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Abdulrahman DM, Sherief DI, El-Korashy DI. Effect of different surface treatments on the bonding potential and physical and mechanical properties of ultratranslucent zirconia. J Prosthet Dent 2024; 132:219-228. [PMID: 35850873 DOI: 10.1016/j.prosdent.2022.06.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/30/2021] [Revised: 06/06/2022] [Accepted: 06/07/2022] [Indexed: 11/16/2022]
Abstract
STATEMENT OF PROBLEM Studies to determine a suitable surface treatment that improves bonding without compromising the strength or translucency of ultratranslucent zirconia are scarce. PURPOSE The purpose of this in vitro study was to evaluate the effect of different surface treatments on translucency, surface topography, phase transformation, biaxial flexural strength, bond strength, and durability. MATERIAL AND METHODS A total of 169 ultratranslucent zirconia disks were randomly divided into 4 groups according to the surface treatment applied: airborne-particle abrasion (APA) (n=46), tribochemical silica airborne-particle abrasion (TS) (n=46), nonthermal oxygen plasma (NTP) (n=46), and no treatment, control (C) (n=31). The translucency parameter (ΔTP00) was evaluated with a spectrophotometer (n=15), phase transformation was assessed with an X-ray diffractometer (n=5), surface topography was evaluated with a scanning electron microscope (SEM) (n=3), and biaxial flexural strength (BFS) was tested with a universal testing machine (n=15). For the microshear bond strength (μSBS) test, 40 composite resin specimens were attached to 8 disks and tested with a universal testing machine; 20 specimens were tested after 24 hours, and 20 specimens after hydrothermal aging in a thermocycler (TC). The data were analyzed with ANOVA followed by the Tukey post hoc test (α=.05). Weibull analysis was performed for the flexural strength and μSBS results. RESULTS Significant ΔTP00 differences were found among all groups and were highest for the APA group (7.33) and lowest for the NTP group (4.79). The NTP group had a significantly higher monoclinic weight fraction value (4.54%) than other groups. The NTP group had significantly higher BFS (581.31) than other groups, while the APA group showed significantly lower values than other groups (340.43). The APA group had significantly higher μSBS values after 24 hours (13.51 MPa) and after TC (13.68 MPa) than the other groups (P<.05). CONCLUSIONS Although APA and TS are effective techniques for improving resin-zirconia bonding, they result in significantly higher deterioration of translucency and strength. NTP significantly improved the BFS of zirconia; however, it showed lower bond strength values than other methods.
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Affiliation(s)
- Doaa M Abdulrahman
- Graduate student, Dental Biomaterials Department, Faculty of Dentistry, Ain-Shams University, Cairo, Egypt.
| | - Dalia I Sherief
- Professor of Dental Biomaterials, Biomaterials Department, Faculty of Dentistry, Ain-Shams University, Cairo, Egypt
| | - Dalia I El-Korashy
- Professor of Dental Biomaterials, Biomaterials Department, Faculty of Dentistry, Ain-Shams University, Cairo, Egypt
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Rizk A, El-Guindy J, Abdou A, Ashraf R, Kusumasari C, Eldin FE. Marginal adaptation and fracture resistance of virgilite-based occlusal veneers with varying thickness. BMC Oral Health 2024; 24:307. [PMID: 38443910 PMCID: PMC10913281 DOI: 10.1186/s12903-024-04071-6] [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: 12/01/2023] [Accepted: 02/25/2024] [Indexed: 03/07/2024] Open
Abstract
STATEMENT OF PROBLEM CAD/CAM occlusal veneers have been developed for minimally invasive prosthetic restoration of eroded teeth. Marginal adaptation and fracture resistance are crucial for the long-term survivability and clinical success of such restorations. Virgilite-based lithium disilicate glass-ceramic is a newly introduced material with claims of high strength. However, constructing occlusal veneers from this material of varying thickness has not been investigated. PURPOSE The current study aimed to assess the impact of CAD/CAM occlusal veneer thickness and materials on marginal adaptation and fracture resistance. MATERIALS AND METHODS Thirty-two occlusal veneers were constructed and divided into two groups (n = 16) based on the CAD/CAM material into Brilliant Crios and CEREC Tessera. Each group was further subdivided into two subgroups (n = 8) according to the thickness: 0.6 and 0.9 mm. Occlusal veneers were bonded to epoxy resin dies. The marginal gap was evaluated before and after thermodynamic aging. Fracture resistance and failure mode were evaluated for the same samples after aging. Marginal adaptation was analyzed using the Mann-Whitney U test. Fracture resistance was analyzed using Weibull analysis (α = 0.05). RESULTS The marginal gap was significantly increased following thermodynamic aging for tested groups (P < 0.001). CEREC Tessera showed a significantly higher marginal gap than Brilliant Crios before and after aging for both thicknesses (P < 0.05). CEREC Tessera recorded lower significant fracture load values compared to Brilliant Crios (P < 0.05). CONCLUSIONS Both CEREC Tessera and Brilliant Crios demonstrated clinically accepted marginal gap values. All groups showed fracture resistance values higher than the average masticatory forces in the premolar region except for 0.6 mm CEREC Tessera. CLINICAL IMPLICATIONS Reinforced composite occlusal veneers demonstrated more favorable outcomes in terms of marginal gap and fracture resistance at both tested thicknesses compared to virgilite-based lithium disilicate glass-ceramic. Additionally, caution should be exercised during the construction of occlusal veneers from virgilite-based lithium disilicate glass-ceramic with reduced thickness.
