Effect of different air-abrasion protocols on topography,surface wettability and adhesion of MDP monomer-based resin cement to zirconia

This study evaluated the effect of air-abrasion protocols on the topography, surface wettability and adhesion of resin cement to zirconia. Ceramic specimens (N?=?49; n?=?7) (15?mm × 2?mm) were randomly allocated to seven groups to be treated with: (1) Air-abrasion with 45?μm Al₂O₃ (A45), (2) 80?μm Al₂O₃ (A80), (3) 30?μm Al₂O₃ coated with SiO₂ (CoJet) (C30), (4) 30?μm Al₂O₃ coated with SiO₂ (Rocatec Soft) (R30), (5) 110?μm Al₂O₃ coated with SiO₂ (Rocatec Plus) (R110); (6) R110R30 (Rocatec) (R110R30) and (7) control, no conditioning (NC). Air-abrasion was performed using a chairside air-abrasion device (2.5?bar, 10?mm, 90?s). Contact angle measurements were performed using goniometry (n?=?5). MDP-based dual resin cement (Panavia F2.0) was bonded on four locations after air-abrasion protocols (n?=?20 per group). Half of the specimens were tested after 24?h and the other half after thermal cycling (×3000, 5–55?°C). Data were analyzed using 1-, 2-way ANOVA and Tukey’s test (alpha = 0.05). Significantly lower contact angle values were observed for groups C30 (62.6?±?0.91), R30 (61.91?±?1.05) and R110R30 (61.54?±?1.02) compared to those of other groups (65.5?±?0.9–110.61?±?0.9) (p?<?0.05). In dry conditions, surface conditioning methods tested did not show significant effect on bond strength (MPa) (10.57?±?1.42–16.86?±?2.54) (p?=?0.238). After thermocycling, bond strength results decreased significantly (p?<?0.05) (12.6–51.2%). R110 (7.18?±?1.34) and A80 (4.92?±?1.53) showed significantly higher bond strength compared to other groups (2.13?±?0.73–4.16?±?1.34) (p?<?0.05). The best wettability and adhesion results with MDP-based resin cement to zirconia was achieved with A80 and R110 air-abrasion.     

Adhesion of resin cements to contaminated zirconia resin cements on zirconia: effect saliva-contamination and surface conditioning

This study evaluated the adhesion of resin cements to zirconia after saliva contamination using resin cements with different chemistries. Zirconia discs (N?=?240, n?=?10 per group) were randomly divided into three groups: (a) C: No contamination (Control), (b) S: Contamination with saliva, (c) S?+?AA: Contamination with saliva followed by air-abrasion (CoJet). While half of the specimens were not conditioned, the other half were conditioned with 37.5% H₃PO₄ for 60?s. After rinsing, all specimen surfaces were silanized (Monobond Plus). Resin cements based on either methacrylate (Variolink II–VL) or MDP monomer (Panavia 21-PN) were polymerized on the substrates. The specimens were randomly divided into two further groups to be tested either after (a) 24?h dry storage at 37?°C or (b) thermocycling (×5000, 5–55?°C). Microshear bond (MSB) tests were conducted in a Universal Testing Machine and failure types were analyzed. Data were analyzed using Univariate analysis and Tukey’s tests (alpha = 0.05). While saliva contamination, 37.5% H₃PO₄ application (p?<?.001) and aging (p?<?.05) significantly affected the bond results, cement type did not show significant difference after aging (p?>?.05). Adhesive strength of PN (1.2–4.4?MPa) on saliva contaminated and etched zirconia was more stable than that of VL (0–2.8?MPa). After aging, bond strength results decreased the most with VL (3–100%) compared to PN (32–71%) but the decrease was less in the air-abraded groups after aging (VL: 3%; PN: 32%). Exclusively adhesive failures were experienced in all groups.     

Adhesion to zirconia as a function of primers/silane coupling agents,luting cement types,aging and test methods

