1
|
De Almeida R, Siqueira F, Verde T, Ñaupari-Villasante R, Reis A, Loguercio AD, Cardenas A. Prolonged application time effects on universal adhesives in non-carious cervical lesions: An 18-month split mouth randomized clinical trial. J Dent 2024; 140:104800. [PMID: 38056759 DOI: 10.1016/j.jdent.2023.104800] [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: 08/14/2023] [Revised: 11/16/2023] [Accepted: 12/03/2023] [Indexed: 12/08/2023] Open
Abstract
OBJECTIVE This double-blind, split mouth randomized clinical trial aimed to assess the clinical performance of Clearfil Universal Bond Quick (CBUq) universal adhesive under different application times (no waiting and waiting) compared to Clearfil SE Bond adhesive in non-carious cervical lesions (NCCLs) over 18 months. METHODS One hundred and eighty-three restorations were distributed randomly into three groups based on the adhesive system and waiting time: CUBq without waiting time (CUBq-NW), CUBq with a 20 s waiting time (CUBq-W), and CSE with a 20 s waiting time. After placement, restorations were evaluated after 18 months using the International Dental Federation (FDI) and United States Public Health Service (USPHS) criteria. Statistical analyses involved Friedman repeated measures analysis of variance and Wilcoxon tests, with a significance level set at 5 %. RESULTS Over the 18-month period, no restorations were lost across the tested groups. Marginal adaptation evaluation indicated minor discrepancies in 21 restorations (8 CUBq-NW, 6 CUBq-W, and 7 CSE). There were no significant differences observed among the three groups following the 18-month clinical assessment (p > 0.05). Only two restorations showed marginal discoloration after 18 months (1 CUBq-NW and 1 CSE). CONCLUSIONS The application of Clearfil Universal Bond Quick using either the "waiting" or "no-waiting" technique exhibited excellent clinical results in NCCLs during the 18-month follow-up period, demonstrating comparable performance to Clearfil SE Bond in all assessed outcomes. CLINICAL SIGNIFICANCE The findings suggest that the new universal adhesive applied using the no-waiting technique demonstrates promising clinical performance when compared to conventional application methods. TRIAL REGISTRATION ClinicalTrials.gov identifer RBR-69p7mpr.
Collapse
Affiliation(s)
- Rab De Almeida
- Department of Postgraduate Program in Dentistry, CEUMA University, São Luis, Maranhão, Brazil
| | - Fsf Siqueira
- Department of Postgraduate Program in Dentistry, CEUMA University, São Luis, Maranhão, Brazil
| | - Thiago Verde
- Department of Postgraduate Program in Dentistry, CEUMA University, São Luis, Maranhão, Brazil
| | - R Ñaupari-Villasante
- Department of Restorative Dentistry, Dental Post-Graduate Program, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Ponta Grossa, Paraná, Brazil
| | - A Reis
- Department of Restorative Dentistry, Dental Post-Graduate Program, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Ponta Grossa, Paraná, Brazil
| | - A D Loguercio
- Department of Restorative Dentistry, Dental Post-Graduate Program, State University of Ponta Grossa, Rua Carlos Cavalcanti, 4748, Bloco M - Uvaranas, Ponta Grossa, Paraná, Brazil.
| | - Afm Cardenas
- Department of Postgraduate Program in Dentistry, CEUMA University, São Luis, Maranhão, Brazil
| |
Collapse
|
2
|
Rigos AE, Sarafidou K, Kontonasaki E. Zirconia bond strength durability following artificial aging: A systematic review and meta-analysis of in vitro studies. JAPANESE DENTAL SCIENCE REVIEW 2023; 59:138-159. [PMID: 37274447 PMCID: PMC10238491 DOI: 10.1016/j.jdsr.2023.04.002] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Revised: 03/27/2023] [Accepted: 04/19/2023] [Indexed: 06/06/2023] Open
Abstract
The present study systematically reviewed the literature regarding the bond strength durability of zirconia ceramics to resin-based luting cements after application of different bonding protocols and aging conditions. Electronic searches in PubMed, Scopus, and Web of Science databases were performed for relevant literature published between January 1st 2015 and November 15th 2022. Ninety-three (93) English language in-vitro studies were included. The percentage of the mean bond strength change was recorded prior to and after artificial aging, and the weighted mean values and 95% confidence intervals were calculated. Bonding protocols were classified based on the combination of MDP/non-MDP containing cement/primer and surface pretreatment, as well as the level of artificial aging performed. Alumina sandblasting (SA) was identified as the most frequently used surface pre-treatment while an insufficient number of studies was identified for each category of alternative surface treatments. The combination of MDP cement with tribochemical silica coating (TSC) or SA yielded more durable results after aging, while the application of SA and TSC improved bond durability when a non-MDP cement and a non-MDP primer were used. TSC may lead to increased bond durability compared to SA, whereas MDP cements may act similarly when combined with SA or TSC.
Collapse
Affiliation(s)
- Athanasios E. Rigos
- Resident, Graduate Prosthodontics, Texas A&M School of Dentistry, Dallas, TX, USA
| | - Katia Sarafidou
- Postdoctoral Researcher, Department of Prosthodontics, School of Dentistry, Faculty of Health Sciences, Aristotle University of Thessaloniki, Greece
| | - Eleana Kontonasaki
- Associate Professor, Department of Prosthodontics, School of Dentistry, Faculty of Health Sciences, Aristotle University of Thessaloniki, Greece
| |
Collapse
|
3
|
Tyor S, Al-Zordk W, Sakrana AA. Fracture resistance of monolithic translucent zirconia crown bonded with different self-adhesive resin cement: influence of MDP-containing zirconia primer after aging. BMC Oral Health 2023; 23:636. [PMID: 37670286 PMCID: PMC10478297 DOI: 10.1186/s12903-023-03365-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2023] [Accepted: 08/28/2023] [Indexed: 09/07/2023] Open
Abstract
OBJECTIVES Successful ceramic restorations depend on the strong bonding with resin cement and even stress distribution. The aim of this study was to evaluate the impact of adding MDP-containing zirconia primer before self-adhesive resin cements with different functional acidic monomers on fracture resistance of monolithic zirconia crown. MATERIALS AND METHODS Eighty defect-free human maxillary premolars were divided according to the cement type and application of MDP-containing zirconia primer into eight groups (n = 10): Calibra Universal (C), Calibra Universal combined with zirconia primer (CZ), RelyX U200 (R), RelyXU200 combined with zirconia primer (RZ), Panavia SA Cement Plus (P), Panavia SA Cement Plus combined with zirconia primer (PZ), Multilink Speed (M), and Multilink Speed combined with zirconia primer (MZ). After teeth preparation and fabrication of zirconia crowns, each crown was bonded to its corresponding tooth. All specimens were subjected to 10,000 thermocycles between 5 and 55°C, followed by cyclic load (50 N) for 240,000 cycles. Each specimen was subjected to a static axial load until fracture using universal testing machine and the fracture load was recorded. The fracture mode studied and recorded. The fracture load results were analyzed using two-way ANOVA test (α = 0.05). RESULTS A significant interaction (P = 0.038) of combining MDP-containing zirconia primer and cement type on fracture resistance of monolithic zirconia crown was detected. The mean fracture load values of zirconia crown were significantly influenced by the combined application of the MDP-containing zirconia primer with Calibra Universal (P = 0.01), RelyX U200 (P < 0.001), and Multilink Speed (P = 0.038), while there was no significant difference with Panavia SA Cement Plus (P = 0.660). There was significant difference (F = 20.69, P < 0.001) between the mean fracture loads of groups with self-adhesive cements (C, R, P, and M groups). The highest fracture load was recorded with RZ group (2446.90 ± 126.72 N) while the lowest fracture load was recorded with C group (1623.18 ± 149.86 N). CONCLUSIONS The self-adhesive resin cement with different acidic functional monomer affects the fracture resistance of monolithic zirconia crown. Application of MDP-containing primer could improve the fracture resistance of monolithic zirconia crown with most self-adhesive cements. The application of an MDP-containing primer had no impact on the fracture resistance of monolithic translucent zirconia crown bonded by MDP-containing self-adhesive resin cement.
Collapse
Affiliation(s)
- Shaima Tyor
- Department of Fixed Prosthodontics, Faculty of Dentistry, Mansoura University, Mansoura, Egypt
| | - Walid Al-Zordk
- Department of Fixed Prosthodontics, Faculty of Dentistry, Mansoura University, Mansoura, Egypt
- Department of Fixed Prosthodontics, Faculty of Dentistry, Horus University, New Damietta, Egypt
| | - Amal Abdelsamad Sakrana
- Department of Fixed Prosthodontics, Faculty of Dentistry, Mansoura University, Mansoura, Egypt.
