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Nishizawa Y, Komagata Y, Nagamatsu Y, Kawamoto T, Ikeda H. Chemical etching of CAD-CAM glass-ceramic-based materials using fluoride solutions for bonding pretreatment. Dent Mater J 2024; 43:504-516. [PMID: 38825449 DOI: 10.4012/dmj.2023-333] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/04/2024]
Abstract
The surface treatment of glass-ceramic-based materials, namely, lithium disilicate glass (IPS e.max CAD), feldspar porcelain (VITABLOCS Mark II), and a polymer-infiltrated ceramic network (VITA ENAMIC), using aqueous fluoride solutions and their influence on luting agent bonding were investigated. Six experimental aqueous fluoride solutions were applied to these materials, and their effects were assessed by surface topological analysis. The obtained results were compared using non-parametric statistical analyses. Ammonium hydrogen fluoride (AHF) etchant demonstrated the greatest etching effect. Subsequent experiments focused on evaluating different concentrations of the AHF etchant for the bonding pretreatment of glass-ceramic-based materials with a luting agent (PANAVIA V5). AHF, particularly at concentrations above 5 wt%, effectively roughened the surfaces of the materials and improved the bonding performance. Notably, AHF at a concentration of 30 wt% exhibited a more pronounced effect on both etching and bonding capabilities compared to hydrofluoric acid.
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Affiliation(s)
- Yusaku Nishizawa
- Division of Biomaterials, Department of Oral Functions, Kyushu Dental University
- Division of Orofacial Functions and Orthodontics, Department of Health Improvement, Kyushu Dental University
| | - Yuya Komagata
- Division of Biomaterials, Department of Oral Functions, Kyushu Dental University
| | - Yuki Nagamatsu
- Division of Biomaterials, Department of Oral Functions, Kyushu Dental University
| | - Tatsuo Kawamoto
- Division of Orofacial Functions and Orthodontics, Department of Health Improvement, Kyushu Dental University
| | - Hiroshi Ikeda
- Division of Biomaterials, Department of Oral Functions, Kyushu Dental University
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2
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Sahoo N, Carvalho O, Özcan M, Silva F, Souza JCM, Lasagni AF, Henriques B. Ultrashort pulse laser patterning of zirconia (3Y-TZP) for enhanced adhesion to resin-matrix cements used in dentistry: An integrative review. J Mech Behav Biomed Mater 2023; 143:105943. [PMID: 37276650 DOI: 10.1016/j.jmbbm.2023.105943] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/30/2023] [Revised: 05/25/2023] [Accepted: 05/28/2023] [Indexed: 06/07/2023]
Abstract
Surface modification of yttria-stabilized tetragonal zirconia polycrystals (Y-TZP) using lasers for adhesion enhancement with resin-matrix cement has been increasingly explored. However, Y-TZP is chemically inert and non-reactive, demanding surface modification using alternative approaches to enhance its bond strength to resin-matrix cements. The main aim of this study was to conduct an integrative review on the influence of ultrashort pulse laser patterning of zirconia (3Y-TZP) for enhanced bonding to resin-matrix cements. An electronic search was performed on web of science, SCOPUS, Pubmed/Medline, Google Scholar and EMBASE using a combination of the following search items: zirconia, 3Y-TZP, surface modification, laser surface treatment, AND laser, ultrashortpulse laser, bonding, adhesion, and resin cement. Articles published in the English language, up to January 2022, were included regarding the influence of surface patterning on bond strength of Y-TZP to resin-matrix cements. Out of the 12 studies selected for the present review 10 studies assessed femtosecond lasers while 2 studies assessed picosecond lasers. Ultrashort pulsed laser surface patterning successfully produced different surface morphological aspects without damaging the bulk properties of zirconia. Contrarily, defects such as micro-cracks occurs after surface modification using traditional methods such as grit-blasting or long-pulsed laser patterning. Ultrashort pulsed laser surface patterning increase bond strength of zirconia to resin-matrix cements and therefore such alternative physical method should be considered in dentistry. Also, surface defects were avoided using ultrashort pulsed laser surface patterning, which become the major advantage when compared with traditional physical methods or long pulse laser patterning.
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Affiliation(s)
- Narayan Sahoo
- Centre Microelectromechanical Systems (CMEMS-UMinho), University of Minho, Campus Azurém, Guimarães, 4800-058, Portugal; LABBELS Associate Laboratory, University of Minho, Guimarães, 4710-057, Braga, Portugal
| | - Oscar Carvalho
- Centre Microelectromechanical Systems (CMEMS-UMinho), University of Minho, Campus Azurém, Guimarães, 4800-058, Portugal; LABBELS Associate Laboratory, University of Minho, Guimarães, 4710-057, Braga, Portugal
| | - Mutlu Özcan
- Division of Dental Materials, Center for Dental Medicine, Clinic of Reconstructive Dentistry, University of Zurich, Zurich, 8032, Switzerland
| | - Filipe Silva
- Centre Microelectromechanical Systems (CMEMS-UMinho), University of Minho, Campus Azurém, Guimarães, 4800-058, Portugal; LABBELS Associate Laboratory, University of Minho, Guimarães, 4710-057, Braga, Portugal
| | - Júlio C M Souza
- Centre Microelectromechanical Systems (CMEMS-UMinho), University of Minho, Campus Azurém, Guimarães, 4800-058, Portugal; LABBELS Associate Laboratory, University of Minho, Guimarães, 4710-057, Braga, Portugal; Department of Dental Sciences, University Institute of Health Sciences (IUCS), CESPU, Gandra, PRD, 4585-116, Portugal
| | - Andrés-Fabian Lasagni
- Institute for Manufacturing Technology, Technische Universität Dresden, 01062, Dresden, Germany
| | - Bruno Henriques
- Centre Microelectromechanical Systems (CMEMS-UMinho), University of Minho, Campus Azurém, Guimarães, 4800-058, Portugal; LABBELS Associate Laboratory, University of Minho, Guimarães, 4710-057, Braga, Portugal; Ceramic and Composite Materials Research Group (CERMAT), Federal University of Santa Catarina (UFSC), Campus Trindade, Florianópolis, SC, 88040-900, Brazil.
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Magalhães T, Fidalgo-Pereira R, Torres O, Carvalho Ó, Silva FS, Henriques B, Özcan M, Souza JCM. Microscopic Inspection of the Adhesive Interface of Composite Onlays after Cementation on Low Loading: An In Vitro Study. J Funct Biomater 2023; 14:jfb14030148. [PMID: 36976072 PMCID: PMC10058625 DOI: 10.3390/jfb14030148] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2023] [Revised: 02/22/2023] [Accepted: 03/02/2023] [Indexed: 03/12/2023] Open
Abstract
Purpose: This study aimed to assess the layer thickness and microstructure of traditional resin-matrix cements and flowable resin-matrix composites at dentin and enamel to composite onlay interfaces after cementation on low loading magnitude. Materials and Methods: Twenty teeth were prepared and conditioned with an adhesive system for restoration with resin-matrix composite onlays manufactured by CAD-CAM. On cementation, tooth-to-onlay assemblies were distributed into four groups, including two traditional resin-matrix cements (groups M and B), one flowable resin-matrix composite (group G), and one thermally induced flowable composite (group V). After the cementation procedure, assemblies were cross-sectioned for inspection by optical microscopy at different magnification up to ×1000. Results: The layer thickness of resin-matrix cementation showed the highest mean values at around 405 µm for a traditional resin-matrix cement (group B). The thermally induced flowable resin-matrix composites showed the lowest layer thickness values. The resin-matrix layer thickness revealed statistical differences between traditional resin cement (groups M and B) and flowable resin-matrix composites (groups V and G) (p < 0.05). However, the groups of flowable resin-matrix composites did not reveal statistical differences (p < 0.05). The thickness of the adhesive system layer at around 7 µm and 12 µm was lower at the interfaces with flowable resin-matrix composites when compared to the adhesive layer at resin-matrix cements, which ranged from 12 µm up to 40 µm. Conclusions: The flowable resin-matrix composites showed adequate flowing even though the loading on cementation was performed at low magnitude. Nevertheless, significant variation in thickness of the cementation layer was noticed for flowable resin-matrix composites and traditional resin-matrix cements that can occur in chair-side procedures due to the clinical sensitivity and differences in rheological properties of the materials.
