Evaluation of resin adhesion to zirconia ceramic using some organosilanes.

OBJECTIVES: This study evaluated and compared the effect of three trialkoxysilane coupling agents on the bond strength of a Bis-GMA-based unfilled resin and a dimethacrylate-based resin composite luting cement to a zirconia ceramics (Procera AllZircon, Nobel Biocare, G?teborg, Sweden). METHODS: Six square-shaped zirconia specimens were used for each test group, a total of 72 specimens. The specimens in each group were all assigned to air-borne alumina particle abrasion followed by tribochemical silica-coating and silanization with 1 vol% solutions of 3-methacryloyloxypropyltrimethoxysilane, 3-acryloyloxypropyltrimethoxysilane, or 3-isocyanatopropyltriethoxysilane in an ethanol-water mixture. The sample stubs were made of a Bis-GMA/MMA/DMAEMA resin or a commercial resin composite luting cement (RelyX ARC, 3M ESPE, Seefeld, Germany). They were bonded to the conditioned and silanized silica-coated zirconia specimens using polyethylene molds. All specimens were tested at dry and thermo-cycled (6000, 5-55 degrees C, 30 s) conditions. The shear bond strength of resin stubs to zirconia was measured in a universal testing machine (cross-head speed 1 mm/min). RESULTS: In dry conditions, the highest shear bond strength was 9.7 MPa (S.D. 3.3 MPa), and for thermo-cycled samples 7.4 MPa (S.D. 2.4 MPa) was obtained with RelyX ARC cement with 3-methacryloyloxypropyltrimethoxysilane. In general, thermo-cycling decreased the bond strengths significantly for the Bis-GMA resin (ANOVA, p < 0.005). The resin, cement and silanes differed significantly silanes (ANOVA, p < 0.005). All samples silanized with 3-isocyanatopropyltriethoxysilane de-bonded during thermo-cycling. De-bonding was dominantly due to adhesive failure. SIGNIFICANCE: Bonding of the experimental resin and commercial cement to silica-coated zirconia is effective with 3-methacryloyloxypropyltrimethoxysilane or 3-methacryloyloxypropyltrimethoxysilane, but not with 3-isocyanatopropyltriethoxysilane.     

Bond strength of a resin cement to high-alumina and zirconia-reinforced ceramics: the effect of surface conditioning

PURPOSE: The aim of this study was to evaluate the effect of two surface conditioning methods on the microtensile bond strength of a resin cement to three high-strength core ceramics: high alumina-based (In-Ceram Alumina, Procera AllCeram) and zirconia-reinforced alumina-based (In-Ceram Zirconia) ceramics. MATERIALS AND METHODS: Ten blocks (5 x 6 x 8 mm) of In-Ceram Alumina (AL), In-Ceram Zirconia (ZR), and Procera (PR) ceramics were fabricated according to each manufacturer's instructions and duplicated in composite. The specimens were assigned to one of the two following treatment conditions: (1) airborne particle abrasion with 110-microm Al2O3 particles + silanization, (2) silica coating with 30 microm SiOx particles (CoJet, 3M ESPE) + silanization. Each ceramic block was duplicated in composite resin (W3D-Master, Wilcos, Petrópolis, RJ, Brazil) using a mold made out of silicon impression material. Composite resin layers were incrementally condensed into the mold to fill up the mold and each layer was light polymerized for 40 s. The composite blocks were bonded to the surface-conditioned ceramic blocks using a resin cement system (Panavia F, Kuraray, Okayama, Japan). One composite resin block was fabricated for each ceramic block. The ceramic-composite was stored at 37 degrees C in distilled water for 7 days prior to bond tests. The blocks were cut under water cooling to produce bar specimens (n = 30) with a bonding area of approximately 0.6 mm2. The bond strength tests were performed in a universal testing machine (crosshead speed: 1 mm/min). Bond strength values were statistically analyzed using two-way ANOVA and Tukey's test (< or = 0.05). RESULTS: Silica coating with silanization increased the bond strength significantly for all three high-strength ceramics (18.5 to 31.2 MPa) compared to that of airborne particle abrasion with 110-microm Al2O3 (12.7-17.3 MPa) (ANOVA, p < 0.05). PR exhibited the lowest bond strengths after both Al2O3 and silica coating (12.7 and 18.5 MPa, respectively). CONCLUSION: Conditioning the high-strength ceramic surfaces with silica coating and silanization provided higher bond strengths of the resin cement than with airborne particle abrasion with 110-microm Al2O3 and silanization.     

