Influence of zirconia surface treatments on resin cement bonding and phase transformation

It evaluated the effects of different zirconia surface treatments on the bond strength of a resin cement to Y-TZP (yttria-stabilized tetragonal zirconia) ceramics, as well as their phase-transformations. 75 blocks (5 mm × 5 mm × 4 mm) of Y-TZP were assigned into five groups (n = 15): (tribochemical silica coating - TBS) zirconia surface was abraded by silica coated alumina particles followed by silanization; (GLZ₁) zirconia surface received the application of a thin layer of low-fusing porcelain glaze, followed by hydrofluoric acid (HF) etching for 1 min; (GLZ₅) glaze application + HF etching by 5 min; (GLZ₁₀) glaze application + HF etching by 10 min; (GLZ₁₅) glaze application + HF etching by 15 min. After etching, all the specimens were washed, dried and silanized. Cylinders of composites (diameter: 3.25 mm; height: 3 mm) were cemented to the Y-TZP blocks using a resin cement. All the specimens were subjected to aging (10,000 thermal cycles and 90 days storage), tested under shear conditions, and finally analyzed by a stereomicroscope (failure analysis). In addition, we also performed topographical and phase transformation analyses of the treated zirconia surfaces. The TBS group presented the highest bond strength value (23.34 MPa). The glazed groups presented low bond values and high prevalences of pretest failures. X-ray diffraction analysis showed a phase transformation for the TBS group (13.14%); however, there was no clear phase change observed for the GLZ groups. From our results, we concluded that tribochemical silica coating is the main Y-TZP surface conditioning for resin bond improvements.     

Shear bond strengths of six different porcelain laminate veneer materials cemented to enamel with two different MDP-containing resin cements

Purpose: To compare the shear bond strengths of six different porcelain laminate veneer (PLV) materials cemented to enamel with two different MDP-containing resin cements. Materials and methods: Totally 120 disc specimens were fabricated with In-Ceram alumina (ICA), Turkom-Cera^TM (TCR), IPS Empress (IPS), IPS Empress-II (IPS2), Finesse (FNS), and Ceramco-3 (CER) ceramic systems (n = 20). Sixty specimens were cemented with self-adhesive resin cement (Clearfil SA), and 60 specimens were cemented with self-etch resin cement (Panavia F2.0) to enamel. Thus, 120 PLV–enamel specimens were assigned to 12 experimental groups (ICA/Pv, ICA/Cf, TCR/Pv, TCR/Cf, IPS/Pv, IPS/Cf, IPS2/Pv, IPS2/Cf, CER/Pv, CER/Cf). Shear force was applied on PLV–enamel interfaces until failure. Obtained data were statistically analyzed with ANOVA and t-tests. Results: Obtained shear bond strength values (SBSV) ranged as follows, respectively; TCR/Cf (7.70 MPa), FNS/Cf (7.57 MPa), TCR/Pv (6.91 MPa), ICA/Pv (5.05 MPa), CER/Pv (4.75 MPa), IPS2/Cf (4.66 MPa), FNS/Pv (4.43 MPa), IPS2/Pv (3.97 MPa), CER/Cf (3.82 MPa), IPS/Pv (3.62 MPa), ICA/Cf (3.59 MPa), IPS/Cf (3.11 MPa). Highest SBSV were obtained in TCR groups (7.70 MPa for TCR/Cf and 6.91 MPa for TCR/Pv) and lowest SBSV were obtained in IPS groups (3.11 MPa for IPS/Cf and 3.62 MPa for IPS/Pv) in both resin cements. No significant bond strength difference was found between two resin cements. Conclusions: TCR groups showed highest SBSV; lowest SBSV were obtained with both IPS PLVs. The resin cement type did not significantly affect the bond strength value of a ceramic type, except for the Finesse system.     

