Effect of self-etching ceramic primer on the bond strength of feldspathic porcelain repair

The purpose of this study was to evaluate the effect of a self-etching primer on the bond strength of feldspathic porcelain with composite resin. Forty-eight feldspathic porcelain specimens (13 mm × 13 mm × 2 mm) were sectioned from CAD/CAM blocks. Specimens were randomly divided into 4 groups (n = 12) as regards to surface treatment method; HF acid etching (HFE), Monobond Etch and Prime (MEP), sandblasting (SB), and MEP + SB. After silane application for group HFE and SB, an adhesive bond was used as a bonding agent in all groups. Composite resin cylinders were build up onto the specimens. Specimens were stored in distilled water, thermocycled 5–55 °C for 5500 cycles, and subjected to shear bond strength (SBS) test in a universal testing machine. Data were statistically analyzed by Kruskal-Wallis and Mann Whitney U test (α=.05). Type of failures was evaluated under optical microscopy and surfaces were examined by SEM at ×500 and ×2500 magnifications. There was a significant difference among groups. (p = .019) HF group had the highest mean SBS value (17.54 ± 2.98 MPa) which was significantly higher than other groups (p<.05). Followed by the MEP + SB group (14.68 ± 3.41 MPa), SB group (13.98 ± 3.34 MPa) and MEP group (12.75 ± 2.33 MPa). Nevertheless, the HFE group significantly has higher SBS value than other groups all of the tested surface treatment methods have reached the convenient bond strength values for repair. Although MEP showed clinically acceptable SBS values, further researches with another type of porcelains should be tested.     

Effect of ceramic surface treatments on the bond strength of different composite resins

This study was aimed to observe the relationship between the different surface treatments and the bond strength of both composite based adhesive cement and zirconia ceramic. Thirty-two zirconia ceramic discs were fabricated by following the instructions of manufacturer (5 × 5 × 1.5 mm). Four subgroups were obtained from the specimens according to the specified surface treatments respectively: (a) C: control groups: no treatment; (b) SB: sandblasting with 125 μm aluminum oxide particles for 10 s; (c) SC: silica coating for 10 s; (d) Nd :YAG laser . The composite resin specimens Panavia F and Clearfil SA were introduced and polymerized to the treated bonding areas. Afterwards the specimens were stored in distilled water at 37 °C during 24 h, and the shear test was applied. The data were statistically analyzed by ANOVA and Duncan tests. The bond strength was stated significantly higher in silica coating/Panavia F group (23.35 MPa). The lowest bond strength was stated in control groups cemented with Clearfil SA (12.25 MPa). As a result it was determined that the bond strength has affected the both surface treatments and cement types (p < 0.001). The silica coating –treated zirconia ceramic recorded a significant increase in mean bond strength values.     

Influence of Surface Nano-roughness of Dental Alumina Ceramic on Bond Strength to Dual-Cure Resin Cements

The goal of this research is to evaluate the effect of sandblasting and silica coating on the nano-roughness and on the microtensile bond strength (MTBS) of glass-infiltrated alumina bonded to different resin cements. Six slabs of In-Ceram Alumina (Vita) were randomly treated according to the following groups: (1) no treatment; (2) sandblasting (125 μm Al₂O₃-particles); and (3) tribochemical silica-coating (50 μm silanated silica particles). Nano-roughness (Ra) was assessed under an atomic force microscope (AFM). Such surface treatments were also applied to nine In-Ceram Alumina CAD/CAM blocks. Ceramic blocks were duplicated in composite resin, and composite samples were bonded to the conditioned surfaces. Each pre-treatment group was divided into three subgroups depending on the resin cement system: (1) Clearfil Ceramic Primer plus Clearfil Esthetic Cement (CEC, Kuraray); (2) RelyX Unicem (RXU, 3M); and (3) Calibra Silane plus Calibra Resin Cement (CAL, Dentsply). After 24 h, the bonded specimens were cut into 1±0.2 mm² sticks. The MTBS values (MPa) were obtained using a universal testing machine (crosshead speed: 0.5 mm/min). Failure modes were recorded using a scanning electron microscope (SEM). Nano-roughness and MTBS data were analyzed by ANOVA and Student–Newman–Keuls tests (α =0.05). No significant changes in nano-roughness occurred after conditioning. The MTBS of CEC and RXU were comparable despite the surface treatment. All CAL-sticks debonded prematurely. Ceramic pre-treatments, such as sandblasting or silica coating, do not affect the alumina's surface nano-roughness or bond strength. The MDP monomers dissolved in the CEC Primer and the functional dimethacrylate monomers present in the self-adhesive RXU may be the key to successful bonds to alumina.     

