukee, Wis
| | - Geoffrey A Thompson
- Associate Professor and Director, Graduate Prosthodontics, Marquette University School of Dentistry, Milwaukee, Wis.
| | - Georgios Maroulakos
- Assistant Professor, Department of General Dental Sciences, Marquette University School of Dentistry, Milwaukee, Wis
| | - David Berzins
- Professor and Director, Graduate Dental Biomaterials, Department of General Dental Sciences, Marquette University School of Dentistry, Milwaukee, Wis
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Effect of two-step and one-step surface conditioning of glass ceramic on adhesion strength of orthodontic bracket and effect of thermo-cycling on adhesion strength. J Mech Behav Biomed Mater 2018; 84:22-27. [PMID: 29729577 DOI: 10.1016/j.jmbbm.2018.04.021] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2018] [Revised: 04/16/2018] [Accepted: 04/23/2018] [Indexed: 11/22/2022]
Abstract
PURPOSE The adhesion strength of orthodontic brackets bonded to dental glass ceramics was evaluated after ceramic surface was treated with two-step and one-step surface conditioning systems, and subjecting to thermo-cycling. MATERIALS AND METHOD A total of forty specimens were fabricated from silica based glass ceramic (lithium disilicate) by duplicating the buccal surface of maxillary first premolar. The specimens were randomly assigned to two experimental groups (n = 20), group one specimens were treated with two-step surface conditioning system (IPS ceramic etching gel™ and Monobond plus™) and group two specimens were treated with one-step surface conditioning system (Monobond etch and prime™). The surface roughness of the specimens after treatment with two-step and one-step surface conditioning system was measured using non-contact surface profilometer. Ten randomly selected specimens from each group were subjected to thermo-cycling and the remaining ten served as baseline. The shear bond strength of the specimens was measured using universal material testing machine. The adhesive remnant index score was calculated, and the results of surface roughness and bond strength were tabulated and subjected to analysis of variance and post hoc tukey's test at a significance level of p < 0.05. RESULTS The results of the study showed that the specimens treated with two-step conditioning system had higher surface roughness and bond strength than one-step conditioning system. The majority of the specimens treated with both two-step and one-step conditioned specimens showed adhesive failure after subjecting thermo-cycling. CONCLUSIONS Traditional two-step conditioning provides better bond strength. The clinical importance of the study is that, the silane promoted adhesion significantly reduces on exposure to thermo-cycling.
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Al Rifaiy MQ. Effect of Erbium-yttrium, scandium, gallium and garnet (Er-YSGG) laser on the bond strength of lithium disilicate ceramics. Pak J Med Sci 2018; 34:32-36. [PMID: 29643874 PMCID: PMC5857024 DOI: 10.12669/pjms.341.13916] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Objectives To assess the bond strength of LD ceramics with resin composite material and surface conditioning using Er: YSGG laser and HF acid. Methods Thirty LD ceramic (Emax, Ivoclar vivadent) discs were prepared using hot pressing technique and treated with hydroflouric acid (Group-1-HF acid) (9%) (n=10) and Er- yttrium, scandium, gallium and garnet laser (Group-2-ER-YSGG laser) (Waterlase iPlus, 10 Hz and power of 0.5 W, pulse duration of 230 μs) (n=10). Ten specimens were left untreated to be included as controls (Group-3-Control). All the specimens were treated with Adper Single Bond adhesive (3MESPE, St. Paul, MN, USA). Multicore buildups (3mmx3mm) were performed using a rubber mold on the ceramic surfaces and cured using LED light-curing unit for 140 sec. All specimens were tested using shear bond test and failure modes were assessed with a stereomicroscope and scanning electron microscope. Data was analysed using ANOVA and Tukey Kramer multiple comparisons test. Results The maximum and minimum shear bond strength values were achieved in HF Acid specimens (Group-1) (28.15±4.72 MPa) and control specimens (13.47± 3.14 MPa) respectively. Specimens treated with HF acid showed significantly higher bond strength in comparison to laser treated and control specimens (p<0.01). Laser treated specimens had significantly higher bond strength as compared to controls (p<0.01). Conclusions Hydrofluoric (HF) acid treatment showed significantly better outcomes than YSGG laser surface treatment.