Influence of desensitizing procedures on adhesion of resin cements to dentin

This study evaluated the effect of two desensitizer agents with different contents and Nd:YAG laser irradiation on the shear bond strength (SBS) of adhesive resin cements to dentin. New treatment options of Nd:YAG laser irradiation and tetracalcium phosphate-containing agent applications were compared with routinely used glutaraldehyde-containing agents. One hundred and twenty human, caries-free premolars were embedded in acrylic resin blocks 2 mm below the cementoenamel junction. Buccal surfaces of the teeth were ground to expose dentin. The specimens were randomly assigned into three different surface treatments (desensitizing agents, Nd:YAG laser) and the control, then into three different adhesive resin cement applications (n = 10). Resin cements (Panavia SA cement (PA), Panavia SA cement with Clearfil Universal Bond (PACU), and Multilink N (MN)) were applied to the conditioned teeth surfaces using Teflon tubes. The specimens were thermocycled (5000 cycles, 5–55 ± 1 °C, dwell time 30 s). The SBS test was performed in all groups. The results were submitted to two-way ANOVA and Tukey HSD tests (p < .05). Further, SEM analysis was performed on the dentin surfaces. SBS values were significantly difference among the surface treatment groups and also among adhesive resin cement groups (p < .05). The specimen cemented with PA showed lower SBS values than PACU- and MN-applied specimens. The highest SBS value was obtained in the Nd:YAG laser group which was cemented with PACU cement. The lowest SBS value was obtained in the control group which was cemented with PA cement. In addition, SEM evaluation revealed that desensitizing agents and Nd:YAG laser occluded dentin tubules.     

Effect of different ceramic primers on shear bond strength of resin-modified glass ionomer cement to zirconia

Purpose: This study evaluated and compared the effect of different ceramic primers on the shear bond strength of RMGIC to zirconia with and without air-particle abrasion. Material and Methods: 120 zirconia square specimens (5 mm × 5 mm × 2 mm) were fabricated. Half of the specimens were air-particle abraded (A) and the other half were left untreated (NA). Both groups were further divided into six subgroups (n = 10). Composite cylinders (2.9 mm × 3.0 mm) were fabricated and bonded to the zirconia samples with RMGIC (RelyX Plus) after different priming methods: no ceramic primer (group NS); Z-Prime (group ZP); Clearfil ceramic primer (group CP); cleaned with Ivoclean then Monobond plus (IV/MS); Monobond plus (group MS); and Rely X ceramic primer (group RX). Specimens were rinsed, stored in distilled water, and thermocycled (TC) for 10,000 cycles between 5 and 60 °C with a dwell time of 15s. Data were analyzed with two-way ANOVA and the Tukey–Kramer method test (a = .05). Results: air-particle abrasion significantly affected bond strength of RMGIC to zirconia regardless of the primer used (p < 0.001 for all primers and the control). After TC, A-ZP (11.1 ± 0.6 MPa), A-CP (11.9 ± 0.6 MPa), and A-MS (11.9 ± 0.5 MPa) revealed the highest shear bond strength values, while NA-NS (2.9 ± 0.3 MPa) and NA-RX (4.7 ± 0.5 MPa) had the lowest. Failure modes were primarily adhesive. Conclusion: air-particle abrasion with aluminum oxide and application of MDP-based ceramic primers provide the highest bond strength of RMGIC to zirconia.     

An investigation of atomic force microscopy,surface topography and adhesion of luting cements to zirconia: effect of silica coating,zirconia primer and laser

This study evaluated the effect various surface conditioning methods on the surface topography and adhesion of luting cements to zirconia. Zirconia blocks (N?=?25) were randomly assigned to five groups according to the surface conditioning methods: (a) No conditioning, control (CON), (b) tribochemical silica coating (TSC), (c) MDP-based zirconia primer (ZRP), (d) coating with nano aluminum nitride (ALN) (e) etching with Er: YAG laser (LAS). The conditioned zirconia blocks were further divided into five subgroups to receive the luting cements: (a) MDP-based resin cement (Panavia F2.0) (PAN), (b) 4-META-based cement (Super Bond) (SUB), (c) UDMA-based (GCem) (GCE), (d) bis-GMA based (Bifix QM) (BIF) and (e) polycarboxylate cement (Poly-F) (POL). Cements were applied in polyethylene moulds (diameter: 3?mm; height: 2?mm). The bonded specimens were first thermocycled for 5500 cycles (5–55?°C) and then adhesive interface was loaded under shear (0.5?mm/min). The data (MPa) were analyzed using 2-way ANOVA, Tukey’s and Bonneferroni tests (alpha?=?0.05). Regardless of the cement type, TSC resulted in significantly higher bond strength (p???0.05) (13.3?±?4.35–25.3?±?6.3) compared to other conditioning methods (2.96?±?1.5–5.4?±?5.47). Regardless of the surface conditioning method, no significant difference was found between MDP, 4-META and UDMA based cements (p?>?0.05) being significantly higher than those of bis-GMA and polycarboxylate cements (p???0.05). Failure types were frequently adhesive in all groups. Tribochemical silica coating provided superior bond results compared to other conditioning methods tested on zirconia especially in conjunction with UDMA- and 4-META-based resin cements.     