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Affiliation(s)
- Amr Rizk
- Fixed Prosthodontics division, Department of Prosthetic Dentistry, Faculty of Dentistry, King Salman International University, South Sinai, Egypt.
| | - Jylan El-Guindy
- Fixed Prosthodontics division, Department of Prosthetic Dentistry, Faculty of Dentistry, King Salman International University, South Sinai, Egypt
- Fixed Prosthodontics department, Faculty of Dentistry, Cairo University, Cairo, Egypt
| | - Ahmed Abdou
- Faculty of Dentistry, Al-Ayen University, Thi‑Qar, Iraq
| | - Reem Ashraf
- Biomaterials Division, Department of Prosthetic Dentistry, Faculty of Dentistry, King Salman International University, South Sinai, Egypt
| | - Citra Kusumasari
- Conservative Dentistry department, Faculty of Dentistry, Universitas Indonesia, Jakarta, Indonesia
| | - Farid Emad Eldin
- Fixed Prosthodontics department, Faculty of Dentistry, British University in Egypt, Cairo, Egypt
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Ye Z, Jiang J, Yang L, Xu T, Lin Y, Luo F. Research Progress and Clinical Application of All-Ceramic Micro-Veneer. MATERIALS (BASEL, SWITZERLAND) 2023; 16:2957. [PMID: 37109791 PMCID: PMC10141096 DOI: 10.3390/ma16082957] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 01/18/2023] [Revised: 03/11/2023] [Accepted: 03/30/2023] [Indexed: 06/19/2023]
Abstract
Anterior teeth problems affect the patient's daily eating, communication, social activities, self-confidence, and mental health. The trend in dentistry is to address anterior tooth problems with minimally invasive and aesthetic treatments. With the development of adhesive materials and ceramics, micro-veneers have been proposed as an alternative treatment for enhancing the aesthetic appearance and avoiding unnecessary tooth reduction. A micro-veneer is a veneer that can be cemented to the surface without or with minimal tooth preparation. These benefits include no need for anesthesia, postoperative insensitivity, good adhesion to enamel, reversibility of treatment, and higher patient acceptance. However, the micro-veneer repair is suitable only for specific cases and must be strictly controlled regarding indication. Treatment planning is a crucial step to achieving functional and aesthetic rehabilitation, and following the clinical protocol is helpful for the longevity and success of micro-veneer restorations. However, more precise and predictable tooth preparation methods, such as minimally invasive microscopic tooth preparation and digitally guided veneer preparation, are recommended rather than the traditional free-hand method. Therefore, this paper clarifies micro-veneers and compares them with other restorations to gain a deeper and more comprehensive understanding. The authors also review indications, materials, cementation, and effect evaluation of micro-veneers to provide clinicians with valuable information. In conclusion, micro-veneers are minimally invasive treatments that provide good restoration results when used appropriately and are worthy of promotion for the aesthetic restoration of anterior teeth.
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Affiliation(s)
- Zhenwei Ye
- The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory of Oral Biomedicine Ministry of Education, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China
| | - Jiapei Jiang
- Outpatient Department, Sichuan Electrical Power Hospital, Chengdu 610021, China
| | - Linxin Yang
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China School of Stomatology, Sichuan University, Chengdu 610041, China
| | - Tingxiang Xu
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China School of Stomatology, Sichuan University, Chengdu 610041, China
| | - Yuanyou Lin
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China School of Stomatology, Sichuan University, Chengdu 610041, China
| | - Feng Luo
- State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, West China School of Stomatology, Sichuan University, Chengdu 610041, China
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Lambert H, Corn S, Léger R, Ienny P, Slangen P, Fages M. Ceramic Bonding Interface under Shear-Compression Stress: Ultra-High-Speed Imaging Contribution. J Dent Res 2023; 102:295-301. [PMID: 36562502 DOI: 10.1177/00220345221138500] [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: 12/24/2022] Open
Abstract
The aim of this study is to visualize and characterize by ultra-high-speed imaging (UHSI) the failure phenomena at the resin-ceramic bonding interface of lithium disilicate (LiSi2) samples bonded with gold-standard protocol (Monobond Plus [MB]) and the nontoxic one (Monobond Etch & Prime [MEP]) subjected to mechanical loading. Unprecedented frame rate, image resolution, and recording time were reached by using the most advanced UHSI camera. The finite element analysis (FEA) of the proposed mechanical test confirmed that the specific design of our samples enables a combined shear and compression stress state, prone to test the bonding interface while being close to physiological stresses. Ten LiSi2 samples were pretreated by gold standard (MB, n = 5) and self-etching primer (MEP, n = 5). Axial compression loading gradually increased until catastrophic failure was performed. As shown by the FEA, the angle between the bonding interface and load direction leads to shear-compression stresses at the resin-ceramic bonding interface. Failure was recorded by UHSI at 300,000 fps. All recorded images were analyzed to segregate events and isolate the origin of fracture. For the first time, thanks to the image recording setup, it was observed that debonding is the first event before breakage, highlighting that sample fracture occurs by interfacial rupture followed by slippage and cohesive failure of materials. Failure mode could be described as mixed. MEP and MB showed similar results and behavior.