Durability of Resin Cement Bond to Aluminium Oxide and Zirconia Ceramics after Air Abrasion and Laser Treatment

Purpose: The erbium laser has been introduced for cutting enamel and dentin and may have an application in the surface modification of high‐strength aluminum oxide and zirconia ceramics. The aim of this study was to evaluate the durability of the bond of conventional dual‐cured resin cements to Procera Al₂O₃ and zirconium oxide ceramics after surface treatment with air abrasion and erbium laser. Materials and Methods: One hundred twenty Al₂O₃ and 120 zirconia specimens measuring 3 × 3 × 0.7 mm³ were divided equally into three groups, and their surfaces treated as follows: either untreated (controls), air abraded with Al₂O₃ particles, or erbium‐laser‐treated at a power setting of 200 mJ. The surface of each specimen was then primed and bonded with one of two dual‐cured resin cements (either SCP‐100 Ceramic Primer and NAC‐100 or Monobond S and Variolink II) using a 1‐mm thick Tygon tube mold with a 0.75‐mm internal bore diameter. After 24 hours and 6 months of water storage at 37°C, a microshear bond strength test was performed at a crosshead speed of 1 mm/min. Surface morphology was examined using a confocal microscope, and failure modes were observed using an optical microscope. The data were analyzed using the Kaplan‐Meier nonparametric survival analysis. Results: In the case of zirconia, air abrasion and Erbium:yttrium‐aluminum‐garnet (Er:YAG) laser treatment of the ceramic surface resulted in a significant reduction in the bond strengths of both resin cements after 6 months water storage; however, when the zirconia surface was left untreated, the SCP‐100/NAC‐100 group did not significantly reduce in bond strength. In the case of alumina, no treatment, air abrasion and Er:YAG laser treatment of the surface led to no significant reduction in the bond strengths of the three SCP‐100/NAC‐100 groups after 6 months water storage, whereas all three Monobond S/Variolink II groups showed a significant reduction. Conclusion: Er:YAG laser treatment of the zirconia surface did not result in a durable resin cement/ceramic bond; however, a durable bond between a conventional dual‐cured resin cement and Procera All Ceram and Procera All Zirkon was formed using a ceramic primer containing the phosphate monomer, MDP, without any additional surface treatment.     

Critical appraisal. Resin bond to dental ceramics, Part II: high-strength ceramics

The popularity of high‐strength ceramic systems is increasing, and the range of their clinical indications is expanding constantly. Glass‐infiltrated aluminum oxide ceramic (eg, InCeram® Alumina, Vita Zahnfabrik, Bad Säckingen, Germany), densely sintered aluminum oxide ceramic (eg, Procera® AllCeram, Nobel Biocare AB, Gothenburg, Sweden), and zirconium oxide ceramic (eg, Procera AllZirkon®, Lava® 3M ESPE, St. Paul, MN, USA, Cercon®, Dentsply Ceramco, Burlington, NJ, USA) are popular oxide‐based high‐strength ceramic materials that offer favorable esthetic characteristics, mechanical properties, and biocompatibility. Proper selection and application of luting agents for final cementation of all‐ceramic restorations are keys for their clinical success. The few clinical trials on full‐coverage, high‐strength ceramic restorations report acceptable success rates with conventional luting agents. However, an article discussed in Part I of this Critical Appraisal reviewed available in vitro and in vivo studies on this topic and recommended adhesive cementation of ceramic and even high‐strength ceramic restorations. These findings contradict many manufacturers’claims and clinicians’preferences because resin bonding is a technique‐sensitive and time‐consuming procedure. However, resin bonding has a number of advantages (eg, increased retention, improved marginal adaptation, and higher fracture resistance of the restored tooth and the restoration itself) and is required for some minimally invasive treatment options, such as resin‐bonded fixed partial dentures and laminate veneers. The resin bond to silica‐based ceramics is well documented (as discussed in Part I of this Critical Appraisal) and yields predictable and long‐term durable results through adequate surface preparation. Part II focuses on in vitro studies of the bonding interface of some popular high‐strength ceramic materials. Comparative clinical trials are lacking, and the few available in vitro studies indicate that the composition and physical properties of oxide‐based high‐strength ceramics require surface preparation and bonding techniques that differ substantially from those used for silica‐based ceramics.     

