Feldspar ceramic strength and the reinforcing effect by adhesive cementation under accelerated aging

Abstract This study evaluated the effect of the accelerated artificial aging (AAA) on feldspar ceramic strength and the reinforcing effect promoted by adhesive cementation with resin luting agent. One hundred twenty feldspar ceramic disks were obtained. Sixty disks were acid-etched, silanized, and coated with an experimental resin luting agent simulating the adhesive luting procedures. Four groups were created (n=30): uncoated ceramic (control group), uncoated ceramic submitted to AAA, ceramic coated with resin luting agent, and coated ceramic submitted to AAA. Biaxial flexural testing with ball-on-ring setup was carried out. Biaxial flexural strength (s bf , MPa), characteristic strength (s 0 , MPa), and Weibull modulus (m) were calculated for axial positions z=0 (ceramic surface) and z=−t2 (luting agent surface). Data of s bf at positions z=0 and z=-t2 were separately submitted to statistical analyses (a=0.05). The uncoated ceramic submitted to AAA had no significant difference in s bf and s 0 compared with the control group. Resin coating of the ceramic increased s bf and s 0 at z=0. The AAA increased the s bf and s 0 for the resin-coated ceramic specimens at z=0 and also the s 0 at axial position z=-t2. The structural reliability at z=0 and z=-t2 was not influenced by the variables tested. In conclusion, resin coating improved the mechanical strength of the feldspar ceramic. The AAA procedure was not effective in aging the uncoated or resin-coated feldspar ceramic specimens.

Resumo Este estudo avaliou o efeito do envelhecimento artificial acelerado (EAA) na resistência da cerâmica feldspática e o reforço promovido pela cimentação adesiva com cimento resinoso. Cento e vinte discos de cerâmica feldspática foram obtidos. Sessenta discos foram condicionados com ácido, silanizados, e recobertos com um cimento resinoso experimental simulando os procedimentos de cimentação adesiva. Quatro grupos foram criados (n=30): cerâmica sem recobrimento (grupo controle), cerâmica sem recobrimento submetida ao EAA, cerâmica recoberta com cimento resinoso, cerâmica recoberta com cimento resinoso submetida ao EAA. O teste de resistência à flexão biaxial foi realizado utilizando o dispositivo pistão-anel. Resistência à flexão biaxial (s fb , MPa), resistência característica (s 0 , MPa), e módulo de Weibull (m) foram calculados para as posições axiais z=0 (superfície da cerâmica) e z=−t2 (superfície do cimento). Os dados de s fb em z=0 e z=−t2 foram submetidos a análises estatísticas separadamente (a=0,05). A cerâmica não recoberta submetida ao EAA não teve diferença significante na s fb e s 0 comparada com o grupo controle. O recobrimento com cimento resinoso da cerâmica aumentou a s fb e s 0 em z=0. O EAA aumentou a s fb e s 0 para os espécimes de cerâmica recobertos com cimento resinoso em z=0 e também a s 0 em z=−t2. A confiabilidade em z=0 e z=−t2 não foi influenciada pelas variáveis testadas. Concluindo, o recobrimento com cimento resinoso melhorou a resistência mecânica da cerâmica feldspática. O procedimento de EAA não foi efetivo em envelhecer os espécimes de cerâmica feldspática recobertos ou não com cimento resinoso.

Effect of liners and primers on tensile bond strength between zirconia and resin-based luting agent

PURPOSE: The effect of silica-based glass-ceramic liners on the tensile bond strength between zirconia and resin-based luting agent was evaluated and compared with the effect of 10-methacryloyloxydecyl dihydrogen phosphate (MDP)-containing primers. MATERIALS AND METHODS: Titanium abutments and zirconia crowns (n = 60) were fabricated, and the adhesive surfaces of the specimens were treated by airborne-particle abrasion. The specimens were divided into 5 groups based on surface treatment: a control group, 2 primer groups (MP: Monobond Plus; ZP: Z Prime Plus), and 2 liner groups (PL: P-containing Liner; PFL: P-free Liner). All specimens were cemented with self-adhesive resin-based luting agent. After 24-hour water storage and thermocycling (5,000 cycles, 5℃/55℃), the tensile bond strength was measured using a universal testing machine. Failure mode analysis and elemental analysis on the bonding interface were performed. The data were analyzed using Kruskal-Wallis test, Dunn's post hoc test, and Fisher's exact test. RESULTS: The liner groups and primer groups showed significantly higher tensile bond strengths than that of the control group (P < .05). PFL showed a significantly higher tensile bond strength than the primer groups (P < .05). The percentage of mixed failure was higher in the primer groups than in the control group (P < .001), and all the specimens showed mixed failure in the liner groups (P < .001). A chemical reaction area was observed at the bonding interface between zirconia and liner. CONCLUSION: The application of liner significantly increased the tensile bond strength between zirconia and resin-based luting agent. PFL was more effective than MDP-containing primers in improving the tensile bond strength with the resin-based luting agent.

