Long-term bond strength of fiber posts cement to dentin with self-adhesive or conventional resin cements

The aim of this study was to evaluate the immediate and the long-term push-out bond strength of glass fiber posts (GFP) cemented with conventional or self-adhesive dual-curing resin cements, at different root depths. Prior to cementation, the GFP (Reforpost #3, Angelus) were etched with 37% phosphoric acid for 30 s followed by silane for 1 min. Thirty canine roots were divided into two groups (n = 15) according to resin cement type: ARC – dual resin cement (RelyX ARC/3M ESPE) combined with an three-step etch-and-rinse adhesive (Adper Scotch Bond Multi-Purpose Plus 3M/ESPE) or U200 – self-adhesive resin cement (RelyX U200/3M ESPE). The manufacturer’s instructions were followed. After 48 h, the roots were cross-sectioned at three different depths, resulting in serial slices corresponding to the cervical, middle, and apical root thirds. Slices were randomly divided into two groups, according to the period of water storage prior to push-out bond strength analysis: 48 h or 180 days. The data (MPa) were analyzed using three-way ANOVA for randomized blocks (p < 0.05), which showed no significant interaction between the three factors (p = 0.716). The main study factors were also proven not significant (cement: p = 0.711; time: 0.288; root third: p = 0.646). In conclusion, root depth, cement type (self-adhesive or conventional), and storage in water for 180 days did not influence the bond strength of GFP to intracanal dentin.     

Deproteinization stabilises dentin bonding of self-adhesive resin cements after thermocycling

This study examined the effect of deproteinization on the microtensile dentin bond strength (µTBS) and nanoleakage (NL) of conventional and self-adhesive resin cements after 24 h or after 20,000 thermocycles. Occlusal dentin of thirty-two human molars were distributed into four groups according to the type of cement used: conventional or self-adhesive; and the strategy of luting: RelyX ARC/Single Bond 2 (RAc) following the manufacturer׳s instructions (control), RelyX ARC/Single Bond 2 (RAd) applied after dentin deproteinization; RelyX U200 (RUc) following the manufacturer´s instructions (control); RelyX U200 (RUd) applied after dentin deproteinization. The specimens were cut into non-trimmed dentin–composite sticks and the half sticks of each group were subdivided into two subgroups: 24 h water storage and after 20,000 thermal cycles, before microtensile bond test. For NL, 5 bonded sticks from each subgroup were prepared and analyzed under SEM. Three-way ANOVA showed that the dentin deproteinization increased the µTBS of both cements, although the RAd group showed a decrease on the µTBS after thermocycling. Chi-square test showed significant loss of specimens by premature failure for the groups after thermocycling, except for the RUd group. The dentin deproteinization improved the initial µTBS and decreases the NL of both cements tested, but, after thermocycling, this technique is only effective for RelyX U200.     

Bonding ability of self-adhesive resin-cements after dentin biomodification with hyaluronic acid

Purpose: The present study evaluated the influence of the hyaluronic acid (HA) on the bonding ability of self-adhesive resin cements to dentin regarding the bond strength. Eighty bovine incisors were ground flat to obtain a 2-mm thick slices which received conical preparations. The specimens were randomly distributed into 4 groups (n = 15) according to the dentin pretreatment (1 – control: untreated dentin; 2 – application of HA) and the evaluation time (1 – control: immediate evaluation; 2 – hydrolytic degradation: 6 months of storage in water at 37 °C). Preparations received the application of a self-adhesive resin cement (RelyX U200 or MaxCem Elite). Push-out bond strength test was conducted (0.5 mm/min). The bond strength data was submitted to two-way ANOVA/Tukey’s test (α = 0.05). For U200, no significance was observed when comparing the immediate (24 h) and 6 months means for the control groups (unexposed specimens). Previous application of HA to dentin significantly reduced the bond strength of U200 to dentin in both evaluation times (p < 0.05). HA had no significant influence on the push-out bond strength means for the cement MAX in both evaluation times (p > 0.05). The type 1 failure mode (adhesive mode) occurred in 100% of the specimens, irrespective of the dentin treatment or evaluation times. Pretreatment of dentin with HA produces a material-dependent influence on the push-out bond strength. The bonding ability of RelyX U200 is negatively influenced by the pretreatment of dentin with HA, whereas the biomodification of dentin with this bioactive agent causes no impact for the cement MaxCem Elite.     