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Affiliation(s)
- Mohammed Qasim Al Rifaiy
- Mohammed Q. Al Rifaiy, Department of Prosthetic Dental Sciences, College of Dentistry, King Saud University, Riyadh 11545, P.O. Box: 60169, Saudi Arabia
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Tribst J, Anami LC, Özcan M, Bottino MA, Melo RM, Saavedra G. Self-etching Primers vs Acid Conditioning: Impact on Bond Strength Between Ceramics and Resin Cement. Oper Dent 2018. [PMID: 29513637 DOI: 10.2341/16-348-l] [Citation(s) in RCA: 33] [Impact Index Per Article: 5.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
This study tested whether a self-etching surface agent and the conventional hydrofluoric acid (HF) would provide the same bonding capacity between resin cement and feldspathic (Fd) and lithium disilicate (Ld) ceramics. Ceramic blocks were cut with a low-speed diamond saw with water cooling (Isomet 1000, Buehler, Lake Bluff, IL, USA) into 20 blocks of 5 × 7 × 4 mm, which were ground flat in a polishing machine (EcoMet/AutoMet 250, Buehler) under water cooling. The blocks were randomly divided into eight groups (n=5), according to ceramic type (Ld or Fd), surface conditioning (HF + Monobond Plus or Etch and Prime), and aging by thermocycling (TC or absence-baseline). After 24 hours in 37°C distilled water, blocks were embedded into acrylic resin and 1-mm2 cross-section beams composed of ceramic/cement/composite were obtained. The microtensile test was performed in a universal testing machine (DL-1000, EMIC, São José dos Campos, Brazil; 0.5 mm.min-1, 50 kgf load cell). Bond strength (MPa) was calculated by dividing the load at failure (in N) by the bonded area (mm2). The fractured specimens were examined under stereomicroscopy, and one representative sample of each group was randomly selected before the cementation and was further used for analysis using scanning electron microscopy (SEM) and energy-dispersive x-ray spectroscopy (EDS). The self-etching agent showed the highest bond strength for Fd (24.66±4.5) and Ld (24.73±6.9) ceramics and a decrease in surface wettability. SEM and EDS showed the presence of similar components in the tested materials with different topographies for both. Therefore, the self-etching primer was able to deliver even higher bonding than HF+silane to a resin cement.
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Venturini AB, Prochnow C, Pereira GKR, Werner A, Kleverlaan CJ, Valandro LF. The effect of hydrofluoric acid concentration on the fatigue failure load of adhesively cemented feldspathic ceramic discs. Dent Mater 2018; 34:667-675. [PMID: 29397196 DOI: 10.1016/j.dental.2018.01.010] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2017] [Revised: 12/28/2017] [Accepted: 01/14/2018] [Indexed: 11/27/2022]
Abstract
OBJECTIVE This study investigated the influence of hydrofluoric acid (HF) etching at different concentrations on the fatigue failure load of adhesively cemented feldspathic ceramic discs (Vita Mark II). Besides, their effect on the micromorphology of ceramic surface was investigated. METHODS Eighty ceramic discs (ϕ=10 mm; thickness=1.5 mm) were cemented to epoxy supporting discs (ϕ=10 mm; thickness=2.0mm) using different surface conditioning methods (n=20): nonetched control (CTRL), or etched for 60s with different HF concentrations: 1% (HF1), 5% (HF5), or 10% (HF10). All the ceramic discs received a silane application (Monobond Plus). The epoxy discs were etched with 10% HF for 60s and received a primer coating (Multilink Primer A+B). Adhesively cementation was performed (Multilink Automix), and the assemblies (ceramic discs/epoxy discs) were subjected to cyclic loads in water by a staircase approach (500,000 cycles; 20Hz; initial load=290N; step size=30N). Fatigue failure load data were analyzed using 1-way ANOVA and post-hoc Tukey's tests (α=.05). RESULTS Mean failure load of the HF5 group (255.0±23.0N) was significantly lower; HF1 group (301.7±71.0N) presented intermediate values, and the highest values were achieved in CTRL (351.7±13.4N) and HF10 (341.7±20.6N) groups. All the failures were radial cracks starting from the bonding surface. SIGNIFICANCE In terms of fatigue failure load, etching with 1% and 5% HF had a deleterious effect on the fatigue behavior of an adhesively cemented feldspathic ceramic, while 10% HF had no negative influence.