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Affiliation(s)
- H Lambert
- Laboratory Bioengineering and Nanosciences, University of Montpellier, Montpellier, France.,Department of Prosthetic Dentistry, Faculty of Odontology, Montpellier University, France
| | - S Corn
- LMGC, Univ Montpellier, IMT Mines Ales, CNRS, Ales, France
| | - R Léger
- LMGC, Univ Montpellier, IMT Mines Ales, CNRS, Ales, France
| | - P Ienny
- LMGC, Univ Montpellier, IMT Mines Ales, CNRS, Ales, France
| | - P Slangen
- EuroMov Digital Health in Motion, Univ Montpellier, IMT Mines Ales, Ales, France
| | - M Fages
- Laboratory Bioengineering and Nanosciences, University of Montpellier, Montpellier, France.,Department of Prosthetic Dentistry, Faculty of Odontology, Montpellier University, France
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Chen Y, Maghami E, Bai X, Huang C, Pow EHN, Tsoi JKH. Which dentine analogue material can replace human dentine for crown fatigue test? Dent Mater 2023; 39:86-100. [PMID: 36503862 DOI: 10.1016/j.dental.2022.11.020] [Citation(s) in RCA: 7] [Impact Index Per Article: 7.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/09/2022] [Revised: 11/19/2022] [Accepted: 11/25/2022] [Indexed: 12/13/2022]
Abstract
OBJECTIVE To seek dentine analogue materials in combined experimental, analytical, and numerical approaches on the mechanical properties and fatigue behaviours that could replace human dentine in a crown fatigue laboratory test. METHODS A woven glass fibre-filled epoxy (NEMA grade G10; G10) and a glass fibre-reinforced polyamide-nylon (30% glass fibre reinforced polyamide-nylon 6,6; RPN) were investigated and compared with human dentine (HD). Flexural strength and elastic modulus (n = 10) were tested on beam-shaped specimens via three-point bending, while indentation hardness (n = 3) was tested after fracture. Abutment substrates of G10, RPN and HD were prepared and resin-bonded with monolithic lithium disilicate crowns (n = 10), then subjected to wet cyclic loading in a step-stress manner (500 N initial load, 100 N step size, 100,000 cycles per step, 20 Hz frequency). Data were statistically analysed using Kruskal-Wallis one-way ANOVA followed by post-hoc comparisons (α = 0.05). Survival probability estimation was performed by Mantel-Cox Log-Rank test with 95% confidence intervals. The fatigue failure load (FFL) and the number of cycles until failure (NCF) were evaluated with Weibull statistics. Finite Element Models of the fatigue test were established for stress distribution analysis and lifetime prediction. Fractographic observations were qualitatively analysed. RESULTS The flexural strength of HD (164.27 ± 14.24 MPa), G10 (116.48 ± 5.93 MPa), and RPN (86.73 ± 3.56 MPa) were significantly different (p < 0.001), while no significant difference was observed in their flexural moduli (p = 0.377) and the indentation hardness between HD and RPN (p = 0.749). The wet cyclic fatigue test revealed comparable mean FFL and NCF of G10 and RPN to HD (p = 0.237 and 0.294, respectively) and similar survival probabilities for the three groups (p = 0.055). However, RPN promotes higher stability and lower deviation of fatigue test results than G10 in Weibull analysis and FEA. SIGNIFICANCE Even though dentine analogue materials might exhibit similar elastic properties and fatigue performance to human dentine, different reliabilities of fatigue on crown-dentine analogues were shown. RPN seems to be a better substrate that could provide higher reliability and predictability of laboratory study results.
