Shear bond strength of resin composite veneering material to gold alloy with varying metal surface preparations

Comparison of Bond Strength in the Different Class of Resin Cements to Cast and CAD/CAM Co-Cr Alloys

Objectives

Despite the widespread use of resin cements in cementing dental restorations, their bond strength to CAD/CAM base metal alloys is not widely studied. This study aimed to evaluate the microshear bond strength (μSBS) between cobalt-chrome (Co-Cr) alloys fabricated using casting or CAD/CAM methods with three types of resin cements.

Materials and Methods

Fifty Co-Cr blocks were prepared with CAD/CAM or casting technique. Specimens were divided using primer or not and bonded to three types of resin cements: Panavia F2, RelyX Unicem, and Duo-Link. The differences between the mean μSBS values were analyzed using the two-way ANOVA test and Tukey analysis (α = 0.05). The mode of failure was evaluated using a stereomicroscope. In addition, the specimens were examined by scanning electron microscopy (SEM) based on two received signals: backscattered electrons (SEB) and secondary electrons (SEs). One intact alloy specimen in each group was analyzed by energy-dispersive X-ray spectroscopy (EDX).

Results

Most of the specimens in the no-primer group were prematurely debonded. Statistical analyses showed that the interaction between the alloy substrate and cement type was significant (p=0.001). The bond strength of Panavia F2 was significantly higher than Duo-Link in the CAD/CAM group (p=0.001). SEM evaluation confirmed the difference in grain structures, while EDX showed no remarkable difference in the chemical composition of the alloy substrates.

Conclusion

Alloy fabrication technique may influence the bond strength of resin cements. In the CAD/CAM group, cement containing MDP molecules exhibited higher strength than the etch-and-rinse one.

Metallization by Sputtering to Improve the Bond Strength between Zirconia Ceramics and Resin Cements

Zirconia has been used as a prosthesis material for over a decade because of its excellent mechanical properties and esthetics. The surface treatment for zirconia generally involves sandblasting and the application of primers for favorable bond strength between the surface and resin. However, sandblasting causes the microcracking and chipping of the zirconia surface. To overcome these challenges, the metallization of the zirconia surface was performed. Ti and Au were sputtered on yttria stabilized zirconia (YSZ) disks and heated to 800 °C for 15 min in air. These disks were bonded to stainless-steel rods using resin cement. Then, shear bond strength tests were performed using an Instron-type testing machine. The shear bond strength of the Ti sputtering group was significantly higher than that of the other groups. According to the results of X-ray photoelectron spectroscopy and electron probe microanalysis, the Ti-sputtered YSZ surface contained both sub-titanium oxide and titanium oxide before heating. Sub-titanium oxide was converted to titanium oxide by heating. These results suggest that metallization using Ti is effective for zirconia surface treatment to improve the shear bond strength between YSZ and resin cement. This metallization technique for YSZ has potential in clinical applications.

Bond strength between a veneering composite resin and zirconia frameworks with attached mechanical retentive devices

The effects of mechanical retentive devices and various surface treatments on the shear bond strength between a veneering composite resin and zirconia was investigated. Zirconia disks were classified into three surface-treatment groups: airborne-particle abrasion, overglazing, and overglazing with white alumina particles of three different grain sizes (50, 70, and 105 μm) attached onto zirconia disks (ZR-50, ZR-70, and ZR-105, respectively). They were further divided into four groups (n=44): unprimed, Clearfil Porcelain Bond Activator (CA), Clearfil Photo Bond (CB), and CA+CB. An indirect composite resin was bonded to zirconia specimens. Shear bond strengths were measured. For the ZR-70 and ZR-105 groups, the CB and CA+CB specimens exhibited higher bond strengths than the other two specimens after thermocycling. The ZR-70 and ZR-105 groups achieved micromechanical interlocking, and priming with a phosphate monomer (MDP) yielded stable bond strengths between the composite resin and zirconia with alumina particles attached as retentive devices.

Shear bond strength between gingival composite resin and glazed gingival porcelain for implant-supported prostheses

This study determined the shear bond strength (SBS) between an indirect gingival composite resin and glazed gingival porcelain after various surface treatments. A total of 176 porcelain disks with natural glazing were used and assigned to one of four groups: no surface treatment, airborne-particle abrasion, hydrofluoric acid etching, or a combination of airborne-particle abrasion followed by hydrofluoric acid etching. Each group was divided into two subgroups: one subgroup was unprimed, and the other was silanized. An indirect composite resin was then bonded to the porcelain disks. Half of the specimens in each group (n = 11) were exposed to 5000 thermocycles. SBSs were measured, and data were analyzed with the Kruskal-Wallis and Steel-Dwass tests. Among silanized specimens, those treated with the combination of airborne-particle abrasion and hydrofluoric acid etching exhibited the highest bond strengths both before and after thermocycling. However, the SBS values of the silanized and unprimed hydrofluoric acid etched specimens did not differ significantly. Airborne-particle abrasion followed by hydrofluoric acid etching with silane application yielded stronger, more durable bonds between the indirect gingival composite resin and glazed gingival porcelain.

Shear bond strength of veneering composite to high performance polymers

High performance polymers like PEEK (polyetheretherketone) and FRC (fiberreinforced composite) could substitute metallic alloys for removable partial dentures. However, these polymers require aesthetic veneering. This study was to determine the bond strength to direct composite. Specimens made of PEEK and FRC were produced and air-abraded (50 μm aluminum-oxide). Specimens were allocated to four experimental groups: Luxatemp Glaze & Bond, Scotchbond Universal, SR Nexco Connect and iBond Universal. Specimens were divided into three subgroups for short-term, long-term and no artificial aging and shear bond strength (SBS) was evaluated. SBS of specimens made of PEEK with no artificial aging showed values between 10.79-14.00 MPa, short-term artificial aging resulted in values between 3.78-13.85 MPa and after long-term artificial aging SBS decreased to 0-8.75 MPa. SBS measurement of FRC specimens resulted in values between 9.83-12.1 MPa without aging, after short-term artificial aging values decreased to 8.36-11.98 MPa and after long-term aging SBS showed a degradation to 4.52-7.82 MPa.

