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.     

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 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.     

Effect of hot-etching treatment on shear bond strength of zirconia to resin cement

ABSTRACT

The purpose of this study was to evaluate the effect of hot-etching surface treatment on the shear bond strength between zirconia ceramics and resin cement. Ceramic cylinders were divided randomly into 10 groups (n?=?10) according to different surface treatments (blank control; airborne particle abrasion; hot-etching for 10?min; hot-etching for 30?min; hot-etching for 60?min) and whether or not performed thermal cycling fatigue test. Flat enamel surfaces, were prepared from human permanent incisors and were bonded to the zirconia discs. All specimens were subjected to shear bond strength test by a universal testing machine. All data were statistically analysed using one-way analysis of variance and multiple comparison least significant difference tests (α?=?0.05). Hot-etching for 60?min treatment produced higher bond strengths than the other treatment. Surface treatment of zirconia with a hot-etching solution might enhance surface roughness and bond strength between zirconia and resin cement.     

A novel high-strength lithium disilicate glass-ceramic featuring a highly intertwined microstructure

To achieve long-term clinical performance and wider application of glass-ceramic dental restorations, it is urged to enhance the mechanical properties of glass-ceramic materials. In this study, a high-strength lithium disilicate glass-ceramic was developed in a SiO₂–Li₂O–Al₂O₃–MgO–P₂O₅–ZrO₂ related glass system, which demonstrates a high flexural strength of 562 ± 107 MPa. In this high-strength glass-ceramic, the microstructure features highly intertwined colonies of lithium disilicate. This novel microstructure effectively contributes to the improvement of flexural strength. The minor crystalline phases (β-quartz, MgAl₂Si₄O₁₂, and Li₃PO₄) embedded within the Li₂Si₂O₅ (LS₂) crystal colonies and residual glass matrix could further strengthen the glass-ceramic. The development process of such a novel microstructure and its possible formation mechanism are proposed. This material could be an excellent candidate for restorative dental applications up to three-unit posterior bridges.     

Effect of self-etching ceramic primer on bond strength of zirconia-reinforced lithium silicate ceramics

Abstract

This study evaluated the effect of self-etching ceramic primer (SECP) on shear bond strength (SBS) of zirconia-reinforced lithium silicate (ZLS) ceramics. Two hundred and seventy block-specimens of two types of ZLS ceramics and one type of lithium disilicate (LS) ceramics were prepared. Ninety blocks of each material were divided into three groups (n?=?30), namely group 1: no surface treatment (control), group 2: hydrofluoric acid (HF), silane-based primer (S), and group 3: SECP. Resin cement was applied, and light-cured for build-up. Shear bond strength (SBS) test was used. Half of the bonded specimens (n?=?15) were tested after storage in distilled water for 24?h, whereas the other half were tested after 5000 thermo-cycles. The failure modes were evaluated using scanning electron microscope (SEM). The SBS values for samples treated with SECP and HF?+?S within the respective materials were statistically comparable (p?>?0.05). Thermocycling significantly reduced the SBS (p?<?0.05) for all ceramic materials in groups 2 and 3. Mixed failure followed by adhesive failure were the most common failure modes in groups 2 and 3, whereas pretest failure was only detected in group 1. Considering the limitations of the study, with respect to in vitro bond strength, the SECP is an alternative for the conditioning of internal surface of glass ceramics.     

Evaluation of the shear bond strength of two resin cements on different CAD/CAM materials

Objective: This study investigated the bond strength of two resin cements (Panavia F 2.0 and Multilink N) to different CAD/CAM materials: resin nanoceramic (RNC; Lava Ultimate), hybrid ceramic (HC; Vita Enamic), zirconia-reinforced lithium silicate ceramic (ZLDC; Vita Suprinity), and lithium disilicate glass-ceramic (LDG; IPS e.max CAD HT).

Material and methods: CAD/CAM blocks of 2-mm thickness were sectioned with a slow-speed diamond-saw sectioning machine. The slabs were then embedded in autopolymerizing acrylic resin (n = 12), and resin cements were applied to the surface of the specimens. All specimens were stored in water for 24 h and subjected to 5000 thermal cycles. Bond strength was measured by means of the shear bond strength test. The data were statistically analyzed by two-way ANOVA and Tukey LSD post hoc tests.