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Affiliation(s)
- Yanning Chen
- Dental Materials Science, Applied Oral Sciences and Community Dental Care, Faculty of Dentistry, The University of Hong Kong, Hong Kong, China
| | - Ebrahim Maghami
- Department of Mechanical Engineering and Mechanics, College of Engineering, Drexel University, Philadelphia, PA 19104, USA
| | - Xuedong Bai
- Dental Materials Science, Applied Oral Sciences and Community Dental Care, Faculty of Dentistry, The University of Hong Kong, Hong Kong, China
| | - Cui Huang
- The State Key Laboratory Breeding Base of Basic Science of Stomatology (Hubei-MOST) & Key Laboratory for Oral Biomedicine Ministry of Education, School and Hospital of Stomatology, Wuhan University, Wuhan, China
| | - Edmond Ho Nang Pow
- Prosthodontics, Restorative Dental Sciences, Faculty of Dentistry, The University of Hong Kong, Hong Kong, China
| | - James Kit Hon Tsoi
- Dental Materials Science, Applied Oral Sciences and Community Dental Care, Faculty of Dentistry, The University of Hong Kong, Hong Kong, China.
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Tsoi JKH, Ding H. A NARRATIVE REVIEW ON THE OVERLOOKED ASPECTS OF dPROs IN CONNECTION WITH DENTAL MATERIALS. J Evid Based Dent Pract 2023; 23:101796. [PMID: 36707171 DOI: 10.1016/j.jebdp.2022.101796] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/08/2022] [Revised: 09/21/2022] [Accepted: 09/26/2022] [Indexed: 11/06/2022]
Abstract
OBJECTIVE Dentists use a large number of dental materials to treat patients, mainly for pain relief, improved oral function, and orofacial appearance purposes. These materials supposably have been clinically tested and registered before launching onto the market. In terms of clinical testing, despite various objective and subjective assessments that could be done, the dentist-centred outcomes and regulatory body requirements might not fully reflect the perspective of the patient. Thus, dental-patient reported outcomes (dPROs) might be useful in providing valuable self-perceived feedback to stakeholders across a long period of time about the materials... performances. METHODS AND RESULTS This narrative review evaluated various assessment dPROs tools and their applications to contemporary dental materials, trying to link up basic materials science and biomechanics with the patients... reported outcomes. CONCLUSIONS dPROs can eventually form a basis of value-based dentistry for dental materials that would be of importance in terms of research, regulatory and safety.
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Affiliation(s)
- James Kit-Hon Tsoi
- Dental Materials Science, Applied Oral Sciences and Community Dental Care, Faculty of Dentistry, The University of Hong Kong, Sai Ying Pun, Hong Kong SAR.
| | - Hao Ding
- Dental Materials Science, Applied Oral Sciences and Community Dental Care, Faculty of Dentistry, The University of Hong Kong, Sai Ying Pun, Hong Kong SAR
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7
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Avram LT, Galațanu SV, Opriș C, Pop C, Jivănescu A. Effect of Different Etching Times with Hydrofluoric Acid on the Bond Strength of CAD/CAM Ceramic Material. MATERIALS (BASEL, SWITZERLAND) 2022; 15:7071. [PMID: 36295139 PMCID: PMC9605186 DOI: 10.3390/ma15207071] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/25/2022] [Revised: 09/28/2022] [Accepted: 09/30/2022] [Indexed: 06/16/2023]
Abstract
The objective of this study was to evaluate the influence of hydrofluoric acid (HF) and conditioning time on the micro-shear bond strength (µSBS) between dual-cure resin cement and glass-ceramic materials, such as lithium disilicate ceramic (IPS e.max CAD, Ivoclar Vivadent) (EX) and leucite-reinforced ceramic (IPS Empress CAD, Ivoclar Vivadent) (EP), and also a hybrid ceramic (Vita Enamic, Vita Zahnfabrik) (VE). Eighteen sections with 1 mm thickness were cut from each CAD/CAM material and randomly divided into three groups, according to the surface etching time (30 s, 60 s, 90 s). The surface treatment was performed using 9.5% HF acid gel, then resin cement was applied on the prepared ceramic plates and light cured. µSBS values between resin cement and the ceramic material were measured with a universal testing machine at a crosshead speed of 0.5 mm/min until the failure occurred. The fractured surfaces of specimens were microscopically evaluated, and failure modes were classified as: adhesive between resin cement and ceramic, cohesive within ceramic or cement and mixed failure. Surface roughness of etched samples was examined using a scanning electron microscope. Obtained data were statistically analysed using one-way analysis of variance (ANOVA) and Bonferroni post hoc test with a level of significance α = 0.05. The results of the statistical methods applied indicate that µSBS mean difference for leucite-reinforced ceramic (EP) was statistically significant (p < 0.05). However, µSBS values for hybrid ceramic (VE) and lithium disilicate ceramic (EX) were not affected, from a statistical point of view, by the conditioning time (p > 0.05).
