Effects of Silanes Alone and Their Blends with HEMA on Resin–Titanium Bonding

Abstract

Two organofunctional silane coupling agents alone and two silane blend systems with HEMA were evaluated in vitro as adhesion promoters for bonding bis-GMA resin to a silica-coated titanium surface. The silanes were applied onto tribochemically silica-coated titanium surfaces. Experimental bis-GMA resin stubs were applied and photo-polymerized onto titanium. The specimens were subjected to three different conditions: (1) dry storage for 24 h, (2) storage in de-ionized water at 37°C for six months and (3) alternating storage in de-ionized water at 37°C and thermocycling (6000 cycles, 5–55°C) for 6 months. Shear bond strengths of the resin to titanium were measured using a universal testing machine. Surface examination was made with a scanning electron microscope (SEM) after the bond strength test. Highest shear bond strength was obtained with 3-acryloxypropyltrimethoxysilane stored in dry condition (20.2 ± 3.2MPa), and the lowest value was obtained with 3-methacryloxypropyltrimethoxysilane (ESPE Sil) in alternating water storage and thermocycling condition (1.4 ± 0.6 MPa). The type of storage condition affected significantly the shear bond strength (p < 0.05). The shear bond strength obtained from dry storage was the highest, while the shear bond strength obtained from alternating water storage and thermocycling condition was the lowest. Interfacial failure was the main failure mode (87.2%) followed by mixed failure (9.4%) and cohesive failure (3.4%). The addition of 0.5 vol%. HEMA into silane primers did not improve the shear bond strength between the experimental resin and silica-coated titanium.     

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.     

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.     

Effects of Er,Cr:YSGG laser on repair bond strength of 5-year water-aged and non-aged CAD/CAM ceramics

The aim of this study is to examine the repair bond strength of three different 5-year water-aged and non-aged computer-aided design/computer-aided manufacturing (CAD/CAM) ceramics (leucite-reinforced, lithium disilicate, and feldspathic ceramic) on which four different surface treatments (bur-grinding, sandblasting, acid-etching, and laser irradiation) have been applied with composite resin. Note that 360 ea. samples have been attained from CAD/CAM blocks. Each CAD/CAM ceramic has been randomly separated into two sub-groups depending on aging procedure. The designed 5-year water-aged and non-aged samples have been separated into four sub-groups. Ceramic surfaces were repaired then the samples have been placed into shear test device. Three-way variance analysis has been used in the comparison of the repair bond strengths depending on the ceramic type, surface treatment, and aging. Results have revealed that the repair bond strength values show differences depending on CAD/CAM ceramic type, surface treatment, and the aging of the surface (p < .001). While the aged and laser-irradiated feldspathic CAD/CAM ceramics showing the highest shear bond strength, the lowest shear bond strength values were in aged and bur-grinded feldspathic CAD/CAM ceramics. Irradiation with erbium chromium: yttrium scandium gallium garnet (Er,Cr:YSGG) laser has significantly increased the repair bond strength in leucite-reinforced and feldspathic CAD/CAM ceramics, acid-etching is suggested surface treatment for the lithium disilicate CAD/CAM ceramics.     

Effects of different surface treatments on shear bond strength between ceramic systems and metal brackets

The aim of this study was to evaluate the shear bond strength of orthodontic brackets bonded to different kinds of ceramic surfaces after different surface conditioning methods. A total of 120 ceramic disks were divided into two main groups in terms of feldspathic or lithium disilicate. Each ceramic group was further subdivided into six subgroups depending on surface treatment (n = 10). The ceramic surfaces were conditioned by one of the following methods: Group C: control group; Group P: %37.5 orthophosphoric acid; Group HF: %9.6 hydrofluoric acid; Group L: Nd-YAG laser irradiation; Group SB: sandblasting with 50 µm Al₂O₃ particles; and Group DB: grinding with a diamond bur. Surface roughness value was evaluated with a digital profilometer. Surface topographies of one specimen from each group were observed by atomic force microscopy (AFM) after surface treatments. All samples were primed with silane before the bracket bonding, including the control group. Metal brackets were bonded to the specimens with a light curing composite resin. The samples were stored in distilled water for 24?h and thermocycled 2500× at 5 and 55 ºC for 30?s. Shear bond strengths between the ceramic surface and the bracket were measured with a universal testing machine at a crosshead speed of 0.5 mm/min. Failure modes were classified as adhesive, cohesive, or mixed. Data were analyzed using ANOVA and Tukey's tests (α = .05). Group SB had significantly rougher surface compared with the other groups in each ceramic system (p < .05), and Group SB demonstrated significantly higher shear bond strengths than other groups as well. Within the limitations of this study, surface conditioning methods, except for sandblasting and grinding, were associated with lower shear bond strengths; however, thermocycling may have had negative effects on bond strengths of specimens. Furthermore, in each ceramic system, there was a significant difference between surface-conditioning methods and surface roughness with regard to shear bond strength.     

