Resin bond strength to zirconia: effects of surface treatments and resin cements.

This in vitro study evaluated the effect of surface treatments on the microshear bond strength between zirconia and 2 different resin cements. Thirty sintered zirconia blocks (15.5 × 19.0 × 39.0 mm) were allocated into 10 groups according to 2 factors: surface treatment (control [10% isopropyl alcohol], silica coating, primer, hot etching solution, or glaze) and resin cement (conventional dual-curing [Multilink Automix] or self-adhesive [RelyX U100]). Three cement cylinders (0.7-mm diameter × 1.5-mm height) were made on the surface of each zirconia block. The specimens were stored in water for 6 months at 37°C and then submitted to microshear bond strength tests (n = 9 per surface treatment group). The bond strength data were analyzed statistically with Kruskal-Wallis and Dunn tests (P < 0.05). The contact angle was measured with a goniometer on separate surface-treated disc specimens (n = 2 per group). The greatest mean (SD) bond strength values, regardless of cement type, were reported for the groups with the glaze surface treatment: conventional cement, 13.1 (0.26) MPa; and self-adhesive cement, 20.1 (0.23) MPa. The next greatest mean (SD) values were found in the silica coating groups: conventional cement, 7.94 (0.09) MPa; and self-adhesive cement, 9.8 (0.10) MPa. The self-adhesive cement groups presented the greatest bond strength values, except when the primer surface treatment was applied. The zirconia treated with the hot etching solution presented the greatest mean contact angle, 78.23 (SD 1.34) degrees, and bond strengths that were among the lowest achieved, suggesting that low wettability may have influenced bond strengths.

Influence of alveolar bone level on the pull-out bond strength of fiber-reinforced composite posts to root dentin.

This in vitro study evaluated the influence of alveolar bone level and type of cement on pull-out bond strength between different fiber-reinforced composite (FRC) posts and root dentin. Sixty bovine teeth were sectioned, and their root canals were prepared. The specimens were divided into 6 groups (n = 10) according to 2 factors: alveolar bone level and type of cement. Each root was embedded in acrylic resin to the depth of 7, 10, or 14 mm, simulating different alveolar bone levels. After the FRC posts were treated with 37% phosphoric acid and silane was applied, they were cemented with either a conventional resin cement or a self-adhesive resin cement and subjected to mechanical cycling. The results indicated that neither the alveolar bone level nor the type of cement played a significant role in the pull-out bond strength of the FRC posts to root dentin. Therefore, it is concluded that conventional and self-adhesive resin cements can be used to lute FRC posts to tooth roots, even in the presence of significant alveolar bone resorption.

Surface roughness and bond strength between Y-TZP and self-adhesive resin cement after air particle abrasion protocols.

The aim of this study was to evaluate the influence of different air particle abrasion (APA) protocols-with variations in particle types, duration of application, and the distance between the device tip and the ceramic-on the surface roughness (SR) of zirconia-based ceramic (yttria-stabilized tetragonal zirconia polycrystal [Y-TZP]) and the shear bond strength (SBS) between Y-TZP and resin cement. In total, 135 sintered Y-TZP blocks were polished and divided into 9 groups according to 3 factors: particle (alumina vs alumina coated with silica), duration (5 vs 10 seconds), and distance (contact vs 10 mm away). All 3 factors significantly influenced the SR values between the experimental groups and the control group. For SBS, only the particle type was a statistically significant factor. Results showed that air particle abrasion with silica-coated alumina resulted in higher SBS, even though the SR values associated with those groups were not the highest.

Effect of ZrO2 paste, surface treatments, and storage on Weibull characteristics and resin bond strength to zirconia.

The objective is to evaluate the effect of different surface treatments and storage on the shear strength of ultratranslucent zirconia. 36 blocks of ultra-translucent zirconia were fabricated (7x7x2mm) and sintered. Then, divided into 12 groups according to the "surface treatment" (C -Primer; Al -Sandblasting with Al2O3 + Primer; Si -Silicate + Primer; Gl -Glaze + HF + Primer; Z -Zirlink; Zp -Zirlink + Primer) and "storage" factors (ST-with 150 days/37º and without). After surface treatment, five cylinders (Ø=2mm; h=2.0mm) of resin cement (n=15) were constructed in each ceramic block; at the end, the shear strength test was performed (1mm/min, 50Kgf), and analysis of surface failures. 60 additional samples (2x2x2mm) were made for extras analysis (surface roughness, MEV, and EDS). Bond strength and surface roughness data were statistically evaluated by ANOVA (2 factors/1 factor), Tukey test (5%), and Weibull analysis, respectively. ANOVA (2-way) revealed that all factors were statistically significant for bond strength. The silicatization groups (SiST: 30.47AMPa; Si: 29.21AMPa) showed the highest bond strength values, regardless of storage (Tukey's test). While the groups treated with Zirlink (ZST: 2.76FMPa; Z: 5.27EFMPa) showed the lowest values, just similar to the GlST group (5.14EFMPa). The Weibull modulus (m) showed a statistical difference between groups (p=0.000). ANOVA (1 factor) revealed that the "surface treatment" factor (p=0.0000) was statistically significant for surface roughness. Therefore, the application of Zirlink and Glaze on pre-sintered zirconia did not promote efficient adhesion of the ultratranslucent zirconia to the resin cement, even when associated with a primer containing MDP.