In vitro evaluation of long-term bonding of Procera AllCeram alumina restorations with a modified resin luting agent

STATEMENT OF PROBLEM: Bonded densely sintered aluminum oxide ceramic restorations such as Procera AllCeram laminates rely on a strong and long-term durable resin bond. Air particle abrasion and a phosphate-modified resin luting agent have the potential to provide such bonds to aluminum oxide ceramics, but their efficacy on the Procera AllCeram intaglio surface is unknown. The inherent microroughness of this surface may influence bond strengths, because micromechanical interlocking is a main contributor for adhesion of resins to ceramic materials. PURPOSE: This study evaluated the bond strength of a phosphate-modified resin luting agent with and without silanization to an air particle-abraded Procera AllCeram intaglio surface compared with a conventional resin-bonding system before and after artificial aging. MATERIAL AND METHODS: Sixty square (10 x 10 x 2 mm) specimens of Procera AllCeram alumina ceramic with the Procera intaglio surface were air particle abraded with aluminum oxide. Composite cylinders (2.9 mm in diameter and 3.0 mm in width) were fabricated with Z-250 composite and bonded to the ceramic specimens with either Panavia 21 TC or Rely X ARC (control) and their corresponding bonding/silane coupling agents. In addition, Panavia was used without silanization as suggested in similar studies. Subgroups of 10 specimens were stored in distilled water for either 3 or 180 days before shear bond strength was tested with a universal testing machine (MPa) until fracture. The 180-day specimens were subjected to thermocycling at 2000 cycles every 30 days (12,000 cycles total). Data were analyzed with 1-way analysis of variance and Tukey's multiple comparison (alpha=.05). Failure modes were examined with a light microscope (original magnification x 25). RESULTS: Differences between short-term and long-term groups were highly significant (P=.000). Bond strength with Rely X ARC and its silane coupling agent (22.75 +/- 4 MPa) decreased significantly (P=.000) after artificial aging (3.32 +/- 3.62 MPa). Panavia 21 after silanization revealed significantly different (P=.003) early (21.42 +/- 4.3 MPa) and late (16.09 +/- 2.37 MPa) bond strengths but achieved the highest bond strength after artificial aging. Bond strengths of Panavia without silanization both early (8.06 +/- 2.1 MPa) and late (6.91 +/- 2.49 MPa) were not significantly different. Failure modes were mainly adhesive at the ceramic surface for all groups. CONCLUSION: Panavia 21 in combination with its corresponding bonding/silane coupling agent can achieve an acceptable resin bond to the air particle-abraded intaglio surface of Procera AllCeram restorations after artificial aging, which had mixed effects on the other investigated groups. The conventional resin luting agent revealed the most dramatic decrease in bond strength.     

Marginal fit of Zirconia posterior fixed partial dentures

The aim of this study was to investigate the marginal fit of posterior fixed partial dentures (FPDs) made with 2 computer-aided design/computer-assisted manufacture systems--Procera Bridge Zirconia (Nobel Biocare) and Lava AllCeramic System (3M ESPE)--and to analyze the differences between abutments and between buccal and lingual surfaces. Twenty standardized specimens were prepared to receive posterior 3-unit FPDs. FPDs were fabricated according to the manufacturer's instructions. A scanning microscope (JSM-6400, JEOL) with a magnification of 1,000x was used for measurements. Three-way analysis of variance showed significant differences (P < .001) in marginal adaptation between the ceramic groups. Procera Bridge Zirconia showed the lowest discrepancies (26 +/- 19 microm). No significant differences were observed between abutments and surfaces, and no significant interaction was observed among the ceramic system, abutments, and surfaces. The accuracy of fit achieved by both zirconia systems was within the range of clinical acceptability, with Procera Bridge Zirconia showing the best marginal fit.     

Comparison of fit accuracy between Procera custom abutments and three implant systems

