Seating and retention of complete crowns with a new adhesive resin cement.

The retentive property of cast gold complete crowns cemented with an adhesive resin cement (Panavia Ex) was compared with retention of crowns cemented with zinc phosphate cement (Flecks) and the conventional resin cement (Comspan). The effect of these agents on seating of crowns also was evaluated. Panavia cement exhibited the highest retentive strength, with values almost twice those obtained with zinc phosphate cement. However, the difference in mean retention values of crowns cemented with Comspan cement or with zinc phosphate cement was not statistically significant. Both resin cements used in this study provided better seating of crowns than did zinc phosphate cement.     

Retention of posts cemented with various dentinal bonding cements

This investigation evaluated the retention of preformed posts with four different cements: C & B Metabond, Panavia, All-Bond 2, and Ketac-Cem. Sixty intact maxillary canines were selected for the study. The clinical crowns were removed and endodontic therapy done on each root, which was then prepared to receive prefabricated posts. The 60 samples were divided into four groups of 15, and the posts in each group were cemented with one of the four cements. The roots were mounted in acrylic resin blocks and the posts were separated from the canals with an Instron testing machine. Analysis of the forces needed to dislodge the posts with analysis of variance and Student-Newman-Keuls test disclosed that C & B Metabond cement was the most retentive (p < 0.05). No difference in retention was recorded between Ketac-Cem and Panavia cements. All-Bond 2 cement was the least retentive of cements.     

Extrusion shear strength between an alumina-based ceramic and three different cements

STATEMENT OF PROBLEM: Surface treatment is an essential step in bonding a ceramic to resin. Alumina ceramics are particularly difficult to prepare for adequate bonding to composite resin cements. PURPOSE: The purpose of this study was to evaluate the bond strength between a densely sintered alumina ceramic and bovine dentin with 2 adhesive resin cements and a resin-modified glass ionomer cement using an extrusion shear strength test. MATERIAL AND METHODS: Alumina cones (n=30), 4 mm in height, 3 mm in diameter at the small end, and with an 8-degree taper, were fabricated. Without any treatment, the cones were cemented in a standardized cavity in 2.5-mm-thick bovine dentin discs using 1 of 3 cement systems: Panavia F, RelyX ARC, or RelyX Luting. The cements were manipulated following the manufacturers' instructions. After 24 hours of storage at 37 degrees C, an extrusion shear test was performed in a universal testing machine at 0.5 mm/min until bonding failure. The data were analyzed using 1-way ANOVA and Tukey HSD test (alpha=.05). All fractured specimens were examined at x25 magnification and classified by fracture mode. Representative specimens were selected for SEM observation. RESULTS: The highest strength values were obtained with Panavia F, and they were significantly higher (P<.05) than each of the other 2 cements, which were not significantly different from each other. Panavia F resulted in predominantly mixed failure and RelyX ARC and RelyX Vitremer showed primarily adhesive failure. CONCLUSIONS: An MDP-containing adhesive system (Panavia F) provides better extrusion bond strength to a high-density alumina ceramic than a Bis-GMA resin luting agent system (RelyX ARC) or a resin-modified glass ionomer cement system (RelyX Luting).     

In vitro retentive strength of zirconium oxide ceramic crowns using different luting agents