Laser-Milled Microslits Improve the Bonding Strength of Acrylic Resin to Zirconia Ceramics

Heightened aesthetic considerations in modern dentistry have generated increased interest in metal-free “zirconia-supported dentures.” The lifespan of the denture is largely determined by the strength of adhesion between zirconia and the acrylic resin. Thus, the effect on shear bond strength (SBS) was investigated by using an acrylic resin on two types of zirconia ceramics with differently sized microslits. Micromechanical reticular retention was created on the zirconia surface as the novel treatment (microslits (MS)), and air-abrasion was used as the control (CON). All samples were primed prior to acrylic resin polymerization. After the resin was cured, the SBS was tested. The obtained data were analyzed by using multivariate analysis of variance(α = 0.05). After the SBS test, the interface failure modes were observed by scanning electron microscopy. The MS exhibited significantly higher bond strength after thermal cycles (p < 0.05) than the CON. Nevertheless, statistically comparisons resulted in no significant effect of the differently sized microslits on SBS (p > 0.05). Additionally, MS (before thermal cycles: 34.8 ± 3.6 to 35.7 ± 4.0 MPa; after thermal cycles: 26.9 ± 3.1 to 32.6 ± 3.3 MPa) demonstrated greater SBS and bonding durability than that of CON (before thermal cycles: 17.3 ± 4.7 to 17.9 ± 5.8 MPa; after thermal cycles: 1.0 ± 0.3 to 1.7 ± 1.1 MPa), confirming that the micromechanical retention with laser-milled microslits was effective at enhancing the bonding strength and durability of the acrylic resin and zirconia. Polycrystalline zirconia-based ceramics are a newly accessible material for improving removable prosthodontic treatment, as the bond strength with acrylic resin can be greatly enhanced by laser milling.

The Micro-Shear bond strength of different cements to commercially pure titanium

Background

The most appropriate luting agent for attaching the prefabricated Ti-based insert of hybrid abutments to its ceramic component has not yet been determined. This study was done aimed at examining the micro-shear bond strength (μSBS) of different cements to commercially pure titanium (Cp Ti).

Material and Methods

A total of 100 milled cubes of Cp Ti was airborne-particle abraded using 250 μm aluminum oxide particles. Specimens were then divided into 5 groups (n=20) according to the type of resin cement used: (1) Panavia F.2, (2) Rely X U200, (3) Panavia SA LUTING Plus, (4) GC Fuji I, and (5) GC FujiCEM 2. After 24h storage, half of the samples were subjected to 5000 cycles of thermal aging. Next, the bonded samples were tested in the micro-shear mode. Data (MPa) were analyzed using a two-way ANOVA and the post hoc Tukey test (α=0.05). After debonding, each sample was examined for the failure mode classification.

Results

The highest μSBS value in the study cements was obtained for Panavia F.2 cement (P<0.001) with no significant difference with Rely X U200 (P=0.07). The μSBS values of both GI-based cements were significantly lower than those of resin cements. Thermal aging decreased the μSBS values of all groups (P=0.003) significantly. The mainly occurred failure mode in all groups was the adhesive feature.

Conclusions

Resin cements demonstrated acceptable bonding to Cp Ti, yet Gl-based cements did not. From among the cements examined, Panavia F.2 can be considered as the best option for bonding to Ti. Key words:Bond strength, Glass ionomer, Hybride abutment, Resin cement, Titanium.

Effect of surface treatments on the bond strength of indirect resin composite to resin matrix ceramics

PURPOSE

The purpose of this study was to evaluate the shear bond strength (SBS) of an indirect resin composite (IRC) to the various resin matrix ceramic (RMC) blocks using different surface treatments.

MATERIALS AND METHODS

Ninety-nine cubic RMC specimens consisting of a resin nanoceramic (RNC), a polymer-infiltrated hybrid ceramic (PIHC), and a flexible hybrid ceramic (FHC) were divided randomly into three surface treatment subgroups (n = 11). In the experimental groups, untreated (Cnt), tribochemical silica coating (Tbc), and Neodymium-Doped Yttrium Aluminum Garnet (Nd:YAG) laser irradiation (Lsr) with 3 W (150 mJ/pulse, 20 Hz for 20 sec.) were used as surface treatments. An indirect composite resin (IRC) was layered with a disc-shape mold (2 × 3 mm) onto the treated-ceramic surfaces and the specimens submitted to thermal cycling (6000 cycles, 5 – 55℃). The SBS test of specimens was performed using a universal testing machine and the specimens were examined with a scanning electron microscope to determine the failure mode. Data were statistically analyzed with two-way analysis of variance (ANOVA) and Tukey HSD test (α=.05).

RESULTS

According to the two-way ANOVA, only the surface treatment parameter was statistically significant (P<.05) on the SBS of IRC to RMC. The SBS values of Lsr-applied RMC groups were significantly higher than Cnt groups for each RMC material, (P<.05). Significant differences were also determined between Tbc surface treatment applied and untreated (Cnt) PIHC materials (P=.039).

CONCLUSION

For promoting a reliable bond strength during characterization of RMC with IRC, Nd:YAG laser or Tbc surface treatment technique should be used, putting in consideration the microstructure and composition of RMC materials and appropriate parameters for each material.

Effect of Surface Treatments on Shear Bond Strength of Polyetheretherketone to Autopolymerizing Resin

These days, new prosthodontic materials are appearing with the development of digitalization. Among these, the use of polyetheretherketone (PEEK) as the clasp of removable partial dentures has been proposed. The adhesive strength between the PEEK and acrylic resin influences the probability of denture fracture. To investigate the effect of PEEK surface treatments on the shear bond strength to acrylic resin, five surface treatment conditions of PEEK were analyzed: 1. no treatment; 2. ceramic primer application; 3. Al₂O₃ sandblasting; 4. Rocatec; and 5. Rocatec with ceramic primer application, comparing with a metal primer-treated Co-Cr alloy. Two kinds of autopolymerizing resin (Unifast II and Palapress Vario) were used as bonding materials. The specimens were evaluated to determine the bond strength. Rocatec treatment with ceramic primer application yielded the highest bond strengths (12.71 MPa and 15.32 MPa, respectively, for Unifast II and Palapress Vario). When compared to a metal primer-treated Co-Cr alloy, the bond strength of PEEK to Unifast II was similar, whereas it was about 60% of that to Palapress Vario. Rocatec treatment, combined with ceramic primer, showed the highest bond strength of PEEK to acrylic resin. Treatment of PEEK will enable its use as the clasp of removable dentures and the fixation of PEEK prostheses.

Bond strengths between gingiva-colored layering resin composite and zirconia frameworks coated with feldspathic porcelain

This study evaluated shear bond strengths of two gingiva-colored layering resin composites to zirconia frameworks coated with feldspathic porcelain. Airborne-particle abraded porcelain-coated zirconia disks were treated with one of the following primers: Clearfil Photo Bond, Clearfil Photo Bond with Clearfil Porcelain Bond Activator (CPB+Activator), Estenia Opaque Primer, Porcelain Liner M Liquid B (PLB), or no primer. A light-polymerizing (CER) or a photo/heat-polymerizing gingiva-colored indirect resin composite (EST) was bonded to the porcelain-coated zirconia disks in each group (n=11). Shear bond strength was measured. For both CER and EST specimens, bond strengths in CPB+Act group were significantly higher than those in the other groups. In all priming groups, bond strength was significantly higher for EST specimens than for CER specimens. Combined application of a phosphate monomer and silane enhanced initial bond strength of light-polymerized and photo/heat-polymerized gingiva-colored layering resin composites to porcelain-coated zirconia ceramics.