Effects of Er,Cr:YSGG laser on repair bond strength of 5-year water-aged and non-aged CAD/CAM ceramics

The aim of this study is to examine the repair bond strength of three different 5-year water-aged and non-aged computer-aided design/computer-aided manufacturing (CAD/CAM) ceramics (leucite-reinforced, lithium disilicate, and feldspathic ceramic) on which four different surface treatments (bur-grinding, sandblasting, acid-etching, and laser irradiation) have been applied with composite resin. Note that 360 ea. samples have been attained from CAD/CAM blocks. Each CAD/CAM ceramic has been randomly separated into two sub-groups depending on aging procedure. The designed 5-year water-aged and non-aged samples have been separated into four sub-groups. Ceramic surfaces were repaired then the samples have been placed into shear test device. Three-way variance analysis has been used in the comparison of the repair bond strengths depending on the ceramic type, surface treatment, and aging. Results have revealed that the repair bond strength values show differences depending on CAD/CAM ceramic type, surface treatment, and the aging of the surface (p < .001). While the aged and laser-irradiated feldspathic CAD/CAM ceramics showing the highest shear bond strength, the lowest shear bond strength values were in aged and bur-grinded feldspathic CAD/CAM ceramics. Irradiation with erbium chromium: yttrium scandium gallium garnet (Er,Cr:YSGG) laser has significantly increased the repair bond strength in leucite-reinforced and feldspathic CAD/CAM ceramics, acid-etching is suggested surface treatment for the lithium disilicate CAD/CAM ceramics.     

Effects of surface treatments on the bond strength of composite resin to hybrid computer-assisted design/manufacturing blocks

The aim of this study was to evaluate the repair bond strength of a dimethacrylate-based composite to two hybrid CAD/CAM blocks after different surface treatments. One hunded and twenty specimens were prepared from two different CAD/CAM blocks (Lava Ultimate (L), Cerasmart (C)). After thermal aging, specimens from each group (n?=?60) were divided into 6 treatment groups (n?=?10): (1) No treatment (2) Phophoric acid (37%) for 60?s, (3) Hydrofluoric acid (8%) for 60?s, (4) Sanblasting with 50-µm aluminium oxide (5) Er,Cr:YSGG laser treatment at 2?W and (6) Er,Cr:YSGG laser treatment at 3?W. Single Bond Universal was applied on all specimens and a dimethacrylate-based composite (Tetric N-Ceram) was bonded using Teflon tubes. After thermal cycling, shear bond strength (SBS) was tested, and failure modes were evaluated. Two-way ANOVA and independent t-test were used for statistical analysis (p?<?0.05). The highest SBS values were detected at Er,Cr:YSGG laser treatment groups (3W) (L:22.7?MPa, C:22.6?MPa). Lowest SBS values were obtained at no surface pretreatment groups followed by phophoric acid treatment groups which were significantly lower than sandblasting, hydrofluoric acid treatment and Er,Cr:YSGG laser treatment groups (p?=?0.001). The universal adhesive Single Bond Universal had no effect on promoting bond strength to hybrid ceramics alone or with phosphoric acid. Sandblasting, hydrofluoric acid and laser treatment were effective at increasing repair bond strength, for both Lava Ultimate and Cerasmart.     