- Department of Fixed Prosthodontics, Faculty of Dentistry, Horus University, New Damietta, Egypt.
| |
Collapse
|
4
|
Moharam LM, Salem HN, Khadr S, Abdou A. Evaluation of different decontamination procedures on bond strength to sound and caries affected dentin using "no-wait" universal adhesive. BMC Oral Health 2023; 23:638. [PMID: 37670270 PMCID: PMC10478207 DOI: 10.1186/s12903-023-03314-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/28/2023] [Accepted: 08/14/2023] [Indexed: 09/07/2023] Open
Abstract
BACKGROUND Current study aimed to evaluate the effect of different decontamination procedures on micro-shear bond strength (μSBS) of sound (SoD) and caries-affected dentin (CAD) of two universal adhesives after blood-saliva contamination. METHODS One hundred and eighty bovine anterior teeth were prepared and allocated into the respective groups according to tested dentin substrates [SoD, CAD], universal adhesives [Clearfil Bond Universal Quick (UBQ), All-Bond-Universal (ABU)], adhesive contamination stage [none, contamination before and after adhesives light-curing], and according to decontamination procedures [no decontamination, water rinsing, adhesive rebond, Ethylenediaminetetraacetic acid (ETDA) and chlorhexidine (CHX) application]. Universal adhesives were applied according to manufacturer instructions in self-etch (SE) bonding mode. Four composite microrods were built for each tooth. Specimens were kept in distilled water for 24 hours at 37°C before testing μSBS. Four-way ANOVA and Tukey HSD tests were used for data analysis. RESULTS A statistically significant difference between contamination stages of both universal adhesives at different decontamination procedures for SoD and CAD. Highest μSBS was recorded for UBQ control group at SoD, while the least was recorded for light-cured ABU upon water rinsing decontamination procedure of CAD. CONCLUSIONS Proper cavity isolation is mandatory to avoid possible contamination which can dramatically affect μSBS. CHX is a potent cavity decontaminant that can restore different dentin substrates bond strength. EDTA presents a promising substitute. UBQ adhesive showed better bonding performance than ABU to both dentin substrates. Application of regular cavity decontamination approaches is highly advised in daily practice to avoid possible detrimental effect of accidental cavity contamination.
Collapse
Affiliation(s)
- Lamiaa M Moharam
- Restorative and Dental Materials Department, Oral and Dental Research Institute, National Research Centre, Giza, Dokki, 12622, Egypt.
| | - Haidy N Salem
- Restorative and Dental Materials Department, Oral and Dental Research Institute, National Research Centre, Giza, Dokki, 12622, Egypt
- School of Dentistry, Newgiza University, Giza, Egypt
| | - Sherif Khadr
- Conservative Dentistry Department, Faculty of Oral and Dental Medicine, Future University, Cairo, Egypt
| | - Ahmed Abdou
- Prosthetic Dentistry Department, Faculty of Dentistry, King Salman International University, El Tur, South Sinai, Egypt
| |
Collapse
|
5
|
Calamita RS, Oliveira AAD, Pizzanelli GG, Salvador MVO, Mesquita AMM, Pecorari VGA, Lima AF. Interaction of different concentrations of 10-MDP and GPDM on the zirconia bonding. Dent Mater 2023; 39:665-668. [PMID: 37225538 DOI: 10.1016/j.dental.2023.05.003] [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: 02/03/2023] [Revised: 04/12/2023] [Accepted: 05/02/2023] [Indexed: 05/26/2023]
Abstract
OBJECTIVES To analyze the influence of different concentrations of 10-MDP and GPDM used, combined or not, on the bonding to zirconia. METHODS Specimens of zirconia and a resin-composite (7 mm length, 1 mm width, and 1 mm thick) were obtained. The experimental groups were obtained according to the functional monomer (10-MDP and GPDM) and the concentrations (3 %, 5 %, and 8 %). For the groups with combined 10-MDP and GPDM, the agents were used with a proportion of 50 %/50 % wt until reaching the 3 %, 5 % and 8 % concentrations. All monomers were diluted in ethanol to obtain the primers. Two control groups were established: ethanol (negative control) and a commercial reference Monobond N (positive control). The zirconia surface treatment was performed with the primer application followed by the bonding to a resin-composite sample with a light-curing resin cement. Twenty-four hours after the adhesive procedure, a microtensile test was performed and the failure pattern of each sample was analysed with a stereoscopic magnifying glass. Data were analysed by a two-way ANOVA and Dunnet test. RESULTS All experimental primers presented a higher bond strength than the negative control (ethanol). Excepting the 8 % GPDM primer, all groups presented statistically similar bond strength compared to the positive control, with a predominance of adhesive failure. SIGNIFICANCE 10-MDP, GPDM, and the combination of both for the concentrations tested promote an effective chemical bonding to zirconia. However, using 10-MDP and GPDM in the same primer has no synergistic effect.
Collapse
Affiliation(s)
- Rafael Soares Calamita
- Dental Research Division, Paulista University, Rua Doutor Bacelar, 1212, 04026-002 Sao Paulo, Brazil
| | | | - Giulia Gamero Pizzanelli
- Dental Research Division, Paulista University, Rua Doutor Bacelar, 1212, 04026-002 Sao Paulo, Brazil
| | | | | | | | - Adriano F Lima
- Dental Research Division, Paulista University, Rua Doutor Bacelar, 1212, 04026-002 Sao Paulo, Brazil.
| |
Collapse
|
6
|
He W, Ding N, Hou B, Zhang Z. Bonding effect of a Zr/Si coating prepared on zirconia using a sol-gel method. J Prosthet Dent 2023; 129:787.e1-787.e9. [PMID: 37029004 DOI: 10.1016/j.prosdent.2023.03.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2022] [Revised: 03/09/2023] [Accepted: 03/09/2023] [Indexed: 04/09/2023]
Abstract
STATEMENT OF PROBLEM Zirconia has been widely used as a dental prosthetic material. However, bonding to zirconia is challenging, and whether a Zr/Si coating would improve bonding is unclear. PURPOSE The purpose of this in vitro study was to prepare a Zr/Si coating on zirconia ceramics using a sol-gel method and to determine whether the bonding to resin is improved. MATERIAL AND METHODS Presintered zirconia specimens were prepared and divided into 5 groups: 4 experimental groups with ratios of the binary sol-gel precursor (zirconium oxychloride/tetraethoxysilane) set as 2:1 (Z2), 1:1 (Z1), 0.5:1 (Z0.5), and 0.25:1 (Z0.25) and Group C as the control group. In addition to surface roughness measurements, scanning electron microscopy (SEM), energy dispersion spectroscopy (EDS), and X-ray diffraction (XRD) were carried out to characterize the surface. Each group was divided into 2 subgroups according to whether a silane coupling agent was applied. Half of the bond specimens were stored in deionized water for 24 hours; the remaining half were aged using 5000 thermocycles. The shear bond strength (SBS) of resin bonded to specimens was tested for the initial and durable bond strength, and the bonding interface was also observed by SEM after debonding. Data were subjected to 1-way ANOVA and the post hoc Tukey honestly significant difference test (α=.05). RESULTS The Zr/Si coating formed on zirconia ceramics. Z0.5 had the greatest mean ±standard deviation roughness (2.13 ±0.15 μm) and had the highest silicon content (21.7 ±0.21%). t-ZrO2, m-ZrO2, c-SiO2, and ZrSiO4 were detected by XRD in Z1. The SBS values were decreased by aging but were significantly increased by Zr/Si coating, especially for Z0.5, with the application of silane (initial: 22.92 ±2.79 MPa; aged: 9.91 ±0.92 MPa). CONCLUSIONS The Zr/Si coating significantly improved the initial and aged bond strength, and the optimal Zr/Si ratio of the sol-gel appeared to be 0.5:1.