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Affiliation(s)
- Tiago Magalhães
- University Institute of Health Sciences (IUCS), CESPU, 4585-116 Gandra PRD, Portugal
| | - Rita Fidalgo-Pereira
- Center for Interdisciplinary Research in Health (CIIS), Faculty of Dental Medicine (FMD), Universidade Católica Portuguesa (UCP), 3504-505 Viseu, Portugal
| | - Orlanda Torres
- Oral Pathology and Rehabilitation Research Unit (UNIPRO), University Institute of Health Sciences (IUCS), CESPU, 4585-116 Gandra PRD, Portugal
| | - Óscar Carvalho
- Centre for MicroElectromechanical Systems (CMEMS-UMINHO), Campus Azurém, University of Minho, 4800-058 Guimarães, Portugal
- LABBELS Associate Laboratory, University of Minho, 4710-057 Braga, Portugal
| | - Filipe S. Silva
- Centre for MicroElectromechanical Systems (CMEMS-UMINHO), Campus Azurém, University of Minho, 4800-058 Guimarães, Portugal
- LABBELS Associate Laboratory, University of Minho, 4710-057 Braga, Portugal
| | - Bruno Henriques
- Centre for MicroElectromechanical Systems (CMEMS-UMINHO), Campus Azurém, University of Minho, 4800-058 Guimarães, Portugal
- LABBELS Associate Laboratory, University of Minho, 4710-057 Braga, Portugal
- Ceramic and Composite Materials Research Group (CERMAT), Department of Mechanical Engineering (EMC), Federal University of Santa Catarina (UFSC), Florianopolis 88040-900, Brazil
| | - Mutlu Özcan
- Division of Dental Biomaterials, Center of Dental Medicine, Clinic of Reconstructive Dentistry, University of Zurich, 8032 Zurich, Switzerland
| | - Júlio C. M. Souza
- University Institute of Health Sciences (IUCS), CESPU, 4585-116 Gandra PRD, Portugal
- Centre for MicroElectromechanical Systems (CMEMS-UMINHO), Campus Azurém, University of Minho, 4800-058 Guimarães, Portugal
- LABBELS Associate Laboratory, University of Minho, 4710-057 Braga, Portugal
- Correspondence:
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Guo X, Zhao H, Zhang Z. Effects of Streptococcus mutans and its fluoride resistant strains on the adhesion of CAD/CAM ceramics to teeth and resin. Technol Health Care 2023; 31:125-139. [PMID: 35754240 DOI: 10.3233/thc-220117] [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: 01/25/2023]
Abstract
BACKGROUND The similar elastic modulus of resin-matrix ceramics to dentin has resulted in their recent widespread application clinically. Nevertheless, the bacterial environment of oral cavity can degrade the resin composite. OBJECTIVE The objective was to analyse the effect of S. mutans and its fluoride-resistant strains on the adhesion of three CAD/CAM ceramics. METHODS S. mutans UA159 (UA) was identified, and its fluoride-resistant strain (FR) was induced. For crack observation, three kinds of CAD/CAM ceramics (IPS Empress, Lava Ultimate and Vita Enamic) were bonded with tooth complex (enamel, dentin and flowable resin) through adhesive. For micro-tensile test, ceramics were bonded with flowable resin, and cut into strip test pieces. Then specimens were immersed into the UA, FR and the control solution (BHI) separately for 14 d. Ceramic-adhesive interface and adhesive-tooth complex interface were observed and analyzed through electron microscope and stereomicroscope. Micro-tensile test was conducted. RESULTS Specimens in bacterial solutions had more cracks and comparatively weaker micro-tensile strength than those in BHI. In ceramic-adhesive interface, Lava Ultimate produced the most cracks. In adhesive-tooth complex interface, adhesive-dentin produced the most cracks. Meanwhile, IPS Empress had the strongest micro-tensile strength when bonded with resin. CONCLUSIONS S. mutans and its fluoride resistant strain can cause cracks in the bonding of ceramics and dental tissue, especially resin-matrix ceramic and dentin, and weaken the bonding strength between ceramics and resin.
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Affiliation(s)
- Xinwei Guo
- Hospital of Stomatology, Jilin University, Changchun, Jilin, China.,College of Dentistry, Peking University, Beijing, China
| | - Hongyan Zhao
- Hospital of Stomatology, Jilin University, Changchun, Jilin, China
| | - Zhimin Zhang
- Hospital of Stomatology, Jilin University, Changchun, Jilin, China
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Zhu H, Tao HH, Wei M, Liu P, Yuan L, Zhang YN, Wang B, Chen JF. Effects of different frequencies of Er:YAG laser on the bonding properties of zirconia ceramic. Lasers Med Sci 2022; 38:4. [PMID: 36538140 DOI: 10.1007/s10103-022-03660-7] [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: 10/13/2021] [Accepted: 10/12/2022] [Indexed: 12/24/2022]
Abstract
The effects of Er:YAG laser with different frequencies on zirconia ceramic's bonding properties were studied. In total, 42 Y-TZP (yttrium-stabilized tetragonal zirconia polycrystals, UPCERA ST) with 3 mm × 3 mm × 2 mm divided into 6 groups (n = 7): control (C), sandblasting (SB), and Er:YAG laser (A1-A4), which the frequencies correspond to 5 Hz, 10 Hz, 15 Hz, and 20 Hz, IPS e.max Press ceramics were B. Scanning electron microscope (SEM) images were recorded. The ceramics were bonded to enamel from extracted teeth. After being constantly stored at 37 ℃ for 24 h, the shear test was performed with a universal testing machine. Stereomicroscope evaluated fracture modes. Stereomicroscope evaluated fracture modes. Data were analyzed by SPSS26.0 statistical software; the standard was P = 0.05. (1) The SEM showed the surface of A1-A4 became rough compared with C. (2) The shear test showed that the highest bonding strength for B was 13.15 ± 2.97 MPa, followed by SB was 7.78 ± 0.97 MPa, and A2 was 7.13 ± 0.75 MPa. However, there was no significant difference between SB and A2 (P > 0.05). Fracture modes of C were the interface fracture of Y-TZP and resin adhesive; most of A1-A4 and SB also were interface fracture, a few mixed fractures, and cohesion fracture of resin adhesive; B were all mixed fracture. Er:YAG laser with 10 Hz could be used as an alternative to sandblasting with Al2O3 for surface modification of Y-TZP to increase the bonding strength.
