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PubMed2004

Comparison of the tensile bond strengths of cast metal crowns luted with resin cements.

The limitation of photoactivation of dual-polymerized resin cements along the margins of metal restorations may adversely affect the mechanical properties of these cements, thus impairing the retention of restorations. The aim of this study was to assess the bond strength of cast metal crowns cemented with three dual-polymerized resin cements, using a chemically-activated resin cement and zinc phosphate as controls. Fifty nickel-chromium alloy crowns were cast and randomly assigned to five groups of equal size. Castings were cemented on their corresponding metal dies with one of the tested luting agents: Scotchbond Resin Cement, Enforce and Panavia F (dual-polymerized resin cements), Cement-It (chemically-activated resin cement) and Zinc Phosphate Cement (zinc phosphate cement). Specimens were stored in distilled water at 37 degrees C for 24 h and then loaded in tension until failure. Panavia F and Zinc Phosphate Cement provided the highest and lowest bond strength means, respectively. Scotchbond Resin Cement, Enforce and Cement-It cements exhibited similar intermediate values, but with statistically significant difference compared to the other materials (P < 0.05). Even with the restriction or absence of light activation, all tested dual-polymerized resin cements produced significantly higher bond strength than did the zinc phosphate cement and yielded similar or better results than the chemically activated cement. It should be pointed out that the findings of this study relate to a test scenario which does not mimic clinical circumstances and that further work is required to identify the clinical significance of the reported tensile bond strength differences between the different luting materials.

Chromium Alloys↗

PubMed2003

In vitro study of endodontic post cementation protocols that use resin cements.

STATEMENT OF PROBLEM: Sodium hypochlorite (NaOCl) may alter resin bond strength by deproteination of demineralized dentin collagen. PURPOSE: To analyze the effect of NaOCl treatment on bond adhesion and tensile strength of different post cementation protocols in vitro. MATERIAL AND METHODS: The periconductual dentin of 120 single-rooted, caries-free, unrestored human teeth was etched with 37% orthophosphoric acid. The teeth in Group I (60) were left untreated, and the teeth in Group II (60) were treated with 10% NaOCl. Four post-cementation protocols were examined (15 teeth in each) for Groups I and II: ED Primer dentin adhesive + Panavia 21 Ex; ED Primer dentin adhesive + Dual Cement; Panavia 21 Ex; and Dual Cement. For each condition, resin tags, hybrid layers over the periconductual dentin and post surface, were analyzed by scanning electron microscopy (SEM). Specimens were loaded with a uniaxial tensile force using an electromechanical testing machine until cement failure. Bond adhesion and tensile strength with different protocols were examined statistically using multiple analysis of variance at a significance level of alpha<.05. RESULTS: SEM revealed morphologic differences; Group II exhibited cylindrical, solid tags and Group I, tapered, hollow tags. Uniaxial tensile strength tests showed that in Group I, Panavia 21 Ex cement was strongest, whereas in Group II, this protocol was the weakest and Dual Cement with adhesive was the strongest. In Group II, Panavia 21 Ex diminished the tensile bond strength; however, combination with dentin adhesive increased it. CONCLUSION: Within the limitations of this study, NaOCl treatment did not significantly alter tensile bond strength, but when combined with the dentin adhesive ED Primer, a significant rise in strength resulted. A positive relationship existed between increased tag numbers and higher tensile bond strength.

Adhesiveness↗

PubMed1993

Tissue response of apatite-filled resin cement and titanium-reinforced apatite dental implants in dogs.

Abutment and root portion divided two-piece dental implants were designed to modify the one-piece dense hydroxyapatite (D-HAP) implant. The initial placement of the root portion endosseously ensured an aseptic environment and physical stability for the implant during the bone healing period. The outer D-HAP shell of the root portion was fortified by an inner titanium cylinder and cemented with an adhesive resin cement containing 4-methacryloyoxyethyl trimellitate anhydride (4-META) and reinforced by fine apatite filler. Upon attaining integration of the bone and implant, the abutment was screwed and fixed into the screw hole of the root portion. The tissue response of both the apatite-filled resin cement and root portion of the two-piece implant was studied by animal canine experiments. Light and electron microscopic examination of specimens taken from experimental animal tissue showed bone contacted directly not only the exposed apatite filler at the surface of the apatite-filled resin cement, but also the resin portion. These findings of direct bone contact suggested that the tissue response of apatite-filled resin cement was approximately similar to the usual D-HAP. Because most of the surface of the outer D-HAP shell of the root portion came in contact with bone, it prevented the deposition of contamination on the D-HAP surface during the manufacturing procedures of the root portion.

Animals↗

PubMed2006

Influence of activation modes on diametral tensile strength of dual-curing resin cements.