Impact of conditioning regimens and time on adhesion of a fiber post to root dentin using two resin cements

The aim of this study was to evaluate the influence of irrigation protocols on the bond strength of a glass fiber post bonded to dentin using two resin cements. In 200 root-filled teeth, post space was prepared and divided into five groups (n?=?40) based on the irrigation protocol: group 1 (3% sodium hypochlorite), group 2 (3% sodium hypochlorite – 17% Ethylene diamine tetraacetic acid), group 3 (a mixture of sodium hypochlorite and etidronic acid), group 4 (sodium hypochlorite – QMix), and group 5 (distilled water). Samples were subdivided into two subgroups (n?= 10) and fiber posts were cemented using subgroup A (Self-adhesive dual-cure resin cement; SEA) or B (dual-cure resin cement following an etch-and-rinse protocol, ER). Push-out bond strength was performed after 24 h and four months (n?= 10) and failure modes were categorized. Statistical analysis of data was carried out by appropriate analyses (p < 0.05). The irrigation protocol and the resin cement had a significant impact on push-out bond strength. Subgroup A group showed lower bond strength than B at both time periods when 3% NaOCl–17% EDTA and 1:1 mixture of 6% NaOCl + 18%EA protocols were used. Three percent NaOCl used in combination with 17% EDTA or QMix significantly decreased the push-out bond strength of ER at the end of four months (p < 0.05). In conclusion, dual-cure resin cements bonded with etch-and-rinse protocol showed highest bond strength when a mixture of NaOCl and etidronic acid was used as root canal irrigant. These values were differentially influenced by time.     

Effect of Thermocycling on the Bond Strength of Self-Adhesive Resin Cements Used for Luting CAD/CAM Ceramics to Human Dentin

The aim of the study was to evaluate the influence of thermocycling on the shear bond strength of self-adhesive, self-etching resin cements luted to human dentin and computer-aided design/computer-aided manufacturing (CAD/CAM) ceramics. Three modern self-adhesive dental cements (Maxcem Elite, RelyX U200, Panavia SA) were used to lute three CAD/CAM ceramics (IPS Empress CAD, IPS e.max CAD, IPS e.max ZirCAD) onto the dentin. One conventional cement (Panavia V5) served as a control. After preparation, the samples were subjected to thermocycling as a method of artificial aging of dental materials applied to simulate long-term use in oral conditions. Shear bond strength was evaluated according to PN-EN ISO 29022:2013-10 and failure modes were observed under a light microscope. Statistical analysis was performed. The study demonstrated that a combination of ceramics and cements directly impacts the bond strength. The highest bond strength was observed in Panavia V5, lower in Panavia SA and Maxcem Elite and the lowest–in RelyX U200. Adhesive failure between human dentin and cements was the most common failure mode. Moreover, thermocycling highly decreased bond strength of self-adhesive, self-etching cements.     

Effects of simulated pulpal pressure,mechanical and thermocycling challenge on the microtensile bond strength of resin luting cements