Background: Although increase of misfit has been reported when associating implant and abutment from different manufacturers, Procera® (Nobel Biocare?, Göteborg, Sweden) custom abutment has been universally used in clinical practice. Purpose: The purpose of this investigation was to compare the vertical gap of zirconia Procera abutment associated with implants from the same manufacturer (Nobel Biocare) and two other implant systems. Materials and Methods: Twenty‐four zirconia Procera abutments were produced using computer‐assisted design and manufacture (CAD/CAM) and paired with (1) eight MK Iii RP 4.1 × 10 mm implants (Nobel Biocare) – GNB group; (2) eight Try on, 4.1 × 10 mm implants (Sistema de Implantes, São Paulo, Brazil) – ES group; and (3) eight Master screw, 4.1 × 10 mm implants (Conexão Sistema de Prótese, São Paulo, Brazil) – EC group. A comparison of the vertical misfit at the implant‐abutment interface was taken at six measuring sites on each sample using scanning electron microscopy with a magnification of 408×. One‐way analysis of variance was used to test for differences, and Tukey's test was used for pairwise comparison of groups (α = 0.05). Results: Significant differences relative to average misfit were found when Procera abutments were associated with other implant manufacturers. The ES group and EC group did not differ significantly, but both demonstrated significantly larger average misfit than the GNB group (p = .001). The average misfit was 5.7 µm ± 0.39, 9.53 µm ± 0.52 and 10.62 µm ± 2.16, respectively, for groups GNB, ES, and EC. Conclusion: The association of Procera zirconia abutment with other implant systems different from its manufacturer demonstrated significant alteration of vertical misfit at implant‐abutment interface.     

氧化锆基底和饰瓷结合强度的分析

目的分析和比较几种全瓷系统基底和饰瓷的结合强度。方法制作直径为8 mm、厚度为3 mm的Lava、 Cercon、IPS e.max ZirCAD、Procera试件各20个,分别为Lava组、Cercon组、IPS e.max ZirCAD组、Procera组。每组各选10个试件表面烤制厚度为1 mm的相应饰瓷,10个试件表面烤制厚度为2 mm的相应饰瓷。对试件进行剪切强度的测定和断裂模式的观察。结果饰瓷厚度为1 mm时,Lava、Cercon、IPS e.max ZirCAD、Procera组的剪切强度分别为：（13.82±3.71）、（13.24±2.09）、（6.37±4.15）、（5.19±5.31）MPa;饰瓷厚度为2 mm时,各组的剪切强度分别为：（38.77±1.69）、（21.67±3.34）、（12.70±4.24）、（9.94±6.67）MPa。Lava组和Cercon组的剪切强度高于IPS e.max ZirCAD组和Procera组（P<0.05）,饰瓷厚度为2 mm的试件的剪切强度高于饰瓷厚度为1 mm的试件（P<0.05）。各组试件破坏模式均以界面破坏为主。结论氧化锆基底和饰瓷的结合强度因基底材料的不同而不同,饰瓷的厚度对结合强度有明显的影响。     

Microtensile bond strength of a resin cement to glass infiltrated zirconia-reinforced ceramic: the effect of surface conditioning.

OBJECTIVES: This study evaluated the effect of three surface conditioning methods on the microtensile bond strength of resin cement to a glass-infiltrated zirconia-reinforced alumina-based core ceramic. METHODS: Thirty blocks (5 x 5 x 4 mm) of In-Ceram Zirconia ceramics (In-Ceram Zirconia-INC-ZR, VITA) were fabricated according to the manufacturer's instructions and duplicated in resin composite. The specimens were polished and assigned to one of the following three treatment conditions (n=10): (1) Airborne particle abrasion with 110 microm Al(2)O(3) particles + silanization, (2) Silica coating with 110 microm SiO(x) particles (Rocatec Pre and Plus, 3M ESPE) + silanization, (3) Silica coating with 30 microm SiO(x) particles (CoJet, 3M ESPE) + silanization. The ceramic-composite blocks were cemented with the resin cement (Panavia F) and stored at 37 degrees C in distilled water for 7 days prior to bond tests. The blocks were cut under coolant water to produce bar specimens with a bonding area of approximately 0.6mm(2). The bond strength tests were performed in a universal testing machine (cross-head speed: 1mm/min). The mean bond strengths of the specimens of each block were statistically analyzed using ANOVA and Tukey's test (alpha相似文献   