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Affiliation(s)
- Andressa B Venturini
- Faculty of Odontology, Federal University of Santa Maria, Santa Maria, Rio Grande do Sul, Brazil.
| | - Catina Prochnow
- Faculty of Odontology, Federal University of Santa Maria, Santa Maria, Rio Grande do Sul, Brazil.
| | - Gabriel K R Pereira
- Faculty of Odontology, Federal University of Santa Maria, Santa Maria, Rio Grande do Sul, Brazil; School of Dentistry, Meridional Faculty - IMED, Passo Fundo, Rio Grande do Sul, Brazil.
| | - Arie Werner
- Department of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, Amsterdam, The Netherlands.
| | - Cornelis J Kleverlaan
- Department of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit van Amsterdam and Vrije Universiteit, Amsterdam, The Netherlands.
| | - Luiz Felipe Valandro
- Faculty of Odontology, Federal University of Santa Maria, Santa Maria, Rio Grande do Sul, Brazil.
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ÖZDEMİR H, ÖZDOĞAN A. The effect of heat treatments applied to superstructure porcelain on the mechanical properties and microstructure of lithium disilicate glass ceramics. Dent Mater J 2018; 37:24-32. [DOI: 10.4012/dmj.2016-365] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
- Hatice ÖZDEMİR
- Faculty of Dentistry, Prosthodontics Department, Atatürk University
| | - Alper ÖZDOĞAN
- Faculty of Dentistry, Prosthodontics Department, Atatürk University
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de Kok P, Pereira GK, Fraga S, de Jager N, Venturini AB, Kleverlaan CJ. The effect of internal roughness and bonding on the fracture resistance and structural reliability of lithium disilicate ceramic. Dent Mater 2017; 33:1416-1425. [DOI: 10.1016/j.dental.2017.09.018] [Citation(s) in RCA: 33] [Impact Index Per Article: 4.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/17/2017] [Revised: 08/04/2017] [Accepted: 09/22/2017] [Indexed: 10/18/2022]
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Mokhtarpour F, Alaghehmand H, Khafri S. Effect of hydrofluoric acid surface treatments on micro-shear bond strength of CAD/CAM ceramics. Electron Physician 2017; 9:5487-5493. [PMID: 29238488 PMCID: PMC5718852 DOI: 10.19082/5487] [Citation(s) in RCA: 21] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2016] [Accepted: 07/26/2016] [Indexed: 11/20/2022] Open
Abstract
Introduction Dental ceramics are appreciated as highly esthetic restorative materials that can simulate the appearance of natural dentition better than other materials. The aim of this study was to evaluate the effect of hydrofluoric acid concentration and etching time on micro-shear bond strength (μSBS) to IPS e.max CAD and Vita Mark II of a dual cured resin cement (Panavia F2.0). Methods This study was an experimental in vitro study, performed in the dental material research center of Babol University of Medical Sciences in 2016. Two hydrofluoric acid concentrations (5% and 10%) and three different etching times (20, 60 and 120 seconds) were used to etch the specimens respectively. A silane coupling agent (Clearfil porcelain activator) and priming and bonding agent (Clearfil SE bond) were used on the etched surfaces in accordance to the manufacturer’s instructions of use. Then resin cement was applied on the prepared ceramic surfaces and light cured. μSBS between resin cement and the porcelains were measured with a universal testing machine. Mode of failure was observed with 40× magnification by means of a Stereo microscope. Data were analyzed with ANOVA and independent-samples t-test and Chi-square tests. Results In both e.max and Vita Mark II groups, μSBS were not significantly different when different etching times (one-way ANOVA) and HF acid concentrations (Independent-samples t-test) were used (p>0.05), but the highest μSBS was shown in e.max specimens etched 60 s with 5% HF and Vita Mark II specimens etched 20 s with 10% HF. μSBS of e.max was significantly higher than Vita Mark II (p=0.00). Conclusion Best surface treatment for e.max and Vita Mark II ceramics is 20 s etch using 5 % hydrofluoric acid.