Bond strengths of bulk-fill resin composite repairs: effect of different surface treatment protocols in vitro

To evaluate the effect of different surface treatment protocols on the microtensile bond strength (μTBS) of bulk-fill resin composite repairs. Thirty-five bulk-fill resin composite samples (Filtek Bulk Fill) were prepared (5 × 5 × 5 mm) and aged by thermocycling (X5000). Samples were randomly divided into five groups (n = 7): a control (no treatment) and four surface treatment groups (Single Bond Universal [SBU]; phosphoric acid (37%) + SBU; Er,Cr:YSGG laser + SBU; aluminum oxide sandblasting + SBU). Filtek Ultimate Universal composite was used as a repair material. After storage for 24 h in distilled water (37 °C), sticks were obtained and subjected to a μTBS test. The data (MPa) were analyzed by one-way ANOVA with a post hoc test (α = 0.05). Failure mode was evaluated using a light microscope (10×). There were significant differences between the groups (p < 0.05). The lowest bond strength values were obtained in the control group (p < 0.05). No significant difference was observed between Group II (universal adhesive) and Group III (acid etch + universal adhesive) (p > 0.05). The bond strength of Group II was significantly lower than that of the other surface treatment groups (p < 0.05). While Group III showed significantly lower values than those of the laser treatment group (Group IV), similar values were obtained with Al₂O₃ sandblasting group (Group V). The highest repair bond strength was obtained in Group IV (p < 0.05) which was not significantly different from the Al₂O₃ sandblasting group (p > 0.05). The predominant failure mode was adhesive. Treatment of aged bulk-fill resin composite surfaces with laser and Al₂O₃ sandblasting provided higher repair bond strength values.     

The effect of different cementing strategies and adhesive interface aging on microtensile bond strength (μTBS) of lithium disilicate ceramics to dentin

This study evaluated the effect of different cementing strategies and adhesive interface aging on microtensile bond strength (μTBS) of lithium disilicate ceramic (IPS e.max CAD) to dentin. Forty coronal dentin fragments were randomly assigned to four groups according to the cementing strategy used to bond lithium disilicate ceramic to coronal dentin surface (n = 10): U200 (self-adhesive resin cement (RC) RelyX U200®/3 M ESPE), SBU (single-step self-etching adhesive system (AS) Single Bond Universal®/3 M ESPE + RelyX ARC®/3 M ESPE RC), AdperSB (two-step etch-and-rinse AS Single Bond 2®/3 M + RelyX ARC®/3 M ESPE RC) and Scotchbond (three-step etch-and-rinse AS Scotchbond Multi-Purpose®/3 M + RelyX ARC®/3 M RC). After 48 h, the ceramic-tooth blocks were sectioned perpendicular to the adhesive interface in the form of sticks and randomly subdivided into two groups according to when they were to be submitted to μTBS testing: immediately or 6 months after storage in water. Some sticks were kept for analysis of the adhesive interface by scanning electron microscopy (SEM). The μTBS test was performed in a universal testing machine (0.5 mm/min). The data (MPa) were analyzed using split-plot ANOVA and Tukey’s test (α = 0.05). Water storage decreased μTBS in all cementing strategies. The μTBS was greatest in the Scotchbond group and lowest in the U200 group, at both storage times. No signs of interface degradation were detected under SEM after water storage. In conclusion, water storage decreased bond strength, regardless of the adhesive cementation strategy, and that the three-step adhesive system/dual-cure resin cement ultimately performed better in terms of bond strength.     

Influence of post-etch cleaning and silane heat treatment on resin bond strength to silica-based leucite: an in vitro study

Adhesive cementation of bonded all-ceramic restorations is critical for their long-term clinical performance. The objective of this study was to evaluate the role of post-etch cleaning (PEC) and silane heat treatment on the micro-tensile bond strength of silica-based leucite (SBLE) ceramic when bonded to composite resin. Twenty-four blocks of SBLE ceramic (HeraCeram Press®, Heraeus Kulzer GmbH Grüner Weg 11 63450 Hanau) were fabricated and bonding surfaces were etched using 9.5% hydrofluoric acid. Six experimental groups were made from the various surface treatment combinations including: PEC (37.5% phosphoric acid for 1 min, rinsed with water for 20 s and ultrasonic bath immersion), silane application and silane heat treatment (100 °C for 5 min). An adhesive resin and a light-cured restorative composite were used to bond the ceramic and composite resin blocks under standard conditions. Three hundred and sixty specimen sticks (8 × 1 mm²) were subjected to micro-tensile testing. The means of the micro-tensile bond strength (μ-TBS) were analysed with ANOVA and Tukey–Kramer multiple comparison test. The specimens tested were assessed for mode of failure using scanning electron microscopy. The highest μ-TBS value (38.25 ± 3.40 MPa) of the specimen was achieved by PEC and heated silane. PEC and silane application showed statistically significant improvements in the μ-TBS (p < 0.01). The mean maximum difference was due to PEC (18.91 ± 3.70 MPa). In the surface treatment of SBLE ceramics, PEC had the most significant factor which affected the μ-TBS of resin composite.     

