Retention durability of one-retainer versus two-retainer posterior RBFDPs after chewing simulation.

The clinical use of one-retainer RBFDPs in the anterior region has shown higher survival rates compared to conventional two-retainer RBFDPs. The motivation for this study was to assess the validity of this observation when extended to the posterior region. The aim was thus to evaluate different preparation and framework designs for replacing premolars, particularly one-retainer versus two-retainer designs, on the retention of monolithic zirconia posterior RBFDPs. Extracted caries-free human premolars and third molars were embedded in auto-curing resin to create models with an edentulous space of premolar width. Abutment teeth were prepared according to these six designs (n = 8 each): one or two upper retainers with narrow rests, one or two upper retainers with wide rests, and one or two-retainers with wide rests. RBFDPs were milled from monolithic zirconia (KATANA Zirconia HT), and were adhesively bonded using Panavia V5 with corresponding primers. After thermodynamic loading, the quasi-static tensile force required for failure was determined. Failure modes were evaluated using a microscope. Survival rates after thermodynamic loading were 75% for one group (one upper-molar retainer with narrow rest), 100% for the other groups. The debonding forces ranged from 310 ± 224 N (group one upper-molar retainer with narrow rest) to 927 ± 292 N (group two upper retainers with narrow rests). Two-retainer designs failed at significantly higher tensile forces than designs with one retainer (p ≤ 0.05). There were no significant differences between upper and lower designs, or rest widths. Although RBFDPs with two retainers withstood higher debonding forces, RBFDPs with one retainer and wide rest still have a high potential for clinical treatment because of the high forces required for their debonding.

Retention of posterior resin bonded fixed dental prostheses with different designs after chewing simulation.

The aim of this study was to evaluate the effect of different preparation and framework designs on the retention of posterior resin bonded fixed dental prostheses (RBFDPs) made from monolithic zirconia ceramic. Forty-eight caries-free upper premolars and forty-eight upper third molars were used in this study. The teeth were randomly divided into six main groups (n = 8 each) according to the preparation design of two-retainer RBFDPs: narrow or wide rest, combined with 0, 1 or 2 retainer wings. All RBFDPs were milled from monolithic zirconia (KATANA Zirconia ML). They were bonded using Panavia V5 with its corresponding primer, and underwent thermodynamic loading (98 N, 1,200,000 cycles). Retention was evaluated for the surviving RBFDPs in a universal testing machine by means of a debonding test. Failure modes were evaluated using a light microscope. Data was statistically analyzed by Kruskal-Shapiro-Wilk followed by Mann-Whitney with Bonferroni correction for multiple testing. The survival rates after the chewing simulation were 75% (group narrow rest/no retainer wing), 62.5% (group wide rest/no retainer wing) and 100% (the other groups). The mean retention ranged from 31 N to 766 N. Designs with two retainer wings showed significantly higher bond strength than the other designs (p ≤ 0.05). The rest width did not show a significant effect on the retention. Posterior RBFDPs with a modified design (occlusal rest and two retainer wings) exhibited promising durability and retention. Designs with two additional retainer wings should be preferred over designs with one or no retainer wing, irrespectively of the rest width.

The effect of curing conditions on the dentin bond strength of two dual-cure resin cements.

PURPOSE: The purpose of this study was to determine the effect of the curing condition (i.e., the curing mode and restoration thickness) on the tensile bond strength of a dual-cure resin cement applied to dentin. METHODS: Indirect composite resin disks (1, 2, and 3mm in thickness) were prepared. The irradiance of a halogen light curing unit through each disk was measured by a curing radiometer. A measurement was also taken for the condition with no disk. Following this, two dual-cure resin cements, Panavia F2.0 and Panavia V5, were polymerized in either dual-cure mode or self-cure mode to bond the composite resin disk to the flat dentin surface. The specimens were sectioned and subjected to a microtensile bond strength (µTBS) test after 24h of water storage. The data were statistically analyzed by two-way ANOVA followed with multiple comparisons by post-hoc Tukey's test (α=0.05). RESULTS: The irradiance values [mW/cm2] measured through indirect composite resin disks were 600 (0mm), 200 (1mm), 90 (2mm), and not detected (3mm). Two-way ANOVA indicated that both the curing condition and the type of resin cement affected the µTBS (p<0.001). The µTBS results for Panavia V5 bonded to dentin were significantly higher than those of Panavia F2.0 bonded to dentin (p<0.05). CONCLUSIONS: The curing condition affected the tensile bond strength of the dual-cure resin cements to dentin. A newly developed resin cement, Panavia V5, showed higher dentin bonding than Panavia F2.0 in both dual- and self-cure modes.