Collapse
Affiliation(s)
- Wensheng He
- Graduate student, Beijing Institute of Dental Research, School of Stomatology, Capital Medical University, Beijing, PR China
| | - Ning Ding
- Technician, Beijing Institute of Dental Research, School of Stomatology, Capital Medical University, Beijing, PR China
| | - Benxiang Hou
- Professor, Department of Endodontics and Operative Dentistry, School of Stomatology, Capital Medical University, Beijing, PR China
| | - Zutai Zhang
- Professor, Beijing Institute of Dental Research, School of Stomatology, Capital Medical University, Beijing, PR China.
| |
Collapse
|
7
|
Kim SH, Cho SC, Lee MH, Kim HJ, Oh NS. Effect of 9% Hydrofluoric Acid Gel Hot-Etching Surface Treatment on Shear Bond Strength of Resin Cements to Zirconia Ceramics. MEDICINA (KAUNAS, LITHUANIA) 2022; 58:medicina58101469. [PMID: 36295629 PMCID: PMC9611273 DOI: 10.3390/medicina58101469] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Revised: 10/13/2022] [Accepted: 10/14/2022] [Indexed: 11/09/2022]
Abstract
Background and Objectives: There is no consensus regarding the surface treatment method for achieving optimal bonding strength between zirconia and resin cements. We evaluated the effect of hot-etching with 9% hydrofluoric acid (HF) gel using the Zirconia Etchant Cloud System on zirconia surfaces and the consequent shear bond strength (SBS) of different resin cements to such surface-treated zirconia ceramics. Materials and Methods: Forty-five zirconia specimens were randomly assigned to surface-treatment groups (n = 15/group): no treatment (control, CT); sandblasting with 110-μm Al2O3 at an air pressure of 1 bar for 10 s (SB); hot-etching with 9% HF gel (HE). Post-treatment, specimens were examined using scanning electron microscopy (SEM) and surface roughness (SR) analysis. After treatment, self-adhesive resin cements (Maxcem Elite, MAZIC Cem, RelyX U200, 3M ESPE: Maplewood, MN, USA) were bonded to zirconia specimens, which were stored in distilled water at 37 °C for 24 h. All specimens were then subjected to SBS testing, using a universal testing machine, until failure. Data were analyzed using one-way analysis of variance and Tukey’s post hoc test (α = 0.05). Results: In the SEM images, roughness was greater in SB than in HE specimens. Ra and Rt values were highest in SB, followed by HE, and CT specimens. HE specimens showed significantly higher SBS values than CT or SB specimens (p < 0.05). MAZIC Cem cement, with 10-methacryloyloxydcyl dihydrogen phosphate yielded the highest SBS values. Conclusions: Hot-etching with 9% HF gel in a safe shell formed uniformly small, defined holes on the zirconia surface and achieved significantly higher SBS values than sandblasting (p < 0.05). Zirconia prostheses can be bonded micromechanically with resin cement, without the deterioration of properties due to t-m transformation, using chemical acid etching with the Zirconia Etchant Cloud System.
Collapse
Affiliation(s)
- So-Hyun Kim
- Department of Dentistry, Inha University School of Medicine, Inha University Hospital, Incheon 22332, Korea
| | - Sung-Chan Cho
- Department and Research Institute of Dental Biomaterial and Bioengineering, Yonsei University College of Dentistry, Seoul 03722, Korea
| | - Myung-Hyun Lee
- Energy & Environmental Division, Korea Institute of Ceramic Engineering and Technology, Jinju 52851, Korea
| | - Hyo-Jung Kim
- Department of Dentistry, University of Ulsan College of Medicine, Ulsan University Hospital, Ulsan 44033, Korea
- Correspondence: (H.-J.K.); (N.-S.O.); Tel.: +82-52-250-7230 (H.-J.K.); +82-32-890-3264 (N.-S.O.)
| | - Nam-Sik Oh
- Department of Dentistry, Inha University School of Medicine, Inha University Hospital, Incheon 22332, Korea
- Correspondence: (H.-J.K.); (N.-S.O.); Tel.: +82-52-250-7230 (H.-J.K.); +82-32-890-3264 (N.-S.O.)
| |
Collapse
|
8
|
Raszewski Z, Brząkalski D, Derpeński Ł, Jałbrzykowski M, Przekop RE. Aspects and Principles of Material Connections in Restorative Dentistry-A Comprehensive Review. MATERIALS (BASEL, SWITZERLAND) 2022; 15:7131. [PMID: 36295194 PMCID: PMC9605403 DOI: 10.3390/ma15207131] [Citation(s) in RCA: 17] [Impact Index Per Article: 8.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/26/2022] [Revised: 09/19/2022] [Accepted: 10/06/2022] [Indexed: 06/16/2023]
Abstract
The combination of two dissimilar materials has always been a serious problem in dentistry. In order to meet this challenge, it is necessary to combine both chemical methods (treatment with silanes, (meth)acrylic functional monomers) and the development of the surface of the joined material in a physical way, e.g., by sandblasting with alumina, alumina with silica, acid etching, the use of lasers and other means. The purpose of this literature review is to present all methods of joining dental composites with other materials such as ceramics, metal, another composite material. This review covers articles published within the period 2012-2022 in journals indexed in the PubMed database, written in English and describing joining different dental materials to each other. All the critical steps of new joint preparation have been addressed, including proper cleaning of the joint surface, the application of appropriate primers capable of forming a chemical bond between ceramics, zirconium oxide or metals and alloys, and finally, the application of new composite materials.
Collapse
Affiliation(s)
| | - Dariusz Brząkalski
- Faculty of Chemistry, Adam Mickiewicz University in Poznan, Uniwersytetu Poznańskiego 8, 61-614 Poznan, Poland
| | - Łukasz Derpeński
- Faculty of Mechanical Engineering, Bialystok University of Technology, Wiejska 45 C, 15-351 Bialystok, Poland
| | - Marek Jałbrzykowski
- Faculty of Mechanical Engineering, Bialystok University of Technology, Wiejska 45 C, 15-351 Bialystok, Poland
| | - Robert E. Przekop
- Centre for Advanced Technologies, Adam Mickiewicz University in Poznan, Uniwersytetu Poznańskiego 10, 61-614 Poznan, Poland
| |
Collapse
|
9
|
Mezarina-Kanashiro FN, Bronze-Uhle ES, Rizzante FAP, Lisboa-Filho PN, Borges AFS, Furuse AY. A new technique for incorporation of TiO 2 nanotubes on a pre-sintered Y-TZP and its effect on bond strength as compared to conventional air-borne particle abrasion and silicatization TiO 2 nanotubes application on pre-sintered Y-TZP. Dent Mater 2022; 38:e220-e230. [PMID: 35750506 DOI: 10.1016/j.dental.2022.06.015] [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: 10/01/2021] [Revised: 05/01/2022] [Accepted: 06/05/2022] [Indexed: 11/25/2022]
Abstract
OBJECTIVE This study evaluated the microshear bond strength of a resin cement to Y-TZP after different methods of TiO2 nanotubes (nTiO2) incorporation on pre-sintered Y-TZP surfaces. METHODS nTiO2 were synthesized and incorporated on Y-TZP slices as follows (n = 15): 1) nTiO2 mixed with isopropyl alcohol/manual application (MAl); 2) nTiO2 mixed with acetone/manual application (MAc); 3) nTiO2 mixed with isopropyl alcohol/high-pressure vacuum application (HPVAl); 4) nTiO2 mixed with acetone/high-pressure vacuum application (HPVAc). As controls, surfaces were sandblasted with Al2O3 (OX) or Rocatec silicatization (ROC). All ceramics were sintered after nTiO2 incorporation. Surface treatments of OX and ROC were made after sintering. Surfaces were characterized by confocal laser microscopy, scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDS). Resin composite cylinders (1.40 mm diameter and 1 mm height) were cemented with a resin cement, stored in water at 37 °C for 24 h and thermocycled for 10 000 cycles before microshear bond strength evaluation. Data were analyzed with one-way ANOVA and Games-Howell (α = 0.05), and fracture analysis was performed using a stereomicroscope. RESULTS EDS confirmed the presence of TiO2 on treated Y-TZP. The confocal analysis showed higher roughness for HPVAc and OX. There were significant differences between surface treatments (p < 0.001). HPVAl (22.96 ± 10.3), OX (34.16 ± 7.9) and ROC (27.71 ± 9.4) showed higher microshear bond strengths and were statistically similar (p > 0.05). MAC showed intermediary values, and HPVAc and MAl presented decreased bond strength, with a high percentage of premature debonding. CONCLUSION High-pressure vacuum application of nTiO2 mixed with isopropyl alcohol was able to produce bond strength values compared to conventional air abrasion and Rocatec silicatization. SIGNIFICANCE The infiltration of TiO2 nanostructures on the pre-sintered Y-TZP is an interesting approach that can improve bond strength without the need of sandblasting methods.
