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 ◽  
...  

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.

2021 ◽  
Vol 9 (D) ◽  
pp. 37-42
Author(s):  
Abd El Azeem Mostafa ◽  
Cherif A. Mohsen

BACKGROUND: Ceramic laminate veneer restoring is considered a challenging modality in solving various esthetic dental problems. AIM: The purpose of this study was to investigate the effect of digital internal relief space on the color of ceramic laminate veneer. MATERIALS AND METHODS: An acrylic central incisor model was prepared for ceramic laminate veneer with standard measures. The prepared acrylic resin dentotype model was scanned with intraoral computer-aided design/computer-aided manufacturing (CAD/CAM) optical scanner (CEREC Omnicam|Dentsply Sirona). The laminate veneer design was planned on the optically scanned preparation on CAD/CAM system software (CEREC software|Dentsply Sirona). Thirty ceramic laminate veneer specimens were machined from zirconia-reinforced lithium silicate (Celtra Duo blocks, Dentsply/Sirona) according to standard design by CAD/CAM system with the change of the digital internal relief space settings. The specimens were divided into three groups according to their digital internal relief settings (IRS) (20, 60, and 100 μm) (n = 10). Thirty epoxy dies were duplicated from the prepared acrylic model. The ceramic laminate veneer specimens were cemented to epoxy dies with total etch resin cement system according to the manufacture instructions. The color change (ΔE) of the cemented ceramic laminate veneer specimens was measured by spectrophotometer (Vita Easy shade, Ivoclar Vivadent AG, Schaan, Liechtenstein) using the CIELAB scale and L*, a*, b*. Each specimen was measured two times (before and after cementation). The value of color difference (ΔE) was calculated according to the formula: ΔE = [(L*2 - L*1)2 + (a*2 - a*1)2 + (b*2- b*1) 2]½. RESULTS: The highest mean value of ΔE was recorded in G100 group (1.91 ± 0.33), followed by G60 group (1.83 ± 0.09), with the least value recorded in G20 group (1.49 ± 0.49). Analysis of variance test revealed a statistically significant difference between groups (p = 0.024). CONCLUSION: The change of the digital IRS affects the color of ceramic laminate veneers.


Materials ◽  
2021 ◽  
Vol 14 (16) ◽  
pp. 4391
Author(s):  
Saulo Geraldeli ◽  
Lucas de Almeida Maia Carvalho ◽  
Isaac Jordão de Souza Araújo ◽  
Maurício Bottene Guarda ◽  
Marcelle M. Nascimento ◽  
...  

(1) Background: The amino acid arginine is now receiving great attention due to its potential anti-caries benefits. The purpose of this in vitro study was to evaluate the shear bond strength (SBS), ultimate tensile strength (UTS), and antimicrobial potential (CFU) of two arginine-containing orthodontic resin cements. (2) Methods: Forty bovine incisors were separated into four groups (n = 10): Orthocem, Orthocem + arginine (2.5 wt%), Transbond XT, and Transbond XT + arginine (2.5 wt%). The brackets were fixed to the flat surface of the enamel, and after 24 h the SBS was evaluated using the universal testing machine (Instron). For the UTS test, hourglass samples (n = 10) were made and tested in a mini-testing machine (OM-100, Odeme). For the antibacterial test (colony forming unit-CFU), six cement discs from each group were made and exposed to Streptococcus mutans UA159 biofilm for 7 days. The microbiological experiment was performed by serial and triplicate dilutions. The data from each test were statistically analyzed using a two-way ANOVA, followed by Tukey’s test (α = 0.05). (3) Results: The enamel SBS mean values of Transbond XT were statistically higher than those of Orthocem, both with and without arginine (p = 0.02033). There was no significant difference in the SBS mean values between the orthodontic resin cements, either with or without arginine (p = 0.29869). The UTS of the Transbond XT was statistically higher than the Orthocem, but the addition of arginine at 2.5 wt% did not influence the UTS for either resin cement. The Orthocem + arginine orthodontic resin cement was able to significantly reduce S. mutans growth, but no difference was observed for the Transbond XT (p = 0.03439). (4) Conclusion: The incorporation of arginine to commercial orthodontic resin cements may be an efficient preventive strategy to reduce bacterial growth without compromising their adhesive and mechanical properties.