Effects of abutment diameter, luting agent type, and re-cementation on the retention of implant-supported CAD/CAM metal copings over short abutments

PURPOSE: The aim of this study was to evaluate the effects of abutment diameter, cement type, and re-cementation on the retention of implant-supported CAD/CAM metal copings over short abutments. MATERIALS AND METHODS: Sixty abutments with two different diameters, the height of which was reduced to 3 mm, were vertically mounted in acrylic resin blocks with matching implant analogues. The specimens were divided into 2 diameter groups: 4.5 mm and 5.5 mm (n=30). For each abutment a CAD/CAM metal coping was manufactured, with an occlusal loop. Each group was sub-divided into 3 sub-groups (n=10). In each subgroup, a different cement type was used: resin-modified glass-ionomer, resin cement and zinc-oxide-eugenol. After incubation and thermocycling, the removal force was measured using a universal testing machine at a cross-head speed of 0.5 mm/min. In zinc-oxide-eugenol group, after removal of the coping, the cement remnants were completely cleaned and the copings were re-cemented with resin cement and re-tested. Two-way ANOVA, post hoc Tukey tests, and paired t-test were used to analyze data (α=.05). RESULTS: The highest pulling force was registered in the resin cement group (414.8 N), followed by the re-cementation group (380.5 N). Increasing the diameter improved the retention significantly (P=.006). The difference in retention between the cemented and recemented copings was not statistically significant (P=.40). CONCLUSION: Resin cement provided retention almost twice as strong as that of the RMGI. Increasing the abutment diameter improved retention significantly. Re-cementation with resin cement did not exhibit any difference from the initial cementation with resin cement.

Dual resin cement knoop hardness after different activation modes through dental ceramics

This study investigated the influence of ceramic compositions on Knoop Hardness Number (KHN) immediately and 24 h after polymerization and the effect of activation modes on the KHN of a resin cement. Ten Panavia F 2.0 resin cement discs were activated either directly using curing light, or chemically without light, or through 1.2-thick ceramic discs. The following ceramics were evaluated: Duceram, Cergogold, IPS Empress, IPS Empress 2, Procera, Cercon, In Ceram Alumina and In Ceram Zirconia. The KHN was obtained immediately and after 24-h testing time. Two-way ANOVA and Tukey's test were performed for statistical analysis (p<0.05). Direct activation showed higher KHN than activation through ceramics and chemical activation for both immediate and 24-h post activation. The KHN for 24-h post activation time was higher than that of the immediate post activation time except for the direct activation mode. The glass and di-silicate based ceramics showed higher KHN than alumina- and zirconia-based ceramics, immediately and after 24-h. The reinforced and opaque ceramics had the lowest KHN. The ceramic composition resulted in light attenuation, lower polymerization and lower KHN, and the 24-h testing time promoted an improvement of KHN except for direct activation mode.

Este estudo investigou a influência de composições de cerâmica no número de dureza Knoop (KHN), imediatamente e 24 h após a polimerização; e o efeito de modos de ativação na KHN de um cimento resinoso. Dez discos de cimento resinoso Panavia F 2.0 foram ativados diretamente usando uma fonte de luz, ou quimicamente sem luz, ou através de discos de cerâmica com espessura de 1,2 mm. As cerâmicas avaliadas foram Duceram, Cergogold, IPS Empress, IPS Empress 2, Procera, Cercon, In Ceram Alumina e In Ceram Zirconia. O KHN foi obtido nos tempos imediatamente e após 24 h. Os testes ANOVA two-way e Tukey foram realizados para a análise estatística (p<0,05). A ativação direta apresentou maiores KHN que a ativação através das cerâmicas e ativação química, para ambos os tempos testados imediatamente e após 24 h. O KHN para o tempo de ativação testado após 24 h foi superior que o tempo imediatamente, exceto para o modo de ativação direto. As cerâmicas à base de vidro e di-silicato apresentaram KHN superiores que as cerâmicas à base de alumina e zircônia, imediatamente e após 24 h. As cerâmicas mais reforçadas e opacas resultaram um dos menores KHN. A composição da cerâmica resulta em atenuação de luz, menor polimerização e menor KHN; e o tempo de 24 h testado promove uma melhora no KHN, exceto para o modo de ativação direto.