Collapse
Affiliation(s)
- Franco Naoki Mezarina-Kanashiro
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil
| | - Erika Soares Bronze-Uhle
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil; Department of Physics, School of Sciences, São Paulo State University, Bauru, Brazil
| | - Fabio Antonio Piola Rizzante
- Department of Oral Rehabilitation at Medical University of South Carolina, James B. Edwards College of Dental Medicine, Charleston, SC, USA
| | | | - Ana Flavia Sanches Borges
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil
| | - Adilson Yoshio Furuse
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil.
| |
Collapse
|
10
|
Fernandes Neto C, Narimatsu MH, Magão PH, da Costa RM, Pfeifer CS, Furuse AY. Physical-chemical characterization and bond strength to zirconia of dental adhesives with different monomer mixtures and photoinitiator systems light-activated with poly and monowave devices. Biomater Investig Dent 2022; 9:20-32. [PMID: 35528027 PMCID: PMC9067976 DOI: 10.1080/26415275.2022.2064289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
Introduction: Bonding to crystalline zirconia is currently a challenge. Properly cured adhesives are crucial to optimize this bond, and that in turn is influenced by the initial mobility of the system, as well as by the reactivity of the initiators. Aim: This study aimed to characterize adhesives containing monomer mixtures of different viscosities and double and triple photoinitiator systems; and to evaluate the bonding to Y-TZP zirconia, when adhesives were light-activated with monowave or polywave light-curing units (LCU). Materials and methods: Adhesives were formulated at a 1:1 weight proportion of Bis-GMA/TEGDMA or Bis-GMA/Bis-EMA. To these mixtures 0.5 wt% of CQ, 0.5–1.0 wt% of DABE, 0.5–1.0 wt% of DPIHP, or 0.5–1.0 wt% of TAS-Sb were added and used as photoinitiator systems. A total of ten adhesives were prepared. Resin composite cylinders were cemented on zirconia slices and 6000 thermal cycles were performed. Degree of conversion (DC), sorption (SO) and solubility (SL) after 7 days of water storage, and microshear bond strength (µSBS) were evaluated. Data were analyzed with three-way ANOVA and Tukey’s HSD (α = 0.05). Results: Bis-GMA/Bis-EMA combined with either CQ/DABE or CQ/DABE/TAS-Sb presented the highest DC, and no significant differences were observed for LCUs (p = .298). CQ/DABE < CQ/DABE/TAS-Sb ≈ CQ/DABE/DPIHP and the polywave LCU showed smaller overall SO (p < .05). Bis-GMA/TEGDMA with CQ/DABE cured with the polywave LCU presented the lowest SO. SL varied as follows: CQ/DABE/TAS-Sb < CQ/DABE/DPIHP < CQ/DABE (p < .001). For µSBS, only the factor photoinitiator system was significant (p = .045). All mean values were above 30 MPa, with higher values being observed for BIS-GMA/TEGDMA and CQ/DABE. Conclusion: It can be concluded that the adhesive containing CQ/DABE/TAS-Sb as coinitiator of Bis-GMA/Bis-EMA mixtures produced a material with higher DC and lower SL, while bond strength values were similar to the ones obtained by CQ/DABE.
Collapse
Affiliation(s)
- Constantino Fernandes Neto
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil
| | - Mayara Hana Narimatsu
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil
| | - Pedro Henrique Magão
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil
| | - Reginaldo Mendonça da Costa
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil
| | - Carmem Silvia Pfeifer
- Division of Biomaterials and Biomechanics, Department of Restorative Dentistry, School of Dentistry, Oregon Health and Science University, Portland, OR, USA
| | - Adilson Yoshio Furuse
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil
| |
Collapse
|
11
|
Alegría-Acevedo LF, Gutiérrez MF, Perdigão J, Núñez A, Méndez-Bauer L, Dávila-Sanchez A, Reis A, Loguercio AD. In Vitro Performance of Different Universal Adhesive Systems on Several CAD/CAM Restorative Materials After Thermal Aging. Oper Dent 2022; 47:107-120. [PMID: 35226751 DOI: 10.2341/20-203-l] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/20/2021] [Indexed: 11/23/2022]
Abstract
OBJECTIVE To evaluate the microshear bond strength (mSBS) of 10 universal adhesive systems applied on five different CAD/CAM restorative materials, immediately and after thermal aging. METHODS AND MATERIALS Five CAD/CAM materials were selected: 1) feldspathic glass ceramic (FeCe); 2) pre-polymerized reinforced resin composite (ReRC); 3) leucite-reinforced glass ceramic (LeGC); 4) lithium disilicate (LiDi); and 5) yttrium-stabilized zirconium dioxide (ZiDi). For each material, 15 blocks were cut into four rectangular sections (6 × 6 × 6 mm; n=60 per group) and processed as recommended by the respective manufacturer. For each indirect material, the following adhesive systems were applied according to the respective manufacturer's instructions: 1) AdheSE Universal [ADU]; 2) All-Bond Universal [ABU]; 3) Ambar Universal [AMB]; 4) Clearfil Universal Bond [CFU]; 5) Futurabond U [FBU]; 6) One Coat 7 Universal [OCU]; 7) Peak Universal Bond [PUB]; 8) Prime&Bond Elect [PBE]; 9) Scotchbond Universal Adhesive [SBU]; 10) Xeno Select [XEN, negative control]. After the application of the adhesive system, cylinder-shaped transparent matrices were filled with a dual-curing resin cement (NX3) and light cured. Specimens were tested in shear mode at 1.0 mm/ min (mSBS), after 24 hours and 10,000 thermal cycles (TC). All data were submitted to statistical analysis (α=0.05). RESULTS For FeCe, there was no significant decrease in mean mSBS for AMB, FBU, and SBU after TC when compared at 24 hours. For ReRC, AMB and SBU showed higher mean mSBS when compared to CFU and XEN, after 24 hours and TC. For LiDi, FBU and OCU showed higher mean mSBS when compared to CFU and XEN, after 24 hours and TC. For LeGC, AMB and PUB showed higher mean mSBS when compared to XEN, after 24 hours and TC. For ZiDi, OCU and SBU showed higher mean mSBS when compared to XEN, after 24 hours and TC. In addition, PBE and XEN showed the lowest mean mSBS after TC with higher percentage of bond strength reduction. CONCLUSIONS The mean mSBS among the different universal adhesives varied widely for each CAD/ CAM material used. In addition, most universal adhesives underwent a statistically significant bond strength reduction after TC.
Collapse
Affiliation(s)
- L F Alegría-Acevedo
- Luisa F Alegria-Acevedo, DDS, MS, PhD, Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Paraná, Brazil
| | - M F Gutiérrez
- Mario Felipe Gutiérrez, DDS, MS, PhD, professor, Universidad de los Andes, Facultad de Odontología, Santiago, Chile, and University of Chile, Faculty of Dentistry, Institute for Research in Dental Sciences, Santiago, Chile
| | - J Perdigão
- *Jorge Perdigão, DMD, MS, PhD, University of Minnesota, Department of Restorative Sciences, Minneapolis, MN, USA, and Universidade Católica Portuguesa, Faculty of Dental Medicine, Centre for Interdisciplinary Research in Health, Viseu, Portugal
| | - A Núñez
- Alejandra Núñez, DDS, MS, PhD student, Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Paraná, Brazil, and Universidad San Francisco de Quito USFQ, Department of Restorative Dentistry and Dental Materials, School of Dentistry, Quito, Ecuador
| | - L Méndez-Bauer
- Luján Méndez-Bauer, DDS, PhD, professor, Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Paraná, Brazil, and Universidad Francisco Marroquín, Faculty of Dentistry, Department of Research, Cidad de Guatemala, Guatemala
| | - A Dávila-Sanchez
- Andrés Dávila-Sanchez, DDS, Ms, PhD, professor, Universidad San Francisco de Quito USFQ, Department of Restorative Dentistry and Dental Materials, School of Dentistry, Quito, Ecuador
| | - A Reis
- Alessandra Reis, DDS, PhD, professor, Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Paraná, Brazil
| | - A D Loguercio
- Alessandro D Loguercio, DDS, MS, PhD, professor, Department of Restorative Dentistry, School of Dentistry, State University of Ponta Grossa, Paraná, Brazil
| |
Collapse
|
12
|
Application Modes Affect Two Universal Adhesive Systems' Nanoleakage Expression and Shear Bond Strength. BIOMED RESEARCH INTERNATIONAL 2021; 2021:7375779. [PMID: 34631886 PMCID: PMC8497110 DOI: 10.1155/2021/7375779] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/26/2021] [Revised: 08/18/2021] [Accepted: 08/19/2021] [Indexed: 11/18/2022]
Abstract
Objectives The aim of this study was to evaluate the shear bond strength and the nanoleakage expression of CLEARFIL Universal Bond Quick and Tetric N-Bond adhesive systems bonded to dentin. Materials and Methods 100 freshly extracted human premolar teeth were utilized. The teeth were sectioned to expose dentin. All dentin specimens were assigned into 4 experimental groups; 2 groups had Universal Bond Quick (Universalself group) and Tetric N-Bond (Tetricself group) applied in the self-etch mode, while 2 groups had Universal Bond Quick (Universaltotal group) and Tetric N-Bond (Tetrictotal group) applied in the total-etch mode. n = 15 for shear bond strength and n = 10 for nanoleakage experiment. One-way ANOVA and Kruskal-Wallis test were utilized to analyze the shear bond strength test and the nanoleakage expression, respectively. Results The highest significant bond strength value was recorded by the Tetricself specimens (p < 0.05) when compared to the remaining three groups. There were no statistically significant differences between the shear bond strength values recorded in the Tetrictotal, Universalself, and Universaltotal groups (p < 0.05). Both bonding systems applied in the self-etch mode (Universalself, Tetricself) had no silver nitrate deposits in the hybrid layer and the hybrid layer-adhesive interface (p < 0.001); however, both bonding systems applied in the total-etch mode (Universaltotal, Tetrictotal) had silver nitrate deposits in the hybrid layer, the hybrid layer-adhesive interface, and the bonding layer (p < 0.001). Conclusion Applying the Universal Bond Quick and Tetric N-Bond in the self-etch mode exhibited better results in terms of nanoleakage expression. Universal Bond Quick showed the stability of the shear bond strength to dentin when applied using the total-etch or self-etch modes. Tetric N-Bond showed significant deterioration in bond strength when applied in the total-etch mode and exhibited the highest bond strength when applied in the self-etch mode.