STATEMENT OF PROBLEM: In contrast to gold crowns, in vitro determination of the retentive strength of all-ceramic crowns is more difficult because components allowing connection to testing apparatus are not as easily integrated into the all-ceramic material. Nevertheless, retentive strength data are crucial for obtaining information about the potential clinical performance of luting cements for all-ceramic restorations. Therefore, a new in vitro model was necessary to evaluate the retentive strength of all-ceramic crowns. PURPOSE: The purpose of this in vitro study was to determine the retentive strength of 4 resin-cement systems, a compomer, a glass-ionomer cement, a resin-modified glass-ionomer cement, and a self-adhesive resin for luting zirconium oxide ceramic crowns. MATERIAL AND METHODS: One-hundred-twenty extracted human teeth were randomly divided into 12 groups (n = 10) and prepared in a standardized manner (5-degree taper, 3-mm occlusogingival height). All-ceramic crowns (Lava) were fabricated in a standardized manner for each tooth. The following cements and corresponding bonding regimens were used to lute the crowns to the teeth according to manufacturers' recommendations: CO, Compolute/EBS Multi; CO/RT, Compolute/EBS Multi/Rocatec; CB, Superbond C and B; CB/RT, Superbond C and B/Rocatec; CB/PL, Superbond C&B/Porcelain Liner M; PA, Panavia F; DC, Dyract Cem Plus/Xeno III; CH/PL, Chemiace II/Porcelain Liner M; RL, RelyX Luting, K/C, Ketac Cem/Ketac Conditioner; K, Ketac Cem; and RU, RelyX Unicem. After thermal cycling (5000 cycles, 5 degrees C-55 degrees C), the outer surfaces of the cemented zirconium oxide ceramic crowns were treated (Rocatec) to improve bonding and then placed into a low-shrinkage epoxy resin block (Paladur). The block/crown and tooth components for each specimen were connected to opposing ends of a universal testing machine so that crown retention could be measured. Crowns were removed from teeth along their path of insertion. The retentive surface area (mm 2 ) was determined individually for each tooth. Statistical analyses were performed using the Wilcoxon exact test, (alpha =.05) and a Bonferroni correction (alpha =.001). RESULTS: The median (minimum/maximum) retentive strength values (MPa) were as follows: CO, 1.7 (0.6/4.3); CO/RT, 3.0 (1.3/5.4); CB, 4.8 (3.7/7.9); CB/RT, 8.1 (4.2/12.7); CB/PL, 5.3 (3.7/10.2); PA, 4.0 (3.3/5.1); DC, 3.3 (2.1/5.6); CH/PL, 4.0 (1.3/6.3); RL, 4.7 (2.8/6.6); K/C, 1.8 (0.6/2.3); K, 1.9 (0.2/4.5); and RU, 4.8 (2.5/6.7). Superbond C&B (+ Rocatec) specimens showed the highest median retentive strength, but were not significantly different from Superbond C&B without Rocatec pretreatment of the all-ceramic crown's inner surface. Compolute specimens also did not benefit significantly from the Rocatec pretreatment. Within the materials used without pretreatment of the ceramic, Superbond C&B, Panavia, Dyract Cem Plus, RelyX Luting, and RelyX Unicem showed the highest median retentive strength values and were not significantly different. CONCLUSION: Within the conditions of this study, the compomer-cement, the resin-modified glass-ionomer cement, and the self-adhesive resin luting agent had the same level of retentive quality as the resin luting agents, Superbond C&B, and Panavia. Rocatec pretreatment of the ceramic surface did not improve the retentive strengths of Compolute and Superbond C&B.     

Influence of cement type and ceramic primer on retention of polymer-infiltrated ceramic crowns to a one-piece zirconia implant

Statement of problem

The best procedure for cementing a restoration to zirconia implants has not yet been established.

Retention of zirconium oxide ceramic crowns with three types of cement

STATEMENT OF PROBLEM: Information about the retentive strength of luting agents for zirconium oxide-based crowns is limited. It is unknown if this type of high-strength ceramic restoration requires adhesive cementation to enhance retention. PURPOSE: The purpose of this in vitro study was to determine the ability of selected luting agents to retain a representative zirconium oxide ceramic crown under clinically simulated conditions. MATERIAL AND METHODS: Recently extracted human molars were prepared with a flat occlusal surface, 20-degree taper, and approximately 4-mm axial length. The axial and occlusal surface areas were determined, and specimens were distributed equally by total surface area into 3 cementation groups (n=12). Zirconium oxide ceramic copings (Procera AllZirkon) with an occlusal bar to facilitate removal were fabricated using computer-aided design/computer-assisted manufacturing (CAD/CAM) technology. All copings were airborne-particle abraded with 50-mum Al(2)O(3) and then cleaned in an ultrasonic bath with isopropyl alcohol. Provisional cement was removed from the prepared teeth, followed by a pumice prophy. After trial insertion, the copings were cleaned with phosphoric acid, rinsed, dried, and dehydrated with isopropyl alcohol. They were then cemented with a seating force of 10 kg per tooth, using either a composite resin cement with adhesive agent (Panavia F 2.0 and ED Primer A & B [PAN]), a resin-modified glass ionomer cement (Rely X Luting [RXL]), or a self-adhesive modified composite resin (Rely X Unicem [RXU]). The cemented copings were thermal cycled at 5 degrees C and 55 degrees C for 5000 cycles with a 15 second dwell time, and then removed along the path of insertion using a universal testing machine at 0.5 mm/min. The removal force was recorded, and the stress of dislodgement was calculated using the surface area of each preparation. A 1-way analysis of variance was used to analyze the data (alpha=.05). The nature of failure was also recorded. RESULTS: Mean dislodgement stresses were 5.1, 6.1, and 5.0 MPa for PAN, RXL, and RXU, respectively. The 1-way analysis of variance revealed no differences in mean crown removal stress among the 3 cementation groups. The predominant mode of failure was cement remaining principally on the zirconium oxide copings in 46% of the specimens, followed by cement found on the tooth in 25.7% of the specimens. CONCLUSIONS: Within the limitations of this study, the 3 luting agents, with mean removal stresses ranging from 5.0 to 6.1 MPa were not significantly different. The use of a composite resin cement with a bonding agent did not yield higher coping retention compared to the other 2 cements tested.     