Efficacy of novel cleansing agent for the decontamination of lithium disilicate ceramics: a shear bond strength study

Purpose: To investigate the efficacy of Ivoclean as a ceramic cleansing agent, by assessing shear bond strength of pre-etched lithium disilicate (LD) ceramic to resin cement.

Materials and Methods: Seventy LD discs (10 × 10 × 4 mm) were fabricated and etched using 5% hydrofluoric acid (HF) for 20 s. Ten specimens were not exposed to saliva and silicone disclosing medium (negative control). The other 60 specimens, divided into six groups (n = 10), were exposed to saliva for 20 s and silicone disclosing medium for 3 min. Following contamination, 10 specimens were not cleansed (positive control). The remaining five groups were exposed to one of the five different cleansing agents: 96% isopropanol, 37% phosphoric acid-30 s, 5% HF acid- 20 s, 5% HF acid- 120 s, and Ivoclean paste-20 s. All specimens were treated with primer and bonded to a self-curing resin cement. Before shear bond strength testing, all specimens were thermocycled (3000 cycles; 5–55°).

Results: Contamination of pre-etched LD ceramic specimens significantly reduced the shear bond strength values from 22.39 ± 0.38 MPa (negative control) to 6.54 ± 0.90 MPa (positive control) (p < 0.05). Cleansing of contaminated ceramic specimens with 5% HF acid [20 s (19.28 ± 1.06 MPa) and 120 s (20.04 ± 1.09 MPa)] and Ivoclean (18.30 ± 0.97) provided significantly higher bond strength values than other cleansing methods with 37% phosphoric acid and 96% isopropanol (p < 0.05).

Conclusion: Ivoclean and 5% HF acid were found to be effective in cleansing of LD ceramic surface by demonstrating maximum increase in shear bond strength values as compared to contaminated LD ceramics.     

Strengthen adhesion between zirconia and resin cement using different surface modifications

The aim of this research was to assess the influence of different surface modifications on the bond strength between resin cement and zirconia ceramics. Eighty-four zirconium samples were prepared. Four different surface treatments were applied; nano-alumina coating, 2 minutes gas-phase fluorination, 50 μm alumina airborne-particle abrasion, and 50 μm airborne-particle abrasion + 2 minutes gas-phase fluorination. Then specimens were bonded to resin cement. Half of the samples were then incubated in 37°C distilled water for 24 hours. The remaining samples were subjected to thermocycling for 5000 cycles. Shear-bond strength testing was applied at a cross head speed of 5 mm/s. Two-way ANOVA was used in comparison between groups. There is a significant difference between the groups with 5000 cycles and the groups with 24 hours of water cycling. The highest shear-bond strength values were observed in the groups with airborne-particle abrasion + 2 minutes fluorination (27.57 MPa) and nano-alumina coating (26.45 MPa) which were not subjected to thermal cycling. Nano-alumina coating of the zirconia surface and the 2 minutes gas-phase fluorination method following airborne-particle abrasion process increased bond strength between resin cement and zirconia.     

The effect of different bonding protocols on the repair microshear bond strength of water-stored CAD/CAM resin composite

This study evaluated the repair microshear bond strength (μSBS) of water stored CAD/CAM resin composite under eight different surface treatments using a silane-containing universal adhesive in etch-and-rinse and self-etching modes. In total, 48 CAD/CAM resin composite slices were prepared from Lava Ultimate CAD/CAM blocks and stored in water for 6 months. The slices were assigned into 8 main groups, according to surface treatments (no treatment, no-treatment/silane, surface grinding, surface grinding/silane, sandblasting, sandblasting/silane, silica coating and silica coating/silane). Each main group was divided according to the universal adhesive application mode (either the etch-and-rinse mode or the self-etch mode). Each slice received 6 resin composite micro-cylinders (0.8 × 1 mm). Micro-shear bond strength was run at 0.5 mm/min crosshead speed until failure. Treated surfaces were examined using SEM. Bond strength data were statistically analyzed using Two-Way ANOVA/Tukey HSD post hoc test. Only ‘surface treatment’ significantly affected the repair μSBS (p ? 0.001). Parameters ‘Adhesive application mode’ and ‘surface treatment × adhesive mode’ showed no significant effect on μSBS (p = 0.458 and p = 0.286 respectively). Regardless of the adhesive application mode, silica coating showed the highest μSBS (21.6 ± 6.8 MPa), while sandblasting/silane showed the lowest μSBS (13.0 ± 6.1 MPa). Regardless of adhesive application mode, the use of silica coating to treat the water-stored CAD/CAM resin composite surfaces is crucial to improve the repair bond strength.     