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Affiliation(s)
- Liane Tabitha Avram
- Department of Prosthodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy “Victor Babeș” Timișoara, Revoluţiei din 1989 Bd. No. 9, 300070 Timișoara, Romania
| | - Sergiu-Valentin Galațanu
- Department of Mechanics and Strength of Materials, Politehnica University of Timisoara, Mihai Viteazu Bd., 300222 Timisoara, Romania
| | - Carmen Opriș
- Department of Materials and Manufacturing Engineering, Politehnica University of Timisoara, Mihai Viteazu Bd., Timis, 300222 Timisoara, Romania
| | - Cristian Pop
- Department of Mechatronics, Politehnica University of Timisoara, Mihai Viteazu Bd., 300222 Timisoara, Romania
| | - Anca Jivănescu
- Department of Prosthodontics, Faculty of Dental Medicine, University of Medicine and Pharmacy “Victor Babeș” Timișoara, Revoluţiei din 1989 Bd. No. 9, 300070 Timișoara, Romania
- TADERP Research Center, University of Medicine and Pharmacy “Victor Babeș” Timișoara, Revoluţiei din 1989 Bd. No. 9, 300070 Timișoara, Romania
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Chen Y, Lee JKY, Kwong G, Pow EHN, Tsoi JKH. Morphology and fracture behavior of lithium disilicate dental crowns designed by human and knowledge-based AI. J Mech Behav Biomed Mater 2022; 131:105256. [DOI: 10.1016/j.jmbbm.2022.105256] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/20/2022] [Revised: 04/20/2022] [Accepted: 04/25/2022] [Indexed: 11/25/2022]
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Atalay C, Koc Vural U, Miletic I, Gurgan S. Shear bond strengths of two newly marketed self-adhesive resin cements to different substrates: A light and scanning electron microscopy evaluation. Microsc Res Tech 2021; 85:1694-1702. [PMID: 34921572 DOI: 10.1002/jemt.24031] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2021] [Revised: 11/08/2021] [Accepted: 11/22/2021] [Indexed: 01/02/2023]
Abstract
The purpose of this in vitro study was to compare the shear bond strengths (SBSs) of two newly marketed self-adhesive resin cements (RCs) to enamel, dentin, and lithium disilicate (LiSi) glass ceramic block. Forty-eight enamel and 48 dentin substrates were obtained from sound human molars. Additionally, 6 × 7 × 5 -mm- sized 24 specimens were produced from LiSi glass ceramic blocks. The tooth specimens were randomly assigned into four groups (n = 12) according to the surface treatments: (1) G-CEM ONE (GCO), (2) G-CEM ONE Adhesive Enhancing Primer (GCO-AEP) + GCO, (3) RelyX Universal (RXU), and (4) Scotchbond Universal Plus (SUP) + RXU. LiSi specimens were randomly divided into two groups (n = 12): (1) G-MultiPrimer (GMP) + GCO and (2) SUP + RXU. Following the RC applications, all specimens were kept in 100% humidity at 37°C for 24 hr and then submitted for SBS testing in a universal testing machine (1 mm/min). Data were analyzed by Welch's, one-way analysis of variance and two independent samples t tests. The nature of failures was examined under a light microscope, and scanning electron microscopy analyses were also performed for interfaces. GCO and RXU showed similar SBS to enamel (p > .05), and the use of adhesives resulted in improved SBS (p < .05). No difference was detected between GCO-AEP + GCO and SUP + RXU. The GCO-AEP + GCO exhibited the highest SBS to dentin (p < .05), followed by GCO ≥ SUP + RXU > RXU (p < .05). There was no significant difference between SBSs of two RCs to LiSi blocks (p > .05). No cohesive failure was determined for the tested groups by light microscope. The use of adhesives prior to the application of self-adhesive RCs improved their bonding to tooth tissues. GCO demonstrated superior SBS to dentin, whereas both self-adhesive RCs generated similar SBS to enamel and LiSi glass ceramic surfaces.