Influence of polishing procedures on the surface roughness of dental ceramics made by different techniques.

The aim of this study was to evaluate the influence of 2 different surface polishing procedures-glazing and manual polishing-on the roughness of ceramics processed by computer-aided design/computer-aided manufacturing (CAD/CAM) and conventional systems (stratification technique). Eighty ceramic discs (diameter: 8 mm, thickness: 1 mm) were prepared and divided among 8 groups (n = 10) according to the type of ceramic disc and polishing method: 4 GZ and 4 MP. Specimens were glazed according to each manufacturer's recommendations. Two silicone polishing points were used on the ceramic surface for manual polishing. Roughness was measured using a surface roughness tester. The roughness measurements were made along a distance of 2 mm on the sample surface and the speed of reading was 0.1 mm/s. Three measurements were taken for each sample. The data (µm) were statistically analyzed using analysis of variance (ANOVA) and Tukey's test (α = 0.05). Qualitative analysis was performed using scanning electron microscopy (SEM). The mean (± SD) roughness values obtained for GZ were: 1.1 ± 0.40 µm; 1.0 ± 0.31 µm; 1.6 ± 0.31 µm; and 2.2 ± 0.73 µm. For MP, the mean values were: 0.66 ± 0.13 µm; 0.43 ± 0.14 µm; 1.6 ± 0.55 µm; and 2.0 ± 0.63 µm. The mean roughness values were significantly affected by the ceramic type (P = 0.0001) and polishing technique (P = 0.0047). The SEM images confirmed the roughness data. The manually polished glass CAD/CAM ceramics promoted lower surface roughness than did the glazed feldspathic dental ceramics.

Marginal and internal discrepancies related to margin design of ceramic crowns fabricated by a CAD/CAM system.

PURPOSE: The aim of this study was to evaluate the marginal discrepancy (MD) and internal discrepancy (ID) of ceramic crowns manufactured by a CAD/CAM system, having different finish lines. The hypotheses tested were that the finish line type would not influence the MD or ID of the crowns, and ID would not change in different regions. MATERIALS AND METHODS: Three aluminum master dies (height: 5.5 mm, Ø: 7.5 mm, conicity: 6°) with different finish lines (TC: tilted chamfer; LC: large chamfer; RS: rounded shoulder) were manufactured. Ten impressions were made from each master die using a modified parallelometer. Impressions were poured in type IV dental stone, and 30 ceramic crowns (IPS Empress CAD, Ivoclar) were subsequently milled. The crowns were fixed on their respective metallic die using a metallic fixation device. The distance between the external edges of the crown to the edge of the cervical preparation was performed at 50 points on the respective metallic die (MD analysis). With the replica technique, the ID values of each crown were further evaluated at 12 points equidistant to each other in three regions: radius (R), axial (A), and occlusal (Occl). The measurements were performed using an optical microscope (250×). The data (µm) were analyzed using ANOVA and Tukey's test (5%). RESULTS: The RS group (28.24 ± 11.42 µm) showed significantly lower MD values (p= 0.001) than those of TC (99.92 ± 18.32 µm) and LC (64.71 ± 25.64 µm) groups, both of which also differed statistically from one another. The ID results demonstrated significantly lower values in the LC group (183.01 ± 62.82 µm) (p= 0.0014) than those of TC (216.26 ± 83.23 µm) and RS (219.12 ± 87.24 µm) groups. ID results of TC and RS were not significantly different. Additionally, the ID results showed significant differences among the regions (p= 0.0001). The null hypotheses were rejected. CONCLUSION: The RS finish line produced MD values significantly lower than tilted and large chamfer, but large chamfer presented the lowest internal discrepancy values. Independent of the finish line type, internal discrepancy was the lowest in the axial region followed by radius and occlusal regions.

Effect of Porcelain-to-Zirconia Ratio and Bonding Strategy on the Biaxial Flexural Strength and Weibull Characteristics of a Stress-Free Bilayer CAD/CAM Ceramic System.