底涂剂的化学处理对二氧化锆陶瓷树脂粘接效果的影响

目的 评估专用底涂剂的化学处理对二氧化锆陶瓷与自粘接型树脂水门汀间粘接效果的影响。方法 2.5 mm厚可切削二氧化锆陶瓷片（Vita InceramYZ）经烧结、研磨、清洗后,一半的陶瓷试件表面在0.3 MPa压力下接受50 μm Al2O3颗粒喷砂处理20 s。使用X射线荧光光谱仪对研磨和喷砂组的陶瓷表面成分进行定性定量分析。研磨和喷砂组的陶瓷片各分为2组：一组直接与自粘接型树脂水门汀（Biscem）进行粘接,另一组经底涂剂（Z Primer Plus）处理后与Biscem进行粘接。各实验组试件再分为两个亚组（n=10）经0、10000次冷热循环后接受剪切粘接 强度测量。使用多因素方差分析对数据进行统计。结果 喷砂后的陶瓷表面会有质量比为8.27%的Al2O3颗粒附着。 与喷砂处理相比,底涂剂处理对冷热循环前粘接强度的提高更加显著。冷热循环前后,未经过底涂剂处理的陶瓷与 树脂间粘接强度的差异无统计学意义（P>0.05）,但经过底涂剂处理后陶瓷与树脂间粘接强度的差异有统计学意义（P<0.05）。结论 底涂剂的化学处理能够显著提高二氧化锆陶瓷与自粘接型树脂水门汀的初期粘接强度,但在耐 久实验条件下其粘接界面不稳定,会出现快速老化。     

Comparison of resin cement adhesion to Y-TZP ceramic following manufacturers’ instructions of the cements only

The objectives of this study were (1) to evaluate the bond strength of four resin materials with various chemical compositions following the manufacturers' instructions only and (2) to test their durability in dry and thermal aged conditions when they were bonded to zirconia ceramic. Four types of resin materials namely, Panavia F 2.0, Multilink, SuperBond and Quadrant Posterior Dense, were attached to the disc-shaped zirconia ceramics (LAVA, 3M ESPE) using polyethylene molds and polymerized accordingly after the ceramics were wet ground finished and ultrasonically cleaned. The specimens were randomly divided into two groups for ageing conditions. While the dry groups were tested immediately after attachment of the resin cement, the other specimens were subjected to thermocycling (x6,000, 5-55 degrees C). Bond strength results were significantly affected by the storage condition (p < 0.001) and type of resin (p < 0.001; analysis of variance). Panavia F 2.0 showed the highest bond strength results under dry conditions (9.6 +/- 4.1 MPa). When manufacturers' instructions of the resin cements were followed, no adhesion (0 MPa) was achieved on the zirconia after 6,000 thermal cyclings including Panavia F 2.0.     

Microleakage in full-crown all-ceramic restorations: influence of internal surface treatment, silane application, alumina system, and substrate

This study investigated the influence of internal surface treatment and margin location on the microleakage of 2 alumina-reinforced ceramic crown systems: In-Ceram (VITA Zahnfabrik) and Procera (Nobel Biocare). Full crowns were produced for each of the 2 systems (n = 24) in human premolars, with margins located in enamel and dentin, and luted with Single Bond and RelyX ARC (3M ESPE). Four internal ceramic treatments were tested: (1) aluminum oxide blasting (AO), (2) AO plus silane, (3) hydrofluoric acid etching (HF), and (4) HF plus silane. After thermal cycling, leakage was measured quantitatively. Statistical analysis (P < .05) showed higher leakage in dentin margins compared to enamel. In enamel, Procera showed greater leakage compared to In-Ceram. Generally, lower microleakage was observed for the AO plus silane treatment.     

The influence of ceramic surface treatments on the tensile bond strength of composite resin to all-ceramic coping materials

STATEMENT OF PROBLEM: An increasing demand for esthetic restorations has resulted in the development of new ceramic systems, but the fracture of veneering ceramics still remains the primary cause of failure. Porcelain repair frequently involves replacement with composite resin, but the bond strength between composite resin and all-ceramic coping materials has not been studied extensively. PURPOSE: The purpose of this study was to evaluate the tensile bond strength of composite resin to 3 different all-ceramic coping materials with various surface treatments. MATERIAL AND METHODS: Thirty specimens (10 x 10 x 2 mm) each of lithium-disilicate ceramic (IPS Empress2 [E]), alumina ceramic (In-Ceram Alumina [I]), and zirconia ceramic (Zi-Ceram [Z]) were fabricated. Feldspathic ceramic (Duceram Plus [F]) was used as the control. Each material was divided into 3 groups (n=10), and 3 different surface treatments were performed: airborne-particle abrasion with 50-microm alumina particles (Ab); airborne-particle abrasion with 50-microm alumina particles and acid etching with 4% hydrofluoric acid (Ae); or airborne-particle abrasion with 30-microm alumina particles modified with silica acid (Si). After surface treatment of ceramic specimens, composite resin cylinders (5-mm diameter x 10-mm height) were light polymerized onto the ceramic specimens. Each specimen was subjected to a tensile load at a crosshead speed of 2 mm/min until fracture. The fracture sites were examined with scanning electron microscopy to determine the location of failure during debonding and to examine the surface treatment effects. Two-way analysis of variance and the Duncan multiple comparison test (alpha=.05) were used to analyze the bond strength values. RESULTS: There were significant differences in the bond strengths for both ceramics (P<.001) and surface treatments (P<.001) and the interaction (P<.001). The Duncan analysis yielded the following statistical subsets of the bond strength values: (FAe, ISi, EAe, ZSi) > FAb > (FSi, EAb, ESi) (IAb, IAe) > (ZAe, ZAb). The results illustrate no differences within the parentheses but statistically significant differences among the groups. CONCLUSION: Alumina and zirconia ceramic specimens treated with a silica coating technique, and lithium disilicate ceramic specimens treated with airborne-particle abrasion and acid etching yielded the highest tensile bond strength values to a composite resin for the materials tested.     

