scholarly journals Fatigue Resistance of Y-TZP/Porcelain Crowns is Not Influenced by the Conditioning of the Intaglio Surface

2016 ◽  
Vol 41 (1) ◽  
pp. E1-E12 ◽  
Author(s):  
LC Anami ◽  
JMC Lima ◽  
LF Valandro ◽  
CJ Kleverlaan ◽  
AJ Feilzer ◽  
...  

SUMMARY Objectives The objective of this study was to investigate the effects of treatments of the intaglio surface of Y-TZP frameworks and luting agents on the fatigue resistance of all-ceramic crowns. Methods A research design was chosen that attempted to reduce the likelihood of Hertzian cracking and to increase the probability of fracture initiation at the intaglio surface of the framework. Ninety identical preparations were machined in a dentin-like epoxy composite. Each preparation was restored with a Y-TZP framework made by a CAD/CAM system and veneered using feldspathic ceramic. Prior to cementation the intaglio surface of the ceramic was treated using one of four treatments: 1) cleaning with isopropyl alcohol; 2) application of an overglaze; 3) sandblasting with 125 μm aluminum oxide powder; and 4) sandblasting with 30 μm silica powder (CJ). One of three luting cements were used: 1) zinc phosphate; 2) glass ionomer; and 3) adhesive resin cement (PN). All three cements were tested against frameworks that were alcohol cleaned. Only the PN cements were tested against frameworks that had been sandblasted or glazed. Altogether, six groups of 15 specimens each were tested. Fatigue resistance was evaluated using stepwise loads at 1.4 Hz until failure: 5000 cycles at maximum load of 200 N, followed by 10,000 cycles at maximum loads of 800, 1000, 1200, and 1400 N. The cement thickness and failure modes were analyzed using a stereomicroscope and scanning electron microscopy. The results were analyzed using the Kaplan-Meier and Mantel-Cox log rank tests (5%), a one-way analysis of variance, Tukey multiple comparison test, and Weibull nonparametric test. Results The predominant failure mode was chipping of the veneer. The crowns cemented with the adhesive resin cement exhibited chipping failure at higher mean loads than did crowns cemented with cements that usually do not bond strongly with dentin. When the adhesive cement was used, glazing and sandblasting intaglio framework surface treatments exhibited lower mean loads at chipping than did crowns whose intaglio surface was only cleaned with alcohol. Weibull analysis indicated that all specimens had a high ratio of late-to-early failures. Conclusions The fatigue experiment produced a pattern of failures that is very similar to that observed in clinical trials of Y-TZP crowns that are veneered with feldspathic porcelain. Crowns cemented with an adhesive resin cement exhibited chipping at a significantly higher mean load than those cemented with luting cements that do not usually form strong bonds with dentin. When cemented with adhesive resin cement, glazing or sandblasting the intaglio surface of the framework significantly reduced the mean fatigue loads at which chipping of veneers occurred, as compared to crowns whose intaglio surface had only been cleaned with alcohol. For this cement glazing or sandblasting the intaglio surface of the crown is not recommended.

2015 ◽  
Vol 40 (3) ◽  
pp. 293-303 ◽  
Author(s):  
MF Mohamed ◽  
HA El Deeb ◽  
IE Gomaa ◽  
EH Mobarak

SUMMARY Objective: To evaluate the durability of the bond of different resin cement systems to normal dentin (ND) and caries-affected dentin (CAD) with and without simulated intrapulpal pressure (IPP). Methods and Materials Molars with midcoronal caries were used. Occlusal enamel was cut to expose both dentin substrates (ND and CAD). Dentin substrates were differentiated using visual, tactile, caries-detecting dye, and dye-permeability methods. Prepared crown segments were equally divided according to the tested resin cement systems: etch-and-rinse resin cement, self-etch resin cement containing methacryloyloxydecyl dihydrogen phosphate (MDP), and self-adhesive resin cement. In addition to the dentin substrates and the resin cement types, the effect of application/storage conditions (with or without simulated IPP and with or without thermocycling) were tested. A microtensile bond strength test was done using a universal testing machine. Failure modes were determined using a scanning electron microscope. Results Etch-and-rinse resin cement strength values were significantly affected by the difference in the dentin substrates as well as the different application/storage conditions. Self-etch adhesive containing MDP bonded equally to ND and CAD and remained stable under all tested conditions. Self-adhesive resin cement revealed a similar bond to ND and CAD; however, its values were the lowest, especially when IPP and thermocycling were combined. Mixed failure was the predominant failure mode. Conclusions Etch-and-rinse resin cement was sensitive to dentin substrate and application/storage conditions. Resin cement with self-etch adhesive containing MDP revealed more reliable bonding to ND/CAD even when IPP and thermocycling were combined. The bonding of the self-adhesive resin cement could not compete with other resin cements.