This study evaluated the adhesion of resin cements to zirconia with different primers/silane coupling agents using two test methods with and without aging. Zirconia discs (Cercon) (N = 900, n = 15 per group) were ground finished to 2000 grit silicone carbide and randomly divided into seven groups: (a) C: No treatment (Control), (b) SG: Signum, (c) CL: Clearfil Ceramic Primer, (d) AP: Alloy Primer, (e) Monobond Plus, (f) ES-R: ESPE-Sil after Rocatec and (g) ES-C: ESPE-Sil after CoJet. Methacrylate (Variolink II-VL) and MDP based (Panavia F2.0-PN) dual-polymerized and self-adhesive resin cements (RelyX Unicem-RX) were adhered and polymerized accordingly. The specimens were further randomly divided into two groups to be tested after (a) 24-h dry storage at 37 °C and (b) thermocycling (×5000, 5–55 °C). Macroshear (MSB) and macrotensile bond tests (MTB) were conducted in an universal testing machine (crosshead speed: 1 mm/min) and failure types were analyzed after debonding. Data were analyzed using Univariate analysis and Tukey’s tests (α = 0.05). Two-parameter Weibull modulus, scale (m) and shape (0) were calculated. While primer/silane (p < 0.001), cement type (p < 0.001) and aging (p < 0.001) significantly affected the bond results, test method did not show significant difference (p = 0.237). In MSB test, Weilbul moduli were more favorable for MP-VL (4.2) and AP-PN (6) combinations and after aging for MP-VL (4.2) and AP-PN (5.66). In MTB test, after aging, Weilbul moduli were more favorable for AP-PN (5.41). Bond strength results mostly decreased with SG (24–92%) after aging. Cohesive failures in the cement were more frequent with PN (252) compared to VL (83).     

Comparison of methanol/hydrochloric,ferric chloride acid versus tribochemical silica coating for adhesion of resin cement to zirconium dioxide

This study compared air-abrasion and etching regimens on adhesion of resin luting agent to zirconium dioxide. Ceramic specimens (LAVA, 3 M ESPE) (N = 16) were embedded in acrylic resin and exposed surfaces were polished. The specimens were randomly assigned into four groups (n = 12, 3 specimens for each disc): SC: Air-borne particle abrasion (30 μm aluminum oxide particles coated with silica, CoJet, 3 M ESPE); MH: Heated chemical solution (Methanol-800 mL; 37% Hydrochloric Acid-200 mL; Ferric Chloride-2 g) at 100 °C for 30 min, MHP: Primer (Metal/Zirconia Primer, Ivoclar Vivadent) + MH, P: Primer only (Metal/Zirconia Primer). Cylindrical molds (internal diameter: 0.7 mm; height: 1.5 mm) were placed on each conditioned specimen, filled with resin cement (Multilink Automix) and photo-polymerized for 60 s. After 24 h, the molds were removed and the specimens were stored in distilled water at 37 °C for six months). Microshear test was performed in a Universal Testing Machine (1 mm/min). Failures types were classified as adhesive, mixed, or cohesive. In another set of specimens (n = 2 per group) contact angle measurements were recorded. Data were analyzed statistically using Kruskal–Wallis and Dunn’s tests (α = 0.05). The surface conditioning method significantly affected the mean bond strength (MPa) (p < 0.0001): SC(18.3 ± 0.3)^a < P(5.00 ± 0.07)^b < MHP(4.7 ± 0.08)^c < MH(0.84 ± 0.01)^c. While Group SC showed mainly adhesive (58%) and mixed (41.7%) failure types, groups MH, MHP, and P presented exclusively adhesive failures. SC, MHP, and P (29–32°) showed lower contact angle than MH (78.9°). Volume loss was the highest with MHP (9.92 μl) followed by SC (9.67 μl).     

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.     

Adhesion potential of relining materials to polyamide and PMMA-based denture base materials: effect of surface conditioning methods

This study evaluated the bond strength of relining materials to different denture base materials polyamide and polymethylmethacrylate denture base materials after various surface conditioning methods. Denture base resin specimens (N?=?128; n?=?8 per group) (10?×?10?×?2.5?mm³) were fabricated out of injection-moulded thermoplastic polyamide resin (POL) (Deflex) and heat-polymerized polymethylmethacrylate (PMMA, Dura Dent) (HC). The specimens were randomly divided into 4 main groups according to different surface conditioning methods: (a) No conditioning, control (C), (b) grinding with green stone (G), (c) application of primer (V), (d) silica coating with Al₂O₃ particles coated with SiO₂ (Rocatec) (R). Half of the specimens in each group received auto-polymerized hard relining resin (GC, GC Reline Hard) and the other half PMMA based relining resin (SC, Dura Dent). After thermocycling (×5000), the bonded specimens were tested under tensile forces (0.5?mm/min). Data (MPa) were analyzed using Mann–Whitney U and Kruskal–Wallis tests (alpha = 0.05). Bond strength of relining resins were significantly higher to PMMA than to POL, regardless of the conditioning method (p?<?0.05). While R positively affected the bond strength results (p?<?0.05) (4.99?±?1.65–3.27?±?1.31), application V or G did not show significant effect to POL-relining resin adhesion. After R conditioning, bond strength values were significantly higher in HC-GC group (7.48?±?2.32) than POL-GC group (3.27?±?1.31) (p?<?0.05). Adhesion of auto-polymerized relining materials to thermoplastic polyamide or polymethylmethacrylate denture resins could be improved after surface conditioning with silica-coating.     

