ABSTRACT
Abstract Clinical research and in vitro laboratory tests have enabled the development and improvement of dental ceramics. Comprehension of the physical and mechanical properties of this material is essential, in order to ensure a functional, aesthetic and long-lasting posterior ceramic restoration. The clinical protocol for onlay preparation involves important considerations in treatment planning, such as selection of the restorative material, biomechanical design, color selection, dental substrates conditioning and adhesive cementation. This article discusses a brief review on the topic and a case presentation in which a posterior tooth was rehabilitated with an IPS Empress Esthetic® ceramic onlay.
Resumen La investigación clínica y las pruebas de laboratorio in vitro han permitido el desarrollo de los materiales cerámicos en odontología. La comprensión de las propiedades físicas y mecánicas de este material es esencial para asegurar una restauración funcional, estética y duradera. El protocolo clínico para la preparación de un onlay implica consideraciones importantes en la planificación del tratamiento, tales como la selección del material restaurador, diseño biomecánico, selección de color, acondicionamiento de sustratos dentales y cementación adhesiva. Este artículo discute una breve revisión sobre el tema y una presentación de caso en la que un diente posterior fue rehabilitado con una restauración indirecta tipo Onlay.
Subject(s)
Humans , Female , Adult , Cementation , Dental Restoration, Permanent/methods , Inlays/methodsABSTRACT
PURPOSE: To evaluate the effects of different surface treatments on the bond strength of novel CAD/CAM restorative materials to resin cement by four point bending test. MATERIALS AND METHODS: The CAD/CAM materials under investigation were e.max CAD, Mark II, Lava Ultimate, and Enamic. A total of 400 bar specimens (4×1.2×12 mm) (n=10) milled from the CAD/CAM blocks underwent various pretreatments (no pretreatment (C), hydrofluoric acid (A), hydrofluoric acid + universal adhesive (Scotchbond) (AS), sandblasting (Sb), and sandblasting + universal adhesive (SbS)). The bars were luted end-to-end on the prepared surfaces with a dual curing adhesive resin cement (Variolink N, Ivoclar Vivadent) on the custom-made stainless steel mold. Ten test specimens for each treatment and material combination were performed with four point bending test method. Data were analyzed using ANOVA and Tukey's test. RESULTS: The surface treatment and type of CAD/CAM restorative material showed a significant effect on the four point bending strength (FPBS) (P < .001). For LDC, AS surface treatment showed the highest FPBS results (100.31 ± 10.7 MPa) and the lowest values were obtained in RNC (23.63 ± 9.0 MPa) for control group. SEM analyses showed that the surface topography of CAD/CAM restorative materials was modified after treatments. CONCLUSION: The surface treatment of sandblasting or HF acid etching in combination with a universal adhesive containing MDP can be suggested for the adhesive cementation of the novel CAD/CAM restorative materials.
Subject(s)
Adhesives , Cementation , Fungi , Hydrofluoric Acid , Methods , Resin Cements , Stainless SteelABSTRACT
PURPOSE: The purpose of this study is to evaluate if pre-treatment with desensitizers have a negative effect on microtensile bond strength before cementing a restoration using recently introduced self-adhesive resin cement to dentin. MATERIALS AND METHODS: Thirty-five human molars' occlusal surfaces were ground to expose dentin; and were randomly grouped as (n=5); 1) Gluma-(Glutaraldehyde/HEMA) 2) Aqua-Prep F-(Fluoride), 3) Bisblock-(Oxalate), 4) Cervitec Plus-(Clorhexidine), 5) Smart protect-(Triclosan), 6) Nd:YAG laser, 7) No treatment (control). After applying the selected agent, RelyX U200 self-adhesive resin cement was used to bond composite resin blocks to dentin. All groups were subjected to thermocycling for 1000 cycles between 5-55degrees C. Each bonded specimen was sectioned to microbars (6 mm x 1 mm x 1 mm) (n=20). Specimens were submitted to microtensile bond strength test at a crosshead speed of 0.5 mm/min. Kolmogorov-Smirnov, Levene's test, Kruskal-Wallis One-way Analysis of Variance, and Conover's nonparametric statistical analysis were used (P.05). The microtensile bond strengths of Aqua-Prep F, and Cervitec Plus were similar to each other but significantly lower than the control group (P<.05). Bisblock showed the lowest microtensile bond strength among all groups (P<.001). Most groups showed adhesive failure. CONCLUSION: Within the limitation of this study, it is not recommended to use Aqua-prep F, Cervitec Plus and Bisblock on dentin when used with a self-adhesive resin cement due to the decrease they cause in bond strength. Beside, pre-treatment of dentin with Gluma, Smart protect, and Nd:YAG laser do not have a negative effect.
Subject(s)
Humans , Adhesives , Dentin , Resin CementsABSTRACT
OBJECTIVES: To determine the micro-hardness profile of two dual cure resin cements (RelyX - U100®, 3M-eSPe and Panavia F 2.0®, Kuraray) used for cementing fiberreinforced resin posts (Fibrekor® - Jeneric Pentron) under three different curing protocols and two water storage times. MATERIAL AND METHODS: Sixty 16mm long bovine incisor roots were endodontically treated and prepared for cementation of the Fibrekor posts. The cements were mixed as instructed, dispensed in the canal, the posts were seated and the curing performed as follows: a) no light activation; b) light-activation immediately after seating the post, and; c) light-activation delayed 5 minutes after seating the post. The teeth were stored in water and retrieved for analysis after 7 days and 3 months. The roots were longitudinally sectioned and the microhardness was determined at the cervical, middle and apical regions along the cement line. The data was analyzed by the three-way ANOVA test (curing mode, storage time and thirds) for each cement. The Tukey test was used for the post-hoc analysis. RESULTS: Light-activation resulted in a significant increase in the microhardness. This was more evident for the cervical region and for the Panavia cement. Storage in water for 3 months caused a reduction of the micro-hardness for both cements. The U100 cement showed less variation in the micro-hardness regardless of the curing protocol and storage time. CONCLUSIONS: The micro-hardness of the cements was affected by the curing and storage variables and were material-dependent.