2020 ◽  
Vol 23 (1) ◽  
Author(s):  
Menna Ahmed ElGendy ◽  
Ihab Mosleh ◽  
Hanaa Zaghloul

Objective: the purpose of the study was to evaluate the micro-shear bond strength of different cements to translucent zirconia before and after thermocycling aging. Material and methods: Twelve translucent zirconia ceramic discs were used in the study. Specimens were sandblasted using 50 ‎μm aluminum oxide (Al2O3) particles. The specimens were divided into three groups (n = 4) according to the cement type: Panavia resin cement (control group), resin modified glass ionomer (RMGI), and Activa bioactive cement. Each group was further sub-divided into two equal subgroups (n = 2) according to whether the specimens were subjected to thermocycling or not. Thermocycling was performed in distilled water at 5000 cycles between 5 oC - 55 oC. The micro-shear bond strength test (μSBS) was measured using universal testing machine. Kruskal-Wallis test was used to compare between the three cements. Dunn’s test was used for pair-wise comparisons when Kruskal-Wallis test is significant. Mann-Whitney U test was used to compare between micro-shear bond strength before and after thermocycling P ≤ 0.05. Results: In non-aged subgroups, there was no significant difference between Panavia and Activa; both showed significantly the highest mean μSBS values (22.9 MPa, 31.3 MPa respectively). While, RMGI showed the lowest μSBS values (4.7 MPa).  In thermocycled subgroups, Panavia showed significantly the highest mean μSBS values (32.2 MPa). There was no significant difference between RMGI and Activa; both showed the lowest significant mean μSBS values (3.2 MPa and 8.7 MPa respectively). Conclusions: RMGI and Activa couldn’t be considered long-term reliable materials for cementing zirconia. However, Panavia provided the most durable bond to zirconia.KEYWORDSBioactive cement; Micro-shear bond strength; Resin cement; Translucent zirconia.


2021 ◽  
pp. 232020682110527
Author(s):  
Mehmet Uğur ◽  
I˙dris Kavut ◽  
Şafak Külünk ◽  
Mehmet Şerif Akdeniz ◽  
Özgür Ozan Tanrıkut

Aim: The aim of this study was to evaluate the effect of desensitizer, temporary cements, dentin cleaning methods on shear bond strength (SBS) of self-etch and self-adhesive resin cements to dentin. Materials and Methods: Four hundred eighty buccal or lingual/palatine coronal portions of human molar teeth were mounted in the acrylic blocks. Teeth surfaces were prepared until the dentin was exposed. Specimens were divided into four groups. One group separated as control and three groups of teeth were treated with a desensitizing agent containing calcium-phosphate desensitizer (Teethmate Desensitizer, TMD), resin-based self-reinforcing monomer (Shield Force Plus, SFP) and 2-hydroxyethyl methacrylate and glutaraldehyde (Gluma Desensitizer). Two different temporary cement containing calcium hydroxide (Dycall) and zinc oxide based (Rely X Temp NE) temporary cement were applied to the dentin surfaces. Temporary cement was removed with one of three cleansing techniques: 2% chlorhexidine digluconate and glass particles containing agent (Consepsis Scrub), cleansing bur (OptiClean), and ıntra/extracoronal rotary brush (Starbrush). All groups were further divided into two cementation subgroups (Panavia V5 and Panavia SA). The SBS (MPa) was measured using a universal testing machine at 0.5 mm/min crosshead speed. The data were analyzed statistically with a four-way analysis of variance and Tukey’s Honest Significant Difference test ( α = 0.05). Results: Although SFP showed higher SBS, there was no statistically significant difference between other groups ( P > .05). There were no significant differences between temporary cements ( P > .05). OptiClean rotary bur showed higher mean SBS values in all groups. The dual-polymerized Panavia V5 showed the highest SBS values in all groups ( P <.05). Conclusion: Cleaning of dentin surface from temporary cement remnants with a silicon bur and dual-cure resin cement showed the highest bond strength values.