This study aimed at comparing the microtensile bond strength (µTBS) of three simplified luting strategies after different aging processes. Sixty human molars were prepared to expose flat middle dentin surfaces which received the following luting procedures: (i) SB+ARC – two-step etch-and-rinse adhesive+conventional resin cement (Adper Singlebond 2+RelyX ARC, 3M-ESPE); (ii) S3+PAN – one-step self-etch adhesive+conventional resin cement (Clearfil S3+Panavia F2.0, Kuraray Medical); (iii) U200 – self-adhesive resin cement (RelyX U200,3M-ESPE). The specimens were finally restored by indirect resin composite procedures (Filtek Z100,3M-ESPE). The aging regimens were water storage at 37 °C for one week (control), one week of 20 cm H₂O simulated pulpal pressure (SPP), 200,000 mechanical loading (ML) cycles, or 5000 thermal cycles (TC). The µTBS data was analyzed by two-way ANOVA and Tukey's test (α=0.05). SB+ARC showed significantly higher µTBS for control and all aging processes (p<0.001). Nevertheless, TC had no effect on the bond strength of SB+ARC. No difference in µTBS was observed between S3+PAN and U200 after SPP (p=0.251), but significant lower values were found for U200 after ML (p=0.010) besides being superior in the control groups (p<0.001). For U200, all ageing regimens induced significant reductions in the bond strength (p<0.001) with a more pronounced negative effect after ML. S3+PAN showed significant lower bond strength (p=0.010) only after ML aging. Two-step etch-and-rinse adhesive associated with dual-curing conventional resin cement may present the highest overall µTBS. However, the use of S3 one-step self-etch adhesive along with conventional resin cements may provide the most stable luting performance under the tested aging strategy.     

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.     

The influence of endodontic sealer dentine penetration on fibreglass post retention

This study aimed to evaluate the influence of endodontic sealer inside dentinal tubules on the retention of fibreglass posts. One hundred eighty extracted teeth were instrumented with rotary instruments and divided into two groups (n = 90) according to their filling technique: (LC) lateral condensation and (CT) controlled technique, and subdivided into three subgroups according to the endodontic sealer used: (A) epoxy resin sealer, (B) zinc-oxide and eugenol sealer, and (C) bioceramic endodontic sealer. After root preparation, each subgroup received a fibreglass posts cemented with (1) adhesive resin cement, (2) self-adhesive resin cement, and (3) glass ionomer cement. After stored for 15 days at 37 °C and 100% humidity, the teeth were sectioned transversely into 1-mm thick slices and subjected to laser confocal scanning microscopy and push-out test. The failure mode was analyzed by stereo microscope, and scanning electron microscopy images of representative fractures were made. Although there were no significant differences in the dislocation resistance among the filling techniques (p > 0.05), the type of sealer used affected bond strengths on the cervical and middle thirds. Fibreglass posts cemented with glass ionomer cement presented higher values for the push-out test than those cemented with resin cements (p < 0.05). Mix failure modes were predominant and occurred in all experimental groups. The use of bioceramic endodontic sealer was able to reduce the bond strength, mainly when the fibreglass posts was cemented by resin cement.     

Micromorphology of resin–dentin interfaces using self-adhesive and conventional resin cements: A confocal laser and scanning electron microscope analysis

Purpose: The aim of this study was to evaluate the resin–dentin morphology created by four dual-cured resin cements. Materials and Methods: Two self-adhesive resin cements (RelyX Unicem, 3 M ESPE and Clearfil SA Luting, Kuraray Med.) and two conventional resin cementing systems (RelyX ARC, 3 M ESPE and Clearfil Esthetic Cement, Kuraray Med.) were evaluated. Occlusal dentin surfaces of 32 extracted human third molars were flattened to expose coronal dentin. Teeth were assigned to 8 groups (n=4), according to resin cement products and microscope analysis (SEM: scanning electron microscope or CLSM: confocal laser scanning microscopy). For CLSM, two different fluorescent dyes, fluorescein isothiocyanate–dextran and rhodamine B, were incorporated into the adhesive system and resin cement, respectively. The resin cements were applied to indirect composite resin disks, which were cemented to dentin surface according to manufacturer's instructions. After 24 h, all restored teeth were vertically sectioned into 1-mm-thick slabs for SEM or CLSM analyses. Results: Scotchbond Multi-Purpose Plus/RelyX ARC cementing system formed a thin hybrid layer and resin tags penetration into the dentin tubules. Clearfil DC Bond/Clearfil Esthetic Cement showed only short resin tags. Neither hybrid layer nor resin tags were detected for self-adhesive resin cements. Conclusion: Representative SEM and CLSM images provided resin–dentin interfaces variability among resin cements studied.     

