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   

Effect of ceramic surface treatment on the microtensile bond strength between a resin cement and an alumina-based ceramic

PURPOSE: The objective of this study was to test the following hypothesis: the silica coating on ceramic surface increases the bond strength of resin cement to a ceramic. MATERIALS AND METHODS: In-Ceram Alumina blocks were made and the ceramic surface was treated: G1--sand-blasting with 110-microm aluminum oxide particles; G2--Rocatec System: tribochemical silica coating (Rocatec-Pre powder + Rocatec-Plus powder + Rocatec-Sil); G3--CoJet System: silica coating (CoJet-Sand) + ESPE-Sil. The ceramic blocks were cemented to composite blocks with Panavia F resin cement (under a load of 750 g/1 min). The cemented blocks were stored in distilled water at 37 degrees C for 7 days and sectioned along the x and y axes with a diamond disk. Samples with an adhesive area of ca 0.8 mm2 (n = 45) were obtained. The samples were attached to an adapted device for the microtensile test, which was performed in a universal testing machine (EMIC) at a crosshead speed of 1 mm/min. RESULTS: The obtained results were submitted to ANOVA and Tukey's test. Mean values of tensile strength (MPa) and standard deviation values were: (G1) 16.8+/-3.2; (G2) 30.6+/-4.5; (G3) 33.0+/-5.0. G2 and G3 presented greater tensile strength than G1. There was no significant difference between G2 and G3. All the failures took place at the ceramic/resin cement interface. CONCLUSION: The silica coating (Rocatec or CoJet systems) of the ceramic surface increased the bond strength between the Panavia F resin cement and alumina-based ceramic.     

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.     

Microtensile bond strength of a repair composite to leucite-reinforced feldspathic ceramic

The purpose of this study was to evaluate the microtensile bond strength of a repair composite resin to a leucite-reinforced feldspathic ceramic (Omega 900, VITA) submitted to two surface conditionings methods: 1) etching with hydrofluoric acid + silane application or 2) tribochemical silica coating. The null hypothesis is that both surface treatments can generate similar bond strengths. Ten ceramic blocks (6x6x6 mm) were fabricated and randomly assigned to 2 groups (n=5), according to the conditioning method: G1- 10% hydrofluoric acid application for 2 min plus rinsing and drying, followed by silane application for 30 s; G2- airborne particle abrasion with 30 microm silica oxide particles (CoJet-Sand) for 20 s using a chairside air-abrasion device (CoJet System), followed by silane application for 5 min. Single Bond adhesive system was applied to the surfaces and light cured (40 s). Z-250 composite resin was placed incrementally on the treated ceramic surface to build a 6x6x6 mm block. Bar specimens with an adhesive area of approximately 1 +/- 0.1 mm(2) were obtained from the composite-ceramic blocks (6 per block and 30 per group) for microtensile testing. No statistically significant difference was observed between G1 (10.19 +/- 3.1 MPa) and G2 (10.17 +/- 3.1 MPa) (p=0.982) (Student's t test; á = 0.05). The null hypothesis was, therefore, accepted. In conclusion, both surface conditioning methods provided similar microtensile bond strengths between the repair composite resin and the ceramic. Further studies using long-term aging procedures should be conducted.     

Effect of surface treatments on the resin bond to zirconium-based ceramic

PURPOSE: This study tested the hypothesis that the tribochemical silica coating on ceramic surfaces increases the bond strength of resin cement to a glass-infiltrated zirconium-based ceramic. MATERIALS AND METHODS: Fifteen blocks of In-Ceram Zirconia from CEREC InLab (5 per group) and 15 composite blocks (Z-250) 5 mm x 5 mm x 4 mm were made. The ceramic surfaces were polished, and the blocks were divided into three groups: (1) airborne abrasion with 110-microm aluminum oxide particles; (2) Rocatec system, tribochemical silica coating; and (3) CoJet system, tribochemical silica coating. The ceramic blocks were cemented to the composite blocks using Panavia F according to the manufacturer's specifications. All samples were stored in 37 degrees C distilled water for 7 days and later sectioned in two axes using a diamond disk under cooling to obtain specimens with a cross-sectional area of approximately 1 mm2 (n = 45). Each specimen was then attached with cyanoacrylate glue to an adapted device for the microtensile test, which was carried out on a universal testing machine. RESULTS: The results were subjected to ANOVA and Tukey's test. Group 2 (23.0+/-6.7 MPa) and group 3 (26.8+/-7.4 MPa) showed greater bond strength than group 1 (15.1+/-5.3 MPa). There was no significant difference between groups 2 and 3. All failures were in the adhesive zone. CONCLUSION: The hypothesis was confirmed--the tribochemical systems increased the bond strength between Panavia F and In-Ceram Zirconia.     