Effect of thermal cycling and low pressure sandblasting on the bond strength of a self-adhesive cement to Y-TZP zirconia

The aim of this investigation was to assess the influence of several surface treatments on the shear bond strength (SBS) of a self-adhesive resin cement containing 10-methacryloxydecyl-dihydrogenphosphate monomer to densely sintered zirconia ceramic, before and after thermal cycles. Hundred densely sintered zirconia cylinders were divided into five groups (n = 20). Each of them received a different surface treatment: (1) control [No_T], with the zirconia surface unconditioned, (2) low pressure air abrasion [Sand_S], (50 μm, 1 bar), (3) standardized air abrasion [Sand_H], (50 μm, 2.8 bar), (4) standardized Rocatec? Plus (silica-coated alumina oxide) air abrasion (2.8 bar) and silanization [Roc_H], (5) low pressure Rocatec? Plus (silica-coated alumina oxide) air abrasion (1 bar) and silanization [Roc_S]. Five more surface-treated specimens were addressed to scanning electron microscope for qualitative observations. After specimen fabrication, subgroups of 10 bonded samples were stored in water either for 24 h (T1) or subjected to 5000 thermal cycles (T2); SBSs were determined with a universal testing machine at a crosshead speed of 1 mm/min. At T1, mean SBSs (MPa) obtained for the examined groups were: [Sand_H] 16.24 ± 2.95; [Sand_S] 16.01 ± 2.68; [Roc_H] 17.17 ± 1.64; [Roc_S] 15.92 ± 1.99. All surface treatments positively affected (p < 0.05) the initial self-adhesive cement adhesion to zirconia with respect to No_T (13.29 MPa). Artificial aging decreased the bond strength in all test groups significantly, but no spontaneous debonding was observed in [No_T]: at T2, SBS values ranged from 7.76 ± 2.37 (No_T) to 8.89 ± 1.74 (Sand_S), with no statistically significant difference between groups (p = 0.5293). Both air abrasion with alumina oxide and Rocatec? universal bonding system, used with hard or low air pressure, produced comparable effects on cement–zirconia interface before and after thermal cycles. After artificial aging, minimal differences in bond strength values between sandblasted and control groups were not of statistical significance.     

Effect of different surface treatments on the shear bond strength of resin cement to zirconia ceramic and metal alloy*

The bonding of resin cement to ceramic materials plays an important role in dentistry. The purpose of this study is to evaluate the effects of various surface treatments on the shear bond strength (SBS) of zirconia ceramic and metal alloy. A total of 60 specimens were prepared from Y-TZP ceramic and metal alloy. The specimens were divided into three subgroups (n = 10) that received different surface treatments for each material. An Er:YAG laser (ER), a femtosecond laser (FS), and air-borne particle abrasion (A) were employed as surface treatments. One specimen from each group was analyzed using a scanning electron microscope (SEM) at 500 x magnification after surface treatments. The self-adhesive resin cement was then bonded to the treated surfaces using a Teflon mold. The specimens were thermocycled for 5,000 cycles at 5–55 °C, and then the SBS test was performed. Kruskal–Wallis and Mann–Whitney U tests were used to determine the differences between the groups (p = 0.05), and failure modes were evaluated for each specimen. Statistical analyses revealed significant differences between the surface treatment methods. The mean SBS values of the air-borne particle-abraded groups were higher than those of the other groups. The femtosecond-irradiated groups of each material showed significantly higher SBS values than the Er:YAG-irradiated groups (p < 0.05). Within the limitations of this study, air-borne particle abrasion and the femtosecond laser were more effective than Er:YAG laser treatment.     