Trace of organic sulfur compounds detected from debonded interface between transparent acrylic resin and gold alloy

The purpose of the current study was to evaluate the bonding performance of two single-liquid primers, which contained 6-(4-vinylbenzyl-n-propyl) amino-1,3,5-triazine-2,4-dithione (VTD) or 6-methacryloyloxyhexyl 2-thiouracil 5-carboxylate (MTU-6), used for bonding between metals and an acrylic resin. A gold alloy and high-purity titanium were used as adherend materials, and a transparent acrylic resin initiated with tri-n-butylborane derivative was selected as the luting material. Both adherends were treated with one of the primers and bonded with the luting material, after which shear bond strength was determined. Fourier transform infrared spectroscopy was used to analyze debonded resin specimens. Shear bond strength to gold alloy was significantly greater than that to titanium for both the VTD and MTU-6 primers. A trace of thiol structure, probably derived from VTD and MTU-6, was detected on resin surfaces debonded from gold alloy. These results indicate that the two organic sulfur compounds, which are stable in an atmospheric environment, are tautomerized into a thiol structure, thus allowing adsorption onto noble metals. In addition, the adsorbed thiol compounds contribute to chemical bonding between the acrylic resin and noble metal alloy, as polymerizable adhesive functional monomers.

The effect of ultrafast fiber laser application on the bond strength of resin cement to titanium

The purpose of this study was to investigate the effect of ultrafast fiber laser treatment on the bond strength between titanium and resin cement. A total of 60 pure titanium discs (15 mm × 2 mm) were divided into six test groups (n = 10) according to the surface treatment used: group (1) control, machining; group (2) grinding with a diamond bur; group (3) ultrafast fiber laser application; group (4) resorbable blast media (RBM) application; group (5) electro-erosion with copper; and group (6) sandblasting. After surface treatments, resin cements were applied to the treated titanium surfaces. Shear bond strength testing of the samples was performed with a universal testing machine after storing in distilled water at 37 °C for 24 h. One-way ANOVA and Tukey's HSD post hoc test were used to analyse the data (P < 0.05). The highest bond strength values were observed in the laser application group, while the lowest values were observed in the grinding group. Sandblasting and laser application resulted in significantly higher bond strengths than control treatment (P < 0.05). Ultrafast fiber laser treatment and sandblasting may improve the bond strength between resin cement and titanium.

Effect of thione primers on adhesive bonding between an indirect composite material and Ag-Pd-Cu-Au alloy

The current study evaluated the effect of primers on the shear bond strength of an indirect composite material joined to a silverpalladium-copper-gold (Ag-Pd-Cu-Au) alloy (Castwell). Disk specimens were cast from the alloy and were air-abraded with alumina. Eight metal primers were applied to the alloy surface. A light-polymerized indirect composite material (Solidex) was bonded to the alloy. Shear bond strength was determined both before and after the application of thermocycling. Two groups primed with Metaltite (thione) and M. L. Primer (sulfide) showed the greatest post-thermocycling bond strength (8.8 and 6.5 MPa). The results of the X-ray photoelectron spectroscopic (XPS) analysis suggested that the thione monomer (MTU-6) in the Metaltite primer was strongly adsorbed onto the Ag-Pd-Cu-Au alloy surface even after repeated cleaning with acetone. The application of either the thione (MTU-6) or sulfide primer is effective for enhancing the bonding between a composite material and Ag-Pd-Cu-Au alloy.

Shear bond strength of a denture base acrylic resin and gingiva-colored indirect composite material to zirconia ceramics

PURPOSE

To evaluate the shear bond strengths of two gingiva-colored materials (an indirect composite material and a denture base acrylic resin) to zirconia ceramics and determine the effects of surface treatment with various priming agents.

METHODS

A gingiva-colored indirect composite material (CER) or denture base acrylic resin (PAL) was bonded to zirconia disks with unpriming (UP) or one of seven priming agents (n=11 each), namely, Alloy Primer (ALP), Clearfil Photo Bond (CPB), Clearfil Photo Bond with Clearfil Porcelain Bond Activator (CPB+Act), Metal Link (MEL), Meta Fast Bonding Liner (MFB), MR. bond (MRB), and V-Primer (VPR). Shear bond strength was determined before and after 5000 thermocycles. The data were analyzed with the Kruskal-Wallis test and Steel-Dwass test.

RESULTS

The mean pre-/post-thermalcycling bond strengths were 1.0-14.1MPa/0.1-12.1MPa for the CER specimen and 0.9-30.2MPa/0.1-11.1MPa for the PAL specimen. For the CER specimen, the ALP, CPB, and CPB+Act groups had significantly higher bond strengths among the eight groups, at both 0 and 5000 thermocycles. For the PAL specimen, shear bond strength was significantly lower after thermalcycling in all groups tested. After 5000 thermocycles, bond strengths were significantly higher in the CPB and CPB+Act groups than in the other groups.

CONCLUSIONS

For the PAL specimens, bond strengths were significantly lower after thermalcycling in all groups tested. The MDP functional monomer improved bonding of a gingiva-colored indirect composite material and denture base acrylic resin to zirconia ceramics.

Shear bond strengths of an indirect composite layering material to a tribochemically silica-coated zirconia framework material

This study evaluated shear bond strengths of a layering indirect composite material to a zirconia framework material treated with tribochemical silica coating. Zirconia disks were divided into two groups: ZR-PRE (airborne-particle abrasion) and ZR-PLU (tribochemical silica coating). Indirect composite was bonded to zirconia treated with one of the following primers: Clearfil Ceramic Primer (CCP), Clearfil Mega Bond Primer with Clearfil Porcelain Bond Activator (MGP+Act), ESPE-Sil (SIL), Estenia Opaque Primer, MR. Bond, Super-Bond PZ Primer Liquid A with Liquid B (PZA+PZB), and Super-Bond PZ Primer Liquid B (PZB), or no treatment. Shear bond testing was performed at 0 and 20,000 thermocycles. Post-thermocycling shear bond strengths of ZR-PLU were higher than those of ZR-PRE in CCP, MGP+Act, SIL, PZA+PZB, and PZB groups. Application of silane yielded better durable bond strengths of a layering indirect composite material to a tribochemically silica-coated zirconia framework material.

Effect of metal primers and tarnish treatment on bonding between dental alloys and veneer resin

PURPOSE

The aim of this study was to evaluate the effect of metal primers on the bonding of dental alloys and veneer resin. Polyvinylpyrrolidone solution's tarnish effect on bonding strength was also investigated.