Load-fatigue performance of gold crowns luted with resin cements

STATEMENT OF PROBLEM: Resin cements have gained popularity over the past few years because of their improved physical properties. There is a need to test these cements under fatigue loading, as there is growing recognition that fatigue testing is more clinically relevant than traditional monotonic static tests. PURPOSE: This study investigated the load-fatigue performance of complete gold crowns cemented with 4 types of resin cement. MATERIAL AND METHODS: Four resin cements (C & B Opaque [CBO], Calibra Esthetic [CE], RelyX Unicem [RU], and Panavia F [PF]) and a control, zinc phosphate cement (HY-Bond [HBZPC]) were tested. Fifty human maxillary premolars were prepared to an occluso-cervical dimension of 4 mm and a convergence angle of 20 degrees. Complete gold crowns were cast (Strator 3) and cemented with 1 of the 5 cements (n=10). A fatigue load of 73.5 N was applied at an angle of 135 degrees to the long axis of each tooth-crown specimen. Preliminary failure was defined as the propagation of a crack in or around the crown luting cement layer. The number of cycles to preliminary failure and the cement failure location were determined. Significant differences in cycles to preliminary failure were assessed by the nonparametric Kruskal-Wallis test, with follow-up Mann-Whitney tests (alpha=.05). RESULTS: Group CE had the highest rank of cycles to preliminary failure, while HBZPC had the lowest cycles to preliminary failure. Group CE had a significantly higher failure cycle count compared to PF (P=.016), RU (P=.001), and HBZPC (P<.001), but was not significantly different from CBO (P=.112). There was no significant difference in the failure cycle count between RU and HBZPC (P=.070). CONCLUSION: Not all tested resin cements had a superior fatigue life when compared with zinc phosphate cement. Of the 4 resin cement groups, Groups CE, CBO, and PF were significantly superior to HBZPC.     

Retention of provisional crowns cemented with eight temporary cements: comparative study

Many temporary cements are commercially available; therefore, it is necessary to indicate them for each clinical requirement with regard to the tensile strength of prosthetic retainers. Thus, the purpose of this study was to compare the retention of provisional crowns cemented with eight temporary cements, over full crown preparations with standardized mechanical principles as height, taper, and length. For that purpose, eighty human first premolars received full crown preparation with standardized height and taper. Provisional crowns were fabricated and luted with eight brands of temporary cements. Twenty four hours after cementation, the restorations were submitted to tensile strength test in a universal testing machine and the data submitted to ANOVA and Bonferroni tests. Mean tensile strength values ranged from 20.1N for Nogenol cement to 67.5N for Hydro C cement. Statistically significant difference (p<0.05) was found between Hydro C and the other groups, except for Temp Bond and Rely X Temp, which presented statistically significant difference when compared to Freegenol and Nogenol temporary cements. The crowns cemented with Hydro C cement were more retentive that than those cemented with the other cements, except for Rely X Temp and Temp Bond. The less retentive crowns were those cemented with Nogenol and Freegenol temporary cements.     