The effect of ceramic surface treatment on bonding to densely sintered alumina ceramic

STATEMENT OF PROBLEM: Ceramic surface treatment is crucial for bonding to resin. High crystalline ceramics are poorly conditioned using traditional procedures. PURPOSE: The purpose of this study was to evaluate the effect of silica coating on a densely sintered alumina ceramic relative to its bond strength to composite, using a resin luting agent. Material and methods Blocks (6 x 6 x 5 mm) of ceramic and composite were made. The ceramic (Procera AllCeram) surfaces were polished, and the blocks were divided into 3 groups (n = 5): SB, airborne-particle abrasion with 110-microm Al 2 O 3 ; RS, silica coating using Rocatec System; and CS, silica coating using CoJet System. The treated ceramic blocks were luted to the composite (W3D Master) blocks using a resin luting agent (Panavia F). Specimens were stored in distilled water at 37 degrees C for 7 days and then cut in 2 axes, x and y, to obtain specimens with a bonding area of approximately 0.6 mm 2 (n = 30). The specimens were loaded to failure in tension in a universal testing machine, and data were statistically analyzed using a randomized complete block design analysis of variance and Tukey's test (alpha=.05). Fractured surfaces were examined using light microscopy and scanning electron microscopy to determine the type of failure. Energy-dispersive spectroscopy was used for surface compositional analysis. RESULTS: Mean bond strength values (MPa) of Groups RS (17.1 +/- 3.9) ( P =.00015) and CS (18.5 +/- 4.7) ( P =.00012) were significantly higher than the values of Group SB (12.7 +/- 2.6). There was no statistical difference between Groups RS and CS. All failures occurred at the adhesive zone. CONCLUSION: Tribochemical silica coating systems increased the tensile bond strength values between Panavia F and Procera AllCeram ceramic.     

Study of thermocycling effect on the bond strength between an aluminous ceramic and a resin cement

This study evaluated the effect of thermocycling on the bond strength between Procera AllCeram (Nobel-Biocare) and a resin cement (Panavia F, Kuraray CO). Nine ceramic blocks with dimensions of 5x6x6mm were conditioned at one face with Rocatec System (Espe). After, they were luted with Panavia F to composite resin blocks (Clearfil AP-X, Kuraray CO). The nine groups formed by ceramic, cement and composite resin were split up obtaining 75 samples with dimensions of 12x1x1mm and adhesive surface presenting 1mm2±0.1mm2 of area. The samples were divided into 3 groups (n=25): G1 - 14 days in distilled water at 37oC; G2 - 6,000 cycles in water (5oC - 55oC - 30s); G3 - 12,000 cycles in water (5oC - 55oC - 30s). The samples were tested in a universal testing machine (EMIC) at a crosshead speed of 1mm/min. Data were analyzed by ANOVA and Tukey tests. The results indicated that mean values of rupture tension (MPa) of G1 (10.71 ± 3.54) did not differ statistically (p <5%) from G2 (9.01 ± 3.90), however there was statistical difference between G1 and G3 (7.28 ± 3.00). It was concluded that thermocycling significantly reduced the bond strength values when samples were submitted to 12,000 cycles.     

Repair bond strength and nanoleakage of artificially aged CAD-CAM composite resin

Statement of problem

The polymerization of computer-aided design and computer-aided manufacturing (CAD-CAM) composite resins during their manufacture enhances their physical properties and biocompatibility but might compromise their reparability.