Effect of an Er,Cr:YSGG laser preparation on dentin bond strength of a universal adhesive

The aim of this study was to evaluate the bond strength of a universal adhesive system to dentin prepared with SiC paper or an Er,Cr:YSGG laser using different bonding strategies (etch-and-rinse versus self-etch mode). Ninety-six extracted caries-free, sound human molars were used. The teeth were longitudinally sectioned in the mesiodistal direction and were wet polished with 600-grit SiC paper to obtain a standardized flat dentin surface. All prepared teeth were randomly divided into two groups, according to the surface preparation method: GroupI:an erbium, chromium:yttrium,scandium, gallium, garnet laser; Group II: silicon carbide paper[SiC] (n = 48). Each group was then assigned into three subgroups according to the universal adhesive’s (Single Bond Universal) bonding strategies: (a) etch-and-rinse mode with phosphoric acid, (b) etch-and-rinse mode with a laser, (c) self-etch mode (n = 16). For surface preparation, the Er,Cr:YSGG laser was used at 3 W, 30 Hz with 140 μs pulse duration for 25 s. For etching mode, the laser was used at 1.5 W (60% air, 70% water). Cylinders of composite were fabricated on the bonding area and shear bond strength was determined using a universal testing machine. Failure modes were evaluated using a stereomicroscope. The data were analyzed using two-way ANOVA followed by the Bonferroni test (p < 0.05). Bonding strategies showed statistically significant differences in both the SiC-and laser-prepared groups (p < 0.05).Universal adhesive used in etch-and-rinse mode with acid showed significantly higher bond strength values than in self-etch mode (p < 0.05). The bond strength values did not differ according to the surface preparation method (p > 0.05). Irrespective of preparation method, using universal adhesive in etch-and-rinse mode with acid might improve dentin bond strength. Laser preparation did not affect the bond strength of the universal adhesive tested.     

Effect of cigarette smoking on the bond strength between resin cement and dental CAD/CAM ceramics

Although the effects of cigarette smoking on several dental problems have been widely studied, the association between tobacco exposure and resin-ceramic bonding is rarely reported. This study investigated the resin-ceramic adhesion (shear bond strength, SBS) and associated risk factors on three selected dental CAD/CAM ceramics using a novel model to simulate the exposure to cigarette smoking. Specimens from IPS e.max® CAD, Vitabloc® Mark II for Cerec and Zirconia Cercon were prepared and treated using silicacoating and silane. A layer of resin cement was applied on the treated ceramic surfaces and light activated. Specimens were placed in a chamber and challenged with various numbers of cigarettes (0, 1, 5, 10, and 15). Then, the specimens were subjected to SBS test and fractured surfaces were examined using scanning electron microscopy (SEM) and energy-dispersive X-ray spectrometry (EDX) to determine the failure mode and surface composition. Overall, the mean SBS of IPS e.max^® CAD (9.6 ± 3.4 MPa), Vitabloc^® Mark II for Cerec (9.3 ± 2.5 MPa) and Zirconia Cercon (8.7 ± 3.0 MPa) did not show any statistical significant difference (p = 0.192 > 0.05), such that the adhesion of resin bonded to glass-based ceramics (IPS e.max® CAD and Vitabloc® Mark II for Cerec) decreased with cigarette smoke exposure, but increased for the resin bonded to zirconia ceramic (Zirconia Cercon). Furthermore, the number of cigarettes has a statistically significant effect on the SBS (p = 0.001), such that in general 5 cigarettes yielded the lowest mean SBS (7.6 ± 2.1 MPa). SEM-EDX analyses showed mostly adhesive failures in all experimental groups with changes in surface morphology and chemical composition after smoking challenge. Cigarette smoking produces a different effect on resin-ceramic bonding depending on ceramic type that may be due to chemical reactions in the bonding interface and changes in temperature and moisture. Further work should explore the mechanism to which cigarette smoke affects the resin-ceramic bonding and its clinical relevance.     