MATERIALS AND METHODS

Disk-shape metal specimens (diameter 8 mm, thickness 1.5 mm) were made from 3 kinds of alloy (Co-Cr, Ti and Au-Ag-Pd alloy) and divided into 4 groups per each alloy. Half specimens (n=12 per group) in tarnished group were immersed into polyvinylpyrrolidone solution for 24 hours. In Co-Cr and Ti-alloy, Alloy Primer (MDP + VBATDT) and MAC-Bond II (MAC-10) were applied, while Alloy Primer and V-Primer (VBATDT) were applied to Au-Ag-Pd alloys. After surface treatment, veneering composite resin were applied and shear bond strength test were conducted.

RESULTS

Alloy Primer showed higher shear bond strength than MAC-Bond II in Co-Cr alloys and Au-Ag-Pd alloy (P<.05). However, in Ti alloy, there was no significant difference between Alloy Primer and MAC-Bond II. Tarnished Co-Cr and Au-Ag-Pd alloy surfaces presented significantly decreased shear bond strength.

CONCLUSION

Combined use of MDP and VBATDT were effective in bonding of the resin to Co-Cr and Au-Ag-Pd alloy. Tarnish using polyvinylpyrrolidone solution negatively affected on the bonding of veneer resin to Co-Cr and Au-Ag-Pd alloys.

The effect of various sandblasting conditions on surface changes of dental zirconia and shear bond strength between zirconia core and indirect composite resin

PURPOSE

To measure the surface loss of dental restorative zirconia and the short-term bond strength between an indirect composite resin (ICR) and zirconia ceramic after various sandblasting processes.

MATERIALS AND METHODS

Three hundred zirconia bars were randomly divided into 25 groups according to the type of sandblasting performed with pressures of 0.1, 0.2, 0.4 and 0.6 MPa, sandblasting times of 7, 14 and 21 seconds, and alumina powder sizes of 50 and 110 µm. The control group did not receive sandblasting. The volume loss and height loss on zirconia surface after sandblasting and the shear bond strength (SBS) between the sandblasted zirconia and ICR after 24-h immersion were measured for each group using multivariate analysis of variance (ANOVA) and Least Significance Difference (LSD) test (α=.05). After sandblasting, the failure modes of the ICR/zirconia surfaces were observed using scanning electron microscopy.

RESULTS

The volume loss and height loss were increased with higher sandblasting pressure and longer sandblasting treatment, but they decreased with larger powder size. SBS was significantly increased by increasing the sandblasting time from 7 seconds to 14 seconds and from 14 seconds to 21 seconds, as well as increasing the size of alumina powder from 50 µm to 110 µm. SBS was significantly increased from 0.1 MPa to 0.2 MPa according to the size of alumina powder. However, the SBSs were not significantly different with the sandblasting pressure of 0.2, 0.4 and 0.6 MPa. The possibilities of the combination of both adhesive failure and cohesive failure within the ICR were higher with the increases in bonding strength.

CONCLUSION

Based on the findings of this study, sandblasting with alumina particles at 0.2 MPa, 21 seconds and the powder size of 110 µm is recommended for dental applications to improve the bonding between zirconia core and ICR.

Effect of atmospheric plasma versus conventional surface treatments on the adhesion capability between self-adhesive resin cement and titanium surface

PURPOSE

The aim of this study was to evaluate the effects of atmospheric plasma (APL) versus conventional surface treatments on the adhesion of self-adhesive resin cement to Ti-6Al-4V alloy.

MATERIALS AND METHODS

Sixty plates of machined titanium (Ti) discs were divided into five groups (n=12): 1) Untreated (CNT); 2) Sandblasted (SAB); 3) Tribochemically treated (ROC); 4) Tungsten CarbideBur (TCB); 5) APL treated (APL). SEM analysis and surface roughness (Ra) measurements were performed. Self-adhesive resin cement was bonded to the Ti surfaces and shear bond strength (SBS) tests, Ra and failure mode examinations were carried out. Data were analyzed by one-way analysis of variance and chi-squared test.

RESULTS

The lowest SBS value was obtained with CNT and was significantly different from all other groups except for APL. The ROC showed the highest SBS and Ra values of all the groups.

CONCLUSION

It was concluded that the effect of APL on SBS and Ra was not sufficient and it may not be a potential for promoting adhesion to titanium.

Effect of various surface preparations on bond strength of a gingiva-colored indirect composite to zirconia framework for implant-supported prostheses

To evaluate the effects of various surface preparations on shear bond strength of a gingiva-colored indirect composite material and zirconia framework. Zirconia disks were prepared with one of nine surface treatments: hydrofluoric acid etching (HF), heating at 1,000°C for 10 min (HT), wet-grinding with 600- and 1500-grit SiC paper (SiC 600 and 1500), alumina-blasting at 0.1, 0.2, 0.4 and 0.6 MPa (AB 0.1, 0.2, 0.4, and 0.6), and no treatment (NT). An indirect composite material was bonded to zirconia. Shear bond strengths were measured. Bond strength was significantly higher in AB 0.2, 0.4, and 0.6 groups than in other groups at 0 and 20,000 thermocycles. Post-thermocycling bond strength was lower in NT, HF, and HT groups than in other groups. Alumina-blasting with 0.2 MPa or higher yielded sufficient durable bond strength between gingiva-colored indirect composite and zirconia frameworks. Hydrofluoric acid etching and heat treatment did not achieve durable bond strengths.

Selective removal of carious human dentin using a nanosecond pulsed laser operating at a wavelength of 5.85 μm

Less invasive methods for treating dental caries are strongly desired. However, conventional dental lasers do not always selectively remove caries or ensure good bonding to the composite resin. According to our previous study, demineralized dentin might be removed by a nanosecond pulsed laser operating at wavelengths of around 5.8 μm . The present study investigated the irradiation effect of the light on carious human dentin classified into "remove," "not remove," and "unclear" categories. Under 5.85-μm laser pulses, at average power densities of 30 W/cm² and irradiation time of 2 s, the ablation depth of "remove" and "not remove," and also the ablation depth of "unclear" and "not remove," were significantly different (p<0.01 ). The ablation depth was correlated with both Vickers hardness and Ca content. Thus, a nanosecond pulsed laser operating at 5.85  μm proved an effective less-invasive caries treatment.

Post-thermocycling shear bond strength of a gingiva-colored indirect composite layering material to three implant framework materials

OBJECTIVE

To evaluate shear bond strength of a gingiva-colored indirect composite to three implant framework materials, before and after thermocycling, and verify the effect of surface pre-treatment for each framework.