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Affiliation(s)
- Faraneh Mokhtarpour
- Assistant Professor, Department of Esthetic and Restorative Dentistry, Babol University of Medical Sciences, Babol, Iran
| | - Homayoon Alaghehmand
- Associate Professor, Dental Materials Research Center, Department of Esthetic and Restorative Dentistry, Babol University of Medical Sciences, Babol, Iran
| | - Soraya Khafri
- Ph.D. of Biostatistics, Assistant Professor, Department of Biostatistics and Epidemiology, Faculty member of Biostatistics Sciences, Babol University of Medical Sciences, Babol, Iran
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Monteiro JB, Oliani MG, Guilardi LF, Prochnow C, Rocha Pereira GK, Bottino MA, de Melo RM, Valandro LF. Fatigue failure load of zirconia-reinforced lithium silicate glass ceramic cemented to a dentin analogue: Effect of etching time and hydrofluoric acid concentration. J Mech Behav Biomed Mater 2017; 77:375-382. [PMID: 28988143 DOI: 10.1016/j.jmbbm.2017.09.028] [Citation(s) in RCA: 32] [Impact Index Per Article: 4.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2017] [Revised: 09/15/2017] [Accepted: 09/18/2017] [Indexed: 10/18/2022]
Abstract
This study aimed to evaluate the effect of etching time and hydrofluoric acid (HF) concentration on the fatigue failure load and surface characteristics of zirconia-reinforced lithium silicate glass (ZLS) ceramic cemented to a dentin-like, fiber reinforced epoxy resin. Ceramic (Suprinity, VITA) (1.0mm thick) and epoxy resin (2.5mm thick) discs (10mm diameter) were produced. The bonding surface of the ceramic samples was nonetched (control group), or etched for 30, 60 or 90s by 5% or 10% HF. The epoxy resin discs were etched by 10% HF for 30s followed by the application of an adhesive material (Single Bond Universal, 3M ESPE). Pairs of ceramic/epoxy resin discs were cemented with a dual cure resin cement. The fatigue failure load was determined by the staircase method (500,000 cycles at 20Hz; initial load = 925N; step size = 45N). In 10% HF the etching time was shown to influence the fatigue failure load, which increased as the etching time increased (30s < 60s < 90s), and in 5% HF the fatigue failure load was not shown to be affected by the etching time; the lowest fatigue failure loads were produced in the control group without ceramic etching followed by 10% HF acid etching for 30s. Topography analysis showed variations based on the etching protocols. All fractures (radial cracks) were shown to originate from defects at the ceramic surface on the cementing interface. For fatigue loading improvements of ZLS ceramic, 10% HF acid etching for 90s and silanization of the ceramic surface is recommended.
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Affiliation(s)
- Jaiane Bandoli Monteiro
- PhD Post-Graduate Program in Restorative Dentistry (Prosthodontics Units), Univ. Estadual Paulista (UNESP), Institute of Science and Technology at Sao Jose dos Campos, Sao Jose dos Campos, Sao Paulo State, Brazil.
| | - Marcelo Gallo Oliani
- PhD Post-Graduate Program in Restorative Dentistry (Prosthodontics Units), Univ. Estadual Paulista (UNESP), Institute of Science and Technology at Sao Jose dos Campos, Sao Jose dos Campos, Sao Paulo State, Brazil.
| | - Luis Felipe Guilardi
- PhD Post-Graduate Program in Oral Science (Prosthodontic Units), Faculty of Odontology, Federal University of Santa Maria, R. Floriano Peixoto, 1184, 97015-372 Santa Maria, Rio Grande do Sul, Brazil.
| | - Catina Prochnow
- PhD Post-Graduate Program in Oral Science (Prosthodontic Units), Faculty of Odontology, Federal University of Santa Maria, R. Floriano Peixoto, 1184, 97015-372 Santa Maria, Rio Grande do Sul, Brazil.
| | - Gabriel Kalil Rocha Pereira
- PhD Post-Graduate Program in Oral Science (Prosthodontic Units), Faculty of Odontology, Federal University of Santa Maria, R. Floriano Peixoto, 1184, 97015-372 Santa Maria, Rio Grande do Sul, Brazil; MSciD Graduate Program, School of Dentistry, Meridional Faculty - IMED, Passo Fundo, Rio Grande do Sul, Brazil.
