Effect of different surface treatments on the micro tensile bond strength to dentin, biaxial flexural strength and roughness of CAD/CAM resin composite and polymer infiltrated ceramic.

OBJECTIVES: To evaluate the biaxial flexural strength (BFS), surface roughness (Ra) and micro tensile bond strength (µTBS) of two CAD/CAM materials after different surface treatments. MATERIALS AND METHODS: For µTBS, 64 human molars were used and 32 blocks of resin composite (RC-Lava Ultimate) and polymer-infiltrated ceramic (PIC -Vita Enamic). The blocks and teeth were distributed into 16 groups according to the factors "surface treatment" (HF: 10% hydrofluoric acid; APA: Al2O3 sandblasting; SC: silicate-Al2O3 sandblasting; MEP: Monobond Etch and Prime) and "thermal cycling" (TC). After cementation, the blocks were sectioned into 1 mm2 bars. Half of the specimens were thermocycled and submitted to µTBS test. For BFS, RC and PIC discs were made and distributed according to the surface treatments and after mechanical cycling, submitted to BFS test. Roughness, EDS, SEM, and Weibull analyses were also performed. Data were analyzed by (1 or 2-way) ANOVA and Tukey test (α = 0.05). RESULTS: For RC, SC and HF after TC showed significantly higher µTBS values. For PIC HF after TC showed higher µTBS than the other groups. For RC, the BFS was higher for MEP than Al2O3 and SC. For PIC, none of the surface treatments influenced BFS. CONCLUSION: The highest µTBS for RC was obtained with SC followed by silanization and for PIC, HF followed by silanization. The RC showed lower strength after Al2O3 blasting. For PIC all surface treatments resulted in similar BFS.

Effect of different loading pistons on stress distribution of a CAD/CAM silica-based ceramic: CAD-FEA modeling and fatigue survival analysis.

PURPOSE: This study evaluated the effect of different loading pistons, made of various materials and with different elastic moduli acting as antagonist material, on stress distribution and fatigue behavior of a CAD/CAM silica-based ceramic. MATERIALS AND METHODS: Discs of CAD/CAM made silica-based ceramic (N = 60) (VITA MARK II) were divided into six groups (n = 10 per group), according to the test method (M: Monotonic; F: Fatigue) and the antagonist piston material (T: Tungsten; S: Steel; G: Epoxy resin). FT, FS and FG combinations were submitted to mechanical cycling (2 × 106 cycles, 4 Hz, 45 N). The bending stress after fatigue were also valuated using Weibull analysis and the parameters η (eta), ß (beta) and the mean time to failure (MTTF) were calculated. Fractographic analysis and Finite Element Analysis (FEA) were performed. Data were analyzed using ANOVA and Tukey's tests (alpha=0.05). RESULTS: MG presented significantly less bending strength (MPa) (75.6) compared to MT (87.8) and MS (84.4) (p < 0.05). Six specimens from FT (MMTF: 8.3 × 106; ß:0.60; η:5.6 × 106), four from FS (MMTF: 1.9 × 106; ß:1.2; η:2.0 × 106) and one from FG (MMTF: 1.3 × 106; ß:0.48; η:0.64 × 106) survived the fatigue test. The stress peak on the tensile surface of S was similar to that of T and both were less than that of G. The failure origins were on the tensile surface. CONCLUSION: The epoxy resin pistons were able to decrease the bending stress, and life expectancy (faster failure) of a silica-based ceramic compared to tungsten and steel.