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Affiliation(s)
- Cansu Atalay
- Department of Restorative Dentistry, School of Dentistry, Hacettepe University, Ankara, Turkey
| | - Uzay Koc Vural
- Department of Restorative Dentistry, School of Dentistry, Hacettepe University, Ankara, Turkey
| | - Ivana Miletic
- Departments of Endodontics and Restorative Dentistry, School of Dental Medicine, University of Zagreb, Zagreb, Croatia
| | - Sevil Gurgan
- Department of Restorative Dentistry, School of Dentistry, Hacettepe University, Ankara, Turkey
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Zhang LX, Hong DW, Zheng M, Yu H. Is the bond strength of zirconia-reinforced lithium silicate lower than that of lithium disilicate? A systematic review and metaanalysis. J Prosthodont Res 2021; 66:530-537. [PMID: 34853237 DOI: 10.2186/jpr.jpr_d_20_00112] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE This study systematically reviewed the literature to compare the bond strength of resin composites with that of zirconia-reinforced lithium silicate (ZLS) and lithium disilicate (LD). STUDY SELECTION This review was structured based on the Preferred Reporting Items for Systematic Reviews and MetaAnalyses (PRISMA 2020) statement. This study was registered at the International Prospective Register of Systematic Reviews (CRD42021256900). Studies were searched via PubMed, Web of Science, and Google Scholar databases without language or publication year limits. In vitro studies that evaluated the bond strength of the resin composites to ZLS and LD were included. The risk of bias in all the included articles was evaluated. Statistical analyses were performed using the Review Manager software (version 5.3, Cochrane Collaboration, Oxford, UK). RESULTS Of the 90 potentially related articles, the full texts of 16 articles were evaluated after screening. Finally, sevenstudies were included in the qualitative synthesis and meta-analysis. All the studies presented a medium risk of bias. The results showed no significant difference in bond strength between the ZLS and LD groups (P = 0.94, mean difference=0.08, and 95% confidence interval=-1.93 to 2.10). However, a significant difference was found in the subgroup analysis considering different types of aging treatments (P = 0.0008) and different types of bond strength tests (P < 0.00001). CONCLUSION The bond strength of resin composites was found to be similar to that of ZLS and LD, but different aging treatments and bond strength tests exhibited varying effects on the bond strength.
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Affiliation(s)
- Li-Xian Zhang
- Fujian Key Laboratory of Oral Diseases & Fujian Provincial Engineering Research Center of Oral Biomaterial & Stomatological Key Laboratory of Fujian College and University, School and Hospital of Stomatology, Fujian Medical University, Fuzhou, China
| | - Deng-Wei Hong
- Fujian Key Laboratory of Oral Diseases & Fujian Provincial Engineering Research Center of Oral Biomaterial & Stomatological Key Laboratory of Fujian College and University, School and Hospital of Stomatology, Fujian Medical University, Fuzhou, China
| | - Ming Zheng
- Fujian Key Laboratory of Oral Diseases & Fujian Provincial Engineering Research Center of Oral Biomaterial & Stomatological Key Laboratory of Fujian College and University, School and Hospital of Stomatology, Fujian Medical University, Fuzhou, China
| | - Hao Yu
- Fujian Key Laboratory of Oral Diseases & Fujian Provincial Engineering Research Center of Oral Biomaterial & Stomatological Key Laboratory of Fujian College and University, School and Hospital of Stomatology, Fujian Medical University, Fuzhou, China.,Department of Applied Prosthodontics, Graduate School of Biomedical Sciences, Nagasaki University, Nagasaki, Japan
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SEVMEZ H, YILMAZ H. Comparison Of The Effect Of Surface Conditioning Methods On The Bond Strength Of Different Zirconia Reinforced Lithium Silicate And Hybrid Ceramics To Resin Cement. CLINICAL AND EXPERIMENTAL HEALTH SCIENCES 2021. [DOI: 10.33808/clinexphealthsci.867710] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
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12
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Chantler JGM, Judge RB, Palamara JEA, Abduo J. Influence of the application of a pre-sintered surface augmentation on zirconia and lithium disilicate bonding using an adhesive composite resin cement. Dent Mater 2021; 37:e382-e390. [PMID: 33775454 DOI: 10.1016/j.dental.2021.02.025] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2020] [Revised: 02/16/2021] [Accepted: 02/24/2021] [Indexed: 11/15/2022]
Abstract
OBJECTIVE The purpose of this laboratory study is to evaluate the application of a pre-sintered surface augmentation to zirconia (Zir) and lithium disilicate (LDS) ceramics on the delamination strength of adhesive resin cement. The applied surface augmentation was the ruling of lines to the pre-sintered surface of the ceramics. METHODS Ninety milled Zir and sixty pressed LDS specimens (3mm×0.5mm×25mm) were created and divided into five groups (n=30). Group 1: Zir no surface treatment (control Zir-NT); Group 2: Zir airborne particle abraded (Zir-APA) with 30μm CoJet; Group 3: Zir pre-sintered surface augmentation (Zir-SA); Group 4: LDS etched (control LDS-etched) and; Group 5: LDS with pre-sintered surface augmentation and etching (LDS-SA). A resin adhesive cement (3mm×1mm×8mm) was then applied and cured to the ceramic specimens. The delamination strength values of the resin cement from the ceramic were recorded. The delamination strength data were analysed statistically using one-way ANOVA and Turkey post hoc analysis. RESULTS The mean delamination strength and standard deviation, when comparing only the Zir-SA to the resin cement were statistically different (p<0.001); Zir-SA 63.42±11.85, Zir-NT 26.82±12.07, and Zir-APA 48.11±17.85MPa. Comparison between LDS groups were not significantly different (p=0.193); LDS-etched 33.49±16.07 and LDS-SA 28.83±10.15MPa. The delaminated Weibull modulus was highest for surface augmentation Zir specimens (m=13.56) but decreasing to less than half for Zir-APA (m=6.27) and Zir-NT (m=5.68). The Weibull values for the LDS-SA and LDS-etched specimens was 5.63 and 3.38 respectively. SIGNIFICANCE Incorporating the pre-sintered surface augmentation to zirconia improved the delamination strength and reliability of Zir to the resin cement but not for LDS.