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.     

Effect of temporary cement removal methods from human dentin on zirconia-dentin adhesion

This study evaluated the effect of temporary cement residue removal methods from human coronary dentin on the bond strength of adhesively-luted zirconia on dentin. Forty non-carious human molars were embedded in acrylic resin and the dentin surfaces were exposed. Temporary acrylic crowns were provisionally cemented with zinc oxide cement without eugenol and stored in distilled water (37?°C/15?days). After crown removal, the excess temporary cement was removed from dentin according to one of the following cleaning methods: (n?=?8 per group): (a) air-water rinse (AW), (b) pumice paste (PP), (c) air-abrasion with aluminum oxide particles (Al₂O₃) (AA), (d) sodium bicarbonate spray (SB) or (e) glycine powder (CP). Forty zirconia cylinders were made and each cylinder was adhesively luted onto each tooth after adhesive resin (Scotch Bond Universal, 3?M ESPE-SBU) application using resin cement (RelyX Ultimate, 3?M ESPE) and photo-polymerized from each surface for 20?s. The bonded specimens were stored in distilled water (37?°C) for 90?days. The bonded interface was loaded under shear (1?mm/min). Data (MPa) were analyzed using 1-way ANOVA and Tukey's test (α?=?0.05). Mean bond strength was significantly affected by the cleaning method (p?=?0.0289). Cleaning with AA method resulted in significantly higher bond strength than with SB (p?<?0.05) but similar to CP, PP and AW (p?>?0.05). All cleaning methods were effective in removing temporary resin cement from dentin surfaces. Air-abrasion with aluminum oxide particles was more effective than with sodium bicarbonate spray promoting adhesion between zirconia and dentin.     

Effect of Er,Cr:YSGG laser surface conditioning on the adhesion of fiber- reinforced composite and zirconia intraradicular posts to the root dentin

This study evaluated the influence of Er,Cr:YSGG laser surface conditioning on push-out bond strength of different root posts to the root dentin. Extracted (N = 27, n = 9 per group) and endodontically treated human mandibular premolars were prepared to receive the posts. Three types of posts, namely quartz fiber (D), glass fiber (S), and zirconium dioxide post (C) were luted with resin cement. The posts were randomly assigned to one of the surface conditioning method: (a) No conditioning, control (L0), (b) Er,Cr:YSGG laser at 175 mJ, 3.5 W for 60 s (L1), and (c) at 225 mJ, 4.5 W for 60 s, with 60 μs pulse duration and repetition rate was 20 Hz (L2) irradiation. Six sections (two coronal, two middle, and two apical) were made in each tooth yielding to 1 mm thick specimens. The specimens were stored in distilled water at 37?°C for 24 h and push-out bond strength (MPa) was tested in a Universal Testing Machine (1 mm/min). Data were analyzed using Kruskall–Wallis and Dunns`s post hoc tests (α = 0.05). In group D, both laser treated groups (L1:16.16 ± 19.89; L2:8.24 ± 9.26) presented significantly less bond strength compared to control group (L0:28.3 ± 16.8) (p < 0.001). Mean push-out bond strength values did not significantly differ according to the root segments (coronal, middle, and apical) (p = 0.106). Application of Er,Cr:YSGG laser, with the parameters tested, did not increase the bond strength of zirconium glass fiber and zirconium oxide posts. Laser surface conditioning decreased the bond strength of quartz fiber posts in the root canal.     

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.     

Effects of chemical and physico-chemical surface conditioning methods on the adhesion of resin composite to different mineral trioxide aggregate based cements