PURPOSE: To evaluate the biaxial flexural strength of different porcelain-to-zirconia thickness ratios and bonding strategies of a stress-free bilayer CAD/CAM ceramic system. MATERIALS AND METHODS: A total of 60 zirconia discs (diameter: 15 mm; thickness: 0.3 or 0.5 mm; n = 30 for each thickness) were divided into six groups (n = 10 each) according to porcelain-to-zirconia ratio and bonding strategy: VM/Zr (control): zirconia discs veneered with a feldspathic ceramic (VM 9, Vita) in 0.9-mm and 0.7-mm thicknesses using a conventional hand-layering technique; VB/Zr-SBU: zirconia discs airborne particle-abraded with 50-µm Al2O3 particles followed by an MDP primer application (Single Bond Universal, 3M) and bonded to the porcelain with a resin cement (Panavia F 2.0, Kuraray); and VB/Zr-RC: zirconia discs airborne particle-abraded with 30-µm silica-coated Al2O3 particles and silanized and bonded to the porcelain with the same resin cement. Before cementation, the VB (Vitablocs II) discs were etched with 5% hydrofluoric acid (60 seconds), followed by silane application. The bilayers (thickness = 1.2 mm) were loaded with 750 g while light curing the resin cement. Two porcelain-to-zirconia thickness ratios were evaluated: 0.9: 0.3 mm and 0.7: 0.5 mm. All groups were subjected to 106 mechanical cycles, followed by a biaxial flexural test. Data (MPa) were subjected to two-way analysis of variance (ANOVA), Tukey test (5%), and Weibull analyses. RESULTS: Two-way ANOVA revealed that the factor porcelain-to-zirconia ratio (P = .0556) was not significant; however, the bonding strategy factor was statistically significant. Among the 0.5-mm zirconia groups, the VB/Zr-SBU group presented higher flexural strength (s) than the VM/Zr or VB/Zr-RC groups. Similar results were also found for the 0.3-mm zirconia groups, in which the VB/Zr-SBU group also presented higher strength than the others, which were similar in comparison (Tukey). The Weibull modulus was similar among the groups; however, the characteristic strength was significantly different (P = .000). CONCLUSION: The zirconia bonding strategy with 50-µm Al2O3 airborne-particle abrasion, followed by a primer application, increases the flexural strength of a stress-free bilayer CAD/CAM ceramic system.

CAD-FEA modeling and fracture resistance of bilayer zirconia crowns manufactured by the rapid layer technology.

In the RLT (Rapid Layer Technology), veneering ceramic and framework are fabricated by computer-aided design/computer-aided manufacturing (CAD/CAM) and then cemented to obtain the restoration. This study aimed to evaluate the effect of the thickness of veneering ceramic manufactured by the RLT technique on the fracture resistance (FR) of bilayer crowns with zirconia frameworks. Twenty zirconia frameworks and twenty feldspathic posterior crowns with two different veneering ceramic occlusal thicknesses (1mm=TF1; 2mm=TF2) were manufactured using CAD/CAM system. The specimens were luted to an epoxy resin abutment with resin cement and mechanically cycled (200N and 4.5×105 Pa, 37°C, 2×106 cycles, 3Hz). The FR test was performed (10kN, 0.5mm/min), and the specimens were analyzed in a stereomicroscope. For the stress analysis (finite element analysis, FEA), a 10kN load was equal to the in vitro test, and the principal stress was evaluated. The FR data were analyzed by Student's t-test and Weibull's analysis. The thickness influenced the FR of bilayer crowns. The FR was higher in the TF2 than in the TF1 group. The TF2 group presented the highest characteristic strength compared to the group TF1. The predominant type of failure was delamination. The FEA showed higher stress concentrations below the loading application point at the veneering cement interface in the 1-mm-thick model. The bilayer crowns manufactured using the approach of 2mm of veneering ceramic promoted higher FR compared to the group with 1mm veneering ceramic. Also, the FEA showed that the veneer ceramic thickness has an effect on stress distribution in zirconia-based bilayer crowns.

Long-term fracture load of all-ceramic crowns: Effects of veneering ceramic thickness, application techniques, and cooling protocol.

BACKGROUND: To evaluate, in vitro, the effects of the cooling protocol, application technique, and veneering ceramic thickness on the fracture resistance of ceramic crowns with Y-TZP frameworks. MATERIAL AND METHODS: 80 frameworks were made from zirconia by the CAD/CAM technique and divided into 8 groups (n = 10) according to the factors: "application technique" (stratified-L and pressed -P), "thickness" (1 mm and 2 mm), and "cooling protocol" (slow-S and fast-F) of the feldspathic veneering ceramic. After, all crowns were cemented over G10 preparations with resin cement (Panavia F, Kuraray), mechanically cycled (2x106 cycles, 200 N, 3Hz), and subjected to the axial compression resistance test (0.5 mm/min, 10 kN). The data (N) underwent descriptive statistical analysis by 3-way ANOVA and Tukey's test (5%). Fracture analysis was performed to determine the possible origin of failure. RESULTS: The factors "cooling protocol" (P=0.0058) and "application" technique (P=0.0001) influenced the fracture resistance of the crowns. For pressed veneer technique, the P2S (4608.9±464.5). A presented significantly higher results than that P2F(3621.1±523.0)BCD (Tukey's test). For the stratified technique, this difference was not observed (P>0.05). The thickness of the veneering ceramic was not significant regardless of the cooling protocol and technique (P>0.05). The predominant failure mode was chipping of the ceramic veneer originating in the subsurface. CONCLUSIONS: The pressed technique, used with a slow-cooling protocol, leads to the best outcome for the veneering of all-ceramic crowns. Key words:Zirconia, ceramics, cooling protocol, thickness, application technique.

Repair Bond Strength of a CAD/CAM Nanoceramic Resin and Direct Composite Resin: Effect of Aging and Surface Conditioning Methods.