Effect of Different Surface Treatment Methods on Micro-Shear Bond Strength of CAD-CAM Restorative Materials to Resin Cement.

This study aimed to investigate the micro-shear bond strength (μSBS) of surface treated CAD-CAM materials to resin cement. The specimens obtained from IPS e.max CAD, Lava Ultimate, Cerasmart and Vita Enamic were divided according to the surface treatment method applied as: no treatment, 3W and 2W Er, Cr:YSGG laser irradiation, sandblasting and 5% hydrofluoric acid (HF) application. Then, μSBS and field emission-scanning electron microscope analysis were performed. Data were analyzed using the Mann Whitney U and the Kruskal Wallis tests. For all materials, the highest μSBS values were demonstrated in HF acid applied groups. Regarding the μSBS values of IPS e.max CAD, no significant differences were found among control, 2W Er, Cr:YSGG laser and sandblasting groups (p?>?0.05). For Cerasmart and Lava Ultimate; 2W Er, Cr:YSGG laser treated group showed significantly lowest μSBS values while there was no significant difference among control, 3W Er, Cr:YSGG and sandblasting groups. HF applied Lava Ultimate and IPS e.max CAD groups exhibited the highest μSBS values among all the groups. For Vita Enamic; significantly lowest μSBS values were obtained in sandblasting group, whereas there was no significant difference among control, 3W Er, Cr:YSGG and 2W Er, Cr:YSGG groups (p?>?0.05). The FE-SEM images of all CAD-CAM materials submitted to surface treatment revealed an increase in surface alterations compared to control groups. It can be concluded that prior to bonding 5% HF acid treatment is the best surface treatment method regarding the bond strength for all CAD-CAM restorative materials. Er, Cr:YSGG laser application with energy level of 3W can be recommended for IPS e.max CAD.     

Bond strength and durability of universal adhesive agents with lithium disilicate ceramics: A shear bond strength study

The aim was to assess the shear bond strength (SBS) of lithium disilicate (LD) ceramic to resin composite with different universal adhesives, duration of ageing and silane. One hundred and twenty LD ceramic discs were processed, fired and etched (HF acid 5%) for 20 s (sec). All specimens were divided into 12 groups (n = 10), based on different combinations of, 3 different universal adhesives [Scotchbond (SB) Universal Adhesive, All-Bond (AB) Universal, and Futurabond U (FU)], silane and different duration of ageing [24 h and 3 months]. Composite resin cylinders (Tetric ceram) (3mm × 2 mm) were formed using bonding jig on ceramic and were light-cured. The specimens in groups 1–6 and 7–12 were stored in distilled water (37 °C) for 24 h and 3 months (thermocycling -5000 cycles 5–55 °C/30 s dwell time) before being subjected to bond strength testing respectively. Using universal testing machine shear bond test was performed at a crosshead speed of 1 mm/min. Failure modes and fracture patterns were assessed using stereomicroscope and scanning electron microscope. Analysis of variance was performed to analyze data. SBS was significantly higher with silane than without silane (p < 0.01), regardless of the type of adhesive or storage duration. Specimens tested at 24 h storage showed significantly higher (p < 0.01) SBS than specimens tested after 3-months. A comparison among different universal adhesives showed significantly distinct bond strength (p < 0.01). Optimal bonds to LD were achieved by application of silane. While ageing through storage had a negative impact on the SBS, it varied among different adhesives.     

Effects of cavity disinfectants on bond strength of an etch-and-rinse adhesive to water- or ethanol-saturated sound and caries-affected dentin