This study investigated the adhesion of resin composite to mineral trioxide aggregate based cements after different chemical and physico-chemical surface conditioning methods. Mineral trioxide aggregate based cements (Biodentine, ProRoot MTA, Imicryl MTA) were embedded in Teflon disks (N?=?180). After storing at 37?°C at 100% humidity for 72?h, substrate surfaces were polished using silicon carbide papers. Specimens were allocated to 3 groups to be conditioned with one of the following (n?=?15 per group): a) Adhesive resin (Clearfil SE Bond, CSE), b) Adhesive resin (Adper Single Bond 2, SB2), c) air-abrasion with 30?μm alumina coated with silica?+?silane?+?adhesive resin (ALB), d) no surface conditioning, control group (CON). Microhybrid resin composite (Filtek Z250) was applied on the conditioned substrate surfaces and photo-polymerized. After storage at 37?°C at 100% humidity for 24?h, adhesive interfaces were loaded under shear (1?mm/min) in a universal testing machine. After debonding failure types were analyzed. Data were analyzed using 2-way ANOVA and Tukey’s test (alpha = 0.05). SBS results were significantly affected by surface conditioning (p?<?0.05) and materials (p?<?0.05). Interaction terms were significant (p?<?0.05). Biodentine-ALB resulted in significantly higher SBS values (3.96?±?1.24) compared to those of other combinations, while ALB and SB2 resulted in no significant difference for ProRoot MTA and Imicryl MTA (p?>?.05). CSE (1.36?±?0.5- 1.98?±?0.76) did not significantly increase SBS for all MTA materials compared to the control group (0.8?±?0.52 – 2?±?0.91) (p?>?9.05). While CON groups resulted in exclusively adhesive failures, ALB presented the highest incidence of mixed failures for all materials tested (60–100%).     

Bond strength of short-pulsed laser-irradiated zirconia to veneer ceramic

Objective: The aim was to evaluate the effect of 1064 nm Yb-doped fiber-based nanosecond pulsed laser on surface roughness and bond strength between veneer ceramic and zirconia. Material and methods: Zirconia discs were divided into three groups: sandblasted (SB), laser irradiated (YL), and control (n?=?12). YL group was treated with ytterbium laser with the setting of 85 W/25 kHz. Sandblasting was done using 50 μm Al₂O₃ particles from a distance of 10 mm for 20 s under 3.5 atm. No surface treatment was applied to the control group. The surface roughness values and SEM images of the groups were obtained. X-ray diffraction analysis was applied to a spare sample of each group to determine the monoclinic phase ratio. The samples were subjected to shear bond strength (SBS) test with a cross-head speed of 1 mm/min after being veneered. The fracture modes were evaluated. One-way analysis of variance and Tukey’s HSD tests were used for statistical analysis. Results: The YL group had higher surface roughness than the control (p?≤?0.0001) and the SB group (p?=?0.007) with a mean value of 2.90 μm. The SEM images of the groups supported this result, but formation of the microcracks was more intense for the YL group. The monoclinic phase ratio was highest for the SB group. However, the differences of SBS between SB and YL groups were not statistically significant. Mostly the combined failure of samples was observed. Conclusions: Ytterbium laser treatment increased the surface roughness of zirconia, but the SBS was not higher than sandblasting. Surface roughness results did not correlate with the SBS results.     

Analysis of structural,morphological alterations,wettability characteristics and adhesion to enamel after various surface conditioning methods

Minimal invasive dental reconstructions and orthodontic appliances are bonded to enamel without removing the enamel with rotating instruments but the top layer of enamel may be partially aprismatic and impair adhesion. The objectives of this study were to investigate the effect of mechanical surface conditioning methods for removing enamel on its structural, morphological alterations, wettability characteristics, and adhesion of resin-based cement to the conditioned surfaces. Maxillary human incisors (N = 40, n_quadrant = 160) were obtained and coronal sections were embedded in acrylic with their labial surfaces exposed. The teeth were randomly divided into four groups and the enamel surface of each tooth was divided into four quadrants. The surfaces were conditioned in a clockwise manner by one of the following methods: (1) Non-conditioned enamel acted as the control group (C); (2) Silicone-coated disk (Sof-Lex disc, Black, 3 M ESPE) (SD); (3) Diamond bur at slow speed (DB) and (4) Airborne particle abrasion (50 μm Al₂O₃, 2 bar, 5 s) (AA). Surface roughness was measured at each quadrant using a non-contact digital profilometer and contact angle measurements were performed using a goniometer. Enamel surfaces were then etched with 37% H₃PO₄ for 60 s and roughness and wettability measurements were repeated. The enamel surfaces in each quadrant received resin composite luting cement (Variolink II, Ivoclar Vivadent) incrementally in a polyethylene mold (diameter: 1 mm²; height: 4 mm) and photopolymerized. The specimens were stored in distilled water for 24 h at 37 °C until the testing procedures and then shear force was applied to the adhesive interface until failure occurred in a Universal Testing Machine (0.5 mm/min). Microshear bond (μSBS) was calculated by dividing the maximum load (N) by the bonding surface area of the resin cement. Representative enamel surfaces were analyzed under the scanning electron microscope (SEM) (x5000) to assess the surface morphology. Failure types were analyzed using optical microscope and SEM. Data (MPa) were analyzed using one-way ANOVA and Tukey`s test for each parameter and Linear model for group comparisons (α = 0.05). Surface conditioning method significantly affected the adhesion results (p < 0.001), surface roughness (p = 0.017), and contact angle (p < 0.001). Interaction terms were significant (p > 0.05). AA (338 ± 182) created significantly higher surface roughness compared to SD (308 ± 180) and DB (242 ± 197) (p < 0.05). After etching with 37% H₃PO₄, DB (307 ± 223) resulted in significantly lower roughness than those of SD (385 ± 173) and AA (414 ± 193) (p < 0.05). AA (40 ± 11) delivered significantly lower contact angle compared to those of SD (61 ± 9) and DB (59 ± 10). After etching with 37% H₃PO₄, AA (42 ± 10) and DB (50 ± 10) presented the lowest contact angle (p < 0.05). Mean μSBS results (MPa) showed significant difference between the experimental groups (p = 0.011) and were in descending order as follows: DB (20 ± 8)^a?a b < C (12 ± 5)^b. Failure types were predominantly mixed failure type between the enamel and the resin cement with more than half of the resin remained on the enamel surface (32 to 33 out of 40) in all groups. Cohesive failure in the enamel was not observed in any of the groups. SEM analysis showed that AA group leaves abundant particles on the enamel surface and after DB and AA, etching could not remove the particles completely and expose the enamel prisms.     