Adhesion of conventional and self-adhesive resin cements to indirect resin composite using different surface conditioning methods

This study evaluated the adhesion of conventional and self-adhesive resin cements to indirect resin composite (IRC) using different surface conditioning methods. Cylindrical IRC specimens (N = 192) were randomly assigned to four surface conditioning methods (n = 8 per group): (a) Control group, (b) Hydrofluoric acid, (c) Tribochemical silica-coating, and (d) 50 μm Al₂O₃ air-abrasion. Specimen surfaces were finished using silicon carbide papers up to 600 grit under water irrigation, rinsed and dried. Direct composite blocks were bonded to IRC specimens using three conventional resin cements (Multilink, Panavia F2.0, and Resicem) and three self-adhesive resin cements (RelyX U100, Gcem, Speed Cem). Specimens were subjected to shear bond strength test in a Universal Testing Machine (0.5 mm/min). Failure types were categorized as mixed, adhesive and cohesive. Data were analyzed using 2-way ANOVA and Tukey’s tests. Two-parameter Weibull modulus, scale (m) and shape (0) were calculated. The bond strength results (MPa) were significantly affected by the surface conditioning method (p < 0.0001) and cement type (p < 0.001). For Panavia F2.0, Resicem, air-abrasion with 50 μm Al₂O₃ significantly increased the results (22.6 ± 6.5, 26.2 ± 6.5, respectively) compared to other conditioning methods (13.6 ± 1.4–21.9 ± 3.1) but for Multilink, hydrofluoric acid etching (20.5 ± 3.5) showed significantly higher results (p < 0.01). For the self-adhesive resin cements, air-abrasion with 50 μm Al₂O₃ significantly increased the results compared to other conditioning methods, except for RelyX U100 (p < 0.05). After air-abrasion with Al₂O₃, Gcem, (11.64), RelyX U100 (9.05), and SpeedCem (8.29) presented higher Weilbul moduli. Exclusively cohesive failure in the IRC was observed with RelyX U100 and Speedcem after Al₂O₃ air-abrasion.     

Effect of dentinal surface preparation on the bonding of self-adhesive luting cements

The purpose of the present study was to evaluate the bond strength and the interaction morphology of self-adhesive resin luting cements (SLCs) to dentin prepared with different methods. Four SLCs were used: RelyX U100^®, RelyX U200^®, Clearfil SA Luting^®, and SmartCem2^®. A flat dentin surface of 40 human molars was exposed and each tooth was sectioned in four tooth-quarters, which were distributed into four groups according to the SLC used to cement indirect resin composite restorations. The tooth-quarters of each group were then distributed in four subgroups according to the method used for dentin preparation: flat-ended cylindrical fine-grit diamond, flat-ended cylindrical median-grit diamond, flat-ended cylindrical plain-cut tungsten carbide, or abraded with #600-grit SiC paper (control). The restored tooth-quarters were sectioned to obtain beams (0.8?mm²) and submitted to the microtensile bond strength test (n?=?10). The results were analyzed using two-way ANOVA/Tukey (α?=?0.05). Forty-four additional teeth were used for micromorphological investigation of the SLC/dentin interface and of the topographic aspect of the dentin surfaces after application of the SLCs. Only the bond strength of RelyX U200 was significantly influenced by the surface preparation. No interference was identified on the micromorphological aspect of the bonding interfaces. The topographic investigation of the dentinal surfaces showed that the SLCs were not able to effectively remove the smear layer and etch the underlying dentin, irrespective of the preparation method. So, the interference of the dentin preparation on the bond strength of SLCs is material dependent, but don’t influence the micromorphologic aspect of the interaction zone.     