Retention of provisional crowns fabricated from two materials with the use of four temporary cements

STATEMENT OF PROBLEM: Practitioners often choose resin materials and temporary cements with little understanding about their effect on provisional crown retention. PURPOSE: This study evaluated the retention of provisional restorations made with 2 materials and cemented with 4 temporary cements. METHODS AND MATERIAL: Recently extracted molars were prepared with a flat occlusal surface, 4-mm axial length and 20-degree angle of convergence. Specimens were distributed into equivalent groups. Provisional crowns were constructed for each preparation with polymethyl methacrylate (Temporary Bridge Resin) or bis-acrylic composite (Protemp Garant) and later cemented with Temp-Bond, Temp-Bond NE, Temrex, and an experimental calcium hydroxide temporary cement. A second group with Temrex was evaluated using half the recommended liquid. A cementing force of 2.5 kg for 5 minutes was used. After initial bench set followed by 24 hours in room temperature water, the crowns were removed with an Instron mechanical testing machine at 0.5 mm/min. A 2-factor ANOVA was used with alpha=.05 (n = 10). Mode of debonding was analyzed with a nonparametric chi-square test of association. RESULTS: Mean dislodgment stresses ranged from 670 to 1072 kPa for polymethyl methacrylate crowns and 554 to 884 kPa for those made of composite. Differences were nearly significant for the type of provisional material (P =.061) and the cross-product interaction (P =.376) was not significant, whereas there were significant differences among the cements (P =.002) and the mode of debonding (P =.0034). CONCLUSIONS: Excluding Temp-Bond to eliminate a cross-product interaction demonstrated that the polymethyl methacrylate crowns were 19.3% more retentive than the composite crowns (P =.015). There was no statistically significant difference among the 4 temporary cements when the manufacturer's mixing instructions were followed (P =.186). However, the thicker consistency Temrex was more retentive than the recommended Temrex mix and Temp-Bond.     

不同轴壁聚合度的金属全冠固位力的比较

目的比较3种轴壁聚合度全冠的固位力,探讨其固位效果。方法选用离体上颌前磨牙,进行4°、8°和12°的预备,翻制合金代模,制作金属全冠。比较其粘固前、后的固位力。结果粘固前,4°预备体的全冠脱位力值(177.35±17.13)N,明显大于8°组(102.95±13.66)N和12°组(51.80±9.51)N;粘固后,4°预备体的全冠脱位力值(346.60±30.93)N明显大于8°组(247.95±20.64)N和12°组(216.05±17.35)N。粘固后,4°组脱位力值提高了95.4%,8°组提高140.8%,12°组提高317.1%。结论轴壁聚合度越大,全冠固位力越小。粘固后,轴壁聚合度越大,固位力增幅越大。     

Comparison of Two Luting Agents Used for the Retention of Cast Dowel and Cores

PURPOSE: The first purpose of this study was to compare the retentive values of zinc phosphate and Panavia F resin cements when used for luting cast dowel and cores. The second purpose was to determine whether the use of a lubricant when making the resin pattern for a custom dowel and core would have an effect on the final retention of dowels cemented with either zinc phosphate or Panavia F cements. METHODS AND MATERIALS: Sixty-three caries-free extracted single-rooted human teeth were randomly divided into three groups of 21. Root canal preparations were standardized for all 63 teeth. Clinical protocols for fabricating and cementing dowel and core restorations were examined, comparing zinc phosphate and Panavia F resin cements. Direct dowel patterns were fabricated using the Para Post system and cast in a noble metal alloy. Group I dowel spaces were lubricated with GC lubricant prior to dowel pattern fabrication and cleaned with Cavidry solvent before cementing the cast dowel and core with zinc phosphate cement. Group II dowel spaces were rinsed with water only prior to dowel pattern fabrication. The dowels and cores in this group were cemented with Panavia F resin cement. Group III dowel spaces were lubricated with GC lubricant prior to dowel pattern fabrication; the dowel spaces were cleaned with Cavidry solvent before the cast dowel and cores were cemented with Panavia F cement. The tensile force necessary to remove the cast dowel and cores was determined using a universal testing machine. Results were statistically analyzed using one-way ANOVA and Tukey's HSD test. RESULTS: The dowels and cores in Group I had significantly higher retentive values than either of the two Panavia F groups (p< or = 0.001). No difference in retentive values (p > 0.05) was found between dowels luted with either of the lubricating agents in the Panavia F groups. CONCLUSIONS: Zinc phosphate cement had higher retentive values when cementing cast dowel and cores than Panavia F. The type of lubricant used for the resin dowel fabrication (water or GC lubricant that was removed with a solvent) had no effect on the retention of cast dowels cemented with Panavia F.     