| | - Marco Antonio Bottino
- PhD Post-Graduate Program in Restorative Dentistry (Prosthodontics Units), Univ. Estadual Paulista (UNESP), Institute of Science and Technology at Sao Jose dos Campos, Sao Jose dos Campos, Sao Paulo State, Brazil.
| | - Renata Marques de Melo
- PhD Post-Graduate Program in Restorative Dentistry (Prosthodontics Units), Univ. Estadual Paulista (UNESP), Institute of Science and Technology at Sao Jose dos Campos, Sao Jose dos Campos, Sao Paulo State, Brazil.
| | - Luiz Felipe Valandro
- PhD Post-Graduate Program in Oral Science (Prosthodontic Units), Faculty of Odontology, Federal University of Santa Maria, R. Floriano Peixoto, 1184, 97015-372 Santa Maria, Rio Grande do Sul, Brazil.
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Puppin-Rontani J, Sundfeld D, Costa AR, Correr AB, Puppin-Rontani RM, Borges GA, Sinhoreti M, Correr-Sobrinho L. Effect of Hydrofluoric Acid Concentration and Etching Time on Bond Strength to Lithium Disilicate Glass Ceramic. Oper Dent 2017; 42:606-615. [PMID: 28708007 DOI: 10.2341/16-215-l] [Citation(s) in RCA: 36] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
The aim of this study was to evaluate the influence of different concentrations of hydrofluoric acid (HF) associated with varied etching times on the microshear bond strength (μSBS) of a resin cement to a lithium disilicate glass ceramic. Two hundred seventy-five ceramic blocks (IPS e.max Press [EMX], Ivoclar Vivadent), measuring 8 mm × 3 mm thickness, were randomly distributed into five groups according to the HF concentrations (n=50): 1%, 2.5%, 5%, 7.5%, and 10%. Further random distribution into subgroups was performed according to the following etching times (n=10): 20, 40, 60, 120, and 20 + 20 seconds. After etching, all blocks were treated with a silane coupling agent followed by a thin layer of an unfilled resin. Three resin cement cylinders (∅=1 mm) were made on each EMX surface, which was then stored in deionized water at 37°C for 24 hours before testing. The μSBS was in a universal testing machine at a crosshead speed of 1 mm/min until failure. Data were submitted to two-way analysis of variance, and multiple comparisons were performed using the Tukey post hoc test (α=0.05). One representative EMX sample was etched according to the description of each subgroup and evaluated using scanning electron microscopy for surface characterization. The HF concentrations of 5%, 7.5%, and 10% provided significantly higher μSBS values than 1% and 2.5% (p<0.05), regardless of the etching times. For 1% and 2.5% HF, the etching times from 40 to 120 seconds increased the μSBS values compared with 20 seconds (p<0.05), but etching periods did not differ within the 5%, 7.5%, and 10% HF groups (p>0.05). The effect of re-etching was more evident for 1% and 2.5% HF (p<0.05). Different HF concentrations/etching times directly influenced the bond strength and surface morphology of EMX.
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SÁEZ FG, COSTA AR, LUCATO AS, GODOI APTD, CORRER-SOBRINHO L, VEDOVELLO SAS. Influence of different treatments of the ceramic surface and thermal cycling on the bond strength of brackets to ceramic. REVISTA DE ODONTOLOGIA DA UNESP 2017. [DOI: 10.1590/1807-2577.01517] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Abstract Objective To evaluate in vitro the effect of different treatments of the ceramic surface and thermal cycling on the shear bond strength (SBS) of metallic brackets bonded to feldspathic ceramic. Material and method Ceramic cylinders were divided into four groups (n=4) according to the treatment of ceramic surface: G1-Clearfil Ceramic Primer silane and Transbond XT (CCPT); G2-etched with 10% hydrofluoric acid (HFA) for 60 s, CCP and Transbond XT (ACCPT); G3-etched with 10% HFA for 60 s, Ambar Adhesive and Transbond XT (AAAT); and, G4 - etched with 10% HFA for 60 s, RelyX Ceramic Primer silane -RCP, adhesive primer Transbond and Transbond XT (ACPPT). Brackets were bonded to the cylinders with Transbond XT and light-activated for 40 s with LED Radii Plus. All specimens were stored in deionized water at 37 °C for 24 h, and two cylinders from each group were subject to 7,000 thermal cycles in a thermal cycler (5 °C/55 °C). After storage and thermal cycling, the SBS test was performed at a crosshead speed of 1 mm/min. Data were subjected to two-way ANOVA and Tukey’s post hoc test (α=0.05). Result The SBS of ACCPT was significantly higher than the other groups (p<0.05). The specimens submitted to thermal cycling showed significantly lower SBS than those without thermal cycling (p<0.05), regardless the ceramic surface treatment. The ARI showed predominance of score 0 for all groups. Conclusion Acid etching, CCP silane and Transbond XT method obtained the best results for bracket bonding. Thermal cycling reduced SBS for all groups. Score 0 was predominant for ARI in all groups.