Effect of various surface conditioning methods on the adhesion of dual-cure resin cement with MDP functional monomer to zirconia after thermal aging

This study evaluated the effect of chairside and laboratory types of surface conditioning methods on the adhesion of dual-cure resin cement with MDP functional monomer to zirconia ceramic after thermocycling. Disk-shaped (diameter: 10 mm, thickness: 2 mm) Y-TZP ceramics (Lava, 3M ESPE) were used (N=40) and finished with wet 1200-grit silicon carbide abrasive paper. Specimens were randomly divided into four experimental groups according to the following surface conditioning methods (n=10 per group): Group 1--Chairside airborne particle abrasion with 50-microm Al2O2 + Alloy Primer (Kuraray); Group 2--Airborne particle abrasion with 50-microm Al2O3 + Cesead II Opaque Primer (Kuraray); Group 3--Airborne particle abrasion with 50-microm A12O3 + Silano-Pen + silane coupling agent (Bredent); Group 4--Laboratory tribochemical silica coating (110-microm Al2O3 + 110-microm SiOx) (Rocatec) + silane coupling agent (ESPE-Sil). Adhesive cement, Panavia F 2.0 (Kuraray), was bonded incrementally to the ceramic surfaces using polyethylene molds (diameter: 3.6 mm, height: 5 mm). All specimens were thermocycled (5 and 55 degrees C, 6,000 cycles) and subjected to shear bond strength test (1 mm/min). Data were statistically analyzed (one-way ANOVA, alpha=0.05), whereby no significant differences were found among the four groups (8.43+/-1.3, 8.98+/-3.6, 12.02+/-6.7, and 8.23+/-3.8 MPa) (p=0.1357). Therefore, the performance of chairside conditioning methods used for zirconia was on par with the laboratory alternative tested.     

Surface conditioning of a composite used for inlay/onlay restorations: effect on muTBS to resin cement

PURPOSE: To assess the effect of the composite surface conditioning on the microtensile bond strength of a resin cement to a composite used for inlay/onlay restorations. MATERIALS AND METHODS: Forty-two blocks (6 x 6 x 4 mm) of a microfilled composite (Vita VMLC) were produced and divided into 3 groups (N = 14) by composite surface conditioning methods: Gr1--etching with 37% phosphoric acid, washing, drying, silanization; Gr2--air abrasion with 50-lm Al203 particles, silanization; Gr3--chairside tribochemical silica coating (CoJet System), silanization. Single-Bond (one-step adhesive) was applied on the conditioned surfaces and the two resin blocks treated with the same method were cemented using RelyX ARC (dual-curing resin cement). The specimens were stored for 7 days in water at 37 degrees C and then sectioned to produce nontrimmed beam samples, which were submitted to microtensile bond strength testing (muTBS). For statistical analysis (one-way ANOVA and Tukey's test, alpha = 0.05), the means of the beam samples from each luted specimen were calculated (n = 7). RESULTS: muTBS values (MPa) of Gr2 (62.0 +/- 3.9a) and Gr3 (60.5 +/- 7.9a) were statistically similar to each other and higher than Gr1 (38.2 +/- 8.9b). The analysis of the fractured surfaces revealed that all failures occurred at the adhesive zone. CONCLUSION: Conditioning methods with 50-lm Al203 or tribochemical silica coating allowed bonding between resin and composite that was statistically similar and stronger than conditioning with acid etching.     

Effect of surface conditioning methods on the microtensile bond strength of resin composite to composite after aging conditions.

OBJECTIVES: This study evaluated the effect of two different surface conditioning methods on the repair bond strength of a bis-GMA-adduct/bis-EMA/TEGDMA based resin composite after three aging conditions. METHODS: Thirty-six composite resin blocks (Esthet X, Dentsply) were prepared (5 mm x 6 mm x 6 mm) and randomly assigned into three groups for aging process: (a) immersion in citric acid (pH 3.0 at 37 degrees C, 1 week) (CA); (b) boiling in water for 8h (BW) and (c) thermocycling (x5000, 5-55 degrees C, dwell time: 30s) (TC). After aging, the blocks were assigned to one of the following surface conditioning methods: (1) silica coating (30 microm SiO(x)) (CoJet, 3M ESPE)+silane (ESPE-Sil) (CJ), (2) phosphoric acid+adhesive resin (Single Bond, 3M ESPE) (PA). Resin composite (Esthet.X) was bonded to the conditioned substrates incrementally and light polymerized. The experimental groups formed were as follows: Gr1:CA+PA; Gr2:CA+CJ; Gr3:BW+PA; Gr4: BW+CJ; Gr5:TC+PA; Gr6: TC+CJ. The specimens were sectioned in two axes (x and y) with a diamond disc under coolant irrigation in order to obtain non-trimmed bar specimens (sticks, 10 mm x 1 mm x 1 mm) with 1 mm(2) of bonding area. The microtensile test was accomplished in a universal testing machine (crosshead speed: 0.5 mm min(-1)). RESULTS: The means and standard deviations of bond strength (MPa+/-S.D.) per group were as follows: Gr1: 25.5+/-10.3; Gr2: 46.3+/-10.1; Gr3: 21.7+/-7.1; Gr4: 52.3+/-15.1; Gr5: 16.1+/-5.1; Gr6, 49.6+/-13.5. The silica coated groups showed significantly higher mean bond values after all three aging conditions (p<0.0001) (two-way ANOVA and Tukey tests, alpha=0.05). The interaction effect revealed significant influence of TC aging on both silica coated and acid etched groups compared to the other aging methods (p<0.032). Citric acid was the least aggressive aging medium. SIGNIFICANCE: Chairside silica coating and silanization provided higher resin-resin bond strength values compared to acid etching with phosphoric acid followed by adhesive resin applications. Thermocycling the composite substrates resulted in the lowest repair bond strength compared to citric acid challenge or boiling in water.     