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Affiliation(s)
- Hong Zhu
- Department of Stomatology, The First Affiliated Hospital of Dalian Medical University, Dalian, 116011, Liaoning Province, China
- Shanghai Jiading District Dental Center for Dental Disease Prevention and Control, Shanghai, 201899, China
| | - Hui-Hui Tao
- Department of Stomatology, The First Affiliated Hospital of Dalian Medical University, Dalian, 116011, Liaoning Province, China
| | - Meng Wei
- Department of Stomatology, The First Affiliated Hospital of Dalian Medical University, Dalian, 116011, Liaoning Province, China
| | - Pan Liu
- Department of Stomatology, The First Affiliated Hospital of Dalian Medical University, Dalian, 116011, Liaoning Province, China
| | - Lu Yuan
- Department of Stomatology, The First Affiliated Hospital of Dalian Medical University, Dalian, 116011, Liaoning Province, China
| | - Yan-Nan Zhang
- Department of Stomatology, The First Affiliated Hospital of Dalian Medical University, Dalian, 116011, Liaoning Province, China
| | - Bo Wang
- Department of Stomatology, The First Affiliated Hospital of Dalian Medical University, Dalian, 116011, Liaoning Province, China.
| | - Jian-Feng Chen
- Department of Stomatology, The First Affiliated Hospital of Dalian Medical University, Dalian, 116011, Liaoning Province, China.
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Effect of Er:YAG laser pretreatment on glass-ceramic surface in vitro. Lasers Med Sci 2022; 37:3177-3182. [PMID: 35727393 DOI: 10.1007/s10103-022-03593-1] [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: 02/01/2022] [Accepted: 06/09/2022] [Indexed: 10/18/2022]
Abstract
This study investigated the feasibility of using an Er:YAG laser to pretreat glass-ceramic surface and evaluate the effect of the treatment on the bonding strength and marginal adaptation between glass-ceramic and dentin. Glass-ceramic samples (CEREC Blocs) and third molars were cut into 6 mm × 6 mm × 2 mm plates. Thirty ceramic plates were randomly divided into 5 groups: group A (control), group B (pretreated with 9.6% hydrofluoric acid [HF]), group C (pretreated with the Er:YAG laser at 300 mJ and 15 Hz), group D (pretreated with the Er:YAG laser at 400 mJ and 15 Hz), and group E (pretreated with the Er:YAG laser at 500 mJ and 15 Hz). The surface morphologies of the samples in each group were studied under a scanning electron microscope, and the sample displaying optimal etching parameters was selected for subsequent experiments. Based on the surface treatments, 30 ceramic and dentin plates were randomly allocated into 3 groups: the control, laser, and acid-etching groups. After bonding a ceramic plate to a dentin plate, the microleakage and bonding strength were measured, and the pretreatment effects of the Er:YAG laser and 9.6% HF were compared. Group E exhibited an etching effect that was more pronounced and uniform than that in groups C and D. Microleakage and bonding strength analyses revealed that the laser and acid-etching groups differed significantly from the control group in dye penetration depth and shear strength (P < 0.05), although the laser and acid-etching groups did not differ from each other. Both 9.6% hydrofluoric acid and Er:YAG laser pretreatments can coarsen glass-ceramic surfaces, improve the marginal adaptation and bonding strength between the glass-ceramic and dentin, and decrease microleakage of the materials. The two treatments showed no apparent differences in pretreatment outcomes.
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Alsaud BA, Hajjaj MS, Masoud AI, Abou Neel EA, Abuelenain DA, Linjawi AI. Bonding of Clear Aligner Composite Attachments to Ceramic Materials: An In Vitro Study. MATERIALS 2022; 15:ma15124145. [PMID: 35744204 PMCID: PMC9229529 DOI: 10.3390/ma15124145] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/23/2022] [Revised: 06/04/2022] [Accepted: 06/07/2022] [Indexed: 12/01/2022]
Abstract
Background: We aim to evaluate the effect of surface conditioning, bonding agents and composite types on surface roughness (SR) and shear bond strength (SBS) of clear aligner composite attachments bonded to ceramics. Methods: One hundred and eighty IPS e.max CAD specimens were prepared. For SR, 60 specimens were divided according to surface conditioning (n = 15) into four groups: control, 9.6% hydrofluoric acid (HFA), 37% phosphoric acid (PhA), air abrasion (AA). SR was measured using a Profilometer and Atomic Force Microscopy. For SBS, 120 specimens were divided according to conditioning methods (n = 40) (9.6% HFA and 37% PhA or AA), then according to bonding agents (n = 20) (Assure universal bond (AUB) or Single bond universal (SBU)) and then according to composite type (n = 10): Filtek™ Z350 and Filtek™ Z350 XT flowable composite. SBS was measured using Instron testing machine. Descriptive and group comparison were calculated (p < 0.05). Results: AA had the highest SR, while the control had the lowest SR (p < 0.05). HFA had the highest, but insignificant SBS, followed by AA (p > 0.05). AUB had higher SBS than SBU (p < 0.001). Filtek™ Z350 produced higher SBS than Filtek™ Z350 XT flowable composite (p < 0.01). Conclusion: The combination of AA, AUB, and Filtek Z350 produced the highest SBS, followed by HFA, AUB, and Filtek Z350.
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Affiliation(s)
- Bashair A. Alsaud
- Department of Orthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia; (B.A.A.); (A.I.M.)
| | - Maher S. Hajjaj
- Department of Restorative Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia; (M.S.H.); (D.A.A.)
| | - Ahmad I. Masoud
- Department of Orthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia; (B.A.A.); (A.I.M.)
| | - Ensanya A. Abou Neel
- Department of Preventive and Restorative Dentistry, College of Dental Medicine, University of Sharjah, Sharjah 27272, United Arab Emirates;
- UCL Eastman Dental Institute, Biomaterials & Tissue Engineering, Royal Free Hospital, Rowland Hill Street, London NW3 2QG, UK
| | - Dalia A. Abuelenain
- Department of Restorative Dentistry, Faculty of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia; (M.S.H.); (D.A.A.)
| | - Amal I. Linjawi
- Department of Orthodontics, Faculty of Dentistry, King Abdulaziz University, Jeddah 21589, Saudi Arabia; (B.A.A.); (A.I.M.)
- Correspondence: ; Tel.: +966-504-155573
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Souza-Filho CBD, Moris ICM, Colucci V, Faria ACL, Gomes ÉA. Is the Er:YAG laser affect the surface characteristics and bond strength of Y-TZP? Braz Dent J 2022; 32:83-92. [PMID: 35019023 DOI: 10.1590/0103-6440202104739] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Accepted: 10/28/2021] [Indexed: 11/21/2022] Open
Abstract
This study evaluated the surface characteristics and bond strength of Y-TZP treated with Er:YAG laser at different focal distances. 120 Y-TZP blocks were divided into five groups (n=24), according to the surface treatment: no treatment (C-); sandblasting with silica-coated aluminum oxide particles (C+); and Er:YAG laser application at focal distances of 1mm (Er:YAG-1), 4mm (Er:YAG-4), and 7mm (Er:YAG-7). Surface characteristics were analyzed using Vickers microhardness, confocal laser microscope, scanning electron microscopy (SEM), and X-ray diffractometer (XRD). For the bond strength test, 100 Y-TZP blocks were subdivided into two subgroups (n=10), according to the resin cement used: with (MDP+) or without 10-methacryloyloxydecyl dihydrogen phosphate (MDP-). The Vickers microhardness and surface roughness were analyzed by one-way ANOVA and bond strength by two-way ANOVA and Tukey's test for both (α=0.05). Vickers microhardness differences were not observed between the groups (p>0.05); C+ showed higher surface roughness values. SEM images showed micromorphological differences between the groups. The XRD data detected tetragonal crystals for C- and, for the other groups, tetragonal and monoclinic peaks. For bond strength, no statistically difference significance were observed among the cements with or without MDP (p>0.05) but showed significant difference between the surface treatments (C+ > C- = Er:YAG1 > Er:YAG4 = Er:YAG7) (p<0.05). Suggested that the Er:YAG laser cannot replace conventional treatment with aluminum oxide particles and the presence of MDP in the resin cement had no influence on the bond strength.
