Fatigue Behavior of Monolithic Zirconia-Reinforced Lithium Silicate Ceramic Restorations: Effects of Conditionings of the Intaglio Surface and the Resin Cements

2021 ◽  
Author(s):  
F Dalla-Nora ◽  
LF Guilardi ◽  
CP Zucuni ◽  
LF Valandro ◽  
MP Rippe
Keyword(s):  
Fatigue Testing ◽  
Fatigue Behavior ◽  
Silica Coating ◽  
Resin Cement ◽  
Lithium Silicate ◽  
Dihydrogen Phosphate ◽  
Ceramic Surface ◽  
Resin Cements ◽  
Silicate Ceramic ◽  
O 10

SUMMARY Objective: This study assessed the effect of conditioning of the intaglio surface and resin cements on the fatigue behavior of zirconia-reinforced lithium silicate ceramic (ZLS) restorations cemented to a dentin analogue. Methods: ZLS ceramic (Ø=10 mm, thickness=1.5 mm) and dentin analogue (Ø=10 mm, thickness=2.0 mm) discs were produced and allocated according to the study factors, totaling nine study groups: ceramic surface treatment (three levels: hydrofluoric acid etching [HF]; self-etching ceramic primer [EP]; tribochemical silica coating [TBS]) and resin cement (three levels: 10-methacryloyloxydecyl dihydrogen phosphate [nMDP]; MDP–containing conventional resin cement [MDP]; self-adhesive resin cement [SA]). The ceramic bonding surfaces were treated and cemented on the dentin analogue, and all the specimens were aged for 5000 thermal cycles (5°C–55°C) prior to fatigue testing. The stepwise fatigue test (20 Hz frequency) started with a load of 400 N (5000 cycles) followed by steps of 500, 600, and up to 1800 N (step-size: 100 N) at a maximum of 10,000 cycles each step. The specimens were loaded until failure (crack), which was detected by light transillumination and visual inspection at the end of each step. The fatigue failure load and number of cycles for failure data were analyzed by the Kaplan-Meier (log-rank test; α=0.05). Topographic and fractographic analyses were also performed. Results: HF- (973.33–1206.67 N) and EP- (866.67–1066.67 N) treated specimens failed at statistically similar loads and higher than TBS (546.67–733.33 N), regardless of the cement used. All the fractographical inspections demonstrated failure as radial crack. Conclusion: The HF and EP treatments promoted better mechanical fatigue behavior of the ceramic restoration, while tribochemical silica coating induced worse fatigue results and should be avoided for treating the ZLS surface prior to bonding.

Degree of Conversion of Light Cured Resin Cements Polymerized under Two Thicknesses of Different Lithium Silicate Ceramics

2020 ◽  
Author(s):  
Mohamed Abdel Rahman Maraghy
Keyword(s):  
Degree Of Polymerization ◽  
Resin Cement ◽  
Lithium Silicate ◽  
Resin Cements ◽  
Ceramic Disc ◽  
Ceramic Disk ◽  
The Difference ◽  
Light Cure Unit ◽  
Glass Slab ◽  
Finger Pressure

Objective: To show the consequence of two thicknesses of ceramic on the polymerization of resin cement light cured when three different lithium silicate ceramics were used. Materials and Methods: 42 ceramic slices were prepared from three types of ceramics, Emax CAD, Celtra Duo CAD and Vita suprinity CAD (n=14). They were further divided into two subgroups according to thicknesses into sub group thickness 0.5mm and sub group thickness 1mm (n=7). Teflon moulds were fabricated with specific dimensions, where the ceramic disc was placed followed by light cured resin cement Bisco choice 2 veneer and a glass slab with finger pressure applied. Curing with Ascent® PX LED light cure unit for 20 seconds took place, where the tip placed over the ceramic sample directly. Cement film was then separated from the ceramic disk and subjected to analysis by Fourier Transform Infrared Spectroscope. Uncured cement samples were also subjected to analysis. Results: Celtra DUO CAD ceramic showed higher degree of polymerization that of Emax and Vita suprinity while the difference between Emax and Suprinity on the degree of polymerization was not significant. Also, ceramic thicknesses had a significant effect on the degree of polymerization of the resin cement. Conclusion: Thickness of ceramics up to 1mm affects the polymerization of resin cement significantly.