MATERIALS AND METHODS

Commercially pure titanium (CP-Ti), American Dental Association (ADA) type 4 casting gold alloy (Type IV) and zirconia ceramics (Zirconia) were assessed. For each substrate, 96 disks were divided into six groups and primed with one of the following primers: Alloy Primer (ALP), Clearfil Photo Bond (CPB), Clearfil Photo Bond with Clearfil Porcelain Bond Activator (CPB+Activator), Estenia Opaque Primer (EOP), Metal Link (MLP) and V-Primer (VPR). The specimens were then bonded to a gingiva-colored indirect composite (Ceramage Concentrate GUM-D). Shear bond strengths were measured at 0 and 20 000 thermocycles and data were analyzed with the Steel-Dwass test and Mann-Whitney U-test.

RESULTS

Shear bond strengths were significantly lower after thermocycling, with the exception of Type IV specimens primed with CPB (p = 0.092) or MLP (p = 0.112). For CP-Ti and Zirconia specimens, priming with CPB or CPB+Activator produced significantly higher bond strengths at 0 and 20 000 thermocycles, as compared with the other groups. For Type IV specimens, priming with ALP or MLP produced higher bond strengths at 0 and 20 000 thermocycles.

CONCLUSIONS

Shear bond strength of a gingiva-colored indirect composite to CP-Ti, gold alloy and zirconia ceramics was generally lower after thermocycling. Application of a hydrophobic phosphate monomer and polymerization initiator was effective in maintaining bond strength of CP-Ti and zirconia ceramics. Combined use of a thione monomer and phosphoric monomer enhanced the durable bond strength of gold alloy.

Effect of different airborne-particle abrasion/bonding agent combinations on the bond strength of a resin cement to a base metal alloy

STATEMENT OF PROBLEM

Investigation of surface treatments to improve the bond of resin cements to metals may contribute to the longevity of metal ceramic restorations.

PURPOSE

The purpose of this study was to evaluate the efficacy of surface treatments on the shear bond strength (SBS) of a resin cement to nickel-chromium (NiCr) alloy.

MATERIAL AND METHODS

Eighty cast NiCr alloy disks (9 × 3 mm) were divided into 8 groups (n=10), which received 1 of the following surface treatments: 1) 50 µm Al(2)O(3) particles + silane; 2) 120 µm Al(2)O(3) + silane; 3) 30 µm silica-modified Al(2)O(3) (Cojet Sand) + silane; 4) 120 µm Al(2)O(3) followed by 110 µm silica-modified Al(2)O(3) (Rocatec) + silane; 5) 50 µm Al(2)O(3) + metal primer; 6) 120 µm Al(2)O(3) + metal primer; 7) 30 µm silica-modified Al(2)O(3) (Cojet Sand) + metal primer; and 8) 120 µm Al(2)O(3) followed by 110 µm silica-modified Al(2)O(3) (Rocatec) + metal primer. The silane was RelyX Ceramic Primer and the metal primer Alloy Primer. RelyX ARC resin cement was bonded to NiCr alloy surfaces. Specimens were thermally cycled before shear mode testing. Data (MPa) were analyzed by 1-way ANOVA and the Tukey test (α=.05). Failure mode was determined with a stereomicroscope (×20).

RESULTS

The results revealed that surface treatment was significant (P<.001). There was no significant difference between 50 µm and 120 µm Al(2)O(3) particles, regardless of the bonding agent used (silane or metal primer). Cojet Sand provided lower SBS than Rocatec, both in the groups treated with silane (P<.001) and metal primer (P<.01). No significant difference was observed between silane and metal primer in the groups abraded with 50 µm and 120 µm Al(2)O(3) particles. Metal primer decreased the SBS of both Cojet Sand and Rocatec groups (P<.001). Rocatec + silane had the highest SBS and Cojet Sand + metal primer the lowest. All groups presented 100% adhesive failure.

CONCLUSIONS

Particle size influenced SBS only in the groups abraded with silica-modified Al(2)O(3). The bonding agent did not affect SBS in the groups abraded with Al(2)O(3). Alloy Primer was not chemically compatible with silica-modified Al(2)O(3). Both mechanical (particle size) and chemical (silica/silane interaction) factors contributed to the high SBS of Rocatec + silane.

History and current state of metal adhesion systems used in prosthesis fabrication and placement

The adhesion techniques used in prosthetic dentistry have substantially improved with respect to retention of veneering resin to the metal framework of resin-veneered restorations and the bonding of resin-bonded fixed partial dentures (RBFPDs) to abutment teeth. In the early 1970s, prostheses relied on macromechanical retention for veneering surfaces and the retention holes of retainers. Later, retention was achieved by using small spherical particles. In addition, the use of small pits created by electrochemical corrosion was tested in resin-veneered restorations and RBFPDs. Thus, micromechanical retention gradually supplanted macromechanical retention. First-generation adhesive monomers were introduced at the end of the 1970s and were succeeded in the early 1980s by the marketing of adhesive resin cements, which were effective for use with non-noble alloys when surface oxidation procedures were used. In 1994, a second-generation adhesive primer for noble alloys was introduced, which prompted development of other adhesive primers. These primers were applied mainly to silver-palladium-copper-gold and type IV gold alloys and improved the reliability of RBFPDs. Recent studies have confirmed the effectiveness of such primers when used with high-gold-content metal ceramic alloys. Due to these developments, RBFPDs now have excellent esthetic characteristics.

In Vitro Shear Bond Strength of Three Self-adhesive Resin Cements and a Resin-Modified Glass Ionomer Cement to Various Prosthodontic Substrates

Objective

To evaluate the shear bond strength (SBS) of three self-adhesive resin cements and a resin-modified glass ionomer cement (RMGIC) to different prosthodontic substrates.

Materials and Methods

The substrates base metal, noble metal, zirconia, ceramic, and resin composite were used for bonding with different cements (n=12). Specimens were placed in a bonding jig, which was filled with one of four cements (RelyX Unicem, Multilink Automix, Maxcem Elite, and FujiCEM Automix). Both light-polymerizing (LP) and self-polymerizing (SP) setting reactions were tested. Shear bond strength was measured at 15 minutes and 24 hours in a testing device at a test speed of 1 mm/min and expressed in MPa. A Student t-test and a one-way analysis of variance (ANOVA) were used to evaluate differences between setting reactions, between testing times, and among cements irrespective of other factors. Generalized linear regression model and Tukey tests were used for multifactorial analysis.

Results

Significantly higher mean SBS were demonstrated for LP mode relative to SP mode (p&lt;0.001) and for 24 hours relative to 15 minutes (p&lt;0.001). Multifactorial analysis revealed that all factors (cement, substrate, and setting reaction) and all their interactions had a significant effect on the bond strength (p&lt;0.001). Resin showed significantly higher SBS than other substrates when bonded to RelyX Unicem and Multilink Automix in LP mode (p&lt;0.05). Overall, FujiCEM demonstrated significantly lower SBS than the three self-adhesive resin cements (p&lt;0.05).