Effect of zirconium-oxide ceramic surface treatments on the bond strength to adhesive resin

STATEMENT OF PROBLEM: Surface treatment methods used for resin bonding to conventional silica-based dental ceramics are not reliable for zirconium-oxide ceramics. PURPOSE: The aim of this study was to compare the effects of airborne-particle abrasion, silanization, tribochemical silica coating, and a combination of bonding/silane coupling agent surface treatment methods on the bond strength of zirconium-oxide ceramic to a resin luting agent. MATERIAL AND METHODS: Sixty square-shaped (5 x 5 x 1.5 mm) zirconium-oxide ceramic (Cercon) specimens and composite resin (Z-250) cylinders (3 x 3 mm) were prepared. The ceramic surfaces were airborne-particle abraded with 125-microm aluminum-oxide (Al(2)O(3)) particles and then divided into 6 groups (n = 10) that were subsequently treated as follows: Group C, no treatment (control); Group SIL, silanized with a silane coupling agent (Clearfil Porcelain Bond Activator); Group BSIL, application of the adhesive 10-methacryloyloxydecyl dihydrogen phosphate monomer (MDP)-containing bonding/silane coupling agent mixture (Clearfil Liner Bond 2V/ Porcelain Bond Activator); Group SC, silica coating using 30-microm Al(2)O(3) particles modified by silica (CoJet System); Group SCSIL, silica coating and silanization (CoJet System); and Group SCBSIL, silica coating and application of an MDP-containing bonding/silane coupling agent mixture (Clearfil Liner Bond 2V/Porcelain Bond Activator). The composite resin cylinders were bonded to the treated ceramic surfaces using an adhesive phosphate monomer-containing resin luting agent (Panavia F). After the specimens were stored in distilled water at 37 degrees C for 24 hours, their shear bonding strength was tested using a universal testing machine at a crosshead speed of 0.5 mm/min. Debonded specimen surfaces were examined with a stereomicroscope to assess the mode of failure, and the treated surfaces were observed by scanning electron microscopy. Bond strength data were analyzed using 1-way analysis of variance and the Duncan test (alpha = .05). RESULTS: The bond strengths (mean +/- SD; MPa) in the groups were as follows: Group C, 15.7 +/- 2.9; Group SIL, 16.5 +/- 3.4; Group BSIL, 18.8 +/- 2.8; Group SC, 21.6 +/- 3.6; Group SCSIL, 21.9 +/- 3.9; and Group SCBSIL, 22.9 +/- 3.1. The bond strength was significantly higher in Group SCBSIL than in Groups C, SIL, and BSIL (P<.001), but did not differ significantly from those in Groups SC and SCSIL. Failure modes were primarily adhesive at the interface between zirconium and the resin luting agent in Groups C and SIL, and primarily mixed and cohesive in Groups SC, SCSIL, and SCBSIL. CONCLUSION: Tribochemical silica coating (CoJet System) and the application of an MDP-containing bonding/silane coupling agent mixture increased the shear bond strength between zirconium-oxide ceramic and resin luting agent (Panavia F).     

Effect of different ceramic surface treatments on resin microtensile bond strength.