Results: The results of the two-way ANOVA test indicated that the bond strength values varied significantly depending on the CAD/CAM restorative materials, resin cements, and interaction of these variables (p < 0.05). The RNC group showed the highest bond strength for Panavia F 2.0 (p < 0.05); there were no significant differences among other CAD/CAM materials for Panavia F 2.0 (p > 0.05). The LDG group showed the highest bond strength for Multilink N, it was followed by the ZLDC group (p < 0.05); there were no significant differences between RNC and HC groups (p > 0.05).

Conclusions: Choosing resin cements for restorations should be done carefully because bond strength values vary significantly depending on the resin cement and CAD/CAM restorative material.     

Adhesion and interfacial characterization of biomimetically texturized lithium disilicate

Lithium disilicate glass-ceramic (LS2) can be biomimetically textured by crystal orientation, mimicking the microstructure of dental enamel and inducing anisotropic mechanical responses to crack growth. The deliberate texturization of LS2 plays to the clinical advantage of reinforcing weak sites of typical fracture initiation in dental prosthetic constructs. Similar to enamel, adhesion of biomimetically textured LS2 could also show anisotropic behavior. Therefore, tensile bond strength (TBS) before and after thermocycling (TC) and interfacial characterization of biomimetically textured LS2 (parallel (PAR) or perpendicular (PER) crystal orientation) after different pre-treatment modes (hydrofluoric acid etching (HFE), grit blasting (GBL) and self-etching glass-ceramic primer (SGP)) were investigated. TC reduced significantly TBS for all specimens except for GBL. Biomimetic textured LS2 after HFE showed anisotropic behavior regarding adhesion. Crystal orientation reduced TBS for the PER HFE specimens after TC significantly. In general, the TBS of HFE specimens was still higher or not significantly lower compared to other pre-treatment modes like GBL or SGP. For the GBL and SGP specimens, crystal orientation had no influence on TBS and interfacial characteristics. In contrast HFE specimens showed different interfacial characteristics depending if they were PAR or PER texturized. Based on these findings, HFE of biomimetic textured LS2 can be recommended. For bonding, the PAR orientation is recommended as its adhesion potential is less prone to degrade.     

Effect of different surface shapes formed by femtosecond laser on zirconia-resin cement shear bond strength

Objective: The purpose of this study was to evaluate the effect of different surface shapes formed by femtosecond (FS) laser on zirconia (Y-TZP)-resin cement shear bond strength (SBS). Background data: All ceramic restoration is used as an alternative to metal-ceramic restorations, due to its better aesthetics, strength, and toughness properties. However, bond strength of restoration to tooth and other materials is effective to long term success of the restoration, and to achieve it surface treatment is required on ceramic surface. Materials and methods: Forty square-shaped zirconia samples were prepared and assigned to four groups of 10. The details of the groups are as follows: Group A, square-shaped recessed surface; Group B, square-shaped projection surface; Group C, circular-shaped recessed surface; Group D, circular-shaped projection surface. The SBSs values were performed with a universal testing machine at a crosshead speed of 1 mm/min. The data were analyzed statistically using analysis of variance (ANOVA) and Tukey HSD multiple comparisons tests. Results: The one-way ANOVA results on SBSs of the zirconia material bonded with resin cement revealed significant differences among the groups (p < 0.05). The Tukey HSD test results revealed that Group B and D had significantly higher SBS values than other groups (p < 0.05), but there were no significant differences between each other (p > 0.05). Additionally, Group A and C had significantly lower values than other groups (p < 0.05). Conclusions: Different surface shapes formed by FS laser provided a significant increase in SBSs. The SBS values of projection surfaces of circular and square-shapes are greater than that of recessed surfaces of circular and square-shapes.     

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.     

Controlling the microstructure and properties of lithium disilicate glass-ceramics by adjusting the content of MgO

In order to obtain lithium disilicate glass-ceramics for dental restoration with both high strength and high translucency, lithium disilicate glass-ceramics with different MgO contents were prepared by melt-casting and heat treatment method. The effects of MgO content on the crystallization temperature, microstructure and flexural strength of lithium disilicate glass-ceramics were investigated. The results indicate that Mg²⁺ exists in the form of [MgO₄] in the network of lithium disilicate glass-ceramics when the MgO content is 0.56 mol% (M0.56), which is beneficial to increasing the homogeneity and thermal stability of the glass system, and short rod-like lithium disilicate crystals can be formed after heat treatment at 840°C. Thus, the obtained lithium disilicate glass-ceramics exhibit excellent comprehensive performance, with the flexural strength being 312 ± 23 MPa, and the average transmittance of visible light being 37.3% (d = 1.62 mm). Especially, the glass-ceramic sample shows better translucency than the commercially available products. The research results are of great significance for developing high performance lithium disilicate glass ceramics and promoting its broad application in the field of dental restoration.     