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Affiliation(s)
| | - Izabela C M Moris
- School of Dentistry, University of Ribeirão Preto (UNAERP), Ribeirão Preto, São Paulo, Brazil
| | - Vivian Colucci
- School of Dentistry, University of Ribeirão Preto (UNAERP), Ribeirão Preto, São Paulo, Brazil
| | - Adriana Cláudia Lapria Faria
- Department of Dental Materials and Prosthodontics, School of Dentistry of Ribeirão Preto, University of São Paulo (FORP-USP), Ribeirão Preto, São Paulo, Brazil
| | - Érica A Gomes
- School of Dentistry, University of Ribeirão Preto (UNAERP), Ribeirão Preto, São Paulo, Brazil
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Yahyazadehfar N, Azimi Zavaree M, Shayegh SS, Yahyazadehfar M, Hooshmand T, Hakimaneh SMR. Effect of different surface treatments on surface roughness, phase transformation, and biaxial flexural strength of dental zirconia. J Dent Res Dent Clin Dent Prospects 2021; 15:210-218. [PMID: 34712413 PMCID: PMC8538149 DOI: 10.34172/joddd.2021.035] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/03/2020] [Accepted: 03/05/2021] [Indexed: 11/29/2022] Open
Abstract
Background. Interfacial failures at the cement‒restoration interface highlights the importance of effective surface treatment with no adverse effect on the zirconia’s mechanical properties. This study aimed to determine the effect of different surface treatments on dental graded zirconia’s surface roughness and certain mechanical properties.
Methods. Forty sintered zirconia specimens were randomly divided into four groups (n=10): control (no surface treatment), sandblasting (SA), grinding with diamond bur (GB), and Er,Cr:YSGG laser (LS). Following surface treatment, the surface roughness and surface topography of the specimens were examined. X-ray diffraction (XRD) was conducted. In addition, the biaxial flexural strengths of specimens were evaluated. The data were analyzed using one-way analysis of variance (ANOVA) and post hoc Tukey tests; the Pearson correlation coefficient was calculated between either volumetric percentage of monoclinic phase or roughness and flexural strength of specimens (α=0.05).
Results. The GB group exhibited significantly greater surface roughness compared to the other groups (P < 0.005). The LS and control groups exhibited a significantly lower volumetric percentage of the monoclinic phase (P < 0.001) than the GB and SA treatments. The SA group exhibited significantly higher flexural strength than the control (P = 0.02) and GB groups (P < 0.01). Furthermore, the Weibull analysis for the LS showed higher reliability for the flexural strength than other treatments.
Conclusion. Er,Cr:YSGG laser treatment, with the lowest extent of phase transformation and reliable flexural strength, can be a promising choice for surface treatment of zirconia.
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Affiliation(s)
- Niknaz Yahyazadehfar
- Department of Prosthodontics, Faculty of Dentistry, Shahed University, Tehran, Iran
| | - Maryam Azimi Zavaree
- Department of Prosthodontics, Faculty of Dentistry, Shahed University, Tehran, Iran
| | | | | | - Tabassom Hooshmand
- Department of Dental Biomaterials, School of Dentistry/Research Center for Science and Technology in Medicine, Tehran University of Medical Sciences, Tehran, Iran
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Su Z, Li M, Zhang L, Wang C, Zhang L, Xu J, Fu B. A novel porous silica-zirconia coating for improving bond performance of dental zirconia. J Zhejiang Univ Sci B 2021; 22:214-222. [PMID: 33719226 DOI: 10.1631/jzus.b2000448] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/25/2022]
Abstract
OBJECTIVES To coat a zirconia surface with silica-zirconia using a dip-coating technique and evaluate its effect on resin-zirconia shear bond strength (SBS). METHODS A silica-zirconia suspension was prepared and used to coat a zirconia surface using a dip-coating technique. One hundred and eighty-nine zirconia disks were divided into three groups according to their different surface treatments (polishing, sandblasting, and silica-zirconia coating). Scanning electron microscopy (SEM), energy dispersive X-ray (EDX), and X-ray diffraction (XRD) were used to analyze the differently treated zirconia surfaces. Different primer treatments (Monobond N, Z-PRIME Plus, and no primer) were also applied to the zirconia surfaces. Subsequently, 180 composite resin cylinders (Filtek Z350) were cemented onto the zirconia disks with resin cement (RelyX Ultimate). The SBS was measured after water storage for 24 h or 6 months. The data were analyzed by two-way analysis of variance (ANOVA). RESULTS SEM and EDX showed that the silica-zirconia coating produced a porous layer with additional Si, and XRD showed that only tetragonal zirconia was on the silica-zirconia-coating surface. Compared with the control group, the resin-zirconia SBSs of the sandblasting group and silica-zirconia-coating group were significantly increased (P<0.05). The silica-zirconia coating followed by the application of Monobond N produced the highest SBS (P<0.05). Water aging significantly reduced the resin-zirconia SBS (P<0.05). CONCLUSIONS Dip-coating with silica-zirconia might be a feasible way to improve resin-zirconia bonding.
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Affiliation(s)
- Zhiwei Su
- The Affiliated Hospital of Stomatology, School of Stomatology, Zhejiang University School of Medicine, and Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou 310006, China
| | - Mingxing Li
- The Affiliated Hospital of Stomatology, School of Stomatology, Zhejiang University School of Medicine, and Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou 310006, China
| | - Ling Zhang
- The Affiliated Hospital of Stomatology, School of Stomatology, Zhejiang University School of Medicine, and Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou 310006, China
| | - Chaoyang Wang
- The Affiliated Hospital of Stomatology, School of Stomatology, Zhejiang University School of Medicine, and Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou 310006, China
| | - Leiqing Zhang
- The Affiliated Hospital of Stomatology, School of Stomatology, Zhejiang University School of Medicine, and Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou 310006, China
| | - Jingqiu Xu
- The Affiliated Hospital of Stomatology, School of Stomatology, Zhejiang University School of Medicine, and Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou 310006, China
| | - Baiping Fu
- The Affiliated Hospital of Stomatology, School of Stomatology, Zhejiang University School of Medicine, and Key Laboratory of Oral Biomedical Research of Zhejiang Province, Hangzhou 310006, China.
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Ramos GF, Ramos NC, Alves LMM, Kaizer MR, Borges ALS, Campos TMB, Melo RM. Failure probability and stress distribution of milled porcelain-zirconia crowns with bioinspired/traditional design and graded interface. J Mech Behav Biomed Mater 2021; 119:104438. [PMID: 33798936 DOI: 10.1016/j.jmbbm.2021.104438] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/18/2020] [Revised: 09/14/2020] [Accepted: 02/26/2021] [Indexed: 10/21/2022]
Abstract
OBJECTIVE To evaluate the failure probability and stress distribution of traditional and bioinspired porcelain-zirconia milled crowns, with and without silica infiltration (graded zirconia). METHODS Traditional crown design had a zirconia infrastructure veneered with porcelain; Bioinspired, had a porcelain infrastructure with translucent-zirconia veneer; Graded and Graded Bioinspired crowns had their zirconia layer infiltrated by silica (n = 25). The cameo surface of each crown (porcelain or zirconia) was glazed. The restoration layers were fused by a vitreous connector and the crowns were adhesively cemented to dies. The specimens were then mechanically cycled in a sliding machine using 100 N load at 4 Hz. The specimens were tested until 2 × 106 cycles, and every 0.5 × 106 cycles the crowns were evaluated under stereomicroscopy for the presence of failures. The stress distribution was inspected with Finite Element Analyses. RESULTS The predominant failure modes for the Traditional and Graded crowns were delamination and cracking, respectively. The Weibull parameters beta and eta were, respectively: Traditional 1.30 and 2.3 × 106 cycles, and Graded 1.95 and 2.3 × 106 cycles. Thus, the Traditional and Graded crowns presented greater susceptibility to failure due to fatigue, while the Bioinspired and Graded Bioinspired crowns showed no fatigue effect using 100N load, showing beta = 1 and eta of approximately 17 × 106 cycles. Also, through finite element analyses, it was verified that the Bioinspired and Graded Bioinspired crowns presented the best stress distribution on both crowns and dental structures. SIGNIFICANCE Bioinspired and Graded Bioinspired crowns had the lowest failure probability and better stress distribution and may be considered robust long lasting restorations.