2020 ◽  
Vol 9 (11) ◽  
pp. e619119525
Author(s):  
Joselúcia da Nóbrega Dias ◽  
Andressa Eveline de Lima Ribeiro ◽  
Ana Margarida dos Santos Melo ◽  
Boniek Castillo Dutra Borges ◽  
Isauremi Assunção

The present study aimed to evaluate the impact of different chemical surface treatments and aging on dentin bond strength and nanoleakage of semi-direct restorations cemented with self-adhesive resin cement. One hundred and sixty semi-direct composite restorations (4.8 x 2.8 x 4.0 mm) were produced to fill dentin preparations in bovine tooth, and the specimens were divided into 8 groups according to chemical treatment [No treatment, Silane (S), Scotchbond™ Universal adhesive (SBU), and S+SBU], and aging time in water [24 h and 6 months]. Push-out bond strength (PBS) was measured through a universal testing machine (1.0 mm/min), failure modes by a dissecting microscope, and nanoleakage by scanning electron microscopy. Two-way ANOVA and Tukey's post-hoc (p<0.05) test were used to analyze PBS data, whilst failure modes and nanoleakage were analyzed descriptively. The bond durability was influenced by different chemical surface treatments after 6 months of aging in distilled water, with the best performance for the group that uses silane associated with the universal adhesive. Nanoleakage was greater at the dentin-cement interface, from the base of the restorations. However, the infiltration of silver crystals at the cement-resin interface was not influenced by the different chemical treatments applied. The results of the study suggest that self-adhesive cement promotes efficient adhesion to the interface that improves over time without the need for chemical surface treatment or when using SBU, with or without silane.


2019 ◽  
Vol 7 (13) ◽  
pp. 2167-2172
Author(s):  
Mahmoud N. M. Allabban ◽  
Salah A. Youssef ◽  
Ali Abkar Mohammed Nejri ◽  
Mohamed A. A. Qudaih

AIM: This study aimed to evaluate the bond strength between esthetic posts and dentin at different regions of the root canal in passive mode or push-out active mode. METHODS: Twenty extracted human bicuspid single canal teeth were used in this study. Teeth were sectioned below the cement-enamel junction. The roots of teeth were endodontically treated. Glass fibre posts (Glassix plus, Harald Nordin SA, Switzerland) and zirconia posts (Zirix, Harald Nordin) were then adhesively luted with total-etch (Variolink N, Ivoclar Vivadent, Schaan, Liechtenstein) and self-adhesive (Multilink Speed, Ivoclar Vivadent) resin cement. The roots were divided into two main groups of 10 samples each, according to the type of post used. Each group subdivided into 2 subgroups of 5 samples each, according to the type of cement used. The specimens were transversally sectioned into three slices of 2 mm thickness to perform the push-out test. The push-out tests were performed at crosshead-speed, 0.5 mm/min). Failure modes were evaluated using a scanning electron microscope at magnification (x 150). RESULTS: The results revealed that push-out bond strengths were significantly affected by the type of luting agent and the type of post (P ≤ 0 .05). The mean push-out bond strength values for fibre post were significantly higher than those for zirconia post independent of the luting strategy used. The score values of total-etch adhesive resin cement were higher than those for self-adhesive resin cement irrespective of other variables. Regarding the effect of the root segment on push-out bond strength, results revealed that bond strength decreased from the coronal to the apical section. The cement-dentin interface found to be the weakest part of the root-cement-post unit. CONCLUSION: Glass fibre posts revealed better results in all root third when they adhesively luted with total-etch or self-etch adhesive resin cement and provided significantly increased bond strength compared to the zirconia posts.


Materials ◽  
2021 ◽  
Vol 14 (22) ◽  
pp. 6776
Author(s):  
Alessandro Vichi ◽  
Riccardo Fabian Fonzar ◽  
Michele Carrabba ◽  
Chris Louca ◽  
Nicola Scotti ◽  
...  