Effects of silane treatment on salivary protein contamination during the bonding of lithium disilicate ceramic

Abstract

In this study, the effect of saliva contamination and cleaning procedures on the bond strength of lithium disilicate (LS2) ceramics was investigated at different timings of silane treatment. Micro-tensile bond strength (μTBS) test using a universal testing machine was performed (n?=?24). For analysis of adhesive surface characteristics, water contact angle was measured (n?=?3). After saliva contamination, the salivary protein level using the Bradford assay was quantified (n?=?3). The pre-conditioned surfaces were observed using a field emission-scanning electron microscope (FE-SEM). Saliva contamination and the silane treatment timing significantly affected the μTBS of LS2 ceramics (p?<?0.05). However, cleaning methods did not show any significant differences in μTBS (p?>?0.05). Water contact angle increased after silane treatment. High concentration of salivary protein was detected in the group where saliva contamination occurred before silane treatment (p?<?0.05). FE-SEM analysis showed that the etched surfaces of the contaminated LS2 specimens were covered with oral bacteria and other salivary components. It also showed that ultrasonic cleaning was effective in eliminating salivary contaminants while air-water spray was not. Saliva contamination of the surface of LS2 ceramics deteriorates μTBS. To minimize the effect of saliva contamination, prompt silane treatment to etched surface of LS2 ceramic is recommended.     

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

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

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

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

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

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

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

Influence of post-etch cleaning and silane heat treatment on resin bond strength to silica-based leucite: an in vitro study

Adhesive cementation of bonded all-ceramic restorations is critical for their long-term clinical performance. The objective of this study was to evaluate the role of post-etch cleaning (PEC) and silane heat treatment on the micro-tensile bond strength of silica-based leucite (SBLE) ceramic when bonded to composite resin. Twenty-four blocks of SBLE ceramic (HeraCeram Press®, Heraeus Kulzer GmbH Grüner Weg 11 63450 Hanau) were fabricated and bonding surfaces were etched using 9.5% hydrofluoric acid. Six experimental groups were made from the various surface treatment combinations including: PEC (37.5% phosphoric acid for 1 min, rinsed with water for 20 s and ultrasonic bath immersion), silane application and silane heat treatment (100 °C for 5 min). An adhesive resin and a light-cured restorative composite were used to bond the ceramic and composite resin blocks under standard conditions. Three hundred and sixty specimen sticks (8 × 1 mm²) were subjected to micro-tensile testing. The means of the micro-tensile bond strength (μ-TBS) were analysed with ANOVA and Tukey–Kramer multiple comparison test. The specimens tested were assessed for mode of failure using scanning electron microscopy. The highest μ-TBS value (38.25 ± 3.40 MPa) of the specimen was achieved by PEC and heated silane. PEC and silane application showed statistically significant improvements in the μ-TBS (p < 0.01). The mean maximum difference was due to PEC (18.91 ± 3.70 MPa). In the surface treatment of SBLE ceramics, PEC had the most significant factor which affected the μ-TBS of resin composite.     

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.     

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.     

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.     

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.     

