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

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

Endodontic irrigants effect on long-term intraradicular adhesion of resin cements

The aim of this study was to evaluate over time the bond strength of dual-cure and self-adhesive resin cements used for bonding fiberglass posts following irrigation with different solutions. Ninety roots from single-rooted premolars were selected and divided into 6 groups (n = 15) according to the resin cement, dual-cure or self-adhesive (RelyX ARC and RelyX U100) or the endodontic irrigant used (2% chlorhexidine digluconate - CH, 1% sodium hypochlorite - SH and deionized distilled water – control). Following post cementation, the roots were cross-sectioned in order to obtain two slices from each root third (cervical, mid and apical). The specimens were stored for 7 or 180 days in water and the push-out bond strength test applied. The data was analyzed using three-way ANOVA and Tukey Kramer. The interaction endodontic irrigants-resin cement vs. storage time was significant (p = 0.008), where 7 days of storage induced no difference between the groups, however, after 180 days, the groups for which CH or SH combined with RelyX U100 were used showed higher bond strength values than RelyX ARC, regardless of the irrigant solution. There was no difference between the use of RelyX ARC after 7 and 180 days of storage. For Rely X U100 180 days of storage increased the push-out bond strength when either CH or SH was used. The dual-cure and self-adhesive resin cements associated with CH or SH demonstrated similar immediate bond strength performance. The self-adhesive cement, however, showed improved bond strength over time when either irrigant was used.     

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

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

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

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

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.     

Influence of desensitizing procedures on adhesion of resin cements to dentin

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

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

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

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.     

Bonding strategies to full-contour zirconia: Zirconia pretreatment with piranha solution,glaze and airborne-particle abrasion

This study aimed to evaluate the effect of various zirconia surface pretreatments on the adhesion between full contour 3Y-TZP zirconia and glaze, and the shear bond strength (SBS) between glazed/3Y-TZP and resin cement. Specimens were allocated into groups: GL-glaze; AL+GL-sandblasting with Al₂O₃+GL; CJ+GL-tribochemical silica coating (Cojet^®/CJ)+GL; PS+GL-piranha solution+GL; and CJ. Adhesion between 3Y-TZP and GL was evaluated using the scratch test. Surface topography and glaze thickness were evaluated by using a scanning electron microscope (SEM). For SBS, glazed/3Y-TZP surface was etched with hydrofluoric acid and a silane was applied. For CJ only the silane was applied. Samples were tested after 24 h (24 h wet) or after 15,000 thermal cycles and 90 days storage (thermocycled). After SBS, the type of failure was classified as: adhesive, mixed or cohesive. The data were analyzed using two-way ANOVA and Tukey's test. SEM analysis after scratch test revealed circular cracks in the GL group and conformal cracks in the others groups. SEM micrographs suggested that zirconia specimens submitted to airborne-particle abrasion presents rougher and porous surface when compared to surfaces treated with GL and PS. The glaze layer was approximately 1.86 µm thick in all groups. After 24 h, SBS test showed highest values for AL+GL and CJ+GL and were significantly higher when compared to the GL group. Differences were not significant between PS+GL and the other groups. After aging (thermocycling+storage), groups GL and CJ presented no statistically significant difference compared to 24 h and aged AL+GL, CJ+GL and PS+GL groups. The predominant type of failure was mixed. 3Y-TZP surface treatment with glaze application could be considered as an alternative treatment, since it yielded a similar resin bond strength without the need for airborne-particle abrasion.     

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.     

The effects of water flow rate on shear bond strength of self etch resin cement to dentin surface after Er,Cr:YSGG laser etching

The aim of the present study was to evaluate the effect of water flow rate on the morphological features of dentin and shear bond strength (SBS) of self-etching resin cement after Er,Cr:YSGG laser etching. Dentin specimens obtained from extracted human third molars were randomly assigned to four groups (n = 23), including one that received no laser irradiation (control-group D) and three others with different laser parameters: 2.25 W, 50 Hz, 60% air with water flow rates of 19 mL/min-100% water (group A), 2.25 W, 50 Hz, 6.75 mL/min-50% water (group B), and 2.25 W, and 50 Hz, 2.75 mL/min-25% water (group C). The morphological features of each group were examined with scanning electron microscopy and atomic force microscopy. The SBS of resin cement disks (Panavia F2.0, Kuraray; Tokyo, Japan) (3 mm in diameter and 2 mm in height) to the dentin specimens was measured using a universal testing machine at a cross head speed of 0.5 mm/min. Bond strength values were analyzed with one-way ANOVA/Tukey tests. There were no significant differences between the SBS values of groups A and B (p > 0.05). However, the SBS values of these groups were significantly higher when compared to groups C and D (p < 0.001). Er,Cr:YSGG laser application with water flow rates of 6.75 or 19 mL/min resulted in better dentin surface alterations and increased the SBS of self-etching resin cement to dentin.     

The effect of nano-structured alumina coating on the bond strength of resin-modified glass ionomer cements to zirconia ceramics

The purpose of this study was to evaluate the effect of Y-TZP ceramic surface functionalization with a nano-structured alumina coating on bond strength of the resin modified glass ionomer dental cement. A total of 160 disc-shaped specimens were produced and randomly divided into two groups of 80. Half of the discs in each group received an alumina coating which was fabricated by exploiting the hydrolysis of aluminum nitride (AlN) powder. The shear bond strengths of the resin-modified glass ionomer cement FUJI+ (GC Japan) and the composite resin luting agent RelyX Unicem (3M ESPE, USA) were then studied for the coated and uncoated surfaces The SEM analyses revealed that the application of an alumina coating to the Y-TZP ceramics created a highly retentive surface for bonding. The bond strengths for the coated groups in both cements were significantly higher than the uncoated groups.     

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

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

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.     

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.     

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

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

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

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

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

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.     

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

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

Effect of experimental primers on hydrolytic stability of resin zirconia bonding

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