Collapse
|
13
|
Serichetaphongse P, Chitsutheesiri S, Chengprapakorn W. Comparison of the shear bond strength of composite resins with zirconia and titanium using different resin cements. J Prosthodont Res 2021; 66:109-116. [PMID: 34176851 DOI: 10.2186/jpr.jpr_d_20_00299] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
Abstract
PURPOSE The shear bond strength of conventional zirconia (3Y-TZP), translucent zirconia (5Y-PSZ), and titanium alloy (Ti6Al4V) thermocycled using different phosphate monomer resin cements were investigated. METHODS In this study, 120 specimens of 3Y-TZP, 5Y-PSZ, and Ti6Al4V were cemented to nanocomposite resin cylinders using PANAVIA™ V5 and Rely X™ U200. The bond area and resin cement thickness were controlled as per ISO 29022:2013 and 4049:2009. Each resin cement group was used with/without the Clearfil ceramic primer plus. The shear bond strength of the 12 groups was statistically analyzed using two and one-way ANOVA to determine the properties of the different materials and resin cements (α = 0.05). The mode of failure was observed using scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDS). RESULTS The titanium alloy groups showed better shear bond strength than the zirconia groups (p < 0.05). PANAVIA™ V5 without primer showed significantly lower shear bond strength than other cements in zirconia and titanium alloy specimens (p < 0.05). Titanium alloy with Rely X™ U200 with a Clearfil ceramic primer plus showed the highest shear bond strength (6.37 ± 1.60 MPa). SEM images showed mixed failures in zirconia groups and cohesive failures in titanium alloy groups. CONCLUSIONS The titanium alloy showed better shear bond strength than zirconia when the Clearfil ceramic primer plus was used. The primer solution containing MDP and resin cement with phosphoric methacrylate ester showed similar shear bond strength with 3Y-TZP and 5Y-PSZ. The resin cement without phosphate monomers demonstrated the least shear bond strength.
Collapse
Affiliation(s)
- Pravej Serichetaphongse
- Esthetics Restorative and Implant Dentistry Program, Faculty of Dentistry, Chulalongkorn University, Bangkok.,Department of Prosthodontics, Faculty of Dentistry, Chulalongkorn University, Bangkok
| | | | - Wareeratn Chengprapakorn
- Esthetics Restorative and Implant Dentistry Program, Faculty of Dentistry, Chulalongkorn University, Bangkok.,Department of Prosthodontics, Faculty of Dentistry, Chulalongkorn University, Bangkok
| |
Collapse
|
14
|
De Paula DM, Loguercio AD, Reis A, Sauro S, Alves AH, Picanço PR, Yoshihara K, Feitosa VP. Lack of Neutralization of 10-MDP Primers by Zirconia May Affect the Degree of Conversion of Dual-cure Resin Cement. Oper Dent 2021; 46:107-115. [PMID: 33882140 DOI: 10.2341/18-189-l] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/05/2020] [Indexed: 11/23/2022]
Abstract
CLINICAL RELEVANCE Use of zirconia primers with a low pH and a high acidic monomer concentration should be employed in combination with dual-cure resin cements that are less sensitive to an acidic environment. Primers with lower 10-MDP concentrations attain better outcomes. SUMMARY
Collapse
|
15
|
Effects of the ratio of silane to 10-methacryloyloxydecyl dihydrogenphosphate (MDP) in primer on bonding performance of silica-based and zirconia ceramics. J Mech Behav Biomed Mater 2020; 112:104026. [DOI: 10.1016/j.jmbbm.2020.104026] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2020] [Revised: 07/31/2020] [Accepted: 08/02/2020] [Indexed: 11/17/2022]
|
16
|
Yan Y, Ji Y, Yan J, Hu X, Zhang Q, Liu M, Zhang F. Atomic layer deposition SiO 2 films over dental ZrO 2 towards strong adhesive to resin. J Mech Behav Biomed Mater 2020; 114:104197. [PMID: 33221163 DOI: 10.1016/j.jmbbm.2020.104197] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/27/2020] [Revised: 10/29/2020] [Accepted: 11/01/2020] [Indexed: 10/23/2022]
Abstract
Atomic layer deposition (ALD) is a self-limiting nanoscale film deposition technology with the advantages of good stability, consistency and conformability. In this study, we proposed to deposit silica (SiO2) films over dental zirconium-oxide (ZrO2) by ALD for better SiO2 films and higher bond strength between ZrO2 and resin. To investigate the superiority of film deposited by ALD, other surface modification methods such as sol-gel, vapor phase hydrolysis and electrostatic self-assembly were compared in terms of the short-term and long-term bond strength between ZrO2 and resin, measured by universal testing machine. Meanwhile, the surface morphology and chemical elemental analysis were characterized by scanning electron microscopy (SEM), energy dispersive spectrometer (EDS) and Fourier transform infrared spectroscopy (FTIR). Results showed that the SiO2 films deposited by ALD or electrostatic self-assembly were uniform and consistent while sol-gel and vapor phase hydrolysis formed SiO2 films with cracks or pores, changing the morphology of ZrO2. ALD had the best results among all methods and increased the bond strength to 16.49 ± 1.60 MPa and 13.44 ± 1.63 MPa before and after aging respectively, which is expected to improve the long-term success rate of clinical dental ZrO2 prostheses.
Collapse
Affiliation(s)
- Yuxin Yan
- Jiangsu Key Laboratory of Oral Diseases, Department of Prosthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, 210029, People's Republic of China
| | - Yu Ji
- Department of Oral Health Care, The First Affiliated Hospital of Nanjing Medical University, Jiangsu Maternity and Child Care Hospital, Nanjing, 210029, People's Republic of China
| | - Jia Yan
- Jiangsu Key Laboratory of Oral Diseases, Department of Prosthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, 210029, People's Republic of China
| | - Xiaokun Hu
- Jiangsu Key Laboratory of Oral Diseases, Department of Prosthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, 210029, People's Republic of China
| | - Qinghong Zhang
- State Key Laboratory for Modification of Chemical Fibers and Polymer Materials, College of Materials Science and Engineering, Donghua University, Shanghai, 201620, People's Republic of China
| | - Mei Liu
- Jiangsu Key Laboratory of Oral Diseases, Department of Prosthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, 210029, People's Republic of China.
| | - Feimin Zhang
- Jiangsu Key Laboratory of Oral Diseases, Department of Prosthodontics, Affiliated Hospital of Stomatology, Nanjing Medical University, Nanjing, 210029, People's Republic of China.
| |
Collapse
|
17
|
Gutierrez MF, Perdigão J, Malaquias P, Cardenas AM, Siqueira F, Hass V, Reis A, Loguercio AD. Effect of Methacryloyloxydecyl Dihydrogen Phosphate–Containing Silane and Adhesive Used Alone or in Combination on the Bond Strength and Chemical Interaction With Zirconia Ceramics Under Thermal Aging. Oper Dent 2020; 45:516-527. [DOI: 10.2341/18-093-l] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 09/20/2019] [Indexed: 11/23/2022]
Abstract
Clinical Relevance
Achieving durable bonding to zirconia is fundamental for the application of a methacryloyloxydecyl dihydrogen phosphate (MDP)–containing silane solution or an MDP-containing silane solution associated with an MDP-containing universal adhesive.