Conclusions

Overall, higher bond strengths were demonstrated for LP relative to SP mode, 24 hours relative to 15 minutes and self-adhesive resin cements compared to the RMGICs. Bond strengths also varied depending on the substrate, indicating that selection of luting cement should be partially dictated by the substrate and the setting reaction.

Review of adhesive techniques used in removable prosthodontic practice

There are several benefits in using adhesive technique in removable prosthodontics as well as fixed prosthodontics. Previous studies have examined denture-base surface treatments that improve bond strength between a denture base resin and autopolymerizing repair resin. Dichloromethane and ethyl acetate are organic solvents that swell the denture base surface, thereby permitting diffusion of the acrylic resin. The optimal treatment duration is 5-10 s for dichloromethane and 120 s for ethyl acetate. It was reported that the bond durability of dichloromethane was superiorto that of ethyl acetate. Bonding between metal components and the denture base resin has an important role in the longevity of removable prostheses. The combination of metal conditioners and alumina air-abrasion is effective in fabricating and repairing removable dentures. Acidic monomers (4-META and MDP) are appropriate for base metal alloys, including Co-Cr alloy and titanium alloy, while thione monomers (MTU-6 and VBATDT) are suitable for noble metal alloys such as gold alloy and silver-palladium-copper-gold (Ag-Pd-Cu-Au) alloy. As an alternative to conventional restorations, resin-bonded restorations can provide precisely parallel guide planes with well-made rest seats. Careful consideration should be paid to stabilizing loosened teeth by fixing them with resin-bonded splints or fixed partial dentures.

Shear bond strength between autopolymerizing acrylic resin and Co-Cr alloy using different primers

This study aimed to examine the shear bond strength between cobalt chromium alloy and autopolymerizing acrylic resin using experimental primers containing 5, 10, and 15 wt% of 4-methacryloxyethyl trimellitic anhydride or 1, 2, and 3 wt% of 3-methacryloxypropyl-trimethoxysilane comparison to 5 commercial primers (ML primers, Alloy primer, Metal/Zirconia primer, Monobond S, and Monobond plus). Sixty alloy specimens were sandblasted and treated with each primer before bonded with an acrylic resin. The control group was not primed. The shear bond strengths were tested and statistically compared. Specimens treated with commercial primers significantly increased the shear bond strength of acrylic resin to cobalt chromium alloy (p<0.05). The highest shear bond strength was found in the Alloy primer group. Among experimental group, using 10 wt% of 4-methacryloxyethyl trimellitic anhydride -or 2 wt% of 3-methacryloxypropyltrimethoxysilane enhanced highest shear bond strength. The experimental and commercial primers in this study all improved bonding of acrylic resin to cobalt chromium alloy.

An in vitro comparison of four intra-oral ceramic repair systems

OBJECTIVES

This study evaluated the effect of different surface conditioning methods on the tensile bond strength (TBS) and integrity of the leucite-reinforced glass ceramic (Cerana(®) inserts)-resin composite interface, using four commercially available ceramic repair systems.

METHODS

Two hundred extra-large Cerana(®) inserts were mechanically treated and stored in artificial saliva for 3 weeks and subsequently randomly assigned to one of the following ceramic repair systems (n=40/group): Group 1, Ceramic Repair(®) (Ivoclar Vivadent, Liechtenstein); Group 2, Cimara(®) (Voco, Germany); Group 3, Clearfil Repair(®) (Kuraray, Japan); Group 4, CoJet system(®) (3M ESPE, Germany); and Group 5, no surface conditioning and no adhesive system applied: the control group. Subsequently, resin composite material was added to the substrate surfaces and the ceramic-resin composite specimens were subjected to TBS testing. Representative samples from the test groups were subjected to scanning electron microscopy (SEM) to determine the mode of failure. The data were analysed statistically using a one-way multivariate analysis of variance and Kruskal-Wallis test at a 95% confidence interval level.

RESULTS

Surface conditioning with the CoJet(®) system resulted in significantly higher bond strength values (5.2 ± 1.1 MPa) than surface conditioning with the other repair systems (p=0.03). The SEM examination of the failed interfaces revealed that all the specimens examined failed adhesively.

SIGNIFICANCE

Whilst highest bond strength values were observed with the CoJet(®) system all tested repair systems resulted in relatively weak TBS values and, as a consequence, these repair systems may be indicated only as interim measures.

The effect of different surface treatments on the bond strength of a gingiva-colored indirect composite veneering material to three implant framework materials

OBJECTIVES

To evaluate and compare the shear-bond strength of a gingiva-colored indirect composite material to three different implant framework materials (zirconia ceramics, gold alloy, and titanium), and to investigate the effect of surface pretreatment by air-particle abrasion and four priming agents.

MATERIAL AND METHODS

A gingiva-colored indirect composite (Ceramage) was bonded to three framework materials (n = 80): commercially pure titanium (CP- Ti ), ADA (American Dental Association)-type 4 casting gold alloy (Type IV), and zirconia ceramics (Zirconia) with or without airborne-particle abrasion. Before bonding, the surface of the specimens was treated using no (control) or one of four priming agents: Alloy Primer (ALP), Estenia Opaque Primer (EOP), Metal Link Primer (MLP), and V-Primer (VPR). Shear-bond strength was determined after 24-h wet storage. Data were analyzed using Steel-Dwass for multiple comparisons, and Mann-Whitney U-test (P = 0.05).

RESULTS

For both CP- Ti and Zirconia substrates, three groups, ALP, EOP, and MLP, showed significantly higher bond strengths (P < 0.05) than the other groups with or without airborne-particle abrasion. For Type IV substrates, significantly higher bond strengths were obtained in ALP and MLP groups (P < 0.01) compared with the other groups with airborne-particle abrasion.

CONCLUSIONS

Application of priming agents containing specific phosphoric ester groups significantly enhances the bond strength of a gingiva-colored composite material to commercially pure titanium and zirconia frameworks. Combined use of a thione monomer with a phosphoric monomer enhances the bond strengths to airborne-particle abraded type IV gold alloy.

The effect of surface treatment on bond strength of layering porcelain and hybrid composite bonded to zirconium dioxide ceramics

PURPOSE

The purpose of this study was to investigate the differences between Rocatec (as surface treatment) and #600 polishing (as control) on shear bond strength of layering porcelain and hybrid composite to zirconium dioxide ceramics.

METHODS

Manufactured zirconia blocks used in this study were yttrium partially stabilized zirconia (YTZ(®)), and veneering materials were NobelRondo Zirconia Dentin A2 High Value (NZR) and Estenia C&B (ES). Total 48 zirconia blocks were fabricated (10 mm × 10 mm × 20 mm). The blocks of 24 each were treated by Rocatec and #600 paper, respectively. Surface treated zirconia blocks were divided into two groups, according to veneering materials of NZR and ES. NZR was fired and ES was polymerized to zirconia. The fabricated specimen was fixed to mounting jig and applied shear force using the universal testing machine at a crosshead speed of 0.5 mm/min. All results were statistically analyzed by two-way ANOVA and Tukey's test. EPMA analysis and SPM analysis of specimen interface were carried out.