PURPOSE: The objective of this study was to evaluate the effect of different surface treatments on the microtensile bond strength (micro-tbs) of composite bonded to hot-pressed ceramic. The null hypothesis tested was that neither of the surface treatments (silanization or fluoric acid etching) would produce greater bond strength of composite resin to the ceramic. MATERIALS AND METHODS: Four 7 x 7 x 5 mm hot-pressed ceramic blocks of IPS Empress 2 were fabricated and polished to 600 grit followed by sandblasting with 50 microm alumina. The ceramic blocks were then divided into four groups and submitted to the following surface treatments: Group 1: 9.5% hydrofluoric (HF) acid for 20 seconds and silane (S) for 3 minutes; Group 2: silane for 3 minutes; Group 3: 9.5% HF acid for 20 seconds; Group 4: no treatment. Scotchbond adhesive was applied to the treated ceramic surfaces and covered with Filtek Z250 composite resin. The composite-ceramic blocks were cut with an Isomet low speed diamond saw machine producing sticks (n = 25), which were loaded to failure under tension in an Instron Universal testing machine. The mean micro-tbs was analyzed with one-way ANOVA and Bonferroni "t" test. RESULTS: All specimens of Group 4 experienced adhesive failure during the cutting of the block and were eliminated. The mean micro-tbs and standard deviations (SD) in megaPascals were: Group 1 = 56.8 (+/-10.4), Group 2 = 44.8 (+/-11.6), Group 3 = 35.1 (+/-7.7). Statistical analysis showed that the bond strength was significantly affected by surface treatment (p < 0.0001). Group 1 (HF + S) had the highest micro-tbs, and Group 2 (S) had higher micro-tbs than Group 3 (HF). The mode of fracture of the specimens was examined using scanning electron microscopy (SEM), and all fractures occurred within the adhesion zone. Conclusion: The results show that surface treatment is important for resin adhesion to ceramic and suggestthat silane treatment was the main factor responsible for resin bonding to ceramic.     

Bonding of resin composite luting cements to zirconium oxide by two air-particle abrasion methods

OBJECTIVE: This study evaluated the shear bond strength of two resin composite luting cements to zirconium oxide ceramic substrate using two air-particle abrasion methods. METHODS: Two resin composite cements, RelyX Unicem (3M ESPE) and Panavia F (Kuraray), each with an acidic composition, were used in combination with a zirconium oxide (DCS Dental AG) substrate containing Al2O3 and SiO2 (Rocatec system, 3M ESPE) and two air-particle abrasion methods. The shear bond strength of the resin composite cement to the substrate was tested after the samples were either water-stored for one week or thermocycled following 24 hours of water storage. RESULTS: The RelyX Unicem resin composite cement specimens with the Rocatec treatment (20.9 +/- 4.6 Mpa and 20.1 +/- 4.2 MPa, respectively, n = 12) demonstrated the highest shear bond strength. Alternatively, the lowest values were obtained for the Panavia F resin cement samples, with Al2O3 air-particle abrasion in both storage conditions, water storage for one week (17.7 +/- 8.9MPa) or thermocycling after 24 hours of water storage (16.3 +/- 4.9 MPa). Neither storage condition or particle abrasion system significantly affected shear bond strengths (ANOVA, p > 0.05). CONCLUSION: It was concluded that two different surface conditioning methods and storage conditions did not significantly affect the bonding properties of Panavia F and RelyX Unicem resin composite luting cements to Zirconia.     

Effect of thermocycling on the bond strength of a glass-infiltrated ceramic and a resin luting cement

The aim of the present study was to evaluate the effect of thermocycling on the bond strength between the surface of the glass-infiltrated alumina ceramic In-Ceram (VITA) and the Panavia F resin cement (Kuraray CO.). Four 5x6x6mm In-Ceram blocks were obtained. One of the 6x6mm faces of each block was conditioned with Cojet - System (tribochemical silica coating, ESPE-3M) and then luted under a constant 750g pressure with Panavia F cement to another identical face of a resin composit block (Clearfil AP-X, Kuraray) obtained by reproduction of the ceramic one from Express (3M) addition curing silicone impressions. The four sets so formed by ceramic, luting cement and resin have been each one serially sectioned in 20 sticks so that the adhesive surface in each presented 1mm2 of area. The samples were divided in 2 groups (n=10): G1- stored for 7 days in deionized water at 36 ± 2oC; G2 - thermocycled 1500 times between 5 and 55oC dwell times. The microtensile tests were accomplished in an universal testing machine (EMIC) at a crosshead speed of 0,5 mm/min. The results showed that the mean tensile bond strength values (MPa) for the group G2: (22,815 ± 5,254) had not statistically differ of the values of group G1: (25,628 ± 3,353) (t = 1,427; gl = 18; p-value = 0,171), at the level of a= 5%. It can be concluded that the thermocycling technique used in the present experiment had not produced statistically significant differences between the bond strength results of the specimens obtained by the two used techniques.     