SUMMARY
Objectives: To evaluate the effect of a methacryloyloxydecyl dihydrogen phosphate (MDP)–containing silane coupling agent and universal adhesive, used alone or in combination, on the microshear bond strength (μSBS) to zirconia after 24 hours of water storage (24h) and after 10,000 thermocycles (TC), complemented with chemical analysis of the surface to establish the presence of MDP on the surface of the zirconia after bonding procedures.
Methods and Materials: Thirty computer-aided design/computed-aided manufacturing blocks of zirconia were cut into four sections (6×6×6 mm) and sintered. Zirconia sections (n=96) were assigned to 24 groups according to three factors: 1) silane (no silane, Monobond S [MBS], Monobond P [MB+]), 2) adhesive + resin cement (no adhesive + Enforce [ENF], no adhesive + RelyX Ultimate [REX], Prime&Bond Elect + Enforce [PBE/ENF], Scotchbond Universal + RelyX Ultimate [SBU/REX]), and 3) thermocycling (no thermocycling [24h], 10,000 thermocycles [TC]). Upon silane/adhesive application, cylinder-shaped matrices were filled with resin cement and light cured. Specimens were tested in μSBS (1.0 mm/min) after 24h or TC. The μSBS data were analyzed using twoway ANOVA and Tukey’s post hoc test (α=0.05). In addition, micro-Raman spectroscopy was used to analyze the zirconia surface for immediate chemical interaction analysis (n=24).
Results: For the 24h condition, PBE/ENF resulted in lower mean μSBS than both groups with silane without PBE (MBS and MB+ groups; p<0.001). SBU alone or MB+ alone and MB+ associated with SBU showed the highest mean μSBS (p<0.001). For the TC condition, all groups showed a significant decrease in mean μSBS compared with those of 24h (p<0.001), with the exception of MB+ associated to SBU (p>0.05). However, the application of MB+ alone or MB+ associated to SBU resulted in higher mean μSBS (p<0.001) after TC than the remaining TC groups. In terms of chemical interaction, only the SBU groups, alone or combined with both of the silane agents, were associated with the methacrylate groups after rinsing.
Conclusions: The results of the current study support the use of an MDP-containing silane solution or an MDP-containing silane solution associated with an MDP-containing universal adhesive for bonding to air-abraded zirconia, as a more stable bonding after thermocycling.
Collapse
|
18
|
Wawrzynkiewicz A, Rozpedek-Kaminska W, Galita G, Lukomska-Szymanska M, Lapinska B, Sokolowski J, Majsterek I. The Cytotoxicity and Genotoxicity of Three Dental Universal Adhesives-An In Vitro Study. Int J Mol Sci 2020; 21:ijms21113950. [PMID: 32486393 PMCID: PMC7312029 DOI: 10.3390/ijms21113950] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2020] [Revised: 05/23/2020] [Accepted: 05/29/2020] [Indexed: 12/16/2022] Open
Abstract
Dental universal adhesives are considered an useful tool in modern dentistry as they can be used in different etching techniques, allow for simplified protocol and provide sufficient bond strength. However, there is still no consensus as to their toxicity towards pulp. Thus, the present study aimed to evaluate the cytotoxicity and genotoxicity of three universal adhesives: OptiBond Universal, Prime&Bond Universal and Adhese in an in vitro experimental model, monocyte/macrophage cell line SC (ATCC CRL-9855). The cytotoxicity was measured by means of XTT assay, whereas the genotoxicity (comet assay) was evaluated based on the percentage of DNA present in the comet tail. Furthermore, the ability of the adhesives to induce apoptosis was analyzed using flow cytometry (FC) with the FITC annexin V/propidium iodide (PI) double staining. The analysis of the cell cycle progression was performed with FC using PI staining. OptiBond Universal presented significant, while Prime&Bond Universal and Adhese Universal had minimal cytotoxicity and genotoxicity towards human SC cells. Moreover, only OptiBond Universal increased the level of apoptosis in SC cell line. None of the adhesives showed significant cell cycle arrest, as revealed by FC analysis. Due to substantial differences in toxicity in in vitro studies of dental adhesives, there is a great need for further research in order to establish more reliable test protocols allowing for standardized methodology.
Collapse
Affiliation(s)
- Adam Wawrzynkiewicz
- Department of Clinical Chemistry and Biochemistry, Medical University of Lodz, 90-419 Lodz, Poland; (A.W.); (W.R.-K.); (G.G.)
| | - Wioletta Rozpedek-Kaminska
- Department of Clinical Chemistry and Biochemistry, Medical University of Lodz, 90-419 Lodz, Poland; (A.W.); (W.R.-K.); (G.G.)
| | - Grzegorz Galita
- Department of Clinical Chemistry and Biochemistry, Medical University of Lodz, 90-419 Lodz, Poland; (A.W.); (W.R.-K.); (G.G.)
| | - Monika Lukomska-Szymanska
- Department of General Dentistry, Medical University of Lodz, 90-419 Lodz, Poland; (M.L.-S.); (B.L.); (J.S.)
| | - Barbara Lapinska
- Department of General Dentistry, Medical University of Lodz, 90-419 Lodz, Poland; (M.L.-S.); (B.L.); (J.S.)
| | - Jerzy Sokolowski
- Department of General Dentistry, Medical University of Lodz, 90-419 Lodz, Poland; (M.L.-S.); (B.L.); (J.S.)
| | - Ireneusz Majsterek
- Department of Clinical Chemistry and Biochemistry, Medical University of Lodz, 90-419 Lodz, Poland; (A.W.); (W.R.-K.); (G.G.)
- Correspondence: ; Tel.: +48-42-272-53-00
| |
Collapse
|
19
|
Cuevas-Suárez CE, de Oliveira da Rosa WL, Vitti RP, da Silva AF, Piva E. Bonding Strength of Universal Adhesives to Indirect Substrates: A Meta-Analysis of in Vitro Studies. J Prosthodont 2020; 29:298-308. [PMID: 31994803 DOI: 10.1111/jopr.13147] [Citation(s) in RCA: 24] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/23/2020] [Indexed: 11/29/2022] Open
Abstract
PURPOSE To evaluate the in vitro bond strength of universal adhesive systems to indirect substrates. MATERIAL AND METHODS Two reviewers performed a literature search up to March 2018 in seven databases: PubMed, Web of Science, SciELO, Scopus, LILACS, IBECS, and BBO. The review included studies that compared the bond strength of universal adhesives and well-established material-specific primers to indirect substrates: lithium disilicate ceramic, yttrium-stabilized zirconium dioxide ceramic, leucite-reinforced ceramic, feldspathic porcelain, polymer infiltrated ceramic material, resin composite or metal alloys. Analyses were carried out using RevMan 5.3.5. A global comparison was performed with the standardized mean difference using a random-effects models at a significance level of p < 0.05. RESULTS A total of 45 studies were included in the qualitative analysis, and the meta-analysis was performed with 42 studies. Bond strength to glass-based ceramics and alloys was improved with the use of a specific-primer as separate step before the bonding procedures (lithium disilicate, p < 0.001; alloys, p < 0.001). The bond strength to zirconium substrates was improved with the use of universal adhesives (p < 0.001). For bond strength to composite resin as indirect substrate, universal adhesives performed in a manner similar to that of the material-specific primer (p = 0.11). CONCLUSIONS The clinical procedure of luting zirconia and resin composite restorations could be simplified by using single-bottle universal adhesives. However, the ability of universal adhesives to achieve an adequate and durable bond to glass-based ceramics and alloys appears to be limited.