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Affiliation(s)
- G F Ramos
- Department of Dental Materials and Prosthodontics, São Paulo State University (UNESP), Institute of Science and Technology, 777 Eng. Francisco José Longo Avenue, 12245-000, São José Dos Campos, SP, Brazil.
| | - N C Ramos
- Department of Dental Materials and Prosthodontics, São Paulo State University (UNESP), Institute of Science and Technology, 777 Eng. Francisco José Longo Avenue, 12245-000, São José Dos Campos, SP, Brazil; College of Dentistry, Sao Francisco University (USF), 218 Sao Francisco de Assis Avenue, 12916-900, Bragança Paulista, SP, Brazil.
| | - L M M Alves
- Department of Dental Materials and Prosthodontics, São Paulo State University (UNESP), Institute of Science and Technology, 777 Eng. Francisco José Longo Avenue, 12245-000, São José Dos Campos, SP, Brazil.
| | - M R Kaizer
- College of Dentistry, Positivo University (UP), 5300 Prof. Pedro Viriato Parigot de Souza Street, 81280-330, Curitiba, PR, Brazil.
| | - A L S Borges
- Department of Dental Materials and Prosthodontics, São Paulo State University (UNESP), Institute of Science and Technology, 777 Eng. Francisco José Longo Avenue, 12245-000, São José Dos Campos, SP, Brazil.
| | - T M B Campos
- Physics Department, Technological Institute of Aeronatics (ITA), 50 Praça Marechal Eduardo Gomes, 12228-900, São José Dos Campos, SP, Brazil.
| | - R M Melo
- Department of Dental Materials and Prosthodontics, São Paulo State University (UNESP), Institute of Science and Technology, 777 Eng. Francisco José Longo Avenue, 12245-000, São José Dos Campos, SP, Brazil.
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12
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Pinto G, Prieto L, Pierote JJ, Ferraz L, Câmara JV, Aguiar FH. Effect of different adhesive strategies on the microtensile bond strength of dentin to indirect resin-based composite. J Clin Exp Dent 2020; 12:e1066-e1070. [PMID: 33262873 PMCID: PMC7680574 DOI: 10.4317/jced.57094] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/26/2020] [Accepted: 07/02/2020] [Indexed: 11/05/2022] Open
Abstract
Background To evaluate the microtensile bond strength of indirect resin composite bonded to dentin using five different adhesives strategies. Material and Methods Forty specimens (Solidex) were produced and randomly into five groups with different adhesives strategies: (G1)- Single Bond Universal + etch + silane + RelyX Ultimate, (G2)- Single Bond Universal + silane + RelyX Ultimate, (G3)- Single Bond Universal + etch + RelyX Ultimate, (G4)- Single Bond Universal + RelyX Ultimate, and (G5)-Scotchbond Multi-purpose + RelyX ARC. After cementation the specimens were stored in 100% humidity for 24hours at 37°C. The specimens were sectioned perpendicular to the adhesive interface to obtain beams and submitted to microtensile test. Microtensile values were expressed in MPa and analyzed by one-way ANOVA and multiple comparison Tukey tests (α=0.05). Results The mean bond strength in MPa groups were: G1=11,48, G2=14,15, G3=16,95, G4=17,03 and G5=16,80. Statistical analysis showed that the bond strength values were not significantly affected by the different adhesive strategies. Conclusions Cementation of dentin to indirect resin composite cannot be significantly affected by different adhesive strategies used. The specimens treated with silane, etch associated with Single bond universal did not increase bond strength values. Key words:Adhesives, dental cements, dentin.
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Affiliation(s)
- Guilherme Pinto
- Graduate student, Department of Restorative Dentistry, Piracicaba Dental School, State University of Campinas, Piracicaba, São Paulo, Brazil
| | - Lúcia Prieto
- Postdoctoral student, Department of Restorative Dentistry, Piracicaba Dental School, State University of Campinas, Piracicaba, São Paulo, Brazil
| | - Josué-Junior Pierote
- Postdoctoral student, Department of Restorative Dentistry, Piracicaba Dental School, State University of Campinas, Piracicaba, São Paulo, Brazil
| | - Laura Ferraz
- Postdoctoral student, Department of Restorative Dentistry, Piracicaba Dental School, State University of Campinas, Piracicaba, São Paulo, Brazil
| | - João-Victor Câmara
- Master student, Department of Biological Sciences, Bauru School of Dentistry, University of São Paulo, Bauru, São Paulo, Brazil
| | - Flávio-Henrique Aguiar
- Titular Professor, Department of Restorative Dentistry, Piracicaba Dental School, State University of Campinas, Piracicaba, São Paulo, Brazil
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13
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Woo ES, Goldstein G, Choi M, Bromage TG. In vitro shear bond strength of 2 resin cements to zirconia and lithium disilicate: An in vitro study. J Prosthet Dent 2020; 125:529-534. [PMID: 32354421 DOI: 10.1016/j.prosdent.2020.02.020] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2019] [Revised: 02/10/2020] [Accepted: 02/11/2020] [Indexed: 10/24/2022]
Abstract
STATEMENT OF PROBLEM There is little evidence on how the multiple layers of zirconia (ZrO2) or glazed material will affect the shear bond strength (SBS) of different resin cements. PURPOSE The purpose of this in vitro study was to compare the SBS of 2 resin cements with the different layers of a monolithic polychromatic ZrO2 ceramic, both glazed and nonglazed, and a lithium disilicate (LDS) ceramic. MATERIAL AND METHODS One hundred and sixty-eight composite resin cylinders and 48 monolithic polychromic ZrO2 plates were prepared. Twenty-four were milled and sintered, and 24 were milled and sintered and had a glaze cycle applied with no liquid glaze. These plates and 12 LDS plates were mounted in autopolymerized acrylic resin. Bonding surfaces were polished, airborne-particle abraded, and cleaned ultrasonically. The different layers (cubic, hybrid, and tetragonal) of the ZrO2 plates were identified and marked. The plates were assigned to 2 cement groups: a self-adhesive, autopolymerized resin cement, and a dual-polymerizing, adhesive resin cement (DPRC). Bonding surfaces were cleaned and treated according to the cement manufacturer's instructions. Three composite resin cylinders were luted to the ZrO2 plates at the appropriate layer, and 2 cylinders were luted to each LDS plate. The specimens were stored in a moist environment for 24 hours at 37 °C. The SBS test was performed with a universal testing machine. Visual inspections of the debonded surfaces were compared under magnification. The data were analyzed with a 2-way ANOVA and a subsequent Student t test (α=.05). RESULTS The 2-way ANOVA found no difference among luting agent and LDS and ZrO2. The SBSs of the nonglazed tetragonal and cubic layer to the ZrO2 were higher than to the surface exposed to a glazing cycle (P=.001). The bonded surfaces were examined tactilely and under ×3.5 magnification, followed by light and scanning electron microscopy and recorded as either adhesive, cohesive, or mixed. Almost all failures in the glazed ZrO2 were mixed and cohesive. However, more adhesive failures were observed in the DPRC group of nonglazed ZrO2. CONCLUSIONS No differences were found between the 2 luting agents for the LDS. For the ZrO2 cubic and tetragonal layers, the DPRC had higher bond strengths to the nonglazed surfaces.