RESULTS

Mean shear bond strength of each condition was: NZR/#600; 23.3 (S.D. ±7.0) MPa, NZR/Rocatec; 26.9 (S.D. ±7.0) MPa, ES/#600; 10.7 (S.D.±2.4) MPa, ES/Rocatec; 12.5 (S.D.±0.8) MPa.

CONCLUSIONS

From the results of this study, shear bond strength of layering porcelain to zirconia was higher than that of restorative hybrid resin. However the more study will be needed, the appropriate choice of materials became the gides to the expansion of the applied cases of metal-free prothesis.

Evaluation of two dual-functional primers and a tribochemical surface modification system applied to the bonding of an indirect composite resin to metals

We evaluated the effects of two dual-functional primers and a tribochemical surface modification system on the bond strength between an indirect composite resin and gold alloy or titanium. Disk specimens (diameter, 10 mm; thickness, 2.5 mm) were cast from type 4 gold alloy and commercially pure titanium. The specimens were wetground to a final surface finish using 600-grit silicone carbide paper. The specimens were then air-dried and treated using the following four bonding systems: (1) air-abrasion with 50-70 mum alumina, (2) system 1 + alloy primer, (3) system 1 + metal link primer, and (4) tribochemical silica/silane coating (Rocatec). A light-polymerizing indirect composite resin (Ceramage) was applied to each metal specimen and polymerized according to the manufacturer's specifications. Shear bond strengths (MPa) were determined both before and after thermocycling (4 degrees C and 60 degrees C for 1 min each for 20 000 cycles). The values were compared using analysis of variance, post hoc Scheffe tests, and Mann-Whitney U tests (alpha = 0.05). The strengths decreased after thermocycling for all combinations. For both gold alloy and titanium, the bond strength with air-abrasion only was statistically lower than that with the other three modification methods after thermocycling. Titanium exhibited a significantly higher value (13.4 MPa) than gold alloy (10.5 MPa) with the air. abrasion and alloy primer system. Treatment with the tribochemical system or air abrasion followed by treatment with dual-functional priming agents was found to be effective for enhancement of the bonding between the indirect composite and gold alloy or titanium.

Effect of a metal priming agent on wear resistance of gold alloy-indirect composite joint

The purpose of the current study was to evaluate the effect of a metal priming agent on wear resistance of gold alloy-composite joint. Four types of plate specimen were prepared: composite (Estenia C&B or Epricord) alone, type 4 gold alloy alone, alloy-composite joint without priming agent, and alloy-composite joint bonded with a priming agent (Alloy Primer). Three-body wear test was performed using the plate specimens, gold alloy antagonist, and polymer slurry. Joined specimens with priming exhibited less wear depth (in microm; 21.0 for Estenia and 24.9 for Epricord) than the joined specimens without priming (57.8 for Estenia and 46.7 for Epricord). Wear depth of the single plate specimens when abraded with the gold alloy antagonist was ranked as follows: Estenia (9.6), gold alloy (12.8), and Epricord (19.1). It was concluded that the use of a metal priming agent at the alloy-composite interface effectively enhanced the wear resistance of the joined area when under cycled loading.

Shear Bond Strength Evaluation of Different Veneering Systems on Ni-Cr Alloys

PURPOSE

The aim of this study was to evaluate the shear bond strength of four esthetic veneering materials on nickel-chromium (Ni-Cr) alloy.

MATERIALS AND METHODS

Forty square patterns (10 x 10 x 1.5 mm) were cast with Ni-Cr, divided equally into four groups, and received four treatments for veneering: conventional porcelain-fused-to-metal (PFM), Artglass, Targis/Vectris, and Biodent light-cured prosthodontic composite resins. After sandblasting of the cast metal surfaces with 50 micro m alumina, the composites were applied to the surfaces according to manufacturers' recommendations. Shear bond strength was determined at a crosshead speed of 0.5 mm/min. Results were analyzed statistically with Kruskal-Wallis analysis of variance and multiple comparison tests.

RESULTS

Mean shear bond strength values were 34.96 MPa for PFM, 14.17 MPa for Targis/Vectris, 13.64 MPa for Artglass, and 10.56 MPa for Biodent. The PFM group exhibited significantly higher bond strength values compared with the other three groups (p < 0.001).

CONCLUSION

PFM showed considerably higher shear bond strength values than the three metal-resin bonding techniques.

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 µm 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 mm² 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.

Shear bond strength of three veneering resins to a Ni-Cr alloy using two bonding procedures

Composite veneering materials are used as alternatives to porcelain in fixed prosthodontics. Mechanical retention of the resin on the metal framework has been associated with the formation of gaps at the resin/alloy interface, and failure of the restoration. Several chemical bonding systems have been introduced to promote resin adhesion. The purpose of the present study was to evaluate the shear bond strength of three photocured composites (Artglass, Solidex & Signum+) to a Ni-Cr alloy.72 wax disks covered with 150-mum diameter beads were cast and divided in two equal groups. In the first group, Metal Photo Primer was applied on the casting surface, while the Siloc system was used in the second. Each group was divided in three subgroups of 12 samples, in which the three composites were photocured. Half of the specimens of each subgroup were subjected to 1000 and 5000 thermal cycles (5 and 55 degrees C) respectively. All specimens were tested in shear in a universal testing machine. The Siloc-Solidex group showed the highest bond strength (17.3 +/- 3.7 MPa). No statistically significant difference was found between specimens treated with Metal Photo Primer or Siloc. Thermocycling did not significantly affect the bond strength values. Solidex showed an adhesive failure mode for both alloy surface treatments, while Artglass and Signum+ exhibited combination failures. Conclusively, the appropriate alloy surface treatment - resin combination can significantly improve the resin-alloy shear bond strength. Specifically, Solidex resin exhibited significantly higher bond values compared with Artglass and Signum+, for both surface treatments and thermocycling procedures.

Effect of noble metal adhesive systems on bonding between an indirect composite material and a gold alloy

In this study, the bond strength between an indirect composite and a gold alloy was determined for the purpose of evaluating noble metal bonding systems. A single liquid primer designed for conditioning noble metal alloys (Infis Opaque Primer) and tri-n-butylborane-initiated adhesive resins (Super-Bond C & B), with or without the powder component, were assessed. Cast gold alloy disks (Casting Gold type IV) were air-abraded with alumina, followed by six surface preparations, and were then bonded with a light-activated composite material (New Metacolor Infis). Shear testing was performed both before and after thermocycling for evaluation of bond durability. The results showed that three primed groups improved post-thermocycling bond strengths compared to each of the corresponding unprimed groups (P < 0.01). The bond strength was reduced for all six groups by the application of thermocycling (P < 0.01). After thermocycling, the group primed with the Infis Opaque Primer material and bonded with the Super-Bond C & B resin exhibited the greatest bond strength (23.4 MPa). The Infis Opaque Primer and Super-Bond bonding system increased the post-thermocycling bond strength of the control group by a factor of approximately ten. This simple technique is applicable in the fabrication of composite veneered restorations and cone-telescope dentures.