Bond strength of veneering porcelain to zirconia after different surface treatments

Aim: The aim of this study was to evaluate the effect of various surface treatments on the bond strength of veneering feldspathic porcelain to zirconia. Methods: Fifty yttria-stabilized tetragonal zirconia polycrystalline specimens were divided into five groups (n = 10) according to various surface treatments. The groups were as follows: Group 1: control group with liner application and no further surface treatment; Group 2: air-particle abrasion with 110 μm of alumina (Al₂O₃) particles; Group 3: grinding with a diamond disk; Group 4: Nd:YAG laser irradiation (the laser and the energy parameters were 10 Hz, and 2 W and 200 mJ, and the pulse duration (short pulse) range was up to 180 μs); Group 5: selective infiltration etching (SIE). After surface treatments, a liner application was performed for all surfaces according to the manufacturer’s instructions. Veneering porcelain was applied on zirconia surfaces using a Teflon mold. Shear bond strength was tested using a universal testing machine. The fractured surface morphologies were examined with scanning electron microscopy. The data were statistically analyzed using Mann–Whitney U and Kruskal–Wallis tests (α = .05). Results: The Megapascal values of the bonding groups were as follows: G1 = 8.62 ± 1.12, G2 = 13.87 ± 5.08, G3 = 12.31 ± 3.35, G4 = 17.32 ± 6.16, and G5 = 16.17 ± 4.55. Statistically significant differences were observed between the control group and the other groups (p < 0.05). Group 4 had the highest bond strength while G1 showed the lowest bond strength. No significant differences were found between the Nd:YAG, grinding, sandblasting, and SIE groups. Conclusion: Surface treatments had different effects on the shear bond strength of feldspathic porcelain to zirconia. Surface treatment techniques used in this study can be used on zirconia specimens prior to liner application to obtain an acceptable bond strength of veneering porcelain to zirconia. The effect of Nd:YAG laser irradiation and SIE techniques on bond strength of veneering ceramic to zirconia should be evaluated with further studies.     

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.     

Pressable Glass Ceramic as a Repair Material for Fractures in Metal-Ceramic Restorations

Porcelain repair of fractured metal-ceramic restorations is a common challenge in the dental field. The current study introduces a novel technique for intraoral repair of porcelain fracture utilizing pressable glass ceramic (GC) as the repair material. The shear bond strength (SBS) of GC to different components of the metal-ceramic restoration (metal, porcelain, and metal-porcelain combination) under different surface treatments was also evaluated. The SBS was tested under the following five surface treatments: control, sandblasted with silica, sandblasted with silica then glow-discharge-treated, sandblasted with alumina, and sandblasted with alumina then etched with hydrofluoric acid. A self-adhesive resin cement and silane were used for bonding. Surface roughness was evaluated before and after each treatment. One-way ANOVA and post-hock Tukey's tests were used for data analysis. The results showed that SBS of GC to all surface-treated substrata ranging from 37 to 55 MPa was significantly higher than that of untreated surfaces ranging from 10 to 26 MPa. For all bonded surfaces, blasting with silica showed higher bond strength than blasting with alumina. On the contrary, alumina groups showed higher surface roughness than silica groups. Pressable glass ceramic in conjunction with all tested surface treatments, especially silica blasting, can be used successfully for fractured porcelain repair.     

Effects of surface treatments on the shear bond strength of luting cements to zirconia

Objective: The aim of this in vitro study was to evaluate the effect of surface treatments on the shear bond strength of resin cements to zirconia. Material and methods: Sintered zirconia specimens (n = 192) were divided into four different surface treatment groups: control (no treatment); airborne-particle abrasion; glaze layer and hydrofluoric acid (HF) application, and hot etching solution application. Then, each group was divided into four subgroups (n = 12), and three different resin cements were applied to the zirconia surfaces. The shear bond strength value of each specimen was measured after 5000 thermo cycles. The failure types were examined with a stereomicroscope and the effects of the surface treatments were evaluated with a scanning electron microscope. Results were analyzed using analysis of variance and Tukey’s post hoc tests (α = 0.05). Results: The surface treatment and resin cement type significantly affected the bond strength results (p < 0.05). For all resin cements, the airborne-particle abrasion treatment increased the shear bond strength values (p < 0.05). The glaze layer & HF application increased shear bond strength values for all groups, except the Single Bond Universal-RelyX Unicem Aplicap group (p < 0.05). The surface roughness values of airborne-particle abraded specimens were similar to comparable values for specimens from the control group and the hot etching solution group (p > 0.05). The glaze layer & HF application group produced the highest surface roughness values (p < 0.05). Conclusion: The results of this study recommend using the appropriate combination of surface treatment and adhesive/silane coupling agent to achieve durable zirconia-resin bonding.     