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Affiliation(s)
- Evelyn Seungmin Woo
- Adjunct Clinical Assistant Professor, Department of Prosthodontics, New York University College of Dentistry, New York, N.Y
| | | | - Mijin Choi
- Clinical Associate Professor, Director Advanced Education Program in Prosthodontics, Department of Prosthodontics, New York University College of Dentistry, New York, N.Y
| | - Timothy G Bromage
- Professor, Department of Biomaterials and Department of Basic Science and Craniofacial Biology, New York University College of Dentistry, New York, N.Y
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14
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Lim MJ, Kim TG, Yu MK, Lee KW. Effects of different silica-based layer coatings on bond strength of Y-TZP to bovine dentin. Dent Mater J 2020; 39:154-160. [PMID: 31694996 DOI: 10.4012/dmj.2018-317] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
This study investigated the effects of different silica-based layer coatings on shear bond strength (SBS) between Y-TZP and bovine dentin. Three different silica-based layer coatings were applied to the Y-TZP surface: tribochemical silica coating, vitrification (glaze coating), and composite resin sintering. A silane coupling agent (SIL) was applied to the silica-coated Y-TZP surface in the presence or absence of hydrofluoric acid (HF) treatment. A one-step adhesive was then applied to the silica-coated Y-TZP and cemented to bovine dentin using MDP-free resin cement. The SBS value of the tribochemical silica coating group was lowest among the experimental groups, while the HF+SIL subgroup showed the highest SBS value after vitrification (p<0.05). While hydrofluoric acid etching did not affect the SBS value of the tribochemical silica coating group, it affected the SBS value in the vitrification and composite resin sintering groups (p<0.05).
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Affiliation(s)
- Myung-Jin Lim
- Department of Conservative Dentistry, Chonbuk National University School of Dentistry
| | - Tae-Gun Kim
- Department of Conservative Dentistry, Chonbuk National University School of Dentistry
| | - Mi-Kyung Yu
- Department of Conservative Dentistry, Chonbuk National University School of Dentistry
| | - Kwang-Won Lee
- Department of Conservative Dentistry, Chonbuk National University School of Dentistry
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15
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Maroun EV, Guimarães JGA, de Miranda WG, Netto LRC, Elias AB, da Silva EM. Bond Strength Stability of Self-adhesive Resin Cement to Etched Vitrified Yttria-stabilized Tetragonal Zirconia Polycrystal Ceramic After Thermomechanical Cycling. Oper Dent 2019; 44:545-555. [DOI: 10.2341/18-131-l] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
The purpose of this study was to evaluate the influence of thermomechanical cycling on the bond strength stability of self-adhesive resin cement to vitrified yttria-stabilized tetragonal zirconia polycrystal (Y-TZP) ceramic. Y-TZP ceramic blocks were divided into four groups according to the surface treatments: AS, as sintered; SB, sandblasted with 50-μm Al2O3 particles; LG, vitrification with a low-fusing glaze and etching with 10% hydrofluoric acid; and HC, vitrification with a ceramic liner and etching with 10% hydrofluoric acid. Lithium disilicate ceramic blocks etched with 10% hydrofluoric acid for 20 seconds (EM) were also tested. Blocks of resin composite were cemented on the ceramic block surfaces using a self-adhesive resin cement. Half of the blocks from each group were cut into beams and submitted to microtensile bond strength (μTBS) testing after immersion in water at 37°C for 24 hours and the other half after mechanical (1,200,000 cycles, 98 N, 2.5 Hz) and thermal (10,000 cycles, 5-55°C, 30-second dwell time) cycling (TMC). Data were analyzed using one-way analysis of variance, Tukey's honest significant difference post hoc test, and Student t-test (α=0.05). After 24 hours, EM and LG presented similar and the highest μTBS, whereas AS showed the lowest μTBS (p<0.05). After TMC, EM presented the highest μTBS, followed by LG (p<0.05). Only EM and LG maintained the stability of μTBS after TMC (p>0.05). The bonding to Y-TZP ceramic vitrified with a low-fusing glaze withstood thermomechanical cycling.
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Affiliation(s)
- EV Maroun
- Eduardo Victor Maroun, DDS, MSC, associate researcher, Analytical Laboratory of Restorative Biomaterials–LABiom-R, School of Dentistry, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil
| | - JGA Guimarães
- José Guilherme Antunes Guimarães, DDS, MSc, PhD, associate professor, Analytical Laboratory of Restorative Biomaterials - LABiom-R, School of Dentistry, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil
| | - WG de Miranda
- Walter Gomes de Miranda Júnior, DDS, MSc, PhD, associate professor, Department of Biomaterials and Oral Biology, School of Dentistry, University of São Paulo, São Paulo, Brazil
| | - LRC Netto
- Luciano Ribeiro Corrêa Netto, DDS, MSc, postgraduate student, Analytical Laboratory of Restorative Biomaterials - LABiom-R, School of Dentistry, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil
| | - AB Elias
- Alexandre Barbosa Elias, DDS, MSc, PhD, adjunct professor, Analytical Laboratory of Restorative Biomaterials - LABiom-R, School of Dentistry, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil
| | - EM da Silva
- Eduardo Moreira da Silva, DDS, MSc, PhD, full professor, Analytical Laboratory of Restorative Biomaterials - LABiom-R, School of Dentistry, Universidade Federal Fluminense, Niterói, Rio de Janeiro, Brazil
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16
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Sayin Ozel G, Okutan Y, Oguz Ahmet BS, Ozdere E. Effect of Combined Surface Treatments on Surface Roughness and Resin Bond Strength to Y-TZP Ceramic and Nickel–Chromium Metal Alloy. PHOTOBIOMODULATION PHOTOMEDICINE AND LASER SURGERY 2019; 37:442-450. [DOI: 10.1089/photob.2018.4590] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Affiliation(s)
- Gulsum Sayin Ozel
- Department of Prosthodontics, School of Dentistry, Istanbul Medipol University, Istanbul, Turkey
| | - Yener Okutan
- Department of Prosthodontics, Faculty of Dentistry, Adnan Menderes University, Aydin, Turkey
| | - Bebek Serra Oguz Ahmet
- Department of Prosthodontics, School of Dentistry, Istanbul Medipol University, Istanbul, Turkey
| | - Eda Ozdere
- Department of Prosthodontics, Ankara Acıbadem Hospital, Ankara, Turkey
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17
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Ruales-Carrera E, Cesar PF, Henriques B, Fredel MC, Özcan M, Volpato CAM. Adhesion behavior of conventional and high-translucent zirconia: Effect of surface conditioning methods and aging using an experimental methodology. J ESTHET RESTOR DENT 2019; 31:388-397. [PMID: 31099974 DOI: 10.1111/jerd.12490] [Citation(s) in RCA: 25] [Impact Index Per Article: 5.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/08/2019] [Revised: 04/22/2019] [Accepted: 05/02/2019] [Indexed: 02/02/2023]
Abstract
OBJECTIVE Evaluate the adhesive behavior of conventional and high-translucent zirconia after surface conditioning and hydrothermal aging. MATERIALS AND METHODS Conventional (ZrC) and high-translucent zirconia (ZrT) specimens were divided into six groups: without surface treatment (ZrC and ZrT), air-borne particle abrasion with 50-μm Al2 O3 sized particles (ZrC-AO and ZrT-AO), and tribochemical treatment with 30-μm silica modified Al2 O3 sized particles (ZrC-T and ZrT-T). Zirconia specimens were treated using an MDP-containing universal adhesive and bonded to two resins blocks with an adhesive luting cement. Microbar specimens with cross-sectioned areas of 1 mm2 were achieved. Half of the microbars were subjected to hydrothermal aging. Bond strength was evaluated by microtensile bond strength test and statistically evaluated by the Weibull analysis. RESULTS Roughness of the ZrC-AO and ZrT-AO groups were statistically higher. Bond strength analysis revealed higher bond strength for ZrC-AO and ZrC-T groups compared to ZrT-AO and ZrT-T, respectively. Mixed failure was the most frequent for the mechanically treated groups, while no cohesive failures were obtained. CONCLUSION Lower values of bond strength were obtained for the mechanically treated high-translucent zirconia groups when compared to their conventional zirconia counterparts. Mechanical surface treatment significantly improved the bond strength to conventional and high-translucent zirconia. CLINICAL SIGNIFICANCE Mechanical surface treatment (air-borne particle abrasion or tribochemical treatment) associated with the use of universal adhesives containing MDP could provide a durable bonding to conventional and high-translucent zirconia.