Retention strengths of five luting cements on prefabricated dowels after root canal obturation with a zinc oxide/eugenol sealer: 1. Dowel space preparation/cementation at one week after obturation

PURPOSE: This investigation examined the effect of 5 different cements on the retention strength of prefabricated endodontic dowels placed into root canals previously obturated with gutta percha and a zinc oxide/eugenol (ZOE) sealer. MATERIALS AND METHODS: Ninety-six single-rooted teeth were decoronated, filed, cleaned, sequentially shaped, and divided into 6 groups of 16 specimens each. Five of the groups were then obturated with gutta percha and a ZOE sealer. One group was not obturated and served as the control group. Dowel space preparation and dowel cementation for all groups were completed 1 week later. Ten-mm deep dowel spaces were prepared using size 6 Gates Glidden drills. Size 5 Paraposts were then cemented with 5 different cements: Panavia 21 for group 1 (unobturated controls) and group 2; Ketac-Cem glass ionomer for group 3; Fleck's zinc phosphate for group 4; Parapost (composite) Cement for group 5; and C&B Metabond 4-META for group 6. After 48 hours, the dowels were removed using a universal testing machine in tensile mode at 1 mm min(-1). RESULTS: The following results were found (all values in kg): group 1 (controls; Panavia 21) mean = 61.81, 95% CI = +/-8.65; group 2 (Panavia 21), mean=43.15, 95% CI = +/-7.81; group 3 (Ketac-Cem), mean =34.45, 95% CI = +/-4.93; group 4 (zinc phosphate), mean = 25.07, 95% CI = +/-5.03; group 5 (Parapost Cement), mean = 24.99, 95% CI = +/-5.35. None of the group 6 (C&B Metabond) specimens developed measurable bond strengths, so this group was excluded from parametric statistical analyses. An analysis of variance (ANOVA) showed a significant effect of group; pairwise multiple comparison procedures (Tukey test) showed that group 1 (controls) had significantly greater retention than all other groups (p <0.001); group 2 (Panavia 21) had significantly greater retention than groups 4 (zinc phosphate) and 5 (Parapost cement) (p <0.001). None of the other pairwise comparisons were statistically different. CONCLUSION: Paraposts cemented with Panavia 21 in unobturated root canals exhibited significantly higher retention than Paraposts luted with Panavia 21 and 4 different cements into dowel spaces prepared 1 week after obturation with gutta percha/ZOE sealer (p <0.001). Among the obturated groups, Panavia 21 cement (group 2) demonstrated significantly greater retention of Paraposts than zinc phosphate (group 4) and Parapost composite (group 5) cements (p <0.001). Ketac-Cem glass ionomer cement (group 3) had intermediate retention values that were not statistically different than those of groups 2, 4, and 5 (p >0.05). The 4-META cement, C&B Metabond, failed to polymerize.     

Comparison of the tensile bond strengths of cast metal crowns luted with resin cements

The limitation of photoactivation of dual-polymerized resin cements along the margins of metal restorations may adversely affect the mechanical properties of these cements, thus impairing the retention of restorations. The aim of this study was to assess the bond strength of cast metal crowns cemented with three dual-polymerized resin cements, using a chemically-activated resin cement and zinc phosphate as controls. Fifty nickel-chromium alloy crowns were cast and randomly assigned to five groups of equal size. Castings were cemented on their corresponding metal dies with one of the tested luting agents: Scotchbond Resin Cement, Enforce and Panavia F (dual-polymerized resin cements), Cement-It (chemically-activated resin cement) and Zinc Phosphate Cement (zinc phosphate cement). Specimens were stored in distilled water at 37 degrees C for 24 h and then loaded in tension until failure. Panavia F and Zinc Phosphate Cement provided the highest and lowest bond strength means, respectively. Scotchbond Resin Cement, Enforce and Cement-It cements exhibited similar intermediate values, but with statistically significant difference compared to the other materials (P < 0.05). Even with the restriction or absence of light activation, all tested dual-polymerized resin cements produced significantly higher bond strength than did the zinc phosphate cement and yielded similar or better results than the chemically activated cement. It should be pointed out that the findings of this study relate to a test scenario which does not mimic clinical circumstances and that further work is required to identify the clinical significance of the reported tensile bond strength differences between the different luting materials.     