Collapse
Affiliation(s)
- Carlos Enrique Cuevas-Suárez
- Dental Materials Laboratory, Academic Area of Dentistry, Autonomous University of Hidalgo State, Circuito Ex Hacienda La Concepción S/N, San Agustín Tlaxiaca, Hgo, 42160, Mexico
| | - Wellington Luiz de Oliveira da Rosa
- Department of Restorative Dentistry, School of Dentistry, Federal University of Pelotas, Goncalves Cháves 457, Pelotas, RS, 96015-560, Brazil
| | - Rafael Pino Vitti
- Department of Prosthodontics, School of Dentistry, University of Taubaté, Quatro de Março, 432, Taubaté, 12020-270, Brazil
| | - Adriana Fernandes da Silva
- Department of Restorative Dentistry, School of Dentistry, Federal University of Pelotas, Goncalves Cháves 457, Pelotas, RS, 96015-560, Brazil
| | - Evandro Piva
- Department of Restorative Dentistry, School of Dentistry, Federal University of Pelotas, Goncalves Cháves 457, Pelotas, RS, 96015-560, Brazil
| |
Collapse
|
20
|
Tan X, Gao S, Liu B, Min J, Zhang Q, Zhao Y, Yu H. Effect of different pH environments on the durability of bonds between zirconia and Ti-6Al-4V. Dent Mater J 2019; 38:884-891. [PMID: 31611496 DOI: 10.4012/dmj.2018-338] [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: 02/05/2023]
Abstract
This study investigated the role played by different pH environments in the deterioration of bonds between Y-TZP and Ti-6Al-4V. One hundred and thirty-five specimens were randomly assigned to one of the following storage media at 37°C: (1) distilled water, pH 6.9, DW; (2) acidic solution, pH 1-2, CS; and (3) alkaline solution, pH 10-11, KS. Shear bond strength (SBS) tests were carried out at the 4-, 14-, and 30-day storage time intervals. The morphology characteristics and elements distribution of the fracture surfaces were analyzed. CS-30 showed the lowest mean SBS and the least amount of residual cement on the Ti-6Al-4V surface after the SBS tests. Bond strength tended to decrease with increasing storage time for the acidic group. Alkaline and neutral media showed little influence on the SBS of Y-TZP to Ti-6Al-4V in 30 days. Acidic environments should be properly avoided to obtain reliable long-term bonding strength between Ti-6Al-4V and Y-TZP.
Collapse
Affiliation(s)
- Xin Tan
- Department of Prosthodontics, State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University
| | - Shanshan Gao
- Department of Prosthodontics, State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University
| | - Beilei Liu
- Department of Prosthodontics, State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University
| | - Jie Min
- Department of Prosthodontics, State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University
| | - Qianqian Zhang
- Department of Prosthodontics, State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University
| | - Yuwei Zhao
- Department of Prosthodontics, State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University
| | - Haiyang Yu
- Department of Prosthodontics, State Key Laboratory of Oral Diseases & National Clinical Research Center for Oral Diseases, West China Hospital of Stomatology, Sichuan University
| |
Collapse
|
21
|
Liu HY, Zheng ZQ, Peng C, Lin J. [Effects of universal adhesives and resin cement on the shear bond strength of zirconia]. HUA XI KOU QIANG YI XUE ZA ZHI = HUAXI KOUQIANG YIXUE ZAZHI = WEST CHINA JOURNAL OF STOMATOLOGY 2019; 37:476-479. [PMID: 31721492 DOI: 10.7518/hxkq.2019.05.004] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Abstract
OBJECTIVE To study the effects of universal adhesives and resin cement on the shear bond strength and durability of zirconia ceramics. METHODS Zirconia ceramics were sintered into 20 mm×10 mm×10 mm and 10 mm×10 mm×10 mm specimens. The experiment was divided into 12 groups. The two types of specimens were bonded using two variants of resin cement (RelyX Ultimate and Clearfil SAC self-adhesive resin cement), universal adhesives (non-adhesive, Scotchbond uni-versal adhesive, and Clearfil SE One adhesive), and storage conditions (water bath and water bath-thermal cycling). The shear bond strengths were tested, and the fracture morphologies were analyzed. RESULTS The cement (F=8.41, P<0.01) and adhesive (F=30.34, P<0.01) exerted a significant effect on the shear bond strength of zirconia, whereas storage condition showed no significant effect on this property (F=1.83, P=0.18). The lowest shear bond strength (14.02 MPa±6.86 MPa) was exhibited by the group treated with RelyX Ultimate resin cement, non-adhesive, and water bath-thermal cycling, whereas the highest shear bond strength (54.12 MPa±8.37 MPa) was displayed by the group treated with RelyX Ultimate resin cement, Scotchbond universal adhesive, and water bath-thermal cycling. CONCLUSIONS Universal adhesives can improve the durability of the bonding of resin cement to zirconia. If non-self-adhesive resin cement is used without a universal adhe-sive, the durability of the bond will be greatly reduced.
Collapse
Affiliation(s)
- Hao-Yan Liu
- School of Stomatology, Tianjin Medical University, Tianjin 300070, China
| | - Zhi-Qiang Zheng
- Dept. of VIP Dental Service, School and Hospital of Stomatology, Fujian Medical University, Fuzhou 350002, China
| | - Cheng Peng
- Dept. of Stomatology, The Second Hospital of Tianjin Medical University, Tianjin 300201, China
| | - Jie Lin
- Dept. of VIP Dental Service, School and Hospital of Stomatology, Fujian Medical University, Fuzhou 350002, China
| |
Collapse
|
22
|
Abu Ruja M, De Souza GM, Finer Y. Ultrashort-pulse laser as a surface treatment for bonding between zirconia and resin cement. Dent Mater 2019; 35:1545-1556. [DOI: 10.1016/j.dental.2019.07.009] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/13/2019] [Revised: 07/15/2019] [Accepted: 07/16/2019] [Indexed: 10/26/2022]
|
23
|
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.
Collapse
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
| |
Collapse
|
24
|
Rigos AE, Dandoulaki C, Kontonasaki E, Kokoti M, Papadopoulou L, Koidis P. Effect of Immediate Dentin Sealing on the Bond Strength of Monolithic Zirconia to Human Dentin. Oper Dent 2019; 44:E167-E179. [DOI: 10.2341/18-198-l] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
SUMMARY
Objective:
This study evaluated the shear bond strength (SBS) of pretreated monolithic zirconia surfaces bonded to human dentin following immediate dentin sealing (IDS) using two different self-adhesive resin luting agents.
Methods and Materials:
Sixty intact human third molars were collected, stored, sectioned appropriately, and molded according to ISO 29022:2013, resulting in 120 dentin specimens. Ceramic cylindrical specimens were fabricated using CAD/CAM technology and sintered as recommended (final bonding area A=2.56 mm2). Specimens were randomly assigned to eight groups (15≥n≥14) depending on dentin conditioning method (IDS or delayed dentin sealing [DDS]), zirconia surface pretreatment (airborne particle abrasion [APA] with 50 μm Al2O3 particles at 3 bar for 10 seconds or tribochemical silica coating [TBC] with 30 μm CoJet particles at 2.8 bar for 10 seconds), and adhesive luting agent type (Panavia F2.0 [PAN] or PermaCem Dual Smartmix [PER]). Bonded specimens were water-stored (37°C, 24 hours) and subjected to SBS testing (50-kgF load cell, 1 mm/min). Fracture type was evaluated with stereomicroscopy. Data (MPa) were statistically analyzed using three-way analysis of variance (α=0.05).
Results:
All factors significantly affected SBS values (p<0.001). Dentin conditioning method presented the greatest effect. Mean SBS values ranged from 12.603 MPa (PER-APA-DDS) to 40.704 MPa (PER-TBC-IDS). Based on the fracture type, adhesive failures at the luting agent–zirconia interface were the least common.
Conclusion:
Bonding strategies for monolithic zirconia restorations could potentially benefit from IDS, regardless of the adhesive luting agent system used.