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Affiliation(s)
- Edwin Ruales-Carrera
- Department of Dentistry, Center for Education and Research in Dental Implants (CEPID), Federal University of Santa Catarina, Florianópolis, Brazil
| | - Paulo F Cesar
- Department of Dental Materials and Oral Biology, University of São Paulo, São Paulo, Brazil
| | - Bruno Henriques
- Ceramic and Composite Materials Research Laboratory (CERMAT), Federal University of Santa Catarina, Florianópolis, Brazil
| | - Márcio C Fredel
- Ceramic and Composite Materials Research Laboratory (CERMAT), Federal University of Santa Catarina, Florianópolis, Brazil
| | - Mutlu Özcan
- Dental Materials Unit, Center for Dental and Oral Medicine, Clinic for Fixed and Removable Prosthodontics and Dental Materials Science, University of Zurich, Zurich, Switzerland
| | - Claudia A M Volpato
- Department of Dentistry, Federal University of Santa Catarina, Florianópolis, Brazil
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18
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Sagen MA, Kvam K, Ruyter EI, Rønold HJ. Debonding mechanism of zirconia and lithium disilicate resin cemented to dentin. ACTA BIOMATERIALIA ODONTOLOGICA SCANDINAVICA 2019; 5:22-29. [PMID: 30719490 PMCID: PMC6346715 DOI: 10.1080/23337931.2018.1561188] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/28/2018] [Accepted: 12/06/2018] [Indexed: 12/02/2022]
Abstract
To evaluate debonding mechanism of zirconia and lithium disilicate cemented to dentin mimicking what could occur in a clinical setting. A null hypothesis of no difference in tensile bond strength between groups of zirconia and lithium disilicate cemented with resin cements was also tested. Zirconia rods (n = 100) were randomly assigned to two different surface treatment groups; air borne particle abrasion and hot etching by potassium hydrogen difluoride (KHF2). Lithium disilicate rods (n = 50) were surface etched by hydrofluoric acid (HF). Five different dual cure resin cements were used for cementing rods to bovine dentin. Ten rods of each test group were cemented with each cement. Test specimens were thermocycled before tensile bond strength testing. Fracture morphology was visualized by light microscope. Mean surface roughness (Sa value) was calculated for randomly selected rods. Cohesive fracture in cement was the most frequent observed fracture morphology. Combination of adhesive and cohesive fractures were second most common. Fracture characterized as an adhesive between rod and cement was not observed for KHF2 etched zirconia. Highest mean tensile bond strength was observed when cementing air borne particle abraded zirconia with Variolink Esthetic (Ivoclar Vivadent). All surface treatments resulted in Sa values that were significant different from each other. The number of cohesive cement fractures observed suggested that the cement was the weakest link in bonding of zirconia and lithium disilicate.
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Affiliation(s)
- Mina Aker Sagen
- Institute of Clinical Dentistry, University of Oslo, Oslo, Norway
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19
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Shafiei F, Fattah Z, Kiomarsi N, Dashti MH. Influence of Primers and Additional Resin Layer on Zirconia Repair Bond Strength. J Prosthodont 2019; 28:826-832. [PMID: 30582263 DOI: 10.1111/jopr.13011] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/15/2018] [Indexed: 11/30/2022] Open
Abstract
PURPOSE To evaluate the influence of alloy/zirconia primer and 10-methacryloyloxydecyl dihydrogen phosphate (MDP)-containing resin layer treatments on the shear bond strength (SBS) of composite resin to zirconia after aging. MATERIALS AND METHODS Sixty zirconia (Y-TZP) blocks were air-abraded (35-µm Al2 O3 ) and divided into 6 experimental groups (n = 10) in terms of primer/resin layer as follows: (1) control, without any primer or resin; (2) AP, Alloy Primer; (3) ZPP, Z-Prime Plus; (4) PL/ZPP, Z-Prime Plus with light polymerization; (5) AP+SEB, Alloy Primer along with light-cured bonding resin of a self-etch adhesive system (SE Bond); and (6) ZPP+SEB, Z-Prime Plus with SE Bond. After composite resin placement and light polymerization, the specimens were stored in distilled water (37°C for 4 months) and thermal-cycled for 6000 cycles. The SBS was tested with a universal testing machine. Statistical analysis of the SBS data was performed with one-way ANOVA, followed by HSD Tukey test (α = 0.05). RESULTS There were significant differences between the groups (p < 0.001, F = 116.5). All the groups revealed significantly higher SBS than the control (p < 0.001). ZPP+SEB group exhibited the highest SBS (16.14 ± 2.52 MPa) and AP group the lowest SBS (7.00 ± 1.97 MPa) among experimental groups; both had significant differences with the other groups (p < 0.001). There were no significant differences between ZPP, PL/ZPP, and AP+SEB groups (p > 0.05). CONCLUSIONS The bond strength between zirconia ceramic and composite resin was affected by different primers/resin layer. Applying an MDP-containing resin layer along with both primers resulted in significant enhancement of SBS. This improvement for Z-Prime Plus was significantly higher than that of Alloy Primer.
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Affiliation(s)
- Fereshteh Shafiei
- Oral and Dental Disease Research Center, Department of Operative Dentistry, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Zahra Fattah
- Oral and Dental Disease Research Center, Department of Operative Dentistry, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, Iran
| | - Nazanin Kiomarsi
- Department of Operative Dentistry, Tehran University of Medical Sciences, Dental Faculty, International Campus, Tehran, Iran
| | - Mohammad Hossein Dashti
- Department of Restorative Sciences and Biomaterials, Postdoctoral Prosthetics, Henry M. Goldman School of Dental Medicine, Boston, MA
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20
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Steiner R, Heiss-Kisielewsky I, Schwarz V, Schnabl D, Dumfahrt H, Laimer J, Steinmassl O, Steinmassl PA. Zirconia Primers Improve the Shear Bond Strength of Dental Zirconia. J Prosthodont 2019; 29:62-68. [PMID: 30624832 DOI: 10.1111/jopr.13013] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/15/2018] [Indexed: 02/04/2023] Open
Abstract
PURPOSE Various resin cements and priming agents are available for adhesive luting of zirconia restorations. The purpose of this study was to investigate how cement type and priming protocol affect the shear bond strength on zirconia ceramics. MATERIALS AND METHODS Yttria-stabilized tetragonal zirconia polycrystalline ceramic cylinders were bonded to flat zirconia ceramic surfaces using 7 commercially available resin cements. Ten specimens of each cement group were pretreated with a universal primer, and 10 specimens per group were bonded without pretreatment. In addition, 10 specimens per group were pretreated with system-specific zirconia primers, which were available for 3 cements. Altogether, 170 bonded specimens were water-stored, thermal-cycled, and then submitted to shear bond strength tests. The shear bond strength and the fracture types were documented. Differences in shear bond strengths were assessed using 2-way ANOVA with post-hoc test (α = 0.05). A point-biserial correlation was run between the fracture patterns and the shear bond strengths. RESULTS The mean shear bond strengths of cements in the unprimed group showed large variations between 2.52 ± 3.01 (mean ± SD) MPa and 33.15 ± 7.35 MPa. Pretreating the specimens with a universal primer improved the shear bond strengths significantly in all groups (p < 0.05) with a range of 21.80 ± 12.51 to 57.20 ± 11.40 MPa. The system-specific primers also improved the shear bond strength significantly, compared to the unprimed group (p < 0.01); however, only one system-specific primer achieved a shear bond strength superior to the universal primer (p < 0.01). There was also a statistical correlation between the fracture type and the shear bond strength (p < 0.0005), with cohesively fractured specimens showing higher shear bond strengths (37.24 ± 19.87 MPa) than adhesively fractured specimens (23.10 ± 17.65 MPa) (p < 0.001). CONCLUSION Using universal primer can enhance the maximal shear bond strength of zirconia.