Bond strength of composite luting cement to zirconia ceramic surfaces

OBJECTIVES: To evaluate the bond strength of dental resin agent to zirconia ceramic after surface pre-treatment with different techniques. METHODS: Specimens of hot isostatic pressed yttrium-oxide-partially-stabilized zirconia blocks (ZF) were fabricated (Procera Zircon, Nobel Biocare, Sweden) and compared to glossy dense zirconia blocks (ZG). Four groups of specimens with different surface treatment were prepared. Group I: ZF (n = 5) and ZG (n = 5) without any pre-treatment, Group II: ZF-s (n = 5) and ZG-s (n = 5) treated with silane solution, Group III: ZF-P (n = 10) and ZG-P (n = 10) treated with RF plasma spraying (hexamethyldisiloxane) using a reactor (Plasma Electronic, Germany), Group IV: ZF-p (n = 10) and ZG-p (n = 10) treated with micro pearls of low fusing porcelain (720 degrees C) on the surfaces. Composite cylinders (Charisma, Hereus Kulzer, Dormagen, Germany) were luted with Variolink II (Ivoclar-Vivadent, Schaan, Liechtenstein) to the test specimens. The specimens were then stored in air for 1 h before shear loading in a universal testing machine (LRX, Lloyd Instruments, Farnham, England) until failure. RESULTS: No statistical difference was found between the untreated ZF and ZG specimens (Group I) neither between the specimens treated with silane (Group II). Plasma spraying treatment improved bond strength by a factor of three (p < 0.001). Treatment with low fusing porcelain micro pearls increased the bond strength by a factor of 10 compared to untreated surfaces (p < 0.001). No significant difference was seen between the surfaces treated ZF-p and ZG-p specimens. The thickness of the glass pearls layer did not exceed 5 microm. SEM showed dense grain borders of ZF and a flat glossy texture of ZG. SIGNIFICANCE: Treatment of zirconia ceramic surfaces with plasma spraying or a low fusing porcelain pearl layer significantly increased the bond strength of resin cement to the ceramic surface.     

Comparison of Fit Accuracy between Procera® Custom Abutments and Three Implant Systems

Background: Although increase of misfit has been reported when associating implant and abutment from different manufacturers, Procera custom abutment has been universally used in clinical practice. Purpose: The purpose of this investigation was to compare the vertical gap of zirconia Procera® abutment associated with implants from the same manufacturer (Procera manufacturer) and two other implant systems. Materials and Methods: Twenty‐four zirconia Procera abutments were produced using computer‐assisted design and manufacture and paired with (a) eight MK III, RP 4.1 × 10 mm implants (Nobel Biocare?, Göteborg, Sweden) – GNB group (Nobel Biocare group); (b) eight Try on, 4.1 × 10 mm implants (Sistema de Implantes, São Paulo, Brazil) – ES group (SIN experimental group) ; and (c) eight Master screw, 4.1 × 10 mm implants (Conexão® Sistema de Prótese, São Paulo, Brazil) – EC group (Conexão experimental group). A comparison of the vertical misfit at the implant–abutment interface was taken at six measuring sites on each sample using scanning electron microscopy with a magnification of 408×. One‐way analysis of variance was used to test for differences, and Tukey's test was used for pair‐wise comparison of groups (α = 0.05). Results: Significant differences relative to average misfit were found when Procera abutments were associated with other implant manufacturers. The ES group and EC group did not differ significantly, but both demonstrated significantly larger average misfit than the GNB group (p = .001). The average misfit was 5.7 µm ± 0.39, 9.53 µm ± 0.52, and 10.62 µm ± 2.16, respectively, for groups GNB, ES, and EC. Conclusion: The association of Procera zirconia abutment with other implant systems different from its manufacturer demonstrated significant alteration of vertical misfit at implant–abutment interface.     