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Sundfeld D, Correr-Sobrinho L, Pini NIP, Costa AR, Sundfeld RH, Pfeifer CS, Martins LRM. The Effect of Hydrofluoric Acid Concentration and Heat on the Bonding to Lithium Disilicate Glass Ceramic. Braz Dent J 2017; 27:727-733. [PMID: 27982186 DOI: 10.1590/0103-6440201601024] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2016] [Accepted: 08/04/2016] [Indexed: 11/21/2022] Open
Abstract
The aim of this study was to evaluate the effects of hydrofluoric acid (HF) concentration and previous heat treatment (PHT) on the surface morphology and micro-shear bond strength (mSBS) of a lithium disilicate glass ceramic (EMX) to resin cement. One hundred four EMX specimens were randomly assigned to two groups (n=52) according to the HF concentration: 5% and 10%. A new random distribution was made according to the PHTs (n=13): control (no PHT); previously heated HF (70 °C); previously heated EMX surface (85 °C); the combination of heated HF + heated EMX surface. The etching time was set at 20 s. All EMX blocks were silanated and received a thin layer of an unfilled resin. Five resin cement cylinders were made on each EMX surface using Tygon tubes as matrices, and then stored for 24 h at 37 °C. One random etched EMX sample from each group was analyzed using field-emission scanning electron microscopy (FE-SEM). The data were subjected to two-way ANOVA and multiple comparisons were performed using the Tukey post hoc test (a=0.05). For the control groups, 5% HF showed statistically lower mSBS values when compared to 10% HF (p<0.05). PHT increased the mSBS values for 5% HF, yielding statistically similar results to non-PHT 10% HF (p<0.05). FE-SEM images showed increased glassy matrix removal when PHT was applied to HF 5%, but not to the same degree as for 10% HF. PHT has the potential to improve the bond strength of 5% HF concentration on lithium disilicate glass ceramic.
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Affiliation(s)
- Daniel Sundfeld
- Department of Restorative Dentistry, Piracicaba Dental School, UNICAMP - Universidade Estadual de Campinas, Piracicaba, SP, Brazil
| | - Lourenço Correr-Sobrinho
- Department of Restorative Dentistry, Dental Materials Division, Piracicaba Dental School, UNICAMP - Estadual de Campinas, Piracicaba, SP, Brazil
| | - Núbia Inocêncya Pavesi Pini
- Department of Restorative Dentistry, Piracicaba Dental School, UNICAMP - Universidade Estadual de Campinas, Piracicaba, SP, Brazil
| | - Ana Rosa Costa
- Department of Restorative Dentistry, Dental Materials Division, Piracicaba Dental School, UNICAMP - Estadual de Campinas, Piracicaba, SP, Brazil
| | - Renato Herman Sundfeld
- Department of Restorative Dentistry, Araçatuba Dental School, UNESP - Univ Estadual Paulista, Araçatuba, SP, Brazil
| | - Carmem Silvia Pfeifer
- Department of Restorative Dentistry, Division of Biomaterials and Biomechanics, OHSU - Oregon Health & Science University, Portland, OR, USA
| | - Luis Roberto Marcondes Martins
- Department of Restorative Dentistry, Piracicaba Dental School, UNICAMP - Universidade Estadual de Campinas, Piracicaba, SP, Brazil
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DIKICIER S, AYYILDIZ S, OZEN J, SIPAHI C. Influence of core thickness and artificial aging on the biaxial flexural strength of different all-ceramic materials: An in-vitro study. Dent Mater J 2017; 36:296-302. [DOI: 10.4012/dmj.2016-157] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Affiliation(s)
| | - Simel AYYILDIZ