Objective: To evaluate the effect of cavity disinfectants on the immediate microtensile bond strength (μTBS) of an etch-and-rinse adhesive to water- and ethanol-saturated sound and caries-affected dentin (CAD). Material and Methods: Thirty-six human molars were sectioned to expose 1/3 of the mid-coronal dentin surface. Sound (n = 18) and CAD (n = 18) specimens were divided into six groups each (n = 3): one positive control (sound), one negative control (CAD), and five experimental groups each. In the control group, dentin surfaces were bonded using an etch-and-rinse adhesive with a traditional water-wet bonding technique. In the experimental groups, ozone was applied before etching and chlorhexidine after etching. In the ethanol-wet bonding groups, acid-etched dentin surfaces were treated with ethanol. Following adhesive application and composite buildups, bonded specimens were sectioned to form sticks. Failure modes were analyzed using a stereomicroscope. Results: The water-wet bonded sound control group yielded the highest μTBS among all groups (p < 0.001). The lowest μTBS values were observed in the ozone groups (p < 0.05). The ethanol-wet bonded CAD group exhibited a higher μTBS than the water-wet bonded negative controls. Although compared to the positive control, chlorhexidine decreased the μTBS (p < 0.05), an increase with no significant difference was observed in the negative control (p > 0.05). Conclusions: The μTBS values of CAD were lower than those of sound dentin. Ethanol-wet bonding improved the μTBS of CAD. Ozone application reduced the μTBS in both sound and CAD; chlorhexidine improved the immediate μTBS after etching in CAD.     

Removal of temporary cements following an immediate dentin hybridization approach: a comparison of mechanical and chemical methods for substrate cleaning

This study evaluated the microshear bond strength (μSBS) of a composite resin cement to a pre-hybridized dentinal substrate exposed to two kinds of temporary materials; the influence of different cleaning techniques was investigated. Dentinal surfaces were conditioned with an etch-and-rinse adhesive system to obtain an immediately-sealed (IDS) layer. Each surface was divided into quadrants and covered (1) with an eugenol-free (NE_Group) or (2) with a resin-based provisional agent (CL_Group). After storage, the temporary cement was removed by using one of the following methods: (1) Hand-scaler [S]; (2) Alumina air-abrasion [SB]; (3) Glycine-powder air-abrasion [Gly]; (4) D-Limonene chemical solvent [Or]. A new IDS layer was then created; polyethylene tubes were placed on dentin surfaces and filled with a dual-cure resin cement. A universal testing machine was used for the μSBS tests; conditioned surfaces were analyzed at SEM. Means and SD were calculated; a two-way ANOVA (a: 0.05) was performed to detect significant differences among groups. For NE groups, mean μSBS values (MPa) were: 21.6 ± 6.6 [NE_NoT]; 20.7 ± 4.5 [NE_Or]; 20.1 ± 6.6 [NE_SB]; 19.1 ± 5.3 [NE_S]; 17.8 ± 2.2 [NE_Gly]. No significant differences were found among tested treatments within NE (p: 0.5493). For CL groups, mean μSBS values (MPa) ranged from 15.8 ± 2.8 (CL_S50) to 19.4 ± 2.9 (CL_Gly). Cleaning of the substrate with glycine air-abrasion statistically improved μSBS values with respect to aluminum-oxide (CL_SB: 15.8 ± 2.8) or scaling (CL_S: 16.0 ± 2.4). The application of the IDS technique was effective for preservation of freshly-cut dentin from adverse effects of temporary materials. Glycine air-abrasion is suggested when a temporary resin cement is adopted.     

Immediate and delayed repair bond strength of a new ormocer resin restorative material as a function of mechanical and chemical surface conditioning methods

This study evaluated the μ-shear repair bond strength (μSBS) of a new ormocer restorative material as a function of repair time and repair protocol. Ormocer disks (N = 140) (Admira Fusion, Voco) were prepared and divided into 14 groups: Factor 1: Bonding protocol (No Conditioning, Admira Bond, Futurabond M+, Silane/Admira bond, Silane/Futurabond M+, Ceramic repair system, Silane/Cimara bond) and Factor 2: Repair procedure time (immediate versus delayed). Each disk received two ormocer micro-cylinders. Half of the disks were repaired immediately (24 h) and the other half after six-month water storage. Shear test was run at cross-head speed of 0.5 mm/min. Debonded specimens were evaluated for failure mode and SEM analysis was performed. Data were analyzed using two-way ANOVA and Tukey’s tests (p < 0.05). Both the repair time and the surface conditioning method showed a significant effect on the repair μSBS (MPa) of the ormocer material (p = 0.000). When immediate repair strengths were considered, all repair protocols tested reached the mean bond achieved based on oxygen-inhibited layer (10.8 ± 2.4 MPa), except. Futurabond M+(13.9 ± 3.4) and Silane/Cimara adhesives (16.3 ± 2.9) showed significantly higher μSBS (p = 0.001 and p = 0.000, respectively). For the delayed repair, non-conditioned (5 ± 1.7), showed significantly lower values compared to those of the other protocols (p < 0.05). Failure modes were predominantly adhesive type (immediate:95% and delayed:90%). No cohesive failures were observed either in the substrate or in the repair material.     