Shear bond strength of resin composite to magnetic Fe-Pt alloy

STATEMENT OF PROBLEM

It is important to obtain strong adhesion between resin composite material and magnetic Fe-Pt alloy for fabrication of an indirect veneered crown. However, little is known about the bond strength between these materials.

PURPOSE

This study evaluated the bond strength of resin composite to magnetic Fe-Pt alloy, using 4 adhesive metal primers.

MATERIAL AND METHODS

Seventy disk-shaped patterns (7.5 mm in diameter, 2.0 mm thick) were cast from a custom-made Fe-Pt ingot using a high-frequency centrifugal casting machine. After the bonding surfaces were airborne-particle abraded with 50 microm Al2O3, specimens were divided into groups (n=7) and primed with either Metal Primer II (MP), Meta Fast Bonding Liner (BL), New Meta Color INFIS Opaque Primer (IN), or Epricord Opaque Primer (EP). Nonprimed specimens served as controls (n=7). A resin composite (New Meta Color INFIS) was then applied to all specimens and polymerized. After the specimens were immersed in 37 degrees C water for 24 hours or thermal cycled at 4 degrees C to 60 degrees C with a 1-minute dwell time of up to 10,000 cycles, the shear bond strengths (MPa) were measured using a universal testing machine at a crosshead speed of 0.5 mm/min. The data were statistically analyzed by a 2-way analysis of variance and the Scheffe test (alpha=.05).

RESULTS

Although IN had the lowest strength, there were no significant differences in bond strengths of the other 3 primers (MP, BL, and EP) before thermal cycling. The bond strengths of MP and EP were slightly altered by thermal cycling (P >.05); however, BL and IN underwent a significant decrease (P <.05).

CONCLUSION

The results of this in vitro study indicate that MP and EP provide superior long-term shear strength when bonding the resin composite evaluated to Fe-Pt alloy.

An in vitro comparison of cast metal dowel retention using various luting agents and tensile loading

STATEMENT OF PROBLEM

No clear consensus exists regarding the choice of luting agents for the retention of cast metal dowels used as a treatment alternative for endodontically treated teeth with excessive loss of coronal tooth structure.

PURPOSE

The purpose of this in vitro study was to investigate the retention of the dowel/luting agent/tooth complex while applying different luting agents to cast metal dowels under vertical tensile loading.

MATERIAL AND METHODS

Sixty extracted, noncarious mandibular premolars with roots of approximately 15-mm length were selected. For each tooth, a tapered root canal preparation was completed to a maximum diameter of 1.60 mm and a length of 11 mm, a common clinical configuration to accommodate cast metal dowels. Sixty cast metal dowels were fabricated for the tooth specimens and cemented with 1 of 3 luting agents (n = 20): zinc-phosphate cement (ZPC) as a control, phosphate-methacrylate resin luting agent (PMRL, Panavia F), and phosphate-methacrylate resin luting agent with metal dowel surfaces modified with a silane coating technique (PMRLS, Panavia F + Siloc). Tensile bond strength (TBS) of the specimens was measured with a universal testing machine at a crosshead speed of 0.5 mm/min. Data (kg) were statistically analyzed using a 1-way analysis of variance and a Scheffe multiple range test (alpha=.05). The homogeneity of variances was analyzed using the Levene test.

RESULTS

The TBS values of ZPC (34.2 +/- 10.54 kg) were significantly higher than PMRL (22 +/- 9.57 kg) and PMRLS (21.7 +/- 7.64 kg). There was no significant difference between the PMRL and PMRLS groups.

CONCLUSION

Within the limitations of this study, the use of zinc-phosphate cement provided greater TBS for cast metal dowels than the resin luting agent with and without the silane coating technique. The TBS values with and without the silane coating technique were not statistically different.

In vitro shear bond strength of cementing agents to fixed prosthodontic restorative materials

STATEMENT OF PROBLEM

Durable bonding to fixed prosthodontic restorations is desirable; however, little information is available on the strength of the bond between different cements and fixed prosthodontic restorative materials.

PURPOSE

This study determined the shear-bond strength of cementing agents to high-gold-content alloy castings and different dental ceramics: high-strength aluminum oxide (Procera AllCeram), leucite-reinforced (IPS Empress), and lithium disilicate glass-ceramic (IPS Empress 2).

MATERIAL AND METHODS

Prepolymerized resin composite cylinders (5.5 mm internal diameter, n=20) were bonded to the pretreated surfaces of prosthodontic materials. High-gold-content alloy and high-strength aluminum oxide surfaces were airborne-particle-abraded, and pressable ceramics were hydrofluoric acid-etched and silanized prior to cementing. The cementing agents tested were a zinc-phosphate cement (Fleck's zinc cement), glass ionomer cements (Fuji I, Ketac-Cem), resin-modified glass ionomer cements (Fuji Plus, Fuji Cem, RelyX Luting), resin cements (RelyX ARC, Panavia F, Variolink II, Compolute), and a self-adhesive universal resin cement (RelyX Unicem). Half the specimens (n=10) were tested after 30 minutes; the other half (n=10) were stored in distilled water at 37 degrees C for 14 days and then thermal cycled 1000 times between 5 degrees C and 55 degrees C prior to testing. Shear-bond strength tests were performed using a universal testing machine at a constant crosshead speed of 0.5 mm/min. Statistical analysis was performed by multifactorial analysis of variance taking interactions between effects into account. For multiple paired comparisons, the Tukey method was used (alpha=.05).

RESULTS

In a 3-way ANOVA model, the main factors substrate, cement, time, and all corresponding interactions were statistically significant (all P <.0001). In subsequent separate 1-way or 2-way ANOVA models for each substrate type, significant differences between cement types and polymerizing modes were found (all P <.001). None of the cement types provided the highest bonding values with all substrate types.

CONCLUSION

After 14 days of water storage followed by thermal cycling, only the self-adhesive universal resin cement (RelyX Unicem) and 2 of the resin cements (Panavia F and Compolute) exhibited strong bond strengths to specific prosthodontic materials. In contrast, zinc-phosphate, glass ionomer, and resin-modified glass ionomer cements showed the lowest values of all tested cementing agents after 14 days of water storage followed by thermal cycling.