PURPOSE: To evaluate the effect of surface conditioning methods and aging on the repair bond strength between resin composite and nanoceramic CAD/CAM resin. MATERIALS AND METHODS: Twenty-four blocks of nanoceramic CAD/CAM resin (NCR) (Lava Ultimate, 3M Oral Care) (10 x 5 x 2 mm3) and resin composite (Filtek Z350, 3M Oral Care) (RC) were made, embedded in acrylic resin, polished (#600, #800, #1200) and randomly divided into 8 groups (n = 12 each) according to surface conditioning methods (air abrasion with 30-µm CoJet [CJ] or air abrasion with 50-µm Al2O3 [AB]) and aging prior to repair (without aging, 24 h in water at 37°C; with aging 6 months in water at 37°C). The blocks were air abraded (20 s, 2.5 bar, 10 mm) using a standardized device. A layer of adhesive resin (Scotchbond Universal) was applied (20 s) and photopolymerized for 20 s. RC cylinders (Ø = 2 mm; h = 2 mm) were then bonded to the NCR substrates using a Teflon matrix and photopolymerized for 40 s. All specimens were thermocycled (10,000 cycles, 5°C-55°C) and submitted to the shear bond test (50 kgf, 0.5 mm/min) to measure repair strength. Data (MPa) were analyzed using 3-way ANOVA and Tukey's test (α = 0.05). Failure analysis was performed using stereomicroscopy (20X). RESULTS: ANOVA revealed a significant effect of only the "material" factor (p = 0.00). The group NCR6mCJ presented bond strengths (29.37 ± 5.41) which were significantly higher than those of the NCR24hCJ (20.88 ± 5.74) and RC groups (p < 0.05). The group RC24hCJ (19.71 ± 4.21) presented the lowest shear bond strength (p < 0.05). Failure analysis revealed predominantly type B mixed failures (adhesive+cohesive in the substrate material) except for the groups NCR24hCJ and NCR6mAB, where mainly type C failure (adhesive+cohesive at the RC) was observed. CONCLUSION: Air abrasion with Al2O3 particles or silicatization with CoJet followed by adhesive resin application are effective surface conditioning methods for the repair of nanoceramic CAD/CAM resin with resin composite.

Effect of extrinsic pigmentation and surface treatments on biaxial flexure strength after cyclic loading of a translucent ZrO2 ceramic.

OBJECTIVE: To evaluate the influence of extrinsic pigmentation on the biaxial flexural strength and surface topographic of translucent Y-TZP (InCoris TZI - Sirona - USA) subjected to several surface treatments. METHODS: Sintered zirconia discs-shaped specimens (n=120) (ø:12mm; thickness:1.2mm; ISO 6872) were prepared and divided (n=15) according to various factors: "extrinsic pigmentation" (n: without; p: with) and "surface treatments" (C: control - as sintered; A: abraded with silica-coated alumina particles (30µm); G: glazed with a thin film of low-fusing porcelain glaze; GH: glazed and etched with 10% hydrofluoridric acid for 60s. Mechanical cycling (1.2×106 cycles, 200N, 3.8Hz) and flexural strength test (1mm/min - 1000kg cell) were performed. Two-way ANOVA and Tukey's were used for statistical test (α=0.05). Weibull analysis was used to evaluate the strength reliability. Samples were analyzed via (1) an optical profilometer to determine the surface roughness (Ra); (2) an X-ray diffraction (XRD) to evaluate phase transformations; and (3) a SEM equipped with an energy dispersive X-ray spectroscopy (EDX) to elucidate morphological properties and chemical compositions. RESULTS: Regardless of the surface treatment (p=0.5459) (Cn: 560.16MPa; Gn: 573.36MPa; An: 643.51MPa; GHn: 542.94MPa; Cp: 628.04MPa; Gp: 641.90MPa; Ap: 554.47MPa; GHp :602.84MPa) and extrinsic pigmentation (p=0.1280) there was no difference in the flexural strength among the experimental groups. According to the XRD analysis, phase transformations occurred in the An group (t→m) and in Ap group (t→c). Surface roughness was affected by surface treatments (An - p=0.001) and extrinsic pigmentation (Gp - p=0.001). SIGNIFICANCE: The biaxial flexural strength of the tested samples was not affected neither by surface treatments nor by pigmentation, although it can cause phase transformation and promote surface roughness.

Effect of ZrO2 paste, surface treatments, and storage on Weibull characteristics and resin bond strength to zirconia