Influence of different surface treatments on zirconia/resin shear bond strength using one-bottle universal adhesive

ABSTRACT

This study was designed to evaluate the effect of different treatments on the zirconia/resin shear bond strength (SBS) using commercial one-bottle universal adhesive. Zirconia discs with different surface treatments (blank control; airborne-particle-abrasion; glazing) were bonded to the bovine enamel surfaces using one-bottle universal adhesive. All specimens were tested for SBS (MPa) before and after 10000 thermocycles. Statistically analysis were conducted by using one-way analysis of variance and multiple-comparison least significant difference tests (α = 0.05). Airborne-particle-abrasion group showed higher SBS (36.19 ± 11.86) than control group (14.98 ± 5.90) and glazing group (10.63 ± 5.39) (p < 0.05). After thermocycling test, the SBS significantly decreased for control group (8.84 ± 2.55) and glazing group (6.18 ± 2.78) while not for airborne-particle-abrasion group (41.5 ± 7.95). One-bottle universal adhesives combined with airborne-particle-abrasion showed quite high SBS of zirconia/resin, which was appropriate for bonding of zirconia restoration.     

Bonding effectiveness of different dentin conditions on etch-and-rinse mode of two universal adhesives: the confocal laser scanning and shear bond strength

The purpose of this study was to evaluate the shear bond strength and the morphological differences of adhesive/dentin interface of two one-step universal adhesives to dentin using different dentin-conditioning methods with etch-and-rinse mode. Ninety-six dentin specimens were randomly divided into two groups based on application of two adhesives and assigned to three subgroups according to different dentin conditioning (wet-bonding; air-dried; rewetting). After etching and rinsing, experimental dentin conditioning was conducted on the etched dentin specimens. All specimens were subjected to shear bond strength testing using a universal testing machine, and all data were statistically analyzed using two- way analysis of variance with Tukey’s post hoc test. All debonded specimens were examined for fracture pattern by scanning electron microscopy (SEM). Adjunctively, one specimen per group was prepared by the same processing and longitudinally sectioned. Then, the infiltration ability of adhesives into dentin was examined by observing the interface using confocal laser-scanning microscopy (CLSM). Wet and Rewet groups exhibited significantly higher shear bond strength than dry groups on the etch-and-rinse system, regardless of different adhesives. The bond strength between wet and rewet groups showed no significant difference in Tukey’s test. Analysis of failure surface using SEM showed that predominant failure patterns were mixed in both the wet-bonding group and dry-bonding group. CLSM presented that resin penetration into etched dentin was enhanced similarly in wet and rewet group. Application of rewetting agents on dried dentin increased the bonding performance of universal adhesives on etch-and-rinse mode.     

Shear bond strength tests of zirconia veneering ceramics after chipping repair

All ceramic systems are replacing the classical metal–ceramic crowns in dental practice. Zirconium dioxide (zirconia) core associated with veneering ceramic provides both good mechanical and aesthetic properties of prosthetic restorations. However, such zirconia crowns may be affected by defects of adaptation, too tight contacts in the proximal area and fissures of the ceramic veneer. The latter produces chipping; this requires a reattachment, therefore a second burning of the zirconia–ceramic interface. Such an additional procedure may affect the mechanical resistance of the ceramic veneer and the bond between the zirconia core and the ceramic veneer. The aim of this study was to evaluate the alterations of this shear bond strength (SB) between the zirconia core and the ceramic veneer, as produced by the first set of complete burning procedures and by the second correction burning of the dental restorations. Thirty-three zirconia discs were veneered with ceramic material and the SB was evaluated for each sample. Each ceramic cylinder detached from the zirconia was bonded on the core through a new layer of dentin and another burning procedure; the SB was tested again. The results of the two SB tests were compared; the statistical analysis concluded that there is an approximately 10% decrease of the resistance after the second burning. Also, the spread of the values for each test showed the high impact of the human factor on such dental restorations. In all the tests, the weakest area proved to be the interface between the zirconia core and the layered ceramics.     