- Department of Prosthodontics, Center for Dental Sciences, Health Sciences University
| | - Julide OZEN
- Department of Prosthodontics, Istanbul Aydin University Faculty of Dentistry
| | - Cumhur SIPAHI
- Department of Prosthodontics, Center for Dental Sciences, Health Sciences University
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Fabian Fonzar R, Carrabba M, Sedda M, Ferrari M, Goracci C, Vichi A. Flexural resistance of heat-pressed and CAD-CAM lithium disilicate with different translucencies. Dent Mater 2017; 33:63-70. [DOI: 10.1016/j.dental.2016.10.005] [Citation(s) in RCA: 42] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/14/2016] [Revised: 10/11/2016] [Accepted: 10/24/2016] [Indexed: 11/16/2022]
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André M, Kou W, Sjögren G, Sundh A. Effects of pretreatments and hydrothermal aging on biaxial flexural strength of lithium di-silicate and Mg-PSZ ceramics. J Dent 2016; 55:25-32. [DOI: 10.1016/j.jdent.2016.09.002] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/13/2016] [Revised: 08/20/2016] [Accepted: 09/12/2016] [Indexed: 10/21/2022] Open
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Makhija SK, Lawson NC, Gilbert GH, Litaker MS, McClelland JA, Louis DR, Gordan VV, Pihlstrom DJ, Meyerowitz C, Mungia R, McCracken MS. Dentist material selection for single-unit crowns: Findings from the National Dental Practice-Based Research Network. J Dent 2016; 55:40-47. [PMID: 27693778 DOI: 10.1016/j.jdent.2016.09.010] [Citation(s) in RCA: 90] [Impact Index Per Article: 11.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2016] [Revised: 09/20/2016] [Accepted: 09/22/2016] [Indexed: 11/15/2022] Open
Abstract
OBJECTIVES Dentists enrolled in the National Dental Practice-Based Research Network completed a study questionnaire about techniques and materials used for single-unit crowns and an enrollment questionnaire about dentist/practice characteristics. The objectives were to quantify dentists' material recommendations and test the hypothesis that dentist's and practice's characteristics are significantly associated with these recommendations. METHODS Surveyed dentists responded to a contextual scenario asking what material they would use for a single-unit crown on an anterior and posterior tooth. Material choices included: full metal, porcelain-fused-to-metal (PFM), all-zirconia, layered zirconia, lithium disilicate, leucite-reinforced ceramic, or other. RESULTS 1777 of 2132 eligible dentists responded (83%). The top 3 choices for anterior crowns were lithium disilicate (54%), layered zirconia (17%), and leucite-reinforced glass ceramic (13%). There were significant differences (p<0.05) by dentist's gender, race, years since graduation, practice type, region, practice busyness, hours worked/week, and location type. The top 3 choices for posterior crowns were all-zirconia (32%), PFM (31%), and lithium disilicate (21%). There were significant differences (p<0.05) by dentist's gender, practice type, region, practice busyness, insurance coverage, hours worked/week, and location type. CONCLUSIONS Network dentists use a broad range of materials for single-unit crowns for anterior and posterior teeth, adopting newer materials into their practices as they become available. Material choices are significantly associated with dentist's and practice's characteristics. CLINICAL SIGNIFICANCE Decisions for crown material may be influenced by factors unrelated to tooth and patient variables. Dentists should be cognizant of this when developing an evidence-based approach to selecting crown material.