Abstract The objective is to evaluate the effect of different surface treatments and storage on the shear strength of ultratranslucent zirconia. 36 blocks of ultra-translucent zirconia were fabricated (7x7x2mm) and sintered. Then, divided into 12 groups according to the "surface treatment" (C -Primer; Al -Sandblasting with Al2O3 + Primer; Si -Silicate + Primer; Gl -Glaze + HF + Primer; Z -Zirlink; Zp -Zirlink + Primer) and "storage" factors (ST-with 150 days/37º and without). After surface treatment, five cylinders (Ø=2mm; h=2.0mm) of resin cement (n=15) were constructed in each ceramic block; at the end, the shear strength test was performed (1mm/min, 50Kgf), and analysis of surface failures. 60 additional samples (2x2x2mm) were made for extras analysis (surface roughness, MEV, and EDS). Bond strength and surface roughness data were statistically evaluated by ANOVA (2 factors/1 factor), Tukey test (5%), and Weibull analysis, respectively. ANOVA (2-way) revealed that all factors were statistically significant for bond strength. The silicatization groups (SiST: 30.47AMPa; Si: 29.21AMPa) showed the highest bond strength values, regardless of storage (Tukey's test). While the groups treated with Zirlink (ZST: 2.76FMPa; Z: 5.27EFMPa) showed the lowest values, just similar to the GlST group (5.14EFMPa). The Weibull modulus (m) showed a statistical difference between groups (p=0.000). ANOVA (1 factor) revealed that the "surface treatment" factor (p=0.0000) was statistically significant for surface roughness. Therefore, the application of Zirlink and Glaze on pre-sintered zirconia did not promote efficient adhesion of the ultratranslucent zirconia to the resin cement, even when associated with a primer containing MDP.

Resumo O objetivo é avaliar o efeito de diferentes tratamentos superficiais e do envelhecimento na resistência ao cisalhamento da zircônia ultratranslúcida. Foram confeccionados 36 blocos de zircônia ultratranslúcida (7x7x2mm) e sinterizados. Em seguida, divididos em 12 grupos de acordo com o "tratamento de superfície" (C-Primer; Al-Jateamento com Al2O3+Primer; Si-Silicato+Primer; Gl -Glaze+HF+Primer; Z-Zirlink; Zp-Zirlink+Primer) e fatores de "armazenamento" (ST-com, 150 dias/37º e sem). Após o tratamento superficial, foram construídos cinco cilindros (Ø=2mm; h=2,0mm) de cimento resinoso (n=15) em cada bloco cerâmico; ao final foi realizado o ensaio de resistência ao cisalhamento (1mm/min, 50Kgf) e análise de falhas superficiais. Foram confeccionadas 60 amostras adicionais (2x2x2mm) para análises extras (rugosidade superficial, MEV e EDS). Os dados de resistência de união e rugosidade superficial foram avaliados estatisticamente por ANOVA (2 fatores/1fator), teste de Tukey (5%) e análise de Weibull, respectivamente. ANOVA (2 fatores) revelou que todos os fatores foram estatisticamente significativos para a resistência de união. Os grupos de silicatização (SiST: 30,47AMPa; Si: 29,21AMPa) apresentaram os maiores valores de resistência de união, independente do armazenamento (Tukey). Enquanto os grupos tratados com Zirlink (ZST: 2,76FMPa; Z: 5,27EFMPa) apresentaram os valores mais baixos, apenas semelhantes ao grupo GlST (5,14EFMPa). O módulo de Weibull (m) apresentou diferença estatística entre os grupos (p=0,000). A ANOVA (1 fator) revelou que o fator "tratamento superficial" (p=0,0000) foi estatisticamente significativo para rugosidade superficial. Portanto, a aplicação de Zirlink e do Glaze na zircônia pré-sinterizada não promoveu adesão eficiente da zircônia ultratranslúcida ao cimento resinoso, mesmo quando associada a primer contendo MDP.

Effect of primer-cement systems with different functional phosphate monomers on the adhesion of zirconia to dentin.

PURPOSE: The objective of this study was to evaluate the effect of primer-cement systems with different functional phosphate monomers on the adhesion of zirconia to dentin with and without aging protocols. MATERIALS AND METHODS: Bovine teeth (N = 180) were embedded in acrylic resin after sectioning their roots with with their coronal parts exposed. The buccal surface of each tooth was polished with silicon carbide papers (#200, 400, 600) until dentin exposure. Sintered zirconia cylinders (N = 180) (Ø: 3.4 mm; height: 4 mm) (Vita In-Ceram 2000) were prepared and distributed into 18 groups (n = 10 per group) considering the following factors: "Cementation System" (Panavia F - PAN; RelyX Ultimate - ULT, Multilink N - MULT) and "aging" (water storage in distilled water at 37 °C for 24 h (control, C); 30 days (30D); 6 months (6 M) and thermocycling for 5000 (5TC), 10,000 (10TC) and 20,000 (20TC) thermal cycles (5-55 °C; dwell time: 30 s)". Zirconia and dentin cementation surfaces were conditioned according to the recommendations of the manufacturers of each resin cement. The cylinders were adhesively cemented to the dentin surfaces and the specimens were submitted to the aging protocols. After aging, the specimens were subjected to shear bond strength test (SBS) (1 mm/min) in a Universal Testing Machine and failure types were analyzed. The data (MPa) were statistically using Kruskal-Wallis followed by the Dunn test (α = 5%). The degree of conversion (DC) rates of the cementing systems were also measured. RESULTS: While without aging (24 h) no significant difference was found between the cement systems (p > 0.05), after 30D (4.3-5.4), the highest decrease in all groups were observed after 5TC (1.5-2.3) (p < 0.05). Overall, MULT and ULT presented significantly higher results than that of PAN (p < 0.05). Pre-test failures during TC were more frequent in the PAN group. Complete adhesive failures at the cement/dentin interface were more frequent for MULT (30-80%) and PAN (10-70%) and for ULT (20-90%) at the cement/ceramic interface. DC of the tested cements did not show significant difference. CONCLUSION: Adhesion performance of the primer-cement systems with different functional phosphate monomers on zirconia-dentin complex varied as a function of aging strategies with MULT and ULT delivering higher bond strength values. When failure types considered, none of the cement systems performed well on both ceramic and dentin.