This study aimed at evaluating the effects of different surface conditionings on the microshear bond strength (µSBS) of a self-adhesive resin cement to VITA Suprinity (ZLS) and IPS e.max CAD (LD). Three surface conditioning protocols were performed on ZLS and LD before luting with a self-adhesive resin cement (RelyX Unicem 2, RXU): hydrofluoric acid (HF), HF + silane (HF + S), or Monobond Etch & Prime (EP). In each group, 15 cylindrical buildups of RXU were prepared on five milled bars and submitted to a µSBS test. Data were statistically analyzed with two-way ANOVA and Tukey’s post hoc test (p < 0.05). Failure modes were recorded and classified as adhesive, mixed, cohesive in resin, or ceramic, and statistically analyzed with Fisher’s exact test (p = 0.05). One additional bar per group was used for the morphological characterization of the conditioned surface by means of SEM. The material per se did not significantly influence adhesion (p = 0.744). Conditioning protocol was a significant factor: EP yielded significantly higher μSBS than HF (p = 0.005), while no significant differences emerged between EP and HF + S (p = 0.107), or HF + S and HF (p = 0.387). The material-conditioning protocol interaction was not statistically significant (p = 0.109). Significant intergroup differences were found in distribution of failure modes: mixed failures were predominant in the ZLS/EP group, while the other groups showed a prevalence of adhesive failures. The self-etching primer showed promising results in terms of immediate bond strength of a self-adhesive resin cement to lithium-silica-based glass ceramics, suggesting its alternative use to hydrofluoric acid and silane conditioning protocols.


2013 ◽  
Vol 1 (1) ◽  
pp. 3
Author(s):  
Mohammed Al-Saleh ◽  
Omar El-Mowafy

PURPOSE: To determine the microtensile bond strength (µTBS) of composite restorations when bonded with self-adhesive resin-cements. METHODS: Thirty caries-free extracted molars were sterilized, and divided into 5 equal groups according to adhesive used: SBMP (Scotch-Bond-Multipurpose, total-etch 3-step adhesive, 3M/ESPE), PAN (PanaviaF-2.0, resin-cement with self-etch primer, Kuraray), RXU (RelyX-Unicem, self-adhesive resin-cement, 3M/ESPE), BRZ (Breeze, self-adhesive resin-cement, Pentron) and MON (Monocem, self-adhesive resin-cement, Shofu). Each group was divided into 2 subgroups (dentin or enamel). Bonding agents, used according to manufacturers’ directions, or a thin layer of resin cement was applied onto teeth flat surfaces. Six mm-thick Filtek-Z250 (3M/ESPE) composite build up was made in three increments. Teeth were sectioned to obtain rectangular specimens which were subjected to tensile force until failure. Specimens were subjected to 1,000 thermo-cycles between 5oC-55°C. Means and standard deviation (SD) were calculated and statistically-analyzed with ANOVA and Tukey’s t-test. Specimens’ failure modes were reported. RESULTS: SBMP showed the highest µTBS results with enamel (24.6(6.1) MPa), PAN showed high µTBS with enamel (12.1(3.9)MPa) and dentin (11.6(4.7)MPa) compared to the other self-adhesive cements. Failure modes were adhesive and mixed for self-adhesive resin-cements. MON subgroups and BRZ enamel subgroup underwent premature failure. CONCLUSION: self-adhesive resin-cements showed low µTBS compared to SBMP.


2016 ◽  
Vol 95 (13) ◽  
pp. 1487-1493 ◽  
Author(s):  
N. Hirose ◽  
R. Kitagawa ◽  
H. Kitagawa ◽  
H. Maezono ◽  
A. Mine ◽  
...  