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Affiliation(s)
- Sonia K Makhija
- Department of Clinical and Community Sciences, School of Dentistry, University of Alabama at Birmingham, Birmingham, AL, United States.
| | - Nathaniel C Lawson
- Department of Clinical and Community Sciences, School of Dentistry, University of Alabama at Birmingham, Birmingham, AL, United States
| | - Gregg H Gilbert
- Department of Clinical and Community Sciences, School of Dentistry, University of Alabama at Birmingham, Birmingham, AL, United States
| | - Mark S Litaker
- Department of Clinical and Community Sciences, School of Dentistry, University of Alabama at Birmingham, Birmingham, AL, United States
| | | | - David R Louis
- HealthPartners Dental Group, Woodbury, MN, United States
| | - Valeria V Gordan
- Department of Restorative Dental Sciences, Operative Dentistry Division, University of Florida, Gainesville, FL, United States
| | | | - Cyril Meyerowitz
- University of Rochester, Eastman Institute for Oral Health, Rochester, NY, United States
| | - Rahma Mungia
- Department of Periodontics, University of Texas Health Science Center at San Antonio, United States
| | - Michael S McCracken
- Department of Clinical and Community Sciences, School of Dentistry, University of Alabama at Birmingham, Birmingham, AL, United States
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50
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Makishi P, André CB, Silva JPLE, Bacelar-Sá R, Correr-Sobrinho L, Giannini M. Effect of Storage Time on Bond Strength Performance of Multimode Adhesives to Indirect Resin Composite and Lithium Disilicate Glass Ceramic. Oper Dent 2016; 41:541-551. [DOI: 10.2341/15-187-l] [Citation(s) in RCA: 23] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Purpose: To investigate the bond strength performance of multimode adhesives (MMAs) to indirect resin composite and lithium disilicate glass ceramic after 24 hours or one year of water storage.
Methods and Materials: Thirty flat and polished plates of indirect resin composite (Epricord) and thirty lithium disilicate glass ceramic plates (IPS e.max Press) were prepared. Surfaces were pretreated using sandblasting (indirect resin composite) or hydrofluoric acid (glass-based ceramic). Specimens were bonded with one of two MMAs (Scotchbond Universal [SBU] or All-Bond Universal [ABU]) or ceramic primer and hydrophobic bonding (RelyX Ceramic Primer and Adper Scotchbond Multi-Purpose Bond) as a control (n=10). Resin cement cylinders (0.75 mm in diameter × 0.5 mm in height) were bonded to both substrate surfaces using the respective adhesives. After 24 hours or one year of water storage, bonding performance was measured by microshear bond strength (MSBS) testing. Results were analyzed using three-way ANOVA with Bonferroni post hoc tests (α=0.05).
Results: For indirect resin composite, significantly higher MSBS values were found for ABU after 24 hours (ABU > SBU = control); however, no significant difference among the adhesives was observed after one year (p>0.05). For glass-based ceramic, significantly different bond strengths were observed among the adhesives after 24 hours (control = ABU > SBU) and one year (control > SBU = ABU; p<0.05).
Conclusions: Both MMAs tested can be considered effective alternatives for bonding to sandblasted indirect resin composite after aging, as they showed similar bond performance to that of the control group. However, separate bottles of silane bonding resin showed higher MSBS values and more durable bonding for etched glass–based ceramic.
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Affiliation(s)
- P Makishi
- Patricia Makishi, PhD, collaborative researcher, Dental Materials Division, Department of Restorative Dentistry, Piracicaba Dental School, State University of Campinas, Piracicaba, Brazil
| | - CB André
- Carolina B. André, PhD student, Operative Dentistry Division, Department of Restorative Dentistry, Piracicaba Dental School, State University of Campinas, Piracicaba, Brazil
| | - JP Lyra e Silva
- João P. Lyra e Silva, PhD student, Dental Materials Division, Department of Restorative Dentistry, Piracicaba Dental School, State University of Campinas, Piracicaba, Brazil
| | - R Bacelar-Sá
- Renata Bacelar-Sá, PhD student, Dental Materials Division, Department of Restorative Dentistry, Piracicaba Dental School, State University of Campinas, Piracicaba, Brazil
| | - L Correr-Sobrinho
- Lourenço Correr-Sobrinho, associate professor, Dental Materials Division, Department of Restorative Dentistry, Piracicaba Dental School, State University of Campinas, Piracicaba, Brazil
| | - M Giannini
- Marcelo Giannini, associate professor, Operative Dentistry Division, Department of Restorative Dentistry, Piracicaba Dental School, State University of Campinas, Piracicaba, Brazil
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