Can the Application of Multi-Mode Adhesive be a Substitute to Silicatized/Silanized Y-TZP Ceramics?

This study evaluated the effectiveness of a multi-mode adhesive (SBU-Scotch Bond Universal/3M) as a substitute for silica coating and silane application on the bonding of zirconia ceramics to resin cement. One-hundred and twenty sintered zirconia ceramic blocks (5 x 5 x 5 mm) were obtained, finished by grounding with silicon carbide paper (#600, #800, #1000 and #1200) and randomly divided into 12 groups (n=10) in accordance with the factors "surface treatment" (ScSi - silicatization + silanization; ScSBU - silicatization + SBU; SBU - SBU without photoactivation and SBUp - SBU photoactivated) and "ceramic" (Lava / 3M ESPE, Ceramill Zirconia / Amann Girrbach and Zirkonzahn / Zirkonzahn). Dual resin cement cylinders (RelyX Ultimate/3M ESPE) were subsequently produced in the center of each block using a silicon matrix (Ø=2 mm, h=5 mm) and photoactivated for 40 s (1200 mW/cm2). The samples were stored for 30 days in distilled water (37ºC) and submitted to shear bond strength test (1 mm/min, 100 KgF). Data (MPa) were analyzed under ANOVA (2 levels) and Tukey test (5%). Complementary analyzes were also performed. ANOVA revealed that only the factor "surface treatment" was significant (p=0.0001). The ScSi treatment (14.28A) promoted statistically higher bond strength values than the other ScSBU (9.03B), SBU (8.47B) and SBUp (7.82B), which were similar to each other (Tukey). Failure analysis revealed that 100% of the failures were mixed. The silica coating followed by the silanization promoted higher bond strength values of resin cement and ceramic, regardless of the zirconia ceramic or SBU.

CAD-FEA modeling and fracture resistance of bilayer zirconia crowns manufactured by the rapid layer technology

Abstract In the RLT (Rapid Layer Technology), veneering ceramic and framework are fabricated by computer-aided design/computer-aided manufacturing (CAD/CAM) and then cemented to obtain the restoration. This study aimed to evaluate the effect of the thickness of veneering ceramic manufactured by the RLT technique on the fracture resistance (FR) of bilayer crowns with zirconia frameworks. Twenty zirconia frameworks and twenty feldspathic posterior crowns with two different veneering ceramic occlusal thicknesses (1mm=TF1; 2mm=TF2) were manufactured using CAD/CAM system. The specimens were luted to an epoxy resin abutment with resin cement and mechanically cycled (200N and 4.5×105 Pa, 37°C, 2×106 cycles, 3Hz). The FR test was performed (10kN, 0.5mm/min), and the specimens were analyzed in a stereomicroscope. For the stress analysis (finite element analysis, FEA), a 10kN load was equal to the in vitro test, and the principal stress was evaluated. The FR data were analyzed by Student's t-test and Weibull's analysis. The thickness influenced the FR of bilayer crowns. The FR was higher in the TF2 than in the TF1 group. The TF2 group presented the highest characteristic strength compared to the group TF1. The predominant type of failure was delamination. The FEA showed higher stress concentrations below the loading application point at the veneering cement interface in the 1-mm-thick model. The bilayer crowns manufactured using the approach of 2mm of veneering ceramic promoted higher FR compared to the group with 1mm veneering ceramic. Also, the FEA showed that the veneer ceramic thickness has an effect on stress distribution in zirconia-based bilayer crowns.

Resumo Na RLT (Rapid Layer Technology), a cerâmica de cobertura e infraestrutura são fabricados pelo Computer-Aided Design / Computer-Aided Manufacturing (CAD / CAM) e cimentados para obter a restauração. Este estudo teve como objetivo avaliar o efeito da espessura da cerâmica de cobertura fabricada pela técnica RLT na resistência à fratura (RF) de coroas bilaminadas com infraestrutura de zircônia. Vinte infraestruturas de zircônia e vinte coroas posteriores feldspáticas com duas espessuras oclusais da cerâmica de cobertura (1mm = TF1; 2mm = TF2) foram fabricadas usando o sistema CAD / CAM. Os espécimes foram cimentados em preparos de resina epóxi com cimento resinoso dual e ciclados mecanicamente (200N e 4,5×105 Pa, 37° C, 2×106 ciclos, 3Hz). O teste de RF foi realizado (10kN, 0,5mm / min) e, posteriormente, os espécimes foram analisados em estereomicroscópio. Para a análise de tensão (análise de elementos finitos, FEA), uma carga de 10kN foi aplicada igual ao teste in vitro, e a tensão principal foi avaliada. Os dados de RF foram analisados pelo teste t de Student e análise de Weibull. A espessura mostrou forte influência na RF das coroas bilaminadas. A RF foi maior em TF2 do que no grupo TF1. O grupo TF2 apresentou a maior resistência característica em relação ao grupo TF1. O tipo de falha predominante foi a delaminação. O FEA mostrou maiores concentrações de tensões abaixo do ponto de aplicação da carga, na interface cimento e cerâmica de cobertura no modelo de coroa de 1 mm de espessura. As coroas de bilaminadas confeccionadas com 2 mm de cerâmica de cobertura promoveram maior RF em comparação ao grupo com cerâmica de cobertura de 1 mm. Além disso, a FEA mostrou que a espessura da cerâmica de cobertura tem um efeito na distribuição de tensões em coroas bilaminadas à base de zircônia.