Pilot evaluation of resin composite cement adhesion to zirconia using a novel silane system

OBJECTIVE: In this study, we evaluated the effect of two silane coupling agents and their blends with a cross-linker silane on the bond strength of a dimethacrylate-based resin composite cement to surface-conditioned zirconia. MATERIAL AND METHODS: A total of 40 planar zirconia specimens were used for 8 test groups. After alumina particle abrasion, followed by tribochemical silica-coating, the specimens were randomly assigned to four silanizations: with 1.0 vol% 3-methacryloyloxypropyltrimethoxysilane or 1.0 vol% 3-mercaptopropyltrimethoxysilane or their blends with 1.0 vol% 1,2-bis-(triethoxysilyl)ethane (all in ethanol/water). The resin composite (RelyX ARC, 3M ESPE) stubs (n=10/group) were light-polymerized onto zirconia specimens. Four test groups were tested without water storage and 4 thermo-cycled at 6000 cycles (5+/-1 degrees C to 55+/-1 degrees C), with a dwelling time of 30 s. The shear bond strength of the cement stubs to zirconia was measured using a universal testing machine at a constant cross-head speed of 1 mm/min. Scanning electron microscopy was employed for imaging the zirconia surface after conditioning and testing. Failure mode was evaluated visually. A surface chemical analysis was carried out with the EDXA system. RESULTS: The highest shear bond strength was 21.9+/-8.7 MPa, obtained with a blend of 3-mercaptopropyltrimethoxysilane and 1,2-bis-(triethoxysilyl)ethane (dry storage), and 16.0+/-1.5 MPa, with 3-methacryloyloxypropyltrimethoxysilane (thermo-cycled). Thermo-cycling decreased the bond strengths significantly (ANOVA, p<0.01), and the silanes differed significantly (p<0.005). Some specimens suffered from spontaneous debonding during thermo-cycling. CONCLUSIONS: The luting cement adhesion might be promoted to silica-coated zirconia with 1.0 vol% 3-methacryloyloxypropyltrimethoxysilane and with a blend of 1.0 vol% 3-mercaptopropyltrimethoxysilane and 1.0 vol% 1,2-bis-(triethoxysilyl)ethane.     

通用型粘接剂和树脂水门汀对氧化锆 剪切粘接强度的影响

目的 研究通用型粘接剂和树脂水门汀对氧化锆陶瓷剪切粘接强度和耐久性的影响。方法 氧化锆陶瓷烧结制作20 mm×10 mm×10 mm和10 mm×10 mm×10mm两种尺寸的试件,实验分为12组,将这2种试件分别采用不同的树脂水门汀（RelyX Ultimate树脂水门汀、Clearfil SAC自粘接树脂水门汀）和通用粘接剂（无粘接剂、Scotchbond通用粘接剂、Clearfil SE One粘接剂）在不同的储存条件（水浴、水浴+冷热循环）下进行粘接。测试剪切粘接强度,分析断裂形态。结果 水门汀（F=8.41,P<0.01）和粘接剂（F=30.34,P<0.01）对氧化锆剪切粘接强度的影响有统计学意义;储存条件对剪切粘接强度的影响无统计学意义（F=1.83,P=0.18）。RelyX Ultimate树脂水门汀、无粘接剂、水浴+冷热循环储存时的剪切粘接强度最低（14.02 MPa±6.86 MPa）,RelyX Ultimate树脂水门汀、Scotchbond通用粘接剂、水浴+冷热循环储存时的剪切粘接强度最高（54.12 MPa±8.37 MPa）。结论 通用型粘接剂可提高树脂水门汀对氧化锆的粘接耐久性。非自粘接的树脂水门汀如不使用通用型粘接剂则其粘接耐久性下降。     