Lack of Neutralization of 10-MDP Primers by Zirconia May Affect the Degree of Conversion of Dual-cure Resin Cement

2021 ◽  
Vol 46 (1) ◽  
pp. 107-115
Author(s):  
DM De Paula ◽  
AD Loguercio ◽  
A Reis ◽  
S Sauro ◽  
AH Alves ◽  
...  
Keyword(s):  
Bond Strength ◽  
Testing Machine ◽  
Monomer Concentration ◽  
Positive Control ◽  
Degree Of Conversion ◽  
Resin Cement ◽  
Dihydrogen Phosphate ◽  
Resin Cements ◽  
Low Concentrations ◽  
Microshear Bond Strength

Clinical Relevance Use of zirconia primers with a low pH and a high acidic monomer concentration should be employed in combination with dual-cure resin cements that are less sensitive to an acidic environment. Primers with lower 10-MDP concentrations attain better outcomes. SUMMARY Objective: To assess the effects of different concentrations of 10-methacryloyloxydecyl dihydrogen phosphate (10-MDP) included in experimental ceramic primers on the degree of conversion (DC) and microshear bond strength (μSBS) of a dual-cure resin cement, and on the acidity neutralization potential of zirconia (ZrO2) in comparison to hydroxyapatite (HAp). Methods: Experimental ceramic primers were formulated using 5 wt%, 10 wt%, 20 wt%, or 40 wt% 10-MDP as an acidic functional monomer and camphorquinone (CQ)/amine or 1-phenyl-1,2-propanedione (PPD) as a photoinitiator system. Clearfil Ceramic Primer (Kuraray Dental, Tokyo, Japan) was used as the commercial control. Micro-Raman spectroscopy was used to assess the DC of uncured and light-cured resin cements applied onto primer-treated ZrO2 surfaces. The μSBS and pH of primers were assayed in a universal testing machine and by a digital pH meter (Tec-3MP; Tecnal, Piracicaba, Brazil), respectively. Statistical analysis was performed by one-way analysis of variance (ANOVA) and Tukey’s test (p<0.05). Results: DC was not affected until a concentration of 10% 10-MDP in CQ primer and 5% 10-MDP in PPD primer was reached, when compared with the positive control (p>0.05). Groups 10-MDP 5% in CQ and PPD primers showed the highest μSBS compared with the positive control (p>0.05); however, higher concentrations of 10-MDP induced significant DC and μSBS reduction (p<0.05). HAp neutralized 10-MDP primers, but ZrO2 provided higher acidity to the primers’ pH. Conclusion: 10-MDP monomer should be used in low concentrations in ZrO2 primers to avoid reduction of the polymerization and bond strength of resin cement.

scholarly journals Fracture Resistance of Zirconia-Reinforced Lithium Silicate Ceramic Crowns Cemented with Conventional or Adhesive Systems: An In Vitro Study

Materials ◽  
2020 ◽  
Vol 13 (9) ◽  
pp. 2012
Author(s):  
Gianmaria D’Addazio ◽  
Manlio Santilli ◽  
Marco Lorenzo Rollo ◽  
Paolo Cardelli ◽  
Imena Rexhepi ◽  
...  
Keyword(s):  
Mechanical Test ◽  
Testing Machine ◽  
In Vitro Study ◽  
Resin Cement ◽  
Human Tooth ◽  
Lithium Silicate ◽  
Significant Difference ◽  
Aesthetic Characteristics ◽  
Silicate Ceramic