2021 ◽  
Vol 13 (4) ◽  
pp. 650-655
Author(s):  
Ali Alqerban

The present laboratory study aimed to assess shear bond strength (SBS) of orthodontic metal brackets bonded to different ceramic and polymer-based restorations after artificial aging. Eighty metal brackets were bonded using Transbond-X to eighty disks which were fabricated using five different ceramic and polymer-based materials (n = 16): group LD: lithium disilicate ceramic, group LS: zirconia-reinforced lithium silicate ceramic, group PI: polymer-infiltrated ceramic, group FC: feldspathic ceramic, and group PM: Polymethyl methacrylate PMMA. Bonded specimens were stored in distilled water (37 °C) for 24 h before they underwent 37,500 thermal cycles between 5 °C and 55 °C. After storage, the SBS was performed using a universal testing machine. Then, the data was analyzed using one-way analysis of variance (ANOVA) and Tukey’s test (α = 0.05). A 2-dimensional topographic analysis of the specimens was performed using atomic force microscopy. The Adhesive Remaining Index (ARI) was also evaluated at 50x magnification. A significant difference was observed between SBS means in the different groups’ materials (P < 0.05). The outcomes of the LD and LS groups were similar (17.55± 0.63 MPa and 18.26±0.33 MPa) but different from those of the PM, PI, and FC groups (15.23±0.29 MPa, 14.22 ±0.56 MPa, and 12.68 ±0.86 MPa). For FC group, however, it provided statistically significantly lower SBS than the other groups. There was predominance of score 3 for ARI in all groups. The type of dental substrate has a significant influence to the shear bond strength of the metal brackets.


2021 ◽  
Author(s):  
Majid Sahebi ◽  
Safoura Ghodsi ◽  
Parsia Berahman ◽  
Amirhesam Amini ◽  
Somayeh Zeighami

Abstract Background: This study aimed to compare retention and fracture load in endocrowns made from zirconium lithium silicate and translucent zirconia.Methods: Fifty-six intact human maxillary molars after being mounted in acrylic resin, were scanned to acquire biogeneric copies. Specimens underwent standard endodontic treatment and were prepared for endocrown up to 2 mm above the cementoenamel junction. The specimens were randomly divided into two groups of 28 and endocrowns were designed using biogeneric copies and milled from high-translucent zirconia disks (Zr) and zirconium lithium silicate blocks (ZLS). After cementation with dual cure resin cement, all the specimens underwent thermomechanical aging and pull-out retention test and compressive test were conducted (14 specimens were used for each test in each group, n=14) and failure modes in both tests were evaluated.Results: Independent samples t-test showed significant difference between the retention of Zr (271.5 N ±114.31) and ZLS (654.67 N ±223.17) groups (p value = 0.012). Compressive test results were also significantly different between Zr (7395.07 N ±1947.42) and ZLS (1618.3 N ±585) (p = 0.002). Failure mode of retention test was primarily adhesive failure at the cement-restoration interface in Zr group and cement-tooth interface in ZLS group. Failure modes of fracture test for Zr group were 7 non-restorable fractures and one restorable fracture while 6 specimens resisted compressive loads up to 8500 N without fracture. ZLS group showed 7 restorable and 7 non-restorable failures.Conclusions: Zr endocrowns showed significantly lower retention and higher fracture strength. Both materials seem to be suitable for fabrication of endocrown in clinical setup.


2018 ◽  
Vol 6 (9) ◽  
pp. 1707-1711
Author(s):  
Rami M. Atia ◽  
Nada Omar ◽  
Haidy Nabil ◽  
Yousra Aly

OBJECTIVE: The aim of this in vitro study was to assess the effect of obturation technique and cementation timings on the bonding of fibre-reinforced posts to the root canal walls. METHODS: Twenty extracted teeth were randomly allocated to two groups according to the obturation technique and cementation timing. Central incisors with single canals were used after being decoronated. Every extracted tooth of the {vertical compaction group} (VC) group (n = 10) had been obturated using the {E & Q plus obturation system} with posts cemented in the same day; The other (CO) conventional group (n = 10) teeth were obturated using the conventional lateral compaction technique and posts cemented after one week. “SF“ Fiber posts were used after bonding and cementation using Rely X ARC resin cement with all the endodontically treated teeth. The push-out test was performed in a universal testing machine. Data were analysed by 2 way analysis of variance with Statistical significance was set to 0.05. RESULTS: Heat softened gutta percha group showed more push out the bond strength of the bonded posts than the conventional obturation group (p < 0.05). In the middle region, there was no statistical significance between the two groups while there was significance in the coronal and apical thirds. CONCLUSION: The vertical compaction technique and early cementation improved the bond strength of the resin posts in comparison to the conventional obturation technique with late cementation.