An experimental cavity disinfectant (ACC) that is intended to be used for various direct and indirect restorations was prepared by adding an antibacterial monomer 12-methacryloyloxydodecylpyridinum bromide (MDPB) at 5% into 80% ethanol. The antibacterial effectiveness of ACC and its influences on the bonding abilities of resin cements were investigated. To examine the antibacterial activity of unpolymerized MDPB, the minimum inhibitory and bactericidal concentrations (MIC and MBC) were determined for Streptococcus mutans, Lactobacillus casei, Actinomyces naeslundii, Parvimonas micra, Enterococcus faecalis, Fusobacterium nucleatum, and Porphyromonas gingivalis. Antibacterial activities of ACC and the commercial cavity disinfectant containing 2% chlorhexidine and ethanol (CPS) were evaluated by agar disk diffusion tests through 7 bacterial species and by MIC and MBC measurement for S. mutans. The effects of ACC and CPS to kill bacteria in dentinal tubules were compared with an S. mutans–infected dentin model. Shear bond strength tests were used to examine the influences of ACC on the dentin-bonding abilities of a self-adhesive resin cement and a dual-cure resin cement used with a primer. Unpolymerized MDPB showed strong antibacterial activity against 7 oral bacteria. ACC produced inhibition zones against all bacterial species similar to CPS. For ACC and CPS, the MIC value for S. mutans was identical, and the MBC was similar with only a 1-step dilution difference (1:2). Treatment of infected dentin with ACC resulted in significantly greater bactericidal effects than CPS ( P < 0.05, analysis of variance and Tukey’s honest significant difference test). ACC showed no negative influences on the bonding abilities to dentin for both resin cements, while CPS reduced the bond strength of the self-adhesive resin cement ( P < 0.05). This study clarified that the experimental cavity disinfectant containing 5% MDPB is more effective in vitro than the commercially available chlorhexidine solution to eradicate bacteria in dentin, without causing any adverse influences on the bonding abilities of resinous luting cements.


2016 ◽  
Vol 42 (12) ◽  
pp. 1819-1821 ◽  
Author(s):  
Stephanie Lemos Martins Sicuro ◽  
Marilisa Carneiro Leão Gabardo ◽  
Carla Castiglia Gonzaga ◽  
Nathaly Dias Morais ◽  
Flares Baratto-Filho ◽  
...  

2010 ◽  
Vol 18 (3) ◽  
pp. 244-248 ◽  
Author(s):  
Guilherme B Guarda ◽  
Luciano S Gonçalves ◽  
Américo B Correr ◽  
Rafael R Moraes ◽  
Mário A.C Sinhoreti ◽  
...  

2015 ◽  
Vol 16 (2) ◽  
pp. 147-153 ◽  
Author(s):  
Mateus Rodrigues Tonetto ◽  
Rudys Rodolfo de Jesus Tavarez ◽  
Omar El-Mowafy ◽  
Matheus Coelho Bandeca ◽  
Thiago Soares Porto ◽  
...  

ABSTRACT Purpose The purpose of this study was to evaluate the effect of self-adhesive and self-etching resin cements on the bond strength of nonmetallic posts in different root regions. Materials and methods Sixty single-rooted human teeth were decoronated, endodontically treated, post-space prepared, and divided into six groups. Glass-fiber (GF) posts (Exacto, Angelus) and fiber-reinforced composite (FRC) posts (EverStick, StickTeck) were cemented with self-adhesive resin cement (Breeze) (SA) (Pentral Clinical) and self-etching resin cement (Panavia-F) (SE) (Kuraray). Six 1-mm-thick rods were obtained from the cervical (C), middle (M), and apical (A) regions of the roots. The specimens were then subjected to microtensile testing in a special machine (BISCO; Schaumburg, IL, USA) at a crosshead speed of 0.5 mm/min. Microtensile bond strength data were analyzed with two-way ANOVA and Tukey's tests. Results Means (and SD) of the MPa were: GF/SA/C: 14.32 (2.84), GF/SA/M: 10.69 (2.72), GF/SA/A: 6.77 (2.17), GF/SE/C: 11.56 (4.13), GF/SE/M: 6.49 (2.54), GF/SE/A: 3.60 (1.29), FRC/SA/C: 16.89 (2.66), FRC/SA/M: 13.18 (2.19), FRC/SA/A: 8.45 (1.77), FRC/SE/C: 13.69 (3.26), FRC/SE/M: 9.58 (2.23), FRC/SE/A: 5.62 (2.12). The difference among the regions was statistically significant for all groups (p < 0.05). The selfadhesive resin cement showed better results than the selfetching resin cement when compared to each post (p < 0.05). No statistically significant differences in bond strengths of the resin cements when comparable to each post (p > 0.05). Conclusion The bond strength values were significantly affected by the resin cement and the highest values were found for self-adhesive resin cement. How to cite this article da Silva MB, de Jesus Tavarez RR, de Assis FS, Tonetto MR, Porto TS, Bhandi SH, El-Mowafy O, de Toledo Porto Neto S, Bandeca MC. The Effect of Self-adhesive and Self-etching Resin Cements on the Bond Strength of Nonmetallic Posts in Different Root Thirds. J Contemp Dent Pract 2015;16(2):147-153.


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