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Affiliation(s)
| | - Roy B Judge
- Head of Prosthodontics, Melbourne Dental School, University of Melbourne, Melbourne, Victoria, Australia.
| | - Joseph E A Palamara
- Coordinator of Materials Science, Restorative Dentistry Department, Melbourne Dental School, University of Melbourne, Melbourne, Australia
| | - Jaafar Abduo
- Convenor of Postgraduate Diploma in Clinical Dentistry, Melbourne Dental School, University of Melbourne, Melbourne, Australia
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Chen Y, Yeung AWK, Pow EHN, Tsoi JKH. Current status and research trends of lithium disilicate in dentistry: A bibliometric analysis. J Prosthet Dent 2020; 126:512-522. [PMID: 33008629 DOI: 10.1016/j.prosdent.2020.08.012] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/23/2020] [Revised: 08/06/2020] [Accepted: 08/06/2020] [Indexed: 10/23/2022]
Abstract
STATEMENT OF PROBLEM Lithium disilicate (LD) is a popular dental ceramic and has been a focus of dental research. Nevertheless, a quantified literature analysis focusing on the research of lithium disilicate is lacking. PURPOSE The purpose of this bibliometric analysis was to review the progress of research into lithium disilicate in dentistry, including the identification of contributing researchers, organizations, countries or regions, journals, and the analysis of high-impact keywords and research trending. MATERIAL AND METHODS The search was carried out within the topic field of the Web of Science (WoS) database, collecting publications related to LD from between 1996 and 2019. Metadata including the titles, abstracts, keywords, authors, affiliations, countries or regions, and references were extracted. Bibliometric indicators in terms of documents, authors, journals, and keywords were analyzed. RESULTS Between 1996 and 2019, the dental research on LD trended upward. Scholars in the United States, Germany, Switzerland, and Brazil actively participated in the research on LD, and publications from the United States had the most citations. The Journal of Prosthetic Dentistry and Dental Materials were the major contributing journals. High-impact terms could be categorized into types of restorative material, types of prostheses, and properties or techniques of materials. Co-occurrence and relative normalized citation analysis of keywords highlighted several research interests, such as comparison studies between LD and zirconia, computer-aided design and computer-aided manufacturing (CAD-CAM) techniques, and the performance of complete coverage LD restorations. CONCLUSIONS With the global upsurge in research on lithium disilicate, extensive collaborations and citations have been noted among authors, institutions, and countries or regions. Research hotspots include types of restorative material, types of prostheses, and properties or techniques of materials.
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Affiliation(s)
- Yanning Chen
- PhD student, Dental Materials Science, Applied Oral Sciences and Community Dental Care, Faculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region, PR China
| | - Andy W K Yeung
- Tutor in Radiography, Oral and Maxillofacial Radiology, Applied Oral Sciences and Community Dental Care, Faculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region, PR China
| | - Edmond H N Pow
- Clinical Associate Professor, Prosthodontics, Restorative Dental Sciences, Faculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region, PR China
| | - James K H Tsoi
- Assistant Professor, Dental Materials Science, Applied Oral Sciences and Community Dental Care, Faculty of Dentistry, The University of Hong Kong, Hong Kong Special Administrative Region, PR China.