In recent years, Zirconia-reinforced Lithium Silicate ceramic (ZLS), combining lithium-silicate and zirconia features, has shown to have excellent mechanical and aesthetic characteristics. Thus, the aim of this study was to compare the fracture strength of ZLS single crowns cemented with two different cementation techniques. Twenty crowns were realised and cemented on teeth replicas achieved from an extracted premolar human tooth. The samples were divided into two groups of 10 specimens each, Glass-ionomeric cement (GIC) group and Self-Adhesive Resin Cement (ARC) group. The mechanical test was performed using a universal testing machine. The specimens were then evaluated with a scanning electron microscope (SEM) to identify for all crowns and related abutments the pattern of fracture after the breaking point. The data obtained were statistically analysed. The mean fracture toughness values and standard deviations (±SD) were 2227 ± 382 N and 3712 ± 319 N respectively for GIC and ARC groups. In fact, t-test showed a statistically significant difference between the two groups (p < 0.001). Moreover, the SEM results demonstrated portions of abutments still attached to the crown fragments in the ARC group, whilst these were not present in the GIC group. Within the limitations of this study, these results suggest the use of adhesive cementation for ZLS crowns, which significantly increase the compressive strength of ZLS restorations compared to GIC.

scholarly journals Bond Durability of Different Resin Cements to Caries-Affected Dentin Under Simulated Intrapulpal Pressure

2015 ◽  
Vol 40 (3) ◽  
pp. 293-303 ◽  
Author(s):  
MF Mohamed ◽  
HA El Deeb ◽  
IE Gomaa ◽  
EH Mobarak
Keyword(s):  
Failure Modes ◽  
Storage Conditions ◽  
Resin Cement ◽  
Dihydrogen Phosphate ◽  
Resin Cements ◽  
Adhesive Resin ◽  
Machine Failure ◽  
Etch And Rinse ◽  
Adhesive Resin Cement ◽  
Self Etch

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.

Comparison of Bond Strength of Monolithic CAD-CAM Materials to Resin Cement Using Different Surface Treatment Methods

2019 ◽  
Vol 10 (2) ◽  
pp. 120-127
Author(s):  
Sevki Cinar ◽  
Bike Altan ◽  
Gokhan Akgungor
Keyword(s):  
Bond Strength ◽  
Surface Treatment ◽  
Surface Treatments ◽  
Resin Cement ◽  
Lithium Silicate ◽  
Treatment Methods ◽  
Cad Cam ◽  
Post Hoc ◽  
Hybrid Ceramic ◽  
Silicate Ceramic

Objective: To compare the bond strength of monolithic CAD-CAM materials to resin cement using different surface treatment methods. Materials and Methods: Lithium disilicate glass ceramic (IPS e-max CAD), zirconia-reinforced lithium silicate ceramic (Vita Suprinity), resin nanoceramic (Lava Ultimate), and hybrid ceramic (Vita Enamic) were used. Five groups of CAD-CAM blocks were treated as follows: control (C), HF etching (HF), HF etching + silanization (HF + S), sandblasting (SB), and sandblasting + silanization (SB + S). After surface treatments, SEM analyses were conducted. Specimens were cemented with self-adhesive resin cement (Theracem) and stored in distilled water at 37°C for 24 h. Shear bond strength (SBS) was measured, and failure types were categorized. Results were analyzed using two-way ANOVA and the post-hoc Tukey test. Results: Statistical analysis revealed significant differences between SBS values obtained for different surface treatments and CAD-CAM block types ( P < .001). Among the CAD-CAM materials, the highest SBS was reported in the HF + S group for Vita Enamic. Although IPS e.max CAD, Vita Suprinity, and Vita Enamic showed higher bond strength when treated with HF + S, Lava Ultimate has the highest bond strength value when treated with SB + S. Conclusions: The bond strength of CAD-CAM materials was influenced by surface treatment. Additionally, silanization significantly improved the bond strength of all materials except Lava Ultimate.