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Affiliation(s)
- René Steiner
- University Hospital for Dental Prosthetics and Restorative Dentistry, Medical University of Innsbruck, Austria
| | - Irene Heiss-Kisielewsky
- University Hospital for Dental Prosthetics and Restorative Dentistry, Medical University of Innsbruck, Austria
| | - Vincent Schwarz
- University Hospital for Dental Prosthetics and Restorative Dentistry, Medical University of Innsbruck, Austria
| | - Dagmar Schnabl
- University Hospital for Dental Prosthetics and Restorative Dentistry, Medical University of Innsbruck, Austria
| | - Herbert Dumfahrt
- University Hospital for Dental Prosthetics and Restorative Dentistry, Medical University of Innsbruck, Austria
| | - Johannes Laimer
- University Hospital for Cranio-Maxillofacial and Oral Surgery, Medical University of Innsbruck, Austria
| | - Otto Steinmassl
- University Hospital for Cranio-Maxillofacial and Oral Surgery, Medical University of Innsbruck, Austria
| | - Patricia-Anca Steinmassl
- University Hospital for Dental Prosthetics and Restorative Dentistry, Medical University of Innsbruck, Austria
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Al-Aali KA. Effect of phototherapy on shear bond strength of resin cements to zirconia ceramics: A systematic review and meta-analysis of in-vitro studies. Photodiagnosis Photodyn Ther 2018; 23:58-62. [DOI: 10.1016/j.pdpdt.2018.05.006] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/09/2018] [Revised: 05/08/2018] [Accepted: 05/10/2018] [Indexed: 12/13/2022]
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Hakimaneh SMR, Shayegh SS, Ghavami-Lahiji M, Chokr A, Moraditalab A. Effect of Silane Heat Treatment by Laser on the Bond Strength of a Repair Composite to Feldspathic Porcelain. J Prosthodont 2018; 29:49-55. [PMID: 29380487 DOI: 10.1111/jopr.12762] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/16/2017] [Indexed: 11/26/2022] Open
Abstract
PURPOSE Ceramic restoration fracture may occur in the oral cavity. Intraoral repair of fractured porcelain could be advantageous to both patient and dentist. The aim of this study was to evaluate the effect of heat treatment of the silane coupling agent by Er:YAG and CO2 lasers on the microshear bond strength of a repair composite to feldspathic porcelain. MATERIALS AND METHODS Sixty ceramic blocks were prepared and randomly divided into six groups (n = 10): (i) HF + silane (HS); (ii) silane + CO2 laser (SC); (iii) CO2 laser + silane (CS); (iv) silane + Er:YAG laser (SE); (v) Er:YAG laser + silane (ES); (vi) bur + HF + silane (BuHS). An adhesive resin was applied to the prepared ceramic surfaces and light-cured. Two transparent plastic tubes were placed perpendicularly to each ceramic block. The composite resin was then placed on the treated ceramic surface and light-cured for 40 seconds. The bonded blocks were stored in distilled water at 37°C for 24 hours and subjected to 3000 thermocycles. Microshear bond strength (μSBS) tests were performed using a wire and loop method. Data were analyzed using one-way ANOVA and Duncan's multiple range tests (p ≤ 0.05). RESULTS The comparison of the mean μSBS values showed no significant differences between the ES and HS groups (p = 0.914). On the other hand, the specimens in these groups exhibited significantly higher bond strengths than those in the other groups (p < 0.01). The mean μSBS of the BuHS group was statistically similar to that of CS and SE groups (p > 0.05). The μSBS for the SC group was significantly lower than that of the other groups (p < 0.01), with the exception of the CS group (p = 0.674). CONCLUSIONS Treatment with Er:YAG laser prior to silane application can be as effective as HF etching. Heat treatment of silane by CO2 or Er:YAG lasers does not improve the bond strength between feldspathic porcelain and composite resin.
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Affiliation(s)
| | | | - Mehrsima Ghavami-Lahiji
- Department of Dental Biomaterials, School of Dentistry/Research Center for Science and Technology in Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Ahmad Chokr
- Department of Oral and Maxillofacial Surgery, Taleghani Hospital, Shahid Beheshti University of Medical Sciences, Tehran, Iran
| | - Azizollah Moraditalab
- Department of Prosthodontics, Faculty of Dentistry, Mashhad University of Medical Sciences, Mashhad, Iran
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Tabatabaei MH, Chiniforush N, Namdar SF. Effects of different ceramic primers and surface treatments on the shear bond strength of restorative composite resin to zirconium. Laser Ther 2018; 27:111-117. [PMID: 30087530 DOI: 10.5978/islsm.18-or-10] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2017] [Accepted: 04/20/2018] [Indexed: 11/06/2022]
Abstract
Background and aims Data are limited about the effect of ceramic primers on the bond of zirconia to restorative resin composite. The aim of this study was to assess the effect of different surface treatments and two ceramic primers on shear bond strength (SBS) of zirconia to restorative resin composite. Materials and methods 100 samples of zirconium ceramic blocks were randomly divided into 5 groups (n = 20) and received the following surface treatments: a)Control groupb)AL2O3 abrasionc)Nd:YAG laserd)Er:YAG lasere)Bur preparation.Next, each group was divided into two subgroups of 20. In ten out of 20 specimens in each group, monobond plus and Tetric ceram composite resin were applied on the surface. ZPrime Plus and Elite composite were applied on the surfaces of the remaining 10 specimens in each group. Samples were then subjected to shear bond strength test in a universal testing machine until fracture. The mean SBS were calculated and statistically analyzed by two-way ANOVA and T-Test. P < 0.05 was considered statistically significant. Results In ZPrime plus subgroups, diamond bur yielded the highest bond strength. Laser groups showed no significant difference with the control group. In monobond plus subgroups, SBS of air abrasion and diamond bur subgroups was highest and Nd:YAG laser showed the lowest SBS. The lowest bond strength belonged to the Nd:YAG laser subgroup of monobond plus group. Conclusions Type of surface preparation significantly affected the bond strength.
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Affiliation(s)
- Masoumeh Hasani Tabatabaei
- Associate Professor of Restorative Dentistry, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | - Nasim Chiniforush
- PhD candidate of laser dentistry, Laser Research Center of Dentistry, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Seyedeh Fatemeh Namdar
- Assistant Professor of Operative dentistry, Dental Materials Research Center, Mashhad University of Medical Sciences, Mashhad, Iran
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