Effect of operating air pressure on tribochemical silica-coating

OBJECTIVE: Alumina and zirconia are inert to conventional etching and need to be initially conditioned with, for example, silicatization. The aim of the present study was to evaluate the effect of operating air pressure of tribochemical silica-coating method on the shear bond strength of composite resin to ceramic substrates. MATERIAL AND METHODS: Alumina (Procera Alumina, Nobel Biocare) and zirconia (LAVA; 3M ESPE and Procera Zirconia; Nobel Biocare) were airborne particle silica-coated (CoJet; 3M ESPE) using selected, clinically available air pressures of 150, 220, 300, and 450 kPa. The surfaces were silanized with silane coupling agent (ESPE Sil; 3M ESPE) and coated with adhesive resin (3M Multipurpose resin; 3M ESPE). Particulate filler resin composite (Z250; 3M ESPE) stubs (diameter 3.6 mm, height 4.0 mm) were added onto ceramics and light-cured for 40 s. The test specimens (n=18/group) were thermocycled (6000 x 5-55 degrees C) and shear bond strengths were measured with a cross-head speed of 1.0 mm/min. Fracture surfaces were examined with SEM, and an elemental analysis (EDS) was carried out to determine silica content on the substrate surface. RESULTS: The highest bond strengths were obtained with the highest pressures. ANOVA showed significant differences in bond strength between the ceramics (p<0.05) and between the specimens treated at various air pressures (p<0.05). CONCLUSIONS: Clinically, the operating air pressure of silicatization may have a significant effect on bond strength to non-etchable ceramics.     

Resin microtensile bond strength to feldspathic ceramic: hydrofluoric acid etching vs. tribochemical silica coating

This study aimed to compare the microtensile bond strength of resin cement to alumina-reinforced feldspathic ceramic submitted to acid etching or chairside tribochemical silica coating. Ten blocks of Vitadur-alpha were randomly divided into 2 groups according to conditioning method: (1) etching with 9.6% hydrofluoric acid or (2) chairside tribochemical silica coating. Each ceramic block was luted to the corresponding resin composite block with the resin cement (Panavia F). Next, bar specimens were produced for microtensile testing. No significant difference was observed between the 2 experimental groups (Student ttest, P > .05). Both surface treatments showed similar microtensile bond strength values.     

Effects of surface treatments, thermocycling, and cyclic loading on the bond strength of a resin cement bonded to a lithium disilicate glass ceramic

SUMMARY Objectives : The aim of this present study was to investigate the effect of two surface treatments, fatigue and thermocycling, on the microtensile bond strength of a newly introduced lithium disilicate glass ceramic (IPS e.max Press, Ivoclar Vivadent) and a dual-cured resin cement. Methods : A total of 18 ceramic blocks (10 mm long × 7 mm wide × 3.0 mm thick) were fabricated and divided into six groups (n=3): groups 1, 2, and 3-air particle abraded for five seconds with 50-μm aluminum oxide particles; groups 4, 5, and 6-acid etched with 10% hydrofluoric acid for 20 seconds. A silane coupling agent was applied onto all specimens and allowed to dry for five seconds, and the ceramic blocks were bonded to a block of composite Tetric N-Ceram (Ivoclar Vivadent) with RelyX ARC (3M ESPE) resin cement and placed under a 500-g static load for two minutes. The cement excess was removed with a disposable microbrush, and four periods of light activation for 40 seconds each were performed at right angles using an LED curing unit (UltraLume LED 5, Ultradent) with a final 40 second light exposure from the top surface. All of the specimens were stored in distilled water at 37°C for 24 hours. Groups 2 and 5 were submitted to 3,000 thermal cycles between 5°C and 55°C, and groups 3 and 6 were submitted to a fatigue test of 100,000 cycles at 2 Hz. Specimens were sectioned perpendicular to the bonding area to obtain beams with a cross-sectional area of 1 mm(2) (30 beams per group) and submitted to a microtensile bond strength test in a testing machine (EZ Test) at a crosshead speed of 0.5 mm/min. Data were submitted to analysis of variance and Tukey post hoc test (p≤0.05). Results : The microtensile bond strength values (MPa) were 26.9 ± 6.9, 22.2 ± 7.8, and 21.2 ± 9.1 for groups 1-3 and 35.0 ± 9.6, 24.3 ± 8.9, and 23.9 ± 6.3 for groups 4-6. For the control group, fatigue testing and thermocycling produced a predominance of adhesive failures. Fatigue and thermocycling significantly decreased the microtensile bond strength for both ceramic surface treatments when compared with the control groups. Etching with 10% hydrofluoric acid significantly increased the microtensile bond strength for the control group.     