Marginal and internal discrepancies of zirconia copings: effects of milling system and finish line design.

CONTEXT: Discrepancies at the abutment/crown interface can affect the longevity of zirconia restorations. AIM: The aim was to evaluate the marginal and internal discrepancies (MD and ID) of zirconia copings manufactured by two milling systems with different finish lines. MATERIALS AND METHODS: Three aluminum-master-dies (h = 5.5 mm; Ψ =7.5 mm; 6΀), with different finish lines (large chamfer [LC]; tilted chamfer [TC]; rounded shoulder [RS]) were fabricated. Twenty impressions were made from each master die and poured. Sixty zirconia copings were manufactured and divided according to the factors "finish line" and "milling system" (n = 10): CAD LC = Computer-aided design/computer-aided manufacturing (CAD/CAM) + LC; CAD TC = CAD/CAM + TC; CAD RS = CAD/CAM + RS; MAD LC = manually aided design/manually aided manufacturing (MAD/MAM) + LC; MAD TC = MAD/MAM + TC; and MAD RS = MAD/MAM + RS. For MD analysis, each coping was fixed, and the distance between the external edges of the coping and the edge of the cervical preparation was measured (50 points). Using the same copings, the ID of each coping was evaluated, by the replica technique, at 12 points equally distributed among the regions (n = 10): Ray (R), axial (A), and occlusal (Occl). The measurements were performed by optical microscopy (Χ250). The data (µm) were subjected to parametric and non-parametric statistical analyses. RESULTS: For the MAD/MAM system, the "finish line" (P = 0.0001) affected significantly the MD median values (µm): LC = 251.80 a , RS = 68.40 a and TC = 8.10 b (Dunn's test). For the CAD/CAM system, the median MD values (µm) were not affected by the factor "finish line" (P = 0.4037): LC = 0.82 a , RS = 0.52 a , and TC = 0.89 a . For the ID, it was observed interaction between the finish line types and the region (P = 0.0001) and between region and milling system (P = 0.0031) (RM-ANOVA). CONCLUSIONS: The CAD/CAM system presented lower MD values, regardless the finish line. However, the MAD/MAM system showed ID values smaller than those of CAD/CAM.

Bond strength of a self-adhesive resin cement to enamel and dentin.

The purpose of this study was to evaluate the influence of surface treatments and thermocycling on the microtensile bond strength (µTBS) of self-adhesive resin cement to human enamel and dentin. Eighty human third molars were selected. The crowns of 40 teeth were transversally sectioned, exposing the mid-coronal dentin. The buccal surfaces of the other 40 teeth were grinded to obtain a 5 mm2 flat enamel area. Eighty resin blocks were produced and cemented to the dental surfaces with RelyX Unicem, then grouped according to the surface treatment (n=10): UnicemC with no conditioning, UnicemP with 37% phosphoric acid/15 s, and UnicemPA with 37% phosphoric acid/15 s plus adhesive bonding (Single Bond 2). There were two control groups, one for enamel and the other for dentin: VR with 37% phosphoric acid/15 s plus adhesive bonding (Single Bond 2) plus Variolink II. The enamel-dentin resin cement blocks were sectioned to produce non-trimmed bar specimens, which were divided into two storage conditions: dry, µTBS immediately after cutting; TC (5,000 x; 5°C/55°C). The samples were submitted to µTBS, and data were statistically analyzed by ANOVA and Tukey's test. The results showed statistical differences between UnicemC and the others. UnicemPA and VR showed better bond strength to dentin during the period before and after thermocycling, respectively. For the enamel, UnicemP showed better bond strength for both situations. Only for UnicemPA did the thermocycling significantly decrease the bond strength values. Within the limits of this study, it could be concluded that the bond strength is influenced by the surface treatments, and that thermocycling decreases the bond strength of all groups, but significantly only for UnicemPA.

Effect of air-abrasion regimens and fine diamond bur grinding on flexural strength, Weibull modulus and phase transformation of zirconium dioxide.