Adhesion of metal brackets to glassy matrix and hybrid CAD/CAM materials after different physico-chemical surface conditioning

This study compared the adhesion of metal brackets bonded to different CAD/CAM materials after various surface conditioning methods. CAD/CAM blocks (N = 204, n = 17 per group) of (a) VITA Mark II (VM), (b) IPS e.max CAD (IP), (c) Lava Ultimate (LU), and (d) VITA ENAMIC (VE) were conditioned with one of the following methods: C-Control: (fine diamond bur); CJ: (fine diamond bur + air-abrasion with 30 μm SiO₂ + silane), and HF: (fine diamond bur +9.5% hydrofluoric acid + silane). Metal brackets were bonded to the conditioned surfaces of the specimens, stored in artificial saliva for 24 h at 37 °C and thermocycled (×1000). Subsequently, the brackets were debonded under shear in a Universal Testing Machine (1 mm/min). Failure types were analyzed under scanning electron microscope. Data were analyzed using two-way ANOVA and Tukey’s tests (α = 0.05). Two-parameter Weibull distribution values, including the Weibull modulus, scale, and shape, were calculated. Mean bond strength (MPa) values were significantly affected by the surface conditioning method (p < 0.001) but not the CAD/CAM material type (p = 0.052). Bond strengths for all CJ and HF-conditioned specimens were twofold higher (11.83 ± 1.95 ? 9.44 ± 1.63) than those for control specimens with all materials (4.73 ± 0.93 ? 6.02 ± 0.69). Lower mean values were obtained in LU-CJ (9.78 ± 1.61) and LU-HF (9.44 ± 1.63) than those for other groups (11.83 ± 1.95 ? 10.93 ± 1.33) groups (p < 0.05). Weibull distribution showed higher shape values for VM-CJ (11.26) and VM-HF (8.87) than those for other groups (0.82–1.83). In control groups, exclusively adhesive and after conditioning mainly mixed failures were observed. Chairside silica coating or HF conditioning significantly improved metal bracket adhesion to both glassy matrix and hybrid CAD/CAM materials tested, with the most reliable adhesion being observed for feldspathic ceramic.     

The effect of different surface pretreatments on the bond strength of veneering resin to polyetheretherketone

The aim of this study was to investigate the effect of different surface pretreatment methods on the bond strength of veneering resin to polyetheretherketone (PEEK) based aesthetic frameworks. Five hundred and forty PEEK disks were fabricated and divided into 6 pretreatment groups (n = 90); (C) untreated control group, (B) airborne-particle abrasion, (S) silica coating, (L) etching with Er:YAG (erbium-doped yttrium aluminium garnet) laser, (LB) etching with Er:YAG laser and airborne-particle abrasion and (LS) etching with Er:YAG laser and silica coating. After topographical surface examinations, specimens were conditioned with adhesive and veneering resin was polymerized onto the PEEK specimens. Twenty-four hours after veneering, specimens were subjected to thermal aging. Afterwards, shear bond strength (SBS) tests were performed and the obtained data were analyzed with one-way ANOVA and Tukey test at a significance level of α = .05. Group B (1.58 ± 0.15 μm), Group L (1.79 ± 0.29 μm), Group LB (2.20 ± 0.23 μm) and Group LS (2.31 ± 0.52 μm) demonstrated significantly higher surface roughness (SR) values compared to Group C (1.03 ± 0.11 μm). Group B (10.97 ± 2.88 MPa), Group S (12.07 ± 2.82 MPa), Group LB (12.09 ± 2.08 MPa) and Group LS (13.14 ± 1.45 MPa) demonstrated significantly higher SBS values compared to Group C (6.35 ± 1.21 MPa). Airborne-particle abrasion, silica coating or their combined use with Er:YAG laser system establish durable bond between PEEK and resin; however, only Er:YAG laser treatment has no positive effect on resin-PEEK bond.     