Microleakage and marginal gap of adhesive cements for noble alloy full cast crowns

Very limited comparative information about the microleakage in noble alloy full cast crowns luted with different types of adhesive resin cements is available. The purpose of this study was to evaluate the microleakage and marginal gap of two self-adhesive resin cements with that of other types of adhesive luting cements for noble alloy full cast crowns. Fifty noncarious human premolars and molars were prepared in a standardized manner for full cast crown restorations. Crowns were made from a noble alloy using a standardized technique and randomly cemented with five cementing agents as follows: 1) GC Fuji Plus resin-modified glass ionomer cement, 2) Panavia F 2.0 resin cement, 3) Multilink Sprint self-adhesive resin cement, 4), Rely X Unicem self-adhesive resin cement with pretreatment, and 5) Rely X Unicem with no pretreatment. The specimens were stored in distilled water at 37°C for two weeks and then subjected to thermocycling. They were then placed in a silver nitrate solution, vertically cut in a mesiodistal direction and evaluated for microleakage and marginal gap using a stereomicroscope. Data were analyzed using a nonparametric Kruskal-Wallis test followed by Dunn multiple range test at a p<0.05 level of significance. The Rely X Unicem (with or with no pretreatment) exhibited the smallest degree of microleakage at both tooth-cement and cement-crown interfaces. The greatest amount of microleakage was found for Panavia F 2.0 resin cement followed by GC Fuji Plus at both interfaces. No statistically significant difference in the marginal gap values was found between the cementing agents evaluated (p>0.05). The self-adhesive resin cements provided a much better marginal seal for the noble alloy full cast crowns compared with the resin-modified glass ionomer or dual-cured resin-based cements.     

Retentiveness of dental cements used with metallic implant components.

There is limited dental literature evaluating the retentive capabilities of luting agents when used between metal components, such as cast metal restorations cemented onto machined metal implant abutments. This study compared the retentive strengths of 5 different classes of luting agents used to cement cast noble metal alloy crowns to 8-degree machined titanium cementable implant abutments from the Straumann ITI Implant System. Sixty prefabricated 5.5-mm solid titanium implant abutments and implants were used; 30 received the standard surface preparation and the other 30 received an anodized surface preparation. Anodized implant components were used to reflect current implant marketing. Sixty castings were fabricated and randomly paired with an abutment and implant. A total of 12 castings were cemented onto the implant-abutment assemblies for each of the 5 different luting agents (zinc phosphate, resin composite, glass ionomer, resin-reinforced glass ionomer, and zinc oxide-non-eugenol). After cementation, the assemblies were stored in a humidor at room temperature prior to thermocycling for 24 hours. Each casting was pulled from its respective abutment, and the force at which bond failure occurred was recorded as retentive strength. A statistically significant difference was found between the 5 cements at P < or = .001. Of the cements used, resin composite demonstrated the highest mean retentive strength. Zinc phosphate and resin-reinforced glass-ionomer cements were the next most retentive, while glass ionomer and zinc oxide-non-eugenol cements demonstrated minimal retention. In addition, retention was not altered by the use of an anodized abutment surface.     

