RESUMEN
This study evaluated the effect of simulated pulpal pressure (SPP) conditions and storage time on contemporary adhesive systems' microtensile bond strength (µTBS) to dentin. Extracted human molars were prepared and randomly divided into four groups according to the adhesives: Clearfil Megabond 2 (CSE), Beautibond Xtreme Universal (BXU), G2-Bond (G2B), and Scotchbond Universal Plus (SBP). Each adhesive group was further divided following the SPP conditions: control with no simulation (SPP-CTR), SPP with distilled water (SPP-DTW), and SPP with fetal bovine serum (SPP-FBS). Resin composite build-ups were prepared, and teeth were stored in water (37 °C) for 24 h (24 h) and 3 months (3 m). Then, teeth were sectioned to obtain resin-dentin bonded beams and tested to determine the µTBS. Data were analyzed using three-way ANOVA, Tukey post hoc tests (=0.05), and Weibull failure analysis. Failure mode was observed using scanning electron microscopy. The µTBS response was affected by adhesive systems, simulated pulpal pressure conditions, and storage time. SPP-CTR groups presented a higher overall bond strength than SPP-DTW and SPP-FBS, which were not significantly different from each other. Only for SBP, the SPP-FBS group showed higher µTBS than the SPP-DTW group. The Weibull analysis showed that the bonding reliability and durability under SPP-DTW and SPP-FBS were inferior to SPP-CTR, and the 24 h bonding quality of adhesives to dentin was superior to that of 3 m. SPP drastically reduced the µTBS of all adhesives to dentin regardless of solution (distilled water or fetal bovine serum). Storage after 3 m also decreased µTBS despite the SPP condition.
RESUMEN
This study aimed to use quantitative and qualitative evaluations based on micro-tensile bond strength (µTBS) to clarify the appropriate immediate dentin sealing (IDS) approach for improving the bonding of CAD/CAM ceramic crown restorations. Forty-eight extracted human molars were prepared to obtain standardized abutment specimens and divided into three groups: no IDS (group C: control), IDS performed by a single application of an all-in-one adhesive system (group A), and IDS performed by the combined application of an adhesive system and a flowable resin composite (group F). All specimens were restored with a ceramic crown fabricated by a chair-side CAD/CAM system and were divided into no-stress and stressed groups. After cyclic loading (78.5 N; total, 3 × 105 cycles; 90 cycles/min) on the specimens in the stressed group, all specimens were sectioned. The µTBS values for the occlusal and mesioaxial walls were measured (n = 16) and analyzed statistically. The quantitative bonding performance of groups A and F were superior to that of group C, regardless of the cyclic loading and abutment wall conditions. Group F showed the maximum bond strength and the highest bond durability in the qualitative bonding performance even under the cyclic loading condition simulating clinical mastication.
RESUMEN
The development of dental CAD/CAM system has made metal-free ceramic restorations more available to patients. Silane coupling treatment is an essential clinical process to achieve reliable and good adhesion with silica-based indirect restoratives. However, long-term water-storage causes the hydrolysis of silane coupling agents and decreases the bond strength. The aim of this study was to examine the effect of additional treatments including photochemical treatments on silane coupling performance in ceramic restorations. The influence of water-storage periods (1d: one day, 1m: one month, and 3m: three months) for the silanized surface of CAD/CAM ceramic restorations was also investigated. In addition, bonding reliability was evaluated as a qualitative measure in order to characterize the bond strength of CAD/CAM restorations. The micro-tensile bond strength (µ-TBS) was measured to explore the benefits of additional photochemical treatments (UV: ultraviolet and VL: visible light irradiations) on silanized surfaces, compared to non-additional treated (CO) and dry heating (DR) conditions. In the CO specimens, µ-TBS decreased in the order of 1d > 1m > 3m. However, in DR, UV, and VL additional treatments, no significant differences could be observed in the 1d, 1m, and 3m groups. The Weibull modulus and 10% failure probability values of the UV and VL specimens were inclined to be significantly greater than those of CO specimens, regardless of the water-storage period. These findings reveal that additional photochemical treatments had a successful effect to improve the bond strength and bonding reliability of the CAD/CAM restorations, when compared to CO and DR conditions.