Evaluation of the Microshear Bond Strength of MDP-containing and Non–MDP-containing Self-adhesive Resin Cement on Zirconia Restoration

2019 ◽  
Vol 44 (4) ◽  
pp. 379-385 ◽  
Author(s):  
EJ Go ◽  
Y Shin ◽  
JW Park
Keyword(s):  
Bond Strength ◽  
Resin Cement ◽  
Dihydrogen Phosphate ◽  
Resin Cements ◽  
Adhesive Resin ◽  
Exact Test ◽  
Tukey Test ◽  
Significant Difference ◽  
Post Hoc ◽  
Microshear Bond Strength

SUMMARY Objectives: The purpose of this study was to measure the microshear bond strength (μSBS) of four different self-adhesive resin cements with/without 10-methacryloyloxydecyl dihydrogen phosphate (MDP)-containing primer to zirconium ceramics and to evaluate the effect of zirconia primers on these self-adhesive resin cements (SARCs). Methods and Materials: Zirconia blocks (20 × 20 × 8 mm3) were prepared and divided into eight groups (n=20). They were sandblasted (50 μm Al2O3) and treated as follows: no primer or primer (Z-Primer Plus). Four self-adhesive resin cements (MDP-containing: Permacem 2.0 [PC], Clearfil SA luting [CS]; non–MDP-containing: Rely-X U200 [RU], Maxcem Elite [ME]) were bonded to the zirconia surface. After thermocycling, a μSBS test was performed. The failure mode was analyzed using light microscopy. Statistical analysis of μSBS was performed using one-way analysis of variance and two-sample t-test with post hoc Tukey test. The loss rate was evaluated using the Fisher's exact test and χ2 test with post hoc Tukey test (p&lt;0.05). Results: Within the no primer groups, the PC and CS groups showed higher bond strength than the RU and ME groups. Comparing the μSBS of the no primer and primer groups in the same SARCs, the RU/P group was higher than the RU group, and the ME/P group was higher than the ME group. No significant difference was observed between the PC and PC/P groups and between the CS and CS/P groups. Conclusions: Non–MDP-containing SARC showed the increased bonding value with MDP-containing primer to zirconia ceramics. The bond strength of MDP-containing SARCs was not affected significantly by the use of zirconia primer.

scholarly journals Evaluation of Surface Treatment Methods on the Bond Strength of Zirconia Ceramics Systems, Resin Cements and Tooth Surface

2015 ◽  
Vol 19 (2) ◽  
pp. 101-112
Author(s):  
Emek Akkuş ◽  
Sebnem Begum Turker
Keyword(s):  
Bond Strength ◽  
Surface Treatment ◽  
Shear Bond Strength ◽  
Silica Coating ◽  
Tooth Surface ◽  
Test Machine ◽  
Ceramic Surface ◽  
Zirconia Ceramics ◽  
Resin Cements ◽  
Treatment Methods

SUMMARYObjectives: To compare the effects of airborne-particle abrasion (APA) and tribochemical silica coating (TSC) surface treatment methods on the shear bond strength of zirconia ceramics systems, resin cements and tooth surfaceMaterials and Methods: Prefabricated Cercon and ZirkonZahn specimens treated with Al2O3 APA and TSC (Cojet, 3M ESPE) were luted on a dentin surface with Panavia F 2.0 (Kuraray, Japan) and Multilink Automix (Ivoclar Vivadent, Liechstein). The specimens were immersed in distilled water (37°C) for 30 days and then loaded in a universal test machine with a crosshead speed of 1 mm/min. Shear bond strength at failure was measured and recorded in N. The data were analysed by Mann-Whitney-U test (p<0.005) and by Chi-square test.Results: It’s demonstrated that the surface treatment affected the bond strength of all specimens. The mean bond strength values of the 2 zirconia systems were nearly the same. Shear bond strength of Cercon specimens treated with Cojet System, luted with Panavia 2.0 (242, 77 ± 53, 17 N were found to be significantly higher (p=0.04) than the other specimens. Fractures were observed at the interface between the ceramic surface and the cements or within the cements.Conclusion: There were no statically significant differences between zirconium systems (Cercon and Zirkonzahn). The specimens luted with Panavia F 2.0 showed higher shear bond strength values than the specimens luted with Multilink Automix. Panavia F 2.0 cement could be used with TSC, when the additive retention was needed.

scholarly journals The effect of surface treatment and thermocycling on the shear bond strength of porcelain laminate veneering material cemented with different luting cements