The use of reinforced composite resin cement as compensation for reduced post length

STATEMENT OF PROBLEM: Cements that yield high retentive values are believed to allow use of shorter posts. PURPOSE: This study investigated the use of reinforced composite resin cement as compensation for reduced dowel length. MATERIAL AND METHODS: The retention values of stainless steel posts (parallel-sided ParaPost and tapered Dentatus in 5-, 8-, and 10-mm lengths) luted with Flexi-Flow titanium-reinforced composite resin and zinc phosphate cements were evaluated. Single-rooted extracted human teeth with crowns (n = 120), removed at the cementoenamel junction, were randomly divided into 4 groups of 30 samples each. Different post lengths were luted with either Flexi-Flow or zinc phosphate. Each sample was placed into a specialized jig and on a tensile testing machine with a crosshead speed of 2 mm/min, applied until failure. The effect of different posts and cements on the force required to dislodge the dowels was evaluated with multiple analyses of variance (ANOVA). One-way ANOVA with Scheffé contrast was applied to determine the effect of different post lengths on the retentive failure of posts luted with the 2 agents. RESULTS: Flexi-Flow reinforced composite resin cement significantly increased retention of ParaPost and Dentatus dowels (P<.001) compared with zinc phosphate. One-way ANOVA revealed no statistically significant difference (P>.05) between mean retention of both dowels luted with Flexi-Flow for all posts length used (5 mm = 8 mm = 10 mm). Mean retention values of the groups luted with zinc phosphate showed a statistically significant difference (P<.001) for the different post lengths (10 > 8 > 5 mm). Parallel-sided ParaPost dowels demonstrated a higher mean retention than tapered Dentatus dowels (P<.001). CONCLUSION: In this study, Flexi-Flow reinforced composite resin cement compensated for the reduced length of shorter parallel-sided ParaPost and tapered Dentatus dowels.     

Effect of Resin Cement Mixing Method on the Retention Strength of a CAD/CAM Zirconia Crowns

Several treatments have been suggested to improve the retention of zirconia-based restorations luted with different cements. Resin cements are believed to improve crown retention under certain circumstances. The aim of the present study was to examine the effect of three cements with different mixing methods on the retention of CAD/CAM zirconia crowns. Thirty extracted human molars were randomly divided into three groups and prepared for all-ceramic crowns (6° taper, 4-mm height and a 1.2 mm rounded shoulder finish line). A zirconia crown (Tizian CAD/CAM) was fabricated for each tooth. The crowns were air-abraded using airborne particles, adjusted, and cemented to the corresponding tooth with one of the following cements: Panavia F2 (PAN group), RelyX Unicem (UNH group) or RelyX Unicem Aplicap (UNA group). After 3,000 rounds of thermal cycling, retention was measured using a specific retentive jig and a universal testing machine. The retention strength was measured by dividing the retention force by the surface area of each tooth. The means of the pull-out test results for each group were compared using analysis of variance and Tukey’s HSD test (α = 0.05). The mode of failure was examined using a stereomicroscope. The mean retention value was 6.45 (0.34) MPa for the UNA group, 4.99 MPa (0.47) for the UNH group, and 4.45 (0.39) for the PAN group; the differences among the three test groups were significant. A mixed failure was observed in 83.3 % of specimens, while no cohesive failure occurred in the crowns. Within the limitations of the present study, of the three tested cements, Relyx Unicem Aplicap cement was associated with the highest retention force for Tizian zirconia crowns.     

Tensile bond strength of glass fiber posts luted with different cements

Proper selection of the luting agent is fundamental to avoid failure due to lack of retention in post-retained crowns. The objective of this study was to investigate the tensile bond strength and failure mode of glass fiber posts luted with different cements. Glass fiber posts were luted in 40 mandibular premolars, divided into 4 groups (n = 10): Group 1--resin-modified glass ionomer RelyX Luting; Group 2--resin-modified glass ionomer Fuji Plus; Group 3--resin cement RelyX ARC; Group 4--resin cement Enforce. Specimens were assessed by tensile strength testing and light microscopy analysis for observation of failure mode. The tensile bond strength values of each group were compared by ANOVA and Tukey test. The significance level was set at 5%. The failure modes were described as percentages. The following tensile strength values were obtained: Group 1--247.6 N; Group 2--256.7 N; Group 3--502.1 N; Group 4--477.3 N. There was no statistically significant difference between Groups 1 and 2 or between Groups 3 and 4, yet the resin cements presented significantly higher tensile bond strength values than those presented by the glass ionomer cements. Group 1 displayed 70% of cohesive failures, whereas Groups 2, 3 and 4 exhibited 70% to 80% of adhesive failures at the dentin-cement interface. We concluded that resin cements and glass ionomer cements are able to provide clinically sufficient retention of glass fiber posts, and that glass ionomer cements may be especially indicated when the application of adhesive techniques is difficult.     