通用型粘接剂和树脂水门汀对氧化锆剪切粘接强度的影响

目的 研究通用型粘接剂和树脂水门汀对氧化锆陶瓷剪切粘接强度和耐久性的影响。方法 氧化锆陶瓷烧结制作20 mm×10 mm×10 mm和10 mm×10 mm×10mm两种尺寸的试件,实验分为12组,将这2种试件分别采用不同的树脂水门汀（RelyX Ultimate树脂水门汀、Clearfil SAC自粘接树脂水门汀）和通用粘接剂（无粘接剂、Scotchbond通用粘接剂、Clearfil SE One粘接剂）在不同的储存条件（水浴、水浴+冷热循环）下进行粘接。测试剪切粘接强度,分析断裂形态。结果 水门汀（F=8.41,P<0.01）和粘接剂（F=30.34,P<0.01）对氧化锆剪切粘接强度的影响有统计学意义;储存条件对剪切粘接强度的影响无统计学意义（F=1.83,P=0.18）。RelyX Ultimate树脂水门汀、无粘接剂、水浴+冷热循环储存时的剪切粘接强度最低（14.02 MPa±6.86 MPa）,RelyX Ultimate树脂水门汀、Scotchbond通用粘接剂、水浴+冷热循环储存时的剪切粘接强度最高（54.12 MPa±8.37 MPa）。结论 通用型粘接剂可提高树脂水门汀对氧化锆的粘接耐久性。非自粘接的树脂水门汀如不使用通用型粘接剂则其粘接耐久性下降。     

In vitro evaluation of shear bond strengths of resin to densely-sintered high-purity zirconium-oxide ceramic after long-term storage and thermal cycling

STATEMENT OF PROBLEM: The few available studies on the resin bond to zirconium-oxide ceramic recommend airborne-particle abrasion and modified resin luting agents containing adhesive monomers for superior and long-term durable bond strengths. It is unknown whether this regimen can also be successfully applied to the intaglio surface of a commercial zirconia-based all-ceramic system. PURPOSE: The purpose of this study was to evaluate and compare bond strengths of different bonding/silane coupling agents and resin luting agents to zirconia ceramic before and after artificial aging. MATERIAL AND METHODS: Composite cylinders (2.9 mm x 3.0 mm) were bonded to airborne-particle-abraded intaglio surfaces of Procera AllZirkon specimens (n=80) with either Panavia F (PAN) or Rely X ARC (REL) resin luting agents after pretreatment with Clearfil SE Bond/ Porcelain Bond Activator (Group SE). In another group, Rely X ARC was used with its bonding/silane coupling agent (Single Bond/Ceramic Primer, Group SB). PAN without any bonding/silane agent (Group NO) was the control. Subgroups of 10 specimens were stored in distilled water for either 3 or 180 days before shear bond strength was tested. One hundred eighty-day-old specimens were repeatedly thermal cycled for 12,000 cycles between 5 and 60 degrees C with a 15-second dwell time. Data were analyzed with 1- and 2-way analysis of variance and the Tukey multiple comparisons test (alpha=.05). Failure modes were examined under original magnification x25. RESULTS: After 3 days, SE-REL (25.15 +/- 3.48 MPa) and SE-PAN (20.14 +/- 2.59 MPa) groups had significantly superior mean shear bond strengths (P=.0007) compared with either NO-PAN (17.36 +/- 3.05 MPa) or SB-REL (16.90 +/- 7.22 MPa). SE-PAN, NO-PAN, and SB-REL groups were not significantly different. Artificial aging significantly reduced bond strengths. After 180-day storage, SE-PAN (16.85 +/- 3.72 MPa), and SE-REL (15.45 +/- 3.79 MPa) groups demonstrated significantly higher shear bond strengths than NO-PAN (9.45 +/- 5.06 MPa) or SB-REL (1.08 +/- 1.85 MPa) groups. The modes of failure varied among 3-day groups but were 100% adhesive at the ceramic surfaces after artificial aging. CONCLUSION: Artificial aging significantly reduced bond strength. A bonding/silane coupling agent containing an adhesive phosphate monomer can achieve superior long-term shear bond strength to airborne-particle- abraded Procera AllZirkon restorations with either one of the 2 resin luting agents tested.     

Biological adaptation to misfits of immediately loaded fixed prostheses following computer-guided surgery

In this clinical report, following computer‐guided (3D Procera Software Planning Program, Nobel Biocare, Yorba Linda, CA) placement and immediate provisionalization of 12 dental implants (NobelSpeedy? Replace, Nobel Biocare), misfits of the prefabricated screw‐retained interim prostheses were noted at several implant‐abutment junctions. Nevertheless, adaptation of the misfits was observed 10 days later, after the loosened screws were tightened. While a high mean marginal bone loss of 2.1 mm (range: 1.4 to 3.5 mm) was noted, all implants remained osseointegrated at 3‐year follow‐up.