Effect of experimental primers on hydrolytic stability of resin zirconia bonding

This study assessed the effect of experimental silane primers and two adhesive resin cements on resin zirconia adhesion strength. The surfaces of cut Y-TZP zirconia blocks (Lava? Frame), 16 mm × 16 mm × 4.5 mm, were pretreated twice. First, they were grit-blasted with Korox? alumina powder (110 μm) followed by silica-coating with Rocatec? Soft. Next, the blocks were randomly assigned into eighteen sub-groups (n = 6, N = 108) according to three primers (control ESPE Sil?, 1.0 vol.-% 3-acryloxypropyltrimethoxysilane, and 1.0 vol.-% 3-acryloxypropyltrimethoxysilane + 0.5 vol.-% bis-12-(triethoxysilyl)ethane), two in dentistry used resin cement products (Multilink? Speed, and Multilink? N), and three storage conditions (24 h dry, 1 month immersed in distilled water, and 6 months immersed in distilled water at room temperature) used. Onto each pretreated zirconia block, four cylindrical resin composite cement stubs were prepared and light-cured. The surface roughness, contact angle, and adhesion (shear bond) strength (SBS) were measured, and statistically analyzed (ANOVA, the Tukey’s test, p < 0.05). No statistical differences were observed in surface roughness values of different primer-treated zirconia groups. After six months of water aging, the shear bond strength of the groups that employed 1.0 vol.-% 3-acryloxypropyltrimethoxysilane (9.0 MPa ± 0.8 MPa), and the blend of 1 vol.-% 3-acryloxypropyltrimethoxysilane + 0.5 vol.-% bis-12-(triethoxysilyl)ethane (8.9 MPa ± 2.0 MPa) with Multilink? Speed resin composite cement were statistically insignificantly higher compared to using ESPE Sil? (8.7 MPa ± 1.8 MPa). The experimental primers may have potential to be used for long-term resin zirconia adhesion.     

Evaluation of effects of non-thermal plasma treatment on surface properties of CAD/CAM materials

The purpose of this in vitro study was to evaluate the effect of the non-thermal plasma (NTP) treatment on the wettability and surface roughness of different types of CAD/CAM materials as well as the shear bond strength (SBS) of adhesive resin cement to the treated surfaces. Three different materials, namely; resin nano ceramic, feldspathic ceramic and poly(methyl methacrylate) (PMMA)-based samples were treated with NTP for different time points to evaluate the effect of NTP treatment on the surface properties of CAD/CAM materials. Moreover, surfaces of CAD/CAM materials were visualised with scanning electron microscopy (SEM). A 90-second NTP treatment time was determined as the optimum time for the highest measured wettability, and thus, the 90-second NTP treated samples were used for the SBS test and evaluation of the failure types. Our results revealed the NTP treatment lowered the contact angles and increased the roughness of all tested materials. Moreover, The NTP treatment significantly enhanced the SBS of resin nano ceramic and feldspathic ceramic-based materials. NTP could be considered as a novel pre-treatment method to improve surface properties and the bonding performance of ceramic-based CAD/CAM materials.     

Shear bond strength of bis-acryl resin provisional material repaired using a flowable composite

This study investigated the shear bond strength of a bis-acryl composite repaired with a flowable composite after different surface treatments. Sixty standardized cylindrical silicone molds were filled with bis-acryl resin provisional material and then divided into six groups (n = 10 per group) to undergo different surface treatments. After a surface treatment had been performed, the flowable composite was injected directly into the cylinder of each specimen, and the specimens were then cured over a 10-mm-thick glass slide for 20 s. The shear bond strength was determined using a universal testing machine at a crosshead speed of 1.0 mm/min by placing a knife-edged blade immediately adjacent and parallel to the adhesive interface between the repair material (flowable composite) and the bis-acryl resin provisional material. The mean shear bond strengths ranged from 8.98 to 17.14 MPa. The highest mean shear bond strength corresponded to the bonding group (17.14 MPa), whereas the air-particle abrasion group exhibited the lowest mean shear bond strength (8.98 MPa). Surface treatment of bis-acryl resins with bonding appears to be a promising approach for improving repair bond strength, and the bonding group exhibited the highest levels of bond strength.