2019 ◽  
Vol 18 ◽  
pp. e191581
Author(s):  
Fawaz Alqahtani ◽  
Mohammed Alkhurays
Keyword(s):  
Bond Strength ◽  
Surface Treatment ◽  
Hydrofluoric Acid ◽  
Shear Bond Strength ◽  
Surface Treatments ◽  
Resin Cement ◽  
Ceramic Surface ◽  
Resin Cements ◽  
Significant Difference ◽  
Acid Etch

Aim: The study aimed to evaluate and compare the effect of different surface treatment and thermocycling on the shear bond strength (SBS) of different dual-/light-cure cements bonding porcelain laminate veneers (PLV). Methods: One hundred and twenty A2 shade lithium disilicate discs were divided into three groups based on the resin cement used and on the pretreatment received and then divided into two subgroups: thermocycling and control. The surface treatment were either micro-etched with aluminium trioxide and 10% hydrofluoric acid or etched with 10% hydrofluoric acid only before cementation. Three dual-cure (Variolink Esthetic (I), RelyX Ultimate (II), and RelyX Unicem (III)) and three light-cure (Variolink Veneer (IV), Variolink Esthetic (V), RelyX Veneer (VI)) resin cements were used for cementation. The SBS of the samples was evaluated and analysed using three -way ANOVA with statistical significant set at α=0.05. Results: For all resin cements tested with different surface treatments, there was a statistically significant difference within resin cements per surface treatment (p<0.05). The shear bond strength in the micro-etch group was significant higher than the acid-etch group (p<0.05) There was statistically significant interaction observed between the surface treatment and thermocycling (p<0.05) as well as the cement and thermocycling(p<0.05). It was observed that the reduction in shear bond strength after thermocycling was more pronounced in the acid etch subgroup as compared to the microetch subgroup. However, the interaction between the three factors: surface treatments, thermocycling and resin cements did not demonstrate statistically significant differences between and within groups (p=0.087). Conclusions: Within the limitations of the present study, it acan be concluded that Dual cure resin cements showed a higher Shear bond strength as compared to light cure resin cements. Thermal cycling significantly decreased the shear bond strength for both ceramic surface treatments. After thermocycling, the specimens with 10% HF surface treatment showed lower shear bond strength values when compared to those treated by sandblasting with Al2O3 particles.

scholarly journals EVALUATION OF SHEAR BOND STRENGTH OF DIFFERENT RESIN CEMENTS AFTER ZIRCONIA SURFACE TREATMENTS

2021 ◽  
Author(s):  
Yeliz Hayran ◽  
Süha Kuşçu ◽  
Işıl SARIKAYA
Keyword(s):  
Bond Strength ◽  
Surface Treatment ◽  
Shear Bond Strength ◽  
Silica Coating ◽  
Surface Treatments ◽  
Resin Cement ◽  
Cement Type ◽  
Resin Cements ◽  
Adhesive Resin ◽  
Alumina Particles

Purpose: The aim of the study was to evaluate the shear bond strength (SBS) of different resin cements after zirconia surface treatments. Materials & Methods: A total of 60 zirconia discs (3x7mm) were prepared and divided into 3 main groups according to the surface treatments as control (C), sandblasting (SB), and tribochemical silica coating (TC). Main groups were divided into two subgroups according to two different resin cements were applied. No surface treatment was applied to the samples in C group. 50μm Al2O3 particles were applied to the samples in SB group for 10 s at a distance of 10 mm under 4 atm. TC group were tribochemically coated with alumina particles. Self-adhesive resin (ME) and multi-system dual-cure adhesive resin (NX3) was applied to the subgroups. After cementation, all samples were tested for SBS. SBS values were statistically analyzed by the Kruskal-Wallis and Mann-Whitney U tests. Results: Regardless of the cement type, SBS values of the surface treated samples were statistically different (p <0.001). Group SB was determined as the group with the highest SBS value. This group was followed by Group C and Group TC, respectively. The SBS values of the samples according to the resin cements and surface treatments were statistically significantly different (p<0.001). SBS values of the samples cemented with NX3 resin cement were found to be higher than the samples treated with ME resin cement. Conclusion: SB increased resin bond to zirconia. It is more advantageous to use multi-system dual cure adhesive cements in zirconia cementation.

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