Effect of femtosecond laser beam angle and formed shape on surface roughness and shear bond strength between zirconia and resin cement

Achieving adhesion between resin cement and zirconia requires pretreatment of the surface. This in vitro study aimed to evaluate the effect of femtosecond laser beam angle and the shape of the formed surfaces, on the roughness and shear bond strength (SBS) of resin cement to zirconia ceramic. Seventy Y-TZP ceramic specimens were divided into seven groups (n = 10). A femtosecond laser irradiation was performed on the ceramic surface of three shapes (spiral (SP), square (SQ) and circular (CI) and at two angles (30 and 90°) to give SP-30, SQ-30 and CI-30 and SP-90, SQ-90 and CI-90, respectively. After treatment, the surface roughness of all specimens was evaluated using a profilometer. One specimen from each group was analysed using a scanning electron microscope. The bonded specimens were thermocycled 5000 times and then an SBS test was performed. Kruskal-Wallis and Mann-Whitney U tests were used to analyse surface roughness and SBS values. The control group had statistically lower surface roughness (R_a) values than the treated groups (p < 0.05). SP-30 and SQ-30 laser treated specimens showed higher R_a values than the other specimens. Statistically significant SBS values (p = 0.000) were observed between the groups. All laser treated samples showed greater SBS compared to the control group. SP-30, SQ-30 and SQ-90 groups showed the highest SBS values. Within the limitations of this experimental study, the highest mean values for R_a and SBS were achieved with SP and SQ surfaces using a 30° angle laser beam.     

Adhesive bond strength and compressive strength of a novel bulk fill composite with zirconia nano-hybrid filler

The aim of the study was to investigate the adhesive bond and compressive strength of novel bulk fill resin composite with zirconia (Zr) nano-hybrid filler. Sixty molars were mounted in acrylic resin with flat occlusal surface. Half of the specimen (n = 30) were bonded using total etch (TE) and the other half with self-etch (SE) technique. Specimens treated with SE (n = 30) and TE (n = 30) bonding protocol were divided into three groups, based on the type of bulk fill build-up materials (ZC–ZirconCore, MC–MulticCore Flow and LC–Luxacore Dual), resulting in six study groups [MC-TE, MC-SE, LC-TE, LC-SE, ZC-TE, ZC-SE]. Cylindrical (3 × 3 mm) build-ups were performed followed by shear bond strength testing (crosshead speed-1 mm/min). Ten specimens for each bulk fill build-up material (MC, LC and ZC) were prepared for compressive strength testing. All specimens were tested for maximum failure loads (crosshead speed?0.5 cm/min). Analysis of variance and paired t-test were performed to statistically analyze the data. TE technique showed significantly higher bond strength values as compared to SE technique (p < 0.001) for all three materials (MC, LC and ZC). Shear bond strength for MC [TE,17.88(2.00)-SE,9.43(0.98)] and LC [TE,18.91(2.57)-SE,6.35(1.12)] groups were significantly higher than ZC group [TE,13.99(1.09)-SE,4.61(0.84)]. Specimens in ZC group (266.73 ± 9.76) showed significantly higher compressive strength in comparison to MC (247.66 ± 9.72) (p = 0.004) and LC (249.87 ± 13.17) (p < 0.001) groups. Zirconia nano-hybrid filler resin bulk fill material has comparatively high compressive strength and low bond strength making them suitable for clinical applications in the posterior region with favorable conditions for adhesive bonding.     

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 adhesive application on the shear bond strength of flowable composite resins and APC plus to orthodontic molar tubes

Objectives: To evaluate the effect of adhesive application on the shear bond strength (SBS) of orthodontic tubes to acid-etched human enamel when using different flowable composite resins and the APC Plus system (APC). Study design: One hundred metal tubes were bonded to human third molars, which were randomly divided into five groups: Tetric EvoFlow (TF); Wave mv Flow (W); Transbond Supreme LV (S); Transbond XT (XT); and APC. For each experimental group, half of the specimens were bonded in combination with Transbond XT adhesive. After 72?h, an SBS test was performed using a universal testing machine. Two-way analysis of variance (ANOVA) was run for multiple comparison tests and for comparing the mean SBS among the 10 subgroups to evaluate the effect of both the composite and the adhesive factors. Then, a Student-Newman-Keuls test was used for pairwise comparisons using the highest mean SBS group as reference. Adhesive Remnant Index scores were determined for the teeth after failure and compared by χ ²-test. Two representative molar surfaces from the 10 subgroups were assessed under scanning electron microscope. Results: The application of adhesive did not have a significant effect, but there was a marked tendency toward the influence of the factor composite on SBS. The mean SBS of tubes bonded with XT with adhesive was significantly higher than that of those bonded with APC with adhesive, TF with and without adhesive, and S with adhesive. Conclusion: Flowable composites and the APC system without intermediate bonding resin could be conveniently applied for orthodontic tube bonding.     