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.     

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.     

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.     

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.     

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 clinical and laboratory contamination media on the adhesion of luting cement to direct and indirect resin composite materials

This study evaluated the effect of contamination media on the adhesion of resin cement to resin composites. Specimens of direct (DRC) (Quadrant Photo Posterior) and indirect resin composite (IRC) (Gradia) (N = 300, n = 15 per group) were prepared. Except the control group (C), the specimens of DRC and IRC were contaminated with one of the following media: (a) saliva (S), (b) silicon (SI), (c) dental stone (D), and (d) isolation medium (I). While one half was only rinsed with water, the other half was silica coated (30 μm SiO₂, Siljet). All specimens were silanized (Monobond Plus) and coated with adhesive resin (Heliobond). Resin cement (Variolink II) was bonded to the substrates and photo-polymerized for 40 s. After thermocycling (x5.000, 5–55 °C), composite–cement interface was loaded under shear in a Universal Testing Machine (1 mm/min). Data (MPa) were analyzed using Univariate analysis, Tukey’s and Dunnett-T3 tests. Both contamination media (p = 0.000) and surface conditioning (p = 0.005) significantly affected adhesion to DRC and IRC. No significant difference was found between the DRC and IRC (without: p = 0.098; with: p = 0.084). Significantly lower results were obtained after SI (DRC: 0.66 ± 0.6; IRC: 0.8 ± 1.3) followed by I contamination (DRC: 2.1 ± 2.6; IRC: 0.8 ± 1.3) (p < 0.05). Regardless of contamination medium, surface conditioning significantly increased the results for both DRC (15.1 ± 6.1–23.6 ± 3.7) and IRC (20.3 ± 5.4–25.1 ± 3.6) (p < 0.05). Weibull distribution increased after surface conditioning for both DRC (without: 1.33–3.27; with: 2.55–9.34) and IRC (without: 1.07–3.75; with: 3.7–7.73). Predominantly adhesive (132 out of 150) failures were observed when surfaces were not conditioned.     

An atomic force microscopy study of the effect of surface roughness on the fracture energy of adhesively bonded aluminium

The effect of roughening an initially polished aluminium surface using the Forest Products Laboratory chemical etch on the adhesive joint strength has been determined. It was found that while the lap shear strength increased rapidly with etching for short times, the fracture energy did not increase significantly until etching had occurred for at least 15 min. An atomic force microscope (AFM) was used to study the surface/interface morphology and to quantify the surface roughness. The AFM images showed that etching occurs heterogeneously across the aluminium surface and a correlation was found between the fracture energy and the fraction of etched surface. A model based on Griffith's fracture energy approach has been proposed to explain this observation. The lap shear strength was found to be more sensitive to a finer scale roughness which is generated at shorter etching times. Other observations regarding the mode of fracture and the variability in joint strength as a function of the surface roughness are explained on the basis of varying stress concentrations at the crack tip.