A in vitro study of coronal microleakage of different post and cement systems / 实用口腔医学杂志

Objective: To compare the coronal sealing abilities of different post and cement systems through measuring the value of leakage by using dye method. Methods: Fifty human mandibular premolars with single canal were divided into 6 groups randomly. A group: roots sealed by temporary material, B group: roots restored with fiber post adhered with composite resin cement, C group: roots restored with casting metal post and core adhered with composite resin and zinc phosphate cement, D group: positive control, E group: negative control. After finishing preparation and restoration of roots, microleakage was determined by using dye method. Results: The groups restored with any post and core system produced significantly less microleakage than temporary material sealing group(P<0.05). But no differences were detected between two groups bonded with the composite resin cement (P>0.05). Posts adhered with zinc phosphate luting agent produced more leakage than those with composite resin cement(P<0.05). Conclusion: Luting agent can decrease the coronal microleakage. Composite resin cement provides better sealing ability.

Effects of various cements and thermocycling on retentive strengths of cemented implant-supported prostheses / 대한치과보철학회지

STATEMENT OF PROBLEM: In cemented implant-supported porstheses, it is still controversy what kind of cement to use. However, the effect of thermocycling on retentive strength of cemented implantsupported prostheses has not been well investigated. PURPOSE: This study was tested to evaluate the effects of various cements and thermocycling on retentive strengths of cemented implant-supported prostheses. MATERIAL AND METHODS: Prefabricated implant abutments, height 5mm, diameter 6mm, 3- degree taper per side, with light chamfer margins were used. Ten specimens of two-unit fixed partial denture were fabricated. The luting agents used for this study were three provisional luting agents which were Temp bond, Temp bond NE, IRM and four permanent luting agents which were Panavia F, Fuji-cem, Hy-bond Zinc cement, Hy-bond Polycarboxylate cement. 24 hours after cementation, the retentive strengths were measured by the universal testing machine with a cross-head speed of 0.5mm/min. Then cementation procedures were repeated and specimens were thermocycled 1000 times at temperature of 5degrees C and 55degrees C. After thermocycling, the retentive strengths were measured. RESULTS: Before thermocycling, the retentive strengths were decreased with the sequence of Panavia F, Fuji-cem, Hy-bond Zinc cement, Hy-bond Polycarboxylate cement, IRM, Temp bond NE and Temp bond, and there were significant differences among each groups(p0.05). The retentive strengths before and after thermocycling showed significant differences in Hy-bond Zinc cement. IRM, Temp bond NE and Temp bond(p<0.05). CONCLUSION: Within the limitation of this study, thermocycling do not affect the retentive strengths of permanent luting agents but the retentive streng ths of temporary cements were reduced significantly after thermocyling.

Marginal Fidelity And Fracture Strength Of Ips Empress 2(R) Ceramic Crowns According To Different Cement Types / 대한치과보철학회지

There has been increasing use of IPS Empress 2(R)owing to easy fabrication method, high esthetics similar to natural teeth, good marginal accuracy, and sufficient fracture strength. However, in clinical application, although a luting agent and the tooth cementation bonding procedure influence the marginal accuracy and fracture strength restoration, there has been a controversy in the selection of proper luting agent. This study was to measure the marginal fidelites and fracture strength of IPS Empress 2(R) crowns according to three cement types, Protec cem(R), Variolink II(R) and Panavia 21(R). After construction of 12 experimental dies for each group, IPS Empress 2(R)crowns were fabricated and luted the metal master die prepartion of the maxillary right premolar. Marginal gaps before cementation and after cementation were measured. Buccal incline on the functional cusp of specimens were loaded until the catastrophic failure and fracture strength was measured. The results of this study were as follows: 1. The range of gap was 34.04 +/- 4.84 micro meter before cementation and 37.88 +/- 5.00 micro meter after cementation, which showed significant difference by paired t-test (p0.05). 2. The difference in the results from marginal accuracy according to three cement types proved that The Variolink II(R) cement group had the least gap, 35.43 +/- 5.03 micro meter, and showed superior marginal accuracy while there existed statistic significance in Protec cem(R) cement group, 39.06 +/- 4.41 micro meter or Panavia 21(R)cement group, 39.16 +/- 4.39 micro meter by two-way ANOVA test and multiple range test (p<0.05). 3. The difference in the results from fractures strength testing according to three cement type groups proved to be statistically significant (p<0.05). The Variolink II(R) cement group shows the highest fracture strength of 1257.33 +/- 226.77 N, Panavia 21(R)cement group has 1098.08 +/- 138.45 N, and Protec cem(R) cement group represents the lowest fracture strength of 926.75 +/- 115.75 N. 4. Three different cement groups of different components showed acceptable marginal fidelity and fracture strength. It is concluded that IPS Empress 2(R)crowns luted using Variolink II(R) cement group had stronger fracture strength and smaller marginal gap than the other cement groups. Although Variolink II(R) resin cement seemed acceptable to clinical applications in IPS Empress 2(R)system, the IPS Empress 2(R)system still requires long-term research due to the lack of data in clinical applications