Collapse
Affiliation(s)
- AE Rigos
- Athanasios E Rigos, Doctor of Dental Surgery, Department of Dentistry, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - C Dandoulaki
- Chrysoula Dandoulaki, DDS, Prosthodontics, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - E Kontonasaki
- Eleana Kontonasaki, DDS, MSc, PhD, Prosthodontics, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - M Kokoti
- Maria Kokoti, DDS, PhD, Prosthodontics, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - L Papadopoulou
- Lambrini Papadopoulou, BSc, MSc, PhD, Mineralogy-Petrology-Economic Geology, Aristotle University of Thessaloniki, Thessaloniki, Greece
| | - P Koidis
- Petros Koidis, DDS, MS, PhD, Prosthodontics, Aristotle University of Thessaloniki Prosthodontics, Thessaloniki, Greece
| |
Collapse
|
25
|
Papadogiannis D, Dimitriadi M, Zafiropoulou M, Gaintantzopoulou MD, Eliades G. Universal Adhesives: Setting Characteristics and Reactivity with Dentin. MATERIALS 2019; 12:ma12101720. [PMID: 31137848 PMCID: PMC6566910 DOI: 10.3390/ma12101720] [Citation(s) in RCA: 42] [Impact Index Per Article: 8.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/15/2019] [Revised: 05/21/2019] [Accepted: 05/22/2019] [Indexed: 01/10/2023]
Abstract
The aim of the study was to evaluate the performance of six commercially available universal dental adhesives: Adhese Universal (ADU), All-Bond Universal (ABU), Clearfil Universal Bond Quick (CBQ), G-Premio Bond (GPB), Prelude One (PRO) and Scotchbond Universal (SBU). The properties tested were: (a) degree of C=C conversion (DC%); (b) Vickers micro-hardness (VHN); (c) extent of oxygen inhibition (OI/μm), all related with the adhesive film properties; (d) extent of dentin demineralisation (DM%), insoluble salt formation (AS%); and (e) shear bond strength (SBS, self-etch mode) related to the adhesive-dentin interactions. Statistical analysis (α = 0.05) was performed by one-way ANOVA and Tukey's test (DC%, VHN, OI, DM% AS%) and Weibull analysis (SBS, σ0-β). The DC ranged from 67.2-82.5% (all >GPB), OI from 5.6-18.6 μm (SBU > ADU, GPB, ABU > CBQ > PRO), microhardness from 1.1-6.6 VHN (SBU > ADU > ABU > CBQ > PRO > GPB: not measurable), DM from 69.3% (GPB) to 16-12.5% (CBQ, SBU, ADU) and 13.2-10.6% (ABU, ADU, PRO), in homogeneous groups and AS from 26-15.9% (ABU, CBQ > GPB, PRO, ADU, SBU). For SBS the σ0 (characteristic life) ranged from 29.3-16.6 MPa (CBQ, ADU, ABU, SBU > PRO > GPB), the β (reliability) from 5.1-9.7 (p > 0.05). All failure modes were of mixed type (adhesive and composite cohesive). Although all these adhesives were based on the 10-methacryloyloxydecyl dihydrogen phosphate (10-MDP) adhesive monomer, the different co-monomers, solvents and catalysts led to variations in their film properties, reactivity and bonding capacity with dentin.
Collapse
Affiliation(s)
- Dimitris Papadogiannis
- Department of Biomaterials, School of Dentistry, National and Kapodistrian University of Athens, 115 27 Athens, Greece.
| | - Maria Dimitriadi
- Department of Biomaterials, School of Dentistry, National and Kapodistrian University of Athens, 115 27 Athens, Greece.
| | - Maria Zafiropoulou
- Department of Biomaterials, School of Dentistry, National and Kapodistrian University of Athens, 115 27 Athens, Greece.
| | | | - George Eliades
- Department of Biomaterials, School of Dentistry, National and Kapodistrian University of Athens, 115 27 Athens, Greece.
| |
Collapse
|
26
|
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.
Collapse
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
| |
Collapse
|
27
|
Go EJ, Shin Y, Park JW. Evaluation of the Microshear Bond Strength of MDP-containing and Non-MDP-containing Self-adhesive Resin Cement on Zirconia Restoration. Oper Dent 2018; 44:379-385. [PMID: 31216246 DOI: 10.2341/18-132-l] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
OBJECTIVES The purpose of this study was to measure the microshear bond strength (μSBS) of four different self-adhesive resin cements with/without 10-methacryloyloxydecyl dihydrogen phosphate (MDP)-containing primer to zirconium ceramics and to evaluate the effect of zirconia primers on these self-adhesive resin cements (SARCs). METHODS AND MATERIALS Zirconia blocks (20 × 20 × 8 mm3) were prepared and divided into eight groups (n=20). They were sandblasted (50 μm Al2O3) and treated as follows: no primer or primer (Z-Primer Plus). Four self-adhesive resin cements (MDP-containing: Permacem 2.0 [PC], Clearfil SA luting [CS]; non-MDP-containing: Rely-X U200 [RU], Maxcem Elite [ME]) were bonded to the zirconia surface. After thermocycling, a μSBS test was performed. The failure mode was analyzed using light microscopy. Statistical analysis of μSBS was performed using one-way analysis of variance and two-sample t-test with post hoc Tukey test. The loss rate was evaluated using the Fisher's exact test and χ2 test with post hoc Tukey test (p<0.05). RESULTS Within the no primer groups, the PC and CS groups showed higher bond strength than the RU and ME groups. Comparing the μSBS of the no primer and primer groups in the same SARCs, the RU/P group was higher than the RU group, and the ME/P group was higher than the ME group. No significant difference was observed between the PC and PC/P groups and between the CS and CS/P groups. CONCLUSIONS Non-MDP-containing SARC showed the increased bonding value with MDP-containing primer to zirconia ceramics. The bond strength of MDP-containing SARCs was not affected significantly by the use of zirconia primer.
Collapse
|
28
|
TRIBST JPM, PIVA AMDODAL, BORGES ALS, BOTTINO MA. Influence of crown and hybrid abutment ceramic materials on the stress distribution of implant-supported prosthesis. REVISTA DE ODONTOLOGIA DA UNESP 2018. [DOI: 10.1590/1807-2577.04218] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Abstract Introduction A new dental implant-abutment design is available with the possibility of improving aesthetic with no compromise of mechanical strength, using perforated CAD/CAM ceramic blocks. Objective This study evaluated the influence of crown and hybrid abutment ceramic materials combination on the stress distribution of external hexagon implant supported prosthesis. Method Zirconia, lithium disilicate and hybrid ceramic were evaluated, totaling 9 combinations of crown and mesostructure materials. For finite element analysis, a monolithic crown cemented over a hybrid abutment (mesostructure + titanium base) was modeled and screwed onto an external hexagon implant. Models were then exported in STEP format to analysis software, and the materials were considered isotropic, linear, elastic and homogeneous. An oblique load (30°, 300N) was applied to the central fossa bottom and the system’s fixation occurred on the bone’s base. Result For crown structure, flexible materials concentrate less stress than rigid ones. In analyzing the hybrid abutment, it presented higher stress values when it was made with zirconia combined with a hybrid ceramic crown. The stress distribution was similar regarding all combinations for the fixation screw and implant. Conclusion For external hexagon implant, the higher elastic modulus of the ceramic crowns associated with lower elastic modulus of the hybrid abutment shows a better stress distribution on the set, suggesting a promising mechanical behavior.
Collapse
|
29
|
Dos Santos AF, Sandes de Lucena F, Sanches Borges AF, Lisboa-Filho PN, Furuse AY. Incorporation of TiO 2 nanotubes in a polycrystalline zirconia: Synthesis of nanotubes, surface characterization, and bond strength. J Prosthet Dent 2018; 120:589-595. [PMID: 29627219 DOI: 10.1016/j.prosdent.2017.10.027] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2017] [Revised: 10/28/2017] [Accepted: 10/30/2017] [Indexed: 10/17/2022]
Abstract
STATEMENT OF PROBLEM Despite numerous advantages such as high strength, the bond of yttria-stabilized tetragonal zirconia polycrystal (Y-TZP) to tooth structure requires improvement. PURPOSE The purpose of this in vitro study was to evaluate the incorporation of TiO2 nanotubes into zirconia surfaces and the bond strength of resin cement to the modified ceramic. MATERIAL AND METHODS TiO2 nanotubes were produced by alkaline synthesis, mixed with isopropyl alcohol (50 wt%) and applied on presintered zirconia disks. The ceramics were sintered, and the surfaces were characterized by confocal laser microscopy, scanning electron microscopy (SEM), and energy-dispersive X-ray spectroscopy (EDS) analysis. For bond strength, the following 6 groups (n=16) were evaluated: without TiO2 and Single Bond Universal; with TiO2 nanotubes and Single Bond Universal; without TiO2 nanotubes and Z-prime; with TiO2 nanotubes and Z-prime; without TiO2 and Signum Zirconia Bond; with TiO2 and Signum Zirconia Bond. After sintering, resin cement cylinders, diameter of 1.40 mm and 1 mm in height, were prepared and polymerized for 20 seconds. Specimens were stored in water at 37°C for 30 days and submitted to a shear test. Data were analyzed by 2-way ANOVA and Tukey honest significant difference (α=.05) tests. RESULTS EDS analysis confirmed that nanoagglomerates were composed of TiO2. The shear bond strength showed statistically significant differences among bonding agents (P<.001). No significant differences were found with the application of nanotubes, regardless of the group analyzed (P=.682). The interaction among the bonding agent factors and addition of nanotubes was significant (P=.025). CONCLUSIONS Nanotubes can be incorporated into zirconia surfaces. However, this incorporation did not improve bond strength.
Collapse
Affiliation(s)
- Angélica Feltrin Dos Santos
- Doctoral student, Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil
| | - Fernanda Sandes de Lucena
- Doctoral student, Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil
| | - Ana Flávia Sanches Borges
- Assistant Professor, Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil
| | | | - Adilson Yoshio Furuse
- Assistant Professor, Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil.
| |
Collapse
|