Degree of conversion and adhesion of methacrylate-based resin cements with phosphonic or phosphoric acid acrylate to glass fiber posts at different regions of intraradicular dentin

This study evaluated the degree of conversion (DC) and adhesion of methacrylate-based resin cements to glass fiber posts at different regions of intraradicular dentin. Single-rooted teeth (N?=?24, n?=?12 per group) were cut at the cement–enamel junction (CEJ), endodontically treated and post space (depth?=?8 mm) was prepared. Teeth were randomly divided into two groups according to the resin cements: (a) Group ML: methacrylate-based cement with phosphonic acid acrylate (Multilink Automix, Ivoclar Vivadent); (b) Group RXU: methacrylate-based cement with phosphoric acid acrylate (RelyX Unicem 2 Automix, 3 M ESPE). Fiber-reinforced composite root posts (RelyX Fiber Post, 3 M ESPE) were cemented according to the manufacturers’ instructions of the resin cements. Root slices of 2-mm thickness (n?=?3 per tooth) were cut below the CEJ 1, 3, and 5 mm apically. The DC of each section was analyzed with micro-Raman spectrometer and push-out test was performed in the Universal Testing Machine (0.5 mm/min). After debonding, all specimens were analyzed using optical microscope to categorize the failure modes. While data (MPa) were statistically evaluated using Kruskal Wallis, Mann–Whitney U tests for DC data 3-way ANOVA and Tukey’s tests were used (α?=?0.05). Regardless of the resin cement type, the mean push-out bond strength results (MPa), were significantly higher for the coronal slices (ML: 9.1?±?2.7; RXU: 7.3?±?4.1) than those of the most apical ones (ML: 7?±?4.9; RXU: 2.89?±?1.5) (p?=?0.002). Resin cement type and (p?p?=?0.002) significantly affected the DC values, while the interaction terms were not significant (p?=?0.606). Overall, DC was significantly higher for ML (67?±?8.2%) than RXU (26?±?8.8%) (p?相似文献   

Shear Bond Strength of Indirect Composites Luted with Three New Self-Adhesive Resin Cements to Dentin

The aim of this study was to evaluate the shear bond strengths of indirect composites (those cured outside the mouth) luted by three different, recently developed, self-adhesive resin cements to dentin. Seventy caries-free mandibular third molar teeth embedded in acrylic resin and with exposed dentin surfaces were used. Teeth were randomly divided into seven groups. The following application protocols were carried out: a) Group 1 (control group)—direct composite resin restoration (Alert) with total-etch adhesive system (Bond 1 primer/adhesive); b) Group 2—indirect composite restoration (Estenia) luted by a resin cement (Cement-It) combined with the same total-etch adhesive; c) Group 3—direct composite resin restoration with self-etch adhesive system (Nano-Bond); d) Group 4—indirect composite restoration luted by the resin cement combined with the same self-etch adhesive; e) Groups 5–7—indirect composite restoration luted with self-adhesive resin cements (RelyX Unicem®, Maxcem®, and Embrace WetBond®, respectively) onto untreated dentin surfaces. Shear bond strengths of the groups were performed with a universal testing device. Results were statistically analysed by student-t and one way ANOVA tests. The fractured surfaces were also examined by SEM. The indirect composite restorations luted with the self-adhesive resin cements (Groups 5–7) showed successful results compared with the other groups (p < 0.05). Group 4 showed the weakest bond strength (p > 0.05). Open dentin tubules were observed on the total-etch adhesive applied surfaces whereas a smear rich layer was found by SEM on the self-etch adhesive applied surfaces. The new universal self-adhesive resins may be considered an alternative for luting the indirect composite restorations onto the untreated dentin surfaces.     