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Albelasy EH, Hamama HH, Tsoi JK, Mahmoud SH. Fracture resistance of CAD/CAM occlusal veneers: A systematic review of laboratory studies. J Mech Behav Biomed Mater 2020; 110:103948. [DOI: 10.1016/j.jmbbm.2020.103948] [Citation(s) in RCA: 9] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2020] [Revised: 06/18/2020] [Accepted: 06/21/2020] [Indexed: 11/27/2022]
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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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Chen B, Yang L, Lu Z, Meng H, Wu X, Chen C, Xie H. Shear bond strength of zirconia to resin: The effects of specimen preparation and loading procedure. J Adv Prosthodont 2020; 11:313-323. [PMID: 31897270 PMCID: PMC6933049 DOI: 10.4047/jap.2019.11.6.313] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2019] [Revised: 06/16/2019] [Accepted: 12/11/2019] [Indexed: 11/08/2022] Open
Abstract
PURPOSE Shear bond strength (SBS) test is the most commonly used method for evaluating resin bond strength of zirconia, but SBS results vary among different studies even when evaluating the same bonding strategy. The purpose of this study was to promote standardization of the SBS test in evaluating zirconia ceramic bonding and to investigate factors that may affect the SBS value of a zirconia/resin cement/composite resin bonding specimen. MATERIALS AND METHODS The zirconia/resin cement/composite resin bonding specimens were used to simulate loading with a shear force by the three-dimensional finite element (3D FE) modeling, in which stress distribution under uniform/non-uniform load, and different resin cement thickness and different elastic modulus of resin composite were analyzed. In vitro SBS test was also performed to validate the results of 3D FE analysis. RESULTS The loading flat width was an important affecting factor. 3D FE analysis also showed that differences in resin cement layer thickness and resin composite would lead to the variations of stress accumulation area. The SBS test result showed that the load for preparing a SBS specimen is negatively correlated with the resin cement thickness and positively correlated with SBS values. CONCLUSION When preparing a SBS specimen for evaluating bond performance, the load flat width, the load applied during cementation, and the different composite resins used affect the SBS results and therefore should be standardized.
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Affiliation(s)
- Bingzhuo Chen
- Jiangsu Key Laboratory of Oral Diseases, Nanjing Medical University; Department of Prosthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China
| | - Lu Yang
- Jiangsu Key Laboratory of Oral Diseases, Nanjing Medical University; Department of Prosthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China
| | - Zhicen Lu
- Jiangsu Key Laboratory of Oral Diseases, Nanjing Medical University; Department of Prosthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China
| | - Hongliang Meng
- Jiangsu Key Laboratory of Oral Diseases, Nanjing Medical University; Department of Prosthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China
| | - Xinyi Wu
- Jiangsu Key Laboratory of Oral Diseases, Nanjing Medical University; Department of Endodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China
| | - Chen Chen
- Jiangsu Key Laboratory of Oral Diseases, Nanjing Medical University; Department of Endodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China
| | - Haifeng Xie
- Jiangsu Key Laboratory of Oral Diseases, Nanjing Medical University; Department of Prosthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, China
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Eldafrawy M, Greimers L, Bekaert S, Gailly P, Lenaerts C, Nguyen JF, Sadoun M, Mainjot A. Silane influence on bonding to CAD-CAM composites: An interfacial fracture toughness study. Dent Mater 2019; 35:1279-1290. [DOI: 10.1016/j.dental.2019.05.019] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/15/2019] [Revised: 05/21/2019] [Accepted: 05/22/2019] [Indexed: 11/28/2022]
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Fokas G, Guo CY, Tsoi JK. The effects of surface treatments on tensile bond strength of polyether-ketone-ketone (PEKK) to veneering resin. J Mech Behav Biomed Mater 2019; 93:1-8. [DOI: 10.1016/j.jmbbm.2019.01.015] [Citation(s) in RCA: 24] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/07/2019] [Revised: 01/25/2019] [Accepted: 01/28/2019] [Indexed: 12/19/2022]
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Dental Resin-Zirconia Bonding Promotion Using High-Silica PVD Coating with High Ionization Sputtering Processing. COATINGS 2019. [DOI: 10.3390/coatings9030182] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/27/2022]
Abstract
Purpose: To evaluate the effect of high-silica coating deposited by high-silica physical vapor deposition (PVD) as a chemical bonding method on resin-zirconia bond strength under different aging conditions. Methods: Twelve Y-TZP blocks were used as the substrates. Four resin cement stubs were bonded on each Y-TZP block, with a total number of 48 resin cement stubs. Two test groups (n = 24) were evaluated: conventional Tribochemical silica-coating (TSC) and high-silica PVD with high ionization sputtering processing. Experimental silane primer (MPS) was brushed over the surface treated Y-TZP blocks, then a polyethylene mold was placed over the coated Y-TZP blocks and filled with the adhesive resin cement, then light-cured for 40 s. The shear bond strength (SBS) was then evaluated in dry condition and after thermo-cycling for 6000 cycles. Surface roughness, mode of failure, surface topography and elemental analysis were also evaluated. Results: In dry condition, PVD-coated zirconia specimens showed significantly higher mean SBS values (11.7 ± 1.3 MPa) compared to TSC (10.2 ± 1.1 MPa) (p = 0.027). The SBS values of TSC and PVD-coated samples after thermo-cycling were higher than in dry condition, but with no statistical significant difference (p > 0.05). Tetragonal-to-monoclinic phase transformation was detected in TSC, but not in PVD-coated zirconia. Significant decrease in surface roughness of PVD samples compared to TSC samples (p < 0.001). The silica content in PVD coating was 51% as detected by EDX. Conclusions: High-silica PVD coating on zirconia can give a reliable resin-zirconia chemical bond without any phase transformation and surface destruction by conventional grit-blasting.
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