Effects of different surface treatments of zirconia on the bond strength of self-adhesive resinous cement

Purpose: The aim of this study was to evaluate the effects of different zirconia surface treatments on the bond strength of two self-adhesive resinous cements (SARC).

Methods: Two hundred and eight cylindrical specimens were obtained from Y-TZP zirconia (half with diameter 3.2 mm and half with 4.8 mm). After sintering and polishing, specimens were divided into four groups (n = 26), according to surface treatment: Control (no treatment); Sandblasting (Al₂O₃ particles); Rocatec (Al₂O₃ particles, tribochemical silica coating and silane application); Laser (Nd: YAG laser: 20 Hz, 100 mJ, 0.2 J/cm²). The surface roughness (Ra) was evaluated after the surface treatments, and the groups were divided into two subgroups (n = 13), according to the SARC tested: RelyX U200 and Bifix SE. The 2.2-mm cylinders were bonded to 4.8-mm cylinders and stressed until failure under shear using a universal testing machine. Bond strength and Ra were analyzed using ANOVA, and Tukey’s test (α = 0.05).

Results: Surface treatment was significant (p < 0.0001), but cement type (p = 0.73) was not. Related to roughness, significant differences were found for the treatment type (p < 0.0001), with laser being the treatment with higher Ra values.

Conclusions: Nd:YAG laser produced a rougher surface and a higher bond strength compared with sandblasting, silicatization, and control groups.     

Effectiveness of different surface cleaning methods on the shear bond strength of resin cement to contaminated zirconia: an in vitro study

The purpose of this in vitro study was to evaluate and compare the effectiveness of different surface cleaning methods on the shear bond strength (SBS) of zirconia ceramic surfaces. Seventy polished and cleaned zirconia disk specimens of 8 mm in diameter and 3.4 mm in thickness were immersed in fresh saliva. They were then pressed into a freshly mixed silicone disclosing medium. Six different cleaning methods were applied to the tested groups; they were airborne-particle abraded (AA), covered with a cleaning paste (Ivoclean®) (IV), etched with orthophosphoric acid (PA), immersed in alcohol (AL), rinsed with tap water only (WA), or cleaned with steam (SC). No surface cleaning was done after saliva immersion and silicone disclosing medium contamination to the control group (CC). The specimens were then bonded to an adhesive resin cement using polyethylene tubes. SBS was determined using a universal testing machine at a crosshead speed of 1 mm/min. The specimens were also examined with a scanning electron microscope and a stereomicroscope. Group AA yielded the highest SBS value (7.01 ± 1.4 MPa) among the groups, while Group WA had the lowest SBS value (3.03 ± 0.8 MPa). The SBS values of Group AA (7.01 ± 1.4 MPa) and IV (6.2 ± 1.7 MPa) were also significantly higher than those of the remaining four groups (p < 0.05). Within the limitations of this in vitro study, it was concluded that among the various cleaning methods tested, airborne-particle abrasion and Ivoclean® paste were effective in cleaning the zirconia surface.     

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.     

The effect of MDP-based primer on shear bond strength of various cements to two different ceramic materials

The aim of this study was to determine the effect of 10-methacryloyloxydecyl dihydrogen phosphate (MDP)-based primer on the shear bond strengths of thermally aged self-adhesive and conventional adhesive resin cements and zinc phosphate cement to zirconia and lithium disilicate substructures. Sixty zirconia (Z) and 60 lithium disilicate (L) disk specimens were cut from ceramic blocks. Each group was divided into six subgroups (n = 10). Half of the specimens of each ceramic group were treated with primer (P) and the other half was remained untreated. Three types of cement were applied: zinc phosphate cement [(ZPC) (Hoffmann Harmonic Shades)]; self-adhesive resin cement [(SAC) (RelyX U200)]; conventional adhesive resin cement [(CAC) (C&B)]. The specimens were subjected to thermal aging procedure for 1 week under 37 °C water bath. Shear bond strength (SBS) was determined using a universal testing machine at a crosshead speed of 1 mm/min. Data were analyzed with three-way (ANOVA). Pairwise comparisons and interactions between groups were analyzed by using Tukey’s simultaneous confidence intervals. There was no significant difference between the SBS values of SAC-Z (11,47 ± 0,47) and SAC-ZP (11,39 ± 0,42) (p > 0.05). However, the SBS values of SAC-L (12.34 ± 0,55) and SAC-LP (12,50 ± 0,49) were significantly higher than those of SAC-Z and SAC-ZP (p < 0.00). The use of primer significantly increased the SBS value of CAC-ZP (8,05 ± 0,55) when compared to the SBS value of CAC-Z (3,53 ± 0,41) (p < 0.00). Resin cement that contains methacrylate monomers with phosphoric ester functional groups exhibited reliable bond to zirconia. However, the use of an MDP-based primer may not further improve its bond strength.     