Durable bonding to mechanically and/or chemically pre-treated dental zirconia

Objectives

To evaluate the effect of mechanical and chemical surface pre-treatment on the bond durability of two composite cements to dental zirconia.

Methods

Fully sintered IPS e.max ZirCAD (Ivoclar-Vivadent) blocks were either subjected to tribochemical silica sandblasting (CoJet, 3M ESPE) or not mechanically pre-treated. Next, the zirconia samples were either additionally pre-treated using one of two silane/MDP-combined ceramic primers (Clearfil Ceramic Primer, Kuraray; Monobond Plus, Ivoclar-Vivadent), or not further chemically pre-treated. Finally, two identically pre-treated zirconia blocks were bonded together using either a conventional BisGMA-based (Clearfil Esthetic Cement, Kuraray) or an MDP-based (Panavia F2.0, Kuraray) ‘self-etch’ dual-cure composite cement. The specimens were trimmed at the interface to a cylindrical hour-glass shape and stored for 7 days in distilled water (37 °C), after which they were randomly exposed to one of three ageing protocols: (1) immersed in 37 °C water for 10 days (10 d); (2) subjected to 10,000 thermo-cycles (TC); or (3) immersed in 37 °C water for 6 months (6 m). After storage, the micro-tensile bond strength (μTBS) was determined in MPa (n = 15–21/group). Fractographic analysis was performed using SEM.

Results

Weibull analysis revealed the highest Weibull scale and shape parameters for the ‘CoJet/Clearfil Ceramic Primer/Panavia F2.0/10d’ combination. While the BisGMA-based composite cement Clearfil Esthetic Cement (Kuraray) bonded equally well to zirconia using either tribochemical silica sandblasting (CoJet, 3M ESPE) or not, sandblasting appeared indispensable for the MDP-based and more hydrophilic composite cement Panavia F2.0 (Kuraray).

Conclusions

Combined mechanical and chemical pre-treatment can best be recommended to durably bond to zirconia.

Clinical significance

As a standard procedure to durable bond zirconia to tooth tissue, both mechanical (tribochemical silica coating) and chemical (silane/MDP-combined ceramic primers) is clinically highly recommended.     

Influence of acid-etching and ceramic primers on the repair of a glass ceramic

The objective of this study was to evaluate the influence of different primers on the microtensile bond strength (μTBS) between a feldspathic ceramic and two composites. Forty blocks (6.0 x 6.0 x 5.0 mm3) were prepared from Vita Mark II . After polishing, they were randomly divided into 10 groups according to the surface treatment: Group 1, hydrofluoric acid 10% (HF) + silane; Group 2, CoJet + silane; Group 3, HF + Metal/Zirconia Primer; Group 4, HF + Clearfil Primer; Group 5, HF + Alloy Primer; Group 6, HF + V-Primer; Group 7, Metal/Zirconia Primer; Group 8, Clearfil Primer; Group 9, Alloy Primer; Group 10, V-Primer. After each surface treatment, an adhesive was applied and one of two composite resins was incrementally built up. The sticks obtained from each block (bonded area: 1.0 mm2 ± 0.2 mm) were stored in distilled water at 37 degrees C for 30 days and submitted to thermocycling (7,000 cycles; 5 degrees C/55 degrees C ± 1 degree C). The μTBS test was carried out using a universal testing machine (1.0 mm/min). Data were analyzed using ANOVA and a Tukey test (a = 0.05). The surface treatments significantly affected the results (P < 0.05); no difference was observed between the composites (P > 0.05). The bond strength means (MPa) were as follows: Group 1a = 29.6; Group 1b = 33.7; Group 2a = 28.9; Group 2b = 27.1; Group 3a = 13.8; Group 3b = 14.9; Group 4a = 18.6; Group 4b = 19.4; Group 5a = 15.3; Group 5b = 16.5; Group 6a = 11; Group 6b = 18; Groups 7a to 10b = 0. While the use of primers alone was not sufficient for adequate bond strengths to feldspathic ceramic, HF etching followed by any silane delivered higher bond strength.