PURPOSE: This study evaluated the effect of air abrasion and polishing regimens on the flexural strength of yttrium stabilized polycrystalline tetragonal zirconia (Y-TZP). METHODS: From Y-TZP blocks (InCeram 2000 YZ Cubes; Vita Zahnfabrik, Bad Säckingen, Germany) 120 bars (25 mm × 4 mm × 1.2 mm) were obtained according to ISO 6872:2008 and randomly divided into 4 groups: Group C: (control) without surface treatment (n = 30); Group APA: Air abrasion with aluminum oxide (44 µm) (n = 30); Group SC: Silica-coating (CoJet, 30 µm) (n = 30); Group FD: Fine diamond bur (n = 30). Subsequently, all specimens were subjected to 4-point bending test (in distilled water at 37 °C) in a universal testing machine (EMIC DL 1000; São José dos Pinhais, Paraná, Brazil); cross-head speed: 0.5 mm/min). The characteristic strength (σ0) of each specimen was obtained from the flexural strength test and evaluated using Weibull analysis. X-ray diffraction analysis was utilized to quantity the monoclinic phase. The surface topography of specimens was analyzed using 3D optical profilometer and scanning electron microscopy (SEM) after surface conditioning methods. The flexural strength data (σ4p) were statistically analyzed by 1-way ANOVA, Tukey test (α = 0.05) and Weibull (m = modulus, σ0 = characteristic strength) were calculated. RESULTS: The mean ± standard deviations (MPa) of the groups were as follows: C: 1196.2 ± 284.2a; APA: 1369.7 ± 272.3a; SC: 1207.1 ± 229.7a and FD: 874.4 ± 365.4b. The values (m) and (σ0) were as follows: C: 4.5 and 1308.12; APA: 5.9 and 1477.88; SC: 6.0 and 1300.28; and FD: 2.6 and 985.901, respectively. CONCLUSIONS: Air particle abrasion with neither silica nor alumina showed significant difference compared to the control group but grinding with fine diamond bur impaired the flexural strength of the zirconia tested.

Different surface treatment protocols of a Y-TZP ceramic with a superficial glaze layer

Aim: evaluate the influence of etching time with hydrofluoric acid on the bond strength of a Yttrium-stabilized polycrystalline tetragonal zirconia (Y-TZP) ceramic with a superficial glaze layer and a resin cement. Methods: Y-TZP blocks were cut to obtain 40 samples. They were distributed into four groups (n = 10): control treated by sandblasting with silica-coated alumina (RS) and three glazed experimental groups with different etching times: GS20s, GS60s and GS100s. Cementation was done with a universal adhesive and a resin cement. Two cement cylinders were made in each block. After thermocycling, the shear bond test was performed. Two extra samples of each group were made to obtain profilometry, scanning electron microscopy, mapping and backscattered electron detector images. Energy dispersive spectrometry and goniometry were also performed. Results: Kruskal-Wallis and Dunn tests demonstrated bond strength differences only between the RS (22.10MPa) and the GS groups (GS20s: 8,10Mpa; GS60s: 10.49MPa; GS100s: 7.53MPa) (p = 0.001), but there was no difference among the experimental groups (p > 0.05). The contact angles were 55.33º (RS); 70.78° (GS100s); 48.20º (GS60s) and 28.73º (GS20s). ANOVA and Tukey test demonstrated similar wettability of RS to GS60s and GS100s (p > 0.05), but all the experimental groups were statistically different between them (p < 0.001). Qualitative image analysis revealed an irregular glaze distribution after etching. The thickness of the remaining glaze layer measured by profilometry was 5±1µm (GS20S), 4±1µm (GS60S) and 3±1µm (GS100s). Conclusion: The etching time of glazed zirconia did not influence the adhesive strength of the ceramic to the resin cement

Effects of cement-curing mode and light-curing unit on the bond durability of ceramic cemented to dentin.

The aim of this study was to evaluate the effects of different light-curing units and resin cement curing types on the bond durability of a feldspathic ceramic bonded to dentin. The crowns of 40 human molars were sectioned, exposing the dentin. Forty ceramic blocks of VITA VM7 were produced according to the manufacturer's recommendations. The ceramic surface was etched with 10% hydrofluoric acid / 60s and silanized. The dentin was treated with 37% phosphoric acid / 15s, and the adhesive was applied. The ceramic blocks were divided and cemented to dentin according to resin cement / RC curing type (dual- and photo-cured), light-curing unit (halogen light / QTH and LED), and storage conditions (dry and storage / 150 days + 12,000 cycles / thermocycling). All blocks were stored in distilled water (37°C / 24h) and sectioned (n = 10): G1 - QTH + RC Photo, G2 - QTH + RC Dual, G3 - LED + RC Photo, G4 - LED + RC Dual. Groups G5, G6, G7, and G8 were obtained exactly as G1 through G4, respectively, and then stored and thermocycled. Microtensile bond strength tests were performed (EMIC), and data were statistically analyzed by ANOVA and Tukey's test (5%). The bond strength values (MPa) were: G1 - 12.95 (6.40)ab; G2 - 12.02 (4.59)ab; G3 - 13.09 (5.62)ab; G4 - 15.96 (6.32)a; G5 - 6.22 (5.90)c; G6 - 9.48 (5.99)bc; G7 - 12.78 (11.30)ab; and G8 - 8.34 (5.98)bc. The same superscript letters indicate no significant differences. Different light-curing units affected the bond strength between ceramic cemented to dentin when the photo-cured cement was used, and only after aging (LED > QTH). There was no difference between the effects of dual- and photo-cured resin-luting agents on the microtensile bond strength of the cement used in this study.