The effect of different cementing strategies and adhesive interface aging on microtensile bond strength (μTBS) of lithium disilicate ceramics to dentin

This study evaluated the effect of different cementing strategies and adhesive interface aging on microtensile bond strength (μTBS) of lithium disilicate ceramic (IPS e.max CAD) to dentin. Forty coronal dentin fragments were randomly assigned to four groups according to the cementing strategy used to bond lithium disilicate ceramic to coronal dentin surface (n = 10): U200 (self-adhesive resin cement (RC) RelyX U200®/3 M ESPE), SBU (single-step self-etching adhesive system (AS) Single Bond Universal®/3 M ESPE + RelyX ARC®/3 M ESPE RC), AdperSB (two-step etch-and-rinse AS Single Bond 2®/3 M + RelyX ARC®/3 M ESPE RC) and Scotchbond (three-step etch-and-rinse AS Scotchbond Multi-Purpose®/3 M + RelyX ARC®/3 M RC). After 48 h, the ceramic-tooth blocks were sectioned perpendicular to the adhesive interface in the form of sticks and randomly subdivided into two groups according to when they were to be submitted to μTBS testing: immediately or 6 months after storage in water. Some sticks were kept for analysis of the adhesive interface by scanning electron microscopy (SEM). The μTBS test was performed in a universal testing machine (0.5 mm/min). The data (MPa) were analyzed using split-plot ANOVA and Tukey’s test (α = 0.05). Water storage decreased μTBS in all cementing strategies. The μTBS was greatest in the Scotchbond group and lowest in the U200 group, at both storage times. No signs of interface degradation were detected under SEM after water storage. In conclusion, water storage decreased bond strength, regardless of the adhesive cementation strategy, and that the three-step adhesive system/dual-cure resin cement ultimately performed better in terms of bond strength.     

Effect of surface conditioning methods on the microtensile bond strength of repair composite to indirect restorative materials

This study evaluated the effect of surface conditioning methods on the microtensile bond strength (µTBS) of a restorative composite to indirect restorative materials. Blocks (5?×?5 × 4?mm³) (N?=?72) of (a) Zirconia (In-Ceram Zirconia, Vita) (ZR), (b) lithium disilicate glass ceramic (IPS Empress II, Ivoclar Vivadent) (LD), (c) Indirect resin composite (Gradia, GC) (GR) were fabricated (n?=?24 per group) and divided randomly into three groups: 1-Control: no conditioning, 2-Silane coupling agent, 3-Hydrofluoric acid (9.5%) (HF)+silane. Each block was duplicated in resin composite. The adhesion surfaces were conditioned with airborne-particle abrasion (110?µm Al₂O₃ particles). Half of the conditioned blocks received no bonding and the other half one coat of bonding (ED Primer II, Kuraray). Each conditioned block was bonded to a composite block with a resin luting agent (Panavia F2.0, Kuraray). The blocks were sectioned into 1?mm² microsticks and tested for microtensile bond strength (µTBS) (0.5?mm/min) in a μTBS testing machine. Failure types were evaluated under stereomicroscope and Scanning Electron Microscope (SEM). Data were analyzed using three-way ANOVA, Bonferroni corrected and independent sample t-tests (p?<?0.05). Significant effect of the bonding (p?<?0.001) and surface conditioning (p?<?0.001) were observed in all groups. The highest mean bond strength values were obtained in the bonded, HF etched and silanized groups of ZR, LD and GR (12.4?±?2.9, 28.1?±?1.5 and 27.2?±?2?MPa, respectively). HF acid?+?silane increased the repair bond values in all materials. Majority of the failure types were adhesive for ZR group, whereas HF?+?silane conditioned LD and GR groups presented predominantly cohesive failures in the cement.     

Microtensile bond strength testing of resin cements

To investigate the microtensile bond strength (μTBS) and failure mode of resin cements bonded to ceramic blocks following various surface treatments.Seventy-two Ceramco II (Ceramco lnc., Burlington, NJ) ceramic discs 10 mm in diameter and 4 mm thick were prepared. The ceramic specimens received 8 different surface conditions treatments before the application of resin cement. These surface treatments were sanding with 600-grit silicon carbide paper, microetching with aluminum oxide, sanding followed by silane application, microetching followed by silane application, hydrofluoric acid etching, hydrofluoric acid etching followed by silane application, application of adhesive resin, and combination of the previous two treatments (HF+S+Adh). Seventy-two extracted molars were ground flat at 90° to the long axis of the tooth until a sufficient circular area of dentin was exposed (at least 5 mm in diameter). Three resin cements were applied to these surfaces. After 24 h storage at 37 °C, the non-trimming version of μTBS test was used to produce 1 mm² microbars. The microbars were subjected to a tensile load using a modified testing device.Data were analyzed with 2-way analysis of variance. The interaction between the substrate surface treatment and cement type is significant (p<0.001).The results of this in vitro study suggest that when the tested ceramic restoration is cemented with a resin cement system, the ceramic should be etched with hydrofluoric acid, silane and adhesive should be applied prior to cementation. The results also suggest that an auto- or light-polymerizing cement should be considered instead of a dual-polymerizing cement.     