Er,Cr:YSGG laser irradiation influence on Y-TZP bond strength to resin cement

The aim of this study was to evaluate Y-TZP surface pretreatment with different protocols on microshear bond strength (μSBS) ceramic-cement interface. One hundred and sixty pre-sintered IPS e-max ZirCAD (Ivoclar-Vivadent) blocks were randomly divided into sixteen groups according to surface treatment (n=20): G1- no treatment (control); G2- ceramic primer; G3- tribochemical silica coating; G4- tribochemical silica coating+primer; G5- airborne particle abrasion (Al₂O₃); G6- airborne particle abrasion (Al₂O₃)+primer; G7- Er,Cr:YSGG laser; G8- Er,Cr:YSGG laser+primer. All specimens were sintered before surface treatment, except lasers groups, which were sintered after laser irradiation. Ceramic blocks were bonded with Panavia F resin cement (Kuraray, Okayama, Japan) (n=10) or RelyX ARC (3M ESPE, St. Paul, MN, USA) (n=10). The μSBS tests were carried out in a universal testing machine at a speed of 1mm/min after 24 h (n=5) or 6 months storage (n=5). Differences were found for both resin cements and storage conditions in relation to μSBS values (p<0.05). However, no significant difference for interaction between factors was observed in cemented blocks with RelyX ARC. Panavia F resin cement showed significant differences for interaction between factors (p<0.05). Laser treatment was not sufficient to increase μSBS values between Y-TZP and resin cements. Tribochemical silica coating followed by primer achieved the highest immediate μSBS values. The storage did not affect negatively μSBS values to both evaluated cements.     

The effect of polymerization mode on mechanical properties of commercial self-adhesive cements associated with hydroxyapatite

This study aimed to evaluate the mechanical properties of self-adhesive resin cements mixed with hydroxyapatite, as a function of the polymerization activation mode among a variety of commercial self-adhesive cements. Four cements (MaxCem Elite, Bifix SE, G-Cem, and RelyX U200) were mixed, combined with hydroxyapatite, dispensed into molds, and distributed into three groups, according to polymerization protocols: IP (immediate photoactivation for 40 s); DP (delayed photoactivation, 10 min self-curing plus 40 s light-activated); and CA (chemical activation, no light exposure). After polymerization, the specimens were stored at 37 °C for 24 h. After storage, a three-point bending test was performed at 0.5 mm/min. Flexural strength (S) and flexural modulus (E) were calculated. The fractured surfaces were analyzed with scanning electron microscopy (SEM) technique. Data were analyzed by two-way ANOVA/Tukey’s test (5%). The tested parameters varied according with the resin cements and polymerization protocols. Regarding the S means, MaxCem Elite, G-Cem, and RelyX U200 demonstrated dependence on photoactivation (immediate or delayed), whereas Bifix SE exhibited no dependence on the polymerization protocol. The same was observed for Bifix SE for the E means, which presented the best balanced formulation, irrespective of the activation protocol. SEM analysis exhibited the presence of bubbles and porosities in all of the fractured surfaces. Chemical activation is not a guarantee of a complete polymerization for most of the cements tested. Only one of the cements maintained its mechanical properties when chemically activated, important characteristic in clinical situations in which the curing light penetrating the bulk material can be attenuated or scattered.     

Inorganic characterizations and filler particles morphology of self-adhesive cements

This study evaluated the thermal and morphological filler characteristics of self-adhesive resin cements. The cements (Embrace WetBond, MaxCem Elite, Bifix SE, G-Cem, and RelyX U200) were manipulated according to the manufacturers׳ instructions. Thermogravimetric analysis and differential thermal analysis were performed to obtain the glass transition temperature (T_g) and weight loss. Specimens were also obtained to characterize the zeta potential, the mean particle size and distribution, and the polydispersity by dynamic light scattering. An elemental analysis of the fillers was also conducted using X-ray spectroscopy analysis and micromorphology under SEM. MaxCem Elite contained the least organic matrix, followed by G-Cem, Bifix SE, RelyX U200, and Embrace WetBond. Bifix SE presented the highest T_g and G-Cem the lowest. Bifix SE presented the broadest filler size distribution, exhibiting lower zeta potentials and mobility. G-Cem was found to be a highly filler loaded cement with the lowest effective diameter, highest zeta potential and mobility. RelyX U200 presented chromium in the composition and G-Cem presented fluorine. Differences in the nature and chemistry of inorganic fractions seemed to dictate the morphology of the filler content and also the thermal behavior of the materials tested and, may consequently influence the clinical performance of self-adhesive resin cements.     

