Effect of hydrofluoric acid etching time and resin bonding on the flexural strength of lithium disilicate glass ceramic / 中华口腔医学杂志

ABSTRACT

<p><b>OBJECTIVE</b>To analyze the effect of hydrofluoric acid(HFA) etching time and resin bonding on the flexural strength of IPS e.max® Press glass ceramic, and evaluate the efficacy of resin cements to seal the cracks of the etched ceramic.</p><p><b>METHODS</b>Two hundred and twenty-five bars (25.0 mm×3.0 mm×2.0 mm) were made from IPS e.max® Press ingots using lost-wax, hot-pressed ceramic fabrication technology and randomly divided into five groups, forty-five each.In each group, the surfaces of ceramic bars were etched by 9.5% HFA gel for 0, 20, 40, 60 and 120 s respectively. Three specimens from each group were selected to observe the microstructure by the field emission scanning electron microscope (FE-SEM). Then each group were randomly subdivided into two subgroups (n = 20).One subgroup were coverd with a thin (approximately 0.1 mm) layer of resin cement (Variolink N), whereas the other subgroup remained unaltered.Half of the specimens were stored in 37°C water bath for 24 h and the other half went through thermocycle 10 000 times before 3-point bending test to determine their flexural strength.Interfaces between resin cement and etched ceramic were examined with FE-SEM.</p><p><b>RESULTS</b>FE-SEM results showed that etching with HFA resulted in preferential dissolution of glass ceramic, and partially supported crystals within the glass matrix were lost with the increasing of etching time.FE-SEM indicated that resin cement sealed the cracks and defects and bonded tightly to etched ceramic surface. The mean flexural strength values of group 0, 20, 40, 60 and 120 s were (384 ± 33), (347 ± 43), (330 ± 53), (327 ± 67) , and (317 ± 41) MPa respectively. The mean flexural strength of each group except group 0 s increased significantly to (420 ± 31), (435 ± 50), (400 ± 39), and (412 ± 58) MPa respectively after the application of resin cement.</p><p><b>CONCLUSIONS</b>Overtime HFA etching could have a wakening effect on IPS e.max® Press glass-ceramic. The application of dual-curing resin cement can compensate the strength loss of the etched glass ceramic.</p>