2021 ◽  
Vol 2021 ◽  
pp. 1-6
Author(s):  
Zohreh Moradi ◽  
Farnoosh Akbari ◽  
Sara Valizadeh

Aim. This study aimed to assess shear bond strength (SBS) of resin cement to zirconia ceramic with different surface treatments by using Single Bond Universal. Methods. In this in vitro study, 50 zirconia discs (2 × 6 mm) were divided into 5 groups of (I) sandblasting with silica-coated alumina (CoJet)  + silane + Single Bond 2, (II) sandblasting with CoJet + Single Bond Universal, (III) sandblasting with alumina + Single Bond Universal, (IV) sandblasting with alumina + Z-Prime Plus, and (V) Single Bond Universal with no surface treatment. Resin cement was applied in plastic tubes (3 × 5 mm2), and after 10,000 thermal cycles, the SBS was measured by a universal testing machine. The mode of failure was determined under a stereomicroscope at × 40 magnification. Data were analyzed using one-way ANOVA. Results. The maximum (6.56 ± 4.29 MPa) and minimum (1.94 ± 1.96 MPa) SBS values were noted in groups III and I, respectively. Group III had the highest frequency of mixed failure (60%). Group V had the maximum frequency of adhesive failure (100%). Conclusion. Single Bond Universal + sandblasting with alumina or silica-coated alumina particles is an acceptable method to provide a strong SBS between resin cement and zirconia.


2017 ◽  
Vol 11 (01) ◽  
pp. 058-063 ◽  
Author(s):  
Vini Rajeev ◽  
Rajeev Arunachalam ◽  
Sanjna Nayar ◽  
P. R. Arunima ◽  
Sivadas Ganapathy ◽  
...  

ABSTRACT Objective: This in vitro study was designed to assess shear bond strength (SBS) of ormocer flowable (OF) resin as a luting agent, ormocer as an indirect veneer material with portrayal of modes of failures using scanning electron microscope (SEM). Materials and Methods: Sixty maxillary central incisors were divided into Group I, II, and III with 20 samples each based on luting cement used. They were OF, self-adhesive (SA) cement, and total etch (TE) cement. These groups were subdivided into “a” and “b” of ten each based on the type of veneering materials used. Veneer discs were fabricated using Ormocer restorative (O) and pressable ceramic (C). Specimens were thermocycled and loaded under universal testing machine for SBS. The statistical analysis was done using one-way ANOVA post hoc Tukey honest significant difference method. Results: A significant difference was observed between the Groups I and II (P < 0.05). The highest mean bond strength when using ormocer veneer was obtained with the Group Ia (19.11 ± 1.92 Mpa) and lowest by Group IIa (8.1 ± 1.04 Mpa), whereas the highest mean bond strength while using ceramic veneer was of similar range for Group Ib (18.04 ± 4.08 Mpa) and Group IIIb (18.07 ± 1.40 Mpa). SEM analysis revealed OF and TE presented mixed type of failure when compared with SA where failure mode was totally adhesive. Conclusion: OF was found equally efficient like TE. Bond strength of ormocer as a veneer was not inferior to ceramic making it one of the promising additions in the field of dentistry.


2013 ◽  
Vol 38 (4) ◽  
pp. 429-438 ◽  
Author(s):  
TA Imbery ◽  
A Namboodiri ◽  
A Duncan ◽  
R Amos ◽  
AM Best ◽  
...  

SUMMARY This in vitro study evaluated the effect of six surface treatments on the shear bond strength of three resin-modified glass ionomers (RMGIs) to dentin. Occlusal surfaces of caries-free third molars were reduced to expose only dentin. Surface treatments were smear layer intact (negative control), Cavity Conditioner, EDTA, Ketac Primer, Self Conditioner, and etching with 35% phosphoric acid followed by the application of Optibond Solo Plus. Filtek Z250 composite resin bonded with Optibond Solo Plus served as a positive control. Conditioning agents were used according to the manufacturers' instructions. After surface treatments, Fuji II LC, Riva LC, Ketac Nano, and Filtek Z250 were placed in copper-band matrices 5 mm in diameter and 2 mm in height and were light-cured for 20 seconds. Specimens were stored in 100% humidity for 24 hours, after which they were placed in deionized water for 24 hours at 37°C. They were then tested under shear forces in an Instron Universal Testing Machine at a crosshead speed of 0.5 mm/min. A two-way analysis of variance and Tukey honestly significant difference statistical analyses (p&lt;0.05) indicated significant interaction between RMGIs and conditioning agents. Acid etching followed by Optibond Solo Plus provided highest bond strengths for all three RMGIs, which were not statistically different from the positive control.


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