The shear bond strength of repaired high-viscosity bulk-fill resin composites with different adhesive systems and resin composite types

This study compared the effect of different adhesive systems and composite resins on the shear bond strength (SBS) of repaired high-viscosity bulk-fill composites(Tetric EvoCeram Bulk Fill) and investigated failure modes. One hundred twenty cylindrical bulk-fill composite blocks (diameter 5?mm) were fabricated and thermocycled for 5000 cycles (5–55?°C). Specimens were roughened by diamond bur and divided into 8 groups (n?=?15). Bulk-fill blocks were repaired with the same material or nanohybrid composite resin(Tetric EvoCeram Nanohybrid) (diameter 3?mm) using different adhesive systems:Tetric N-Bond Universal (TSE);37% phosphoric acid etching?+?Tetric N-Bond Universal (TER); Clearfil SE Bond (CSE); 37% phosphoric acid etching?+?Adper^TMSingle Bond 2(SB). After repair procedures, all specimens were thermocycled again. The shear bond strengths were measured for all specimens using a universal test machine (crosshead speed of 1?mm/min). Cohesive strengths of bulk-fill composites were measured and described as control group. Debonded surfaces were observed with a stereomicroscope under 10x magnification to determine mode of failure. The SBS data of all groups was statistically analyzed by two-way ANOVA and Bonferroni correction test (p?<?0.05). The specimens repaired with bulk-fill composites showed significantly higher SBS values (25.86?±?5.74, 27.05?±?4.93, 24.49?±?6.95MPa) than those with nanohybrid composites (20.41?±?3.70, 22.08?±?6.37, 18.74?±?6.40?MPa) for TER,CSE,SB, respectively (p?<?0.05). There were no significant differences in SBS according to the type of adhesive systems for both repair materials (p?>?0.05). The predominant mode of failure was a mixed type in the restorative material except for the ones repaired with nanohybrid composites using Adper^TMSingle Bond 2. High-viscosity bulk-fill composites could be successfully repaired with the same materials. SBS of repaired bulk-fill composites reached cohesive strength for all tested groups.     

Etching efficacy and bonding performance of resin to lithium disilicate ceramic using self-etching primer with different reaction times

The purpose of this study was to evaluate the effect of self-etching primer on glass-ceramic at different reaction durations. Fifty specimens of lithium disilicate ceramic were divided into five groups based on the surface treatment (n?=?10); Group A (control): no treatment, Group B: treated with 5%-hydrofluoric acid (HF) followed by a primer, Group C: treated with one-bottle system self-etching primer; (Monobond Etch & Prime (MEP)) for 20?s plus 40?s reaction time, Group D: MEP for 20?s plus 80?s reaction time, Group E: MEP for 20?s plus 120?s reaction time. The outcomes of shear bond strength (SBS), failure mode and surface topography were assessed. Statistical analyses were performed using ANOVA, Chi-squared test and Tukey’s test at a significance level of α?=?0.05. The control group (A) demonstrated the lowest SBS value (0.11MPa, SD:0.022) which was statistically significant, compared to other groups (P?<?0.0001). However, the mean SBS values were not statistically significant among the other four experimental groups. Group B yielded the highest SBS value (13.79MPa, SD:3.57), although was not statistically significant when compared to group C (11.60MPa, SD:1.23), group D (11.94MPa, SD:1.24), and group E (11.67MPa, SD:0.64), P?>?0.05. Scanning electron microscope (SEM) showed increased surface roughness in HF/primer specimens compared to MEP. Stereomicroscopy analyses showed that the main mode of failure was adhesive failure in group A, while was mixed failure in the other experimental groups, with no statistical significance between the groups. The self-etching system can be considered as an alternative for the glass-ceramic surface treatment without compromising the bond strength. The time required for conditioning seems to be sufficient with 40?seconds reaction time.