Adhesion of cast metal alloy and lithium disilicate copings luted to different core build-up materials with self-adhesive resin cement

This study evaluated the shear bond strength of two coping materials (non-nickel chrome-based cast alloy and lithium disilicate ceramic (IPS Empress) to four different core foundation materials (resin composite, cast metal alloy, lithium disilicate, and dentin), luted with adhesive resin cement (RelyX Unicem). Specimens (N = 56) were fabricated and divided into eight groups (n = 7 per group). Each coping material was luted with self-adhesive resin cement (RelyX Unicem) to the core materials. Bond strength was measured in a Universal Testing Machine (0.5 mm/min). Data were statistically analyzed using a two-way analysis of variance (ANOVA) and Tukey’s HSD tests (alpha = 0.05). Both core (p = 0.000) and coping material type (p = 0.000) significantly affected the mean bond strength (MPa) values. Interaction terms were also significant (p = 0.001). The highest bond strength results were obtained when lithium disilicate was bonded to lithium disilicate (21.48) with the resin cement tested. Lithium disilicate in general presented the highest bond results when bonded to all core materials tested (16.55–21.38) except dentin (3.56). Both cast alloy (2.9) and lithium disilicate (3.56) presented the lowest bond results on dentin followed by cast-alloy-cast alloy combination (3.82).     

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.     

Effect of cyclic loading and resin cement type used for luting fiber posts on bond strength at different root levels of crown-restored human teeth

Objective: This study aimed to evaluate the bond strength (BS) of glass fiber posts (GFP) at different root levels when luted with conventional or self-adhesive cements in crown-restored human premolars subjected, or not, to cyclic mechanical loading.

Materials and Methods: Sixty lower premolar roots were endodontically treated and prepared for a GFP system. Half of the roots (n = 30) had their posts cemented with a self-adhesive resin cement, while the remaining roots followed a three-step conditioning method: acid etch, bonding agent, and a conventional resin cement. Metal crowns were luted onto the post-core preparations and the specimens were embedded to simulate the periodontium. Half of the specimens from each group (n = 15) were submitted to cyclic loading simulations (130 N; 2.0 Hz) and then sections were obtained from each root for the pushout BS test.

Results: Independently of the cyclic loading and the root level tested, the conventional resin cement provided significantly higher values of BS (p = 0.002). For either cement or either root level, cyclic loading caused a significant decrease in BS values (p = 0.023). The Tukey test indicated that, regardless of the resin cement used or the cyclic loading, BS was highest at the middle and cervical thirds of the root (p = 0.026), and their values did not differ between themselves.

Conclusions: When used for luting GFP, self-adhesive resin cement resulted in lower pushout BS than the conventional counterpart, with cyclic loading causing a decrease in BS of the GFP to dentin for both resin cements.     

Influence of surface energy parameters of dental self-adhesive resin cements on bond strength to dentin

The purpose of this study was to determine the surface energy parameters of dental self-adhesive resin cements (SRCs) and to measure their bond strength to dentin. Six dental SRCs (RelyX Unicem Clicker, RU; Maxcem Elite, ME; BisCem, BC; Clearfil SA Luting, SA; Multilink Speed, MS; seT PP, SP) and one resin-modified glass ionomer cement (RelyX Luting 2, RL; control) were tested. Smear layer-covered bovine dentin was used as bonding substrate. Using the dynamic sessile drop method, surface energy, surface energy components, degree of hydrophobicity/hydrophilicity (expressed as ΔG _sws using thermodynamic notation), and apparent surface energies for each material were calculated. The luting cements were bonded to the dentin and stored in water at 37?°C for 24?h prior to shear bond strength test (n?=?10). Pearson correlation analysis was applied to detect possible correlations between surface energy parameters and measured shear bond strength (α?=?0.05). RU, SA, and MS produced negative ΔG _sws values (hydrophobic), whereas ME, BC, SP, and RL yielded positive ones (hydrophilic). RU had the highest value among all six SRCs tested, the value for MS being statistically equivalent (p?=?0.785). The base component, ΔG _sws, and surface energy determined with water showed significant negative linear correlations with dentin bond strength (r/p?=??0.801/0.030, ?0.900/0.006, and ?0.892/0.007, respectively). These results suggest that bonding to smear layer-covered bovine dentin was governed by the base component and the hydrophobicity/hydrophilicity of the SRCs.