Shear bond strengths of five intraoral porcelain repair systems

In fixed prosthodontics, fracture of the porcelain veneer is not an uncommon problem under clinical conditions due to, e.g., malfunction, trauma or technical failures. To avoid time-consuming and cost-intensive renewal of the entire restoration, repair of the chipped veneer is desirable. The aim of this in vitro study was to evaluate the shear bond strengths of five intraoral porcelain repair kits based on different chemical bonding systems. 45 metal plates veneered with feldspathic porcelain were fabricated. The surface treatment was performed using five porcelain repair systems based on tribochemical silica coating (Cojet), mechanical roughening (Silistor, Cimara, Ceramic Repair) or etching (Clearfil Repair) followed by application of silane coupling agents (five specimens each). Cylinders of composite resin of Charisma and Pertac Hybrid were bonded using Cojet, Silistor, Cimara and Ceramic Repair, and of Clearfil AP-X with Clearfil Repair onto the porcelain specimens. After thermocycling (5000 cycles, 5–55°C) shear bond strength was measured according to ISO 10477 followed by assessment of the failure mode. Statistical analysis was carried out with one-way ANOVA and Bonferroni–Dunn's multiple comparisons post-hoc analysis for test groups (α = 0.05). Shear bond strengths higher than 10 MPa were found for all test groups except for Ceramic Repair with Pertac Hybrid (8.1 ±1.3 MPa), which was significantly lower than all other groups (P < 0.05). Highest shear bond strength was found for Silistor with Charisma (23.1 ± 5.8 MPa), which was significantly higher (P < 0.05) than all other groups except Cojet with Charisma (17.8 ± 3.6 MPa) and Clearfil Repair (20.3 ± 5.0 MPa). Cojet and Silistor with Charisma, Cimara, as well as with Clearfil mainly showed cohesive or mixed failure modes (cohesive and interfacial). Bond strengths of the combinations Silistor-Charisma, Clearfil Repair-Clearfil AP-X and Cojet-Charisma were superior to all other combinations used in the present tests.     

Effect of self etching ceramic primer and universal adhesive on bond strength of lithium disilicate ceramic

The clinical success of ceramic restorations is affected by the ceramic bonding procedure. The objective of the study was to evaluate the effect of different surface treatments, including the use of self-etching ceramic primer (SECP), on resin cement-glass ceramic bond strength. Thirty lithium disilicate ceramic (LDC) rectangles (3 mm × 3 mm × 8 mm) were fabricated Specimens were randomly assigned into three experimental groups (n = 10) according to the surface treatment: Group 1-hydrofluoric acid [HF acid]+ silane + universal adhesive; Group 2-HF + universal adhesive; Group 3-SECP + universal adhesive. All specimens were stored in distilled water for 24 h at 37 °C and shear bond strength (SBS) was tested at a crosshead speed of 0.5 mm (Universal Testing machine-Instron). Failure modes were evaluated using a digital microscope for all specimens. Analysis of variance and the Tukey post hoc tests using SPSS (Version 22.0, IBM, New York, USA) were used to analyze data. The SBS of groups 1 (19.74 ± 1.28 MPa) and 3 (21.11 ± 2.07 MPa) were significant higher than group 2 (14.80 ± 1.94 MPa). The SBS values for specimens in groups 1 (19.74 ± 1.28 MPa) and 3 (21.11 ± 2.07 MPa) were comparable. Adhesive, mixed and cohesive failure modes were observed and mixed failure was the most common in all groups. Therefore, the use of SECP and universal adhesive is recommended as an alternative to the use of HF acid in combination with ceramic primer while bonding to LDC.