Tensile bond strength of cast commercially pure titanium and cast gold-alloy posts and cores cemented with two luting agents

STATEMENT OF PROBLEM: In vitro studies on the retentive strengths of various cements used to retain posts have reported conflicting results. PURPOSE: The purpose of this study was to compare the tensile strength of commercially pure titanium and type III cast gold-alloy posts and cores cemented with zinc phosphate or resin cement. MATERIAL AND METHODS: Forty-two extracted human canines were endodontically treated. The root preparations were accomplished using Largo reamers (10 mm in depth and 1.7 mm in diameter). Acrylic resin patterns for the posts and cores were made, and specimens were cast in commercially pure titanium and in type III gold alloy (n=7). Fourteen titanium cast posts and cores were submitted to surface treatment with Kroll acid solution and to scanning electron microscopy (SEM), before and after acid etching. The groups (n=7) were cemented with zinc phosphate cement or resin cement (Panavia F). Tensile strengths were measured in a universal testing machine at a crosshead speed of 0.5 mm/min. The results (Kgf) were statistically analyzed by 2-way ANOVA (alpha=.05). RESULTS: The 2-way ANOVA indicated that there were no significant differences among the groups tested. Retentive means for zinc phosphate and Panavia F cements were statistically similar. The bond strength was not influenced by the alloy, the luting material, or the etching treatment. SEM analysis indicated that the etched surfaces were smoother than those that did not receive surface treatment, but this fact did not influence the results. CONCLUSIONS: Commercially pure titanium cast posts and cores cemented with zinc phosphate and resin cements demonstrated similar mean tensile retentive values. Retentive values were also similar to mean values recorded for cast gold-alloy posts and cores cemented with zinc phosphate cement and resin cements.     

Comparison of titanium dowel retention using four different luting agents

STATEMENT OF PROBLEM: Luting material, surface properties, and loading conditions affect the retention of prefabricated dowels to varying degrees. PURPOSE: The purpose of this study was to evaluate the effect of roughening of the dentinal walls and artificial aging on the retention of prefabricated tapered titanium dowels, using 4 different luting materials. MATERIAL AND METHODS: One-hundred twenty-eight single-rooted teeth were selected, the coronal aspect of each tooth was removed, and the remaining root received endodontic therapy. All specimens were divided into 4 groups (n=32). Dowel spaces were prepared to a depth of 10 mm using ISO 90 rotary cutting instruments. Tapered titanium dowels were luted with the following luting materials: zinc-phosphate cement (Harvard cement), glass-ionomer cement (Ketac Cem EasyMix), resin composite luting agent (Panavia 21) with autopolymerizing dentin primer (ED-Primer), or a self-adhesive composite luting agent (RelyX Unicem). Both composite luting agents were used without acid etching of the canal dentin. Each luting agent was used under 2 conditions: in 1 subgroup (n=16) the dentinal walls were not roughened, and in the other subgroup (n=16), walls were roughened with a diamond rotary cutting instrument. Eight specimens from each subgroup were stored in water at 37 degrees C for 3 days; the other 8 specimens were stored for 150 days and subjected to simulated aging conditions using 37,500 thermal cycles (5 degrees C/55 degrees C) and 300,000 mechanical loading cycles with 30 N. Dowel retention (N) was measured using a universal testing machine with a crosshead speed of 2 mm/min. Data were analyzed using 2- and 3-way ANOVAs and the Tukey HSD test (alpha=.05). RESULTS: The dislodged dowels were examined microscopically to evaluate mode of failure. The nonroughened dentinal walls showed no significant differences between the different luting agents. Roughening the dentinal walls increased the retention significantly for all groups. This increase was significantly higher for the resin composite groups (P=.0001). Storage for 150 days with thermal cycling and mechanical loading caused a significant decrease in dowel retention (P=.001). The failure mode was purely adhesive at the luting material-dentin interface for all dowels cemented in nonroughened root canals. A mixed failure mode, adhesive at the luting material-dentin interface and cohesive in the luting material, was observed for dowels cemented in roughened root canals. CONCLUSION: Roughening the dentinal walls and the use of resin luting cements provided statistically significant increases in dowel retention values.