Efficacy of accelerated aging methods to degrade the adhesive interface of dentin cavities bonded with etch-and-rinse adhesive systems

This study evaluated the bond durability produced by etch-and-rinse (E&R) adhesive systems in response to traditional and accelerated aging methods. Tridimensional dentin cavities were prepared on 80 bovine incisors, which were bonded with a 3-step E&R (Adper Scotchbond Multipurpose Plus – MP) and a 2-step E&R (Adper Single Bond 2 (SB) adhesive systems, and restored with composite. The samples were stored in water for 24 h, and then subjected to each of the aging methods (n = 10): control group – only 24-h storage (not exposed to additional aging), 6- and 12-month water storage, and 10% NaOCl storage. The push-out bond strength test was performed in a universal testing machine. Failure modes were evaluated by scanning electron microscopy. Data were analyzed by two-way ANOVA and Tukey tests (p < 0.05). Aging methods provided statistically similar bond strength for 3-step E&R adhesive system (p > 0.05). 10% NaOCl storage provides statistically similar bond strength values to 6- and 12-month water storage (p > 0.05), which were statistically lower than those provided by 24-h water storage (control group) (p < 0.05). Adhesive failures were more frequent. Aging methods provided different behaviors according to each adhesive system. The accelerated 10% NaOCl storage was effective to decrease bond strength only for 2-step E&R adhesive system.     

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.     

Influence of different etching protocols on the reliability of resin bonding to CAD/CAM feldspathic porcelain

ObjectivesTo evaluate the effects of different acid etching times on the mechanical strength of dental porcelain as well as the influence on the reliability of resin bonded CAD/CAM porcelain veneer.Material and MethodsRectangular CAM/CAM feldspathic porcelain (Mark II, Vita Zahnfabrik) specimens (12 mm×10 mm×4 mm) were prepared and polished with silicon carbide abrasive paper under running water. All the samples were randomly divided into four groups according to the corresponding etching protocols: control group (without any treatment), group A (etched with a gel etchant containing 5% hydrofluoric acid for 30 s and rinsed with de-ionized water), group B (etched for 1 min and rinsed), group C (etched for 2 min and rinsed). After silanization, resin stubs were adhered on porcelain surface. There are 25 resin–porcelain samples prepared in each group and subjected to the shear bond strength testing. Weibull analysis was conducted to evaluate of the reliability of resin–porcelain bonding. For each of the etching method, eight additional porcelain samples (3 mm×2 mm×10 mm) were prepared and etched. Then, surface roughness (R_a), microhardness (Vickers Hardness) and biaxial flexural strengths were measured on these porcelain specimens. Energy dispersive X-ray spectrometry technique was used to assess the changes in surface chemical composition after etching and the surface topography was recorded under atomic force microscope (AFM) and scanning electron microscopy (SEM).ResultsThe reliability of resin to CAD/CAM porcelain bonding was decreased with the increase in HF etching time. The application of HF etching for 30 s decreased the Vickers hardness number (HV) significantly from 651.6 (control group) to 488.7 (group A). With the extension of etching time, the Vickers hardness number was further reduced to 430.1 (group B) and 305.7 (group C). However, the biaxial flexural strengths of these four groups were not statistically significant different (p>0.05). AFM revealed the porous structures on the porcelain surface at microscopic level.ConclusionsThe application of HF to etch the CAD/CAM feldspathic porcelain surface reduced the microhardness number. Etching with 5% hydrofluoric acid on dental porcelain for more than 1 min might impair the reliability of resin bonded porcelain veneer.     

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.