In metallic restorations, the polymerization of dual-curing resin cements depends exclusively on chemical activation. The effect of the lack of photoactivation on the strength of these cements has been rarely studied. This study evaluated the influence of activation modes on the diametral tensile strength (DTS) of dual-curing resin cements. Base and catalyst pastes of Panavia F, Variolink II, Scotchbond Resin Cement, Rely X and Enforce were mixed and inserted into cylindrical metal moulds (4 x 2 mm). Cements were either: 1) not exposed to light (chemical activation = self-cured groups) or 2) photoactivated through mylar strips (chemical and photo-activation = dual-cured groups) (n = 10). After a 24 h storage in 37 masculineC distilled water, specimens were subjected to compressive load in a testing machine. A self-curing resin cement (Cement-It) and a zinc phosphate cement served as controls. Comparative analyses were performed: 1) between the activation modes for each dual-curing resin cement, using Students t test; 2) among the self-cured groups of the dual-curing resin cements and the control groups, using one-way ANOVA and Tukeys test (alpha = 0.05). The dual-cured groups of Scotchbond Resin Cement (53.3 MPa), Variolink II (48.4 MPa) and Rely X (51.6 MPa) showed higher DTS than that of self-cured groups (44.6, 40.4 and 44.5 MPa respectively) (p < 0.05). For Enforce (48.5 and 47.8 MPa) and Panavia F (44.0 and 43.3 MPa), no significant difference was found between the activation modes (p > 0.05). The self-cured groups of all the dual-curing resin cements presented statistically the same DTS as that of Cement-It (44.1 MPa) (p > 0.05), and higher DTS than that of zinc phosphate (4.2 MPa). Scotchbond Resin Cement, Variolink II and Rely X depended on photoactivation to achieve maximum DTS. In the absence of light, all the dual-curing resin cements presented higher DTS than that of zinc phosphate and statistically the same as that of Cement-It (p > 0.05).

Analysis of Variance↗

PubMedDate not supplied

The influence of cement thickness on the tensile strength of two resin cements.

This study evaluated the influence of varying the cement thickness upon the tensile strength of nickel-chromium specimen cylinders cemented with Panavia Ex or Panavia 21 resin cements. A decrease in mean tensile strength of the resin-nickel-chromium alloy composite structure was recorded with an increasing cement thickness for both resin cements. Panavia 21 exhibited a significantly greater mean tensile strength than Panavia Ex at all cement thicknesses tested (P < .01).

Cementation↗

PubMed1991

The bonding of an adhesive resin cement to single and combined adherends encountered in resin-bonded bridge work: an in vitro study.

Although resin-bonded bridges should ideally be bonded to enamel, abutment teeth may present with dentine or restorations at the bonding sites. This study assessed the influence of bonding to such adherends on bridge retention by using tensile bond strength measurements as the criteria for judgement. An adhesive resin cement (Panavia Ex) was bonded to single adherends of enamel, dentine, composite resin, glass ionomer or amalgam, and to combined adherends of enamel/dentine or enamel/restorative material. The bond strength to enamel (28 MPa) was comparable with that to composite resin (25 MPa), but significantly higher than to dentine (8 MPa), amalgam (8 MPa) and glass ionomer (13 MPa). When the bonding area was half enamel and half restorative material, the bond strength was only equivalent to that obtained when the entire bonding area consisted of restorative material, the less favourable adherend. A similar trend was observed with specimens of enamel/dentine. This indicated that the magnitude of the bond between the resin cement and combined adherends was limited by the strength of the bond to the less favourable adherend. It appears that extending a bridge retainer to cover exposed dentine, a glass-ionomer filling or an amalgam filling, could adversely affect the bridge retention.

Acrylic Resins↗

PubMed2006

Effect of dentin adhesives used as sealers and provisional cementation on bond strength of a resin cement to dentin.

PURPOSE: To evaluate the effects of dentin adhesives employed as resin sealers and provisional cementation on the bond strengths of a resin cement to dentin. METHODS: A two-step etch-and-rinse adhesive (Excite DSC--Group 1) and two-step self-etch adhesive (AdheSE--Group 2) were applied to exposed dentin surfaces prepared from human molars (N=4). Water was used instead of a resin sealer in control Groups 3 and 4. A eugenol-free provisional cement (except for Group 4) was applied to the treated surfaces. After storing in distilled water for 1 week, the provisional cement was removed and cylindrical composite blocks were luted with a resin cement (Variolink II). 0.9 x 0.9 mm sticks were produced from these luted specimens for microtensile bond testing and SEM examination. RESULTS: One-way ANOVA revealed that neither the resin sealer nor the temporary eugenol-free cement had a negative effect on the final bond strength (P> 0.05). Mixed failures were predominantly identified from SEM.

Acrylic Resins↗

PubMed1994

Bond strength of a resin cement to a cured composite inlay material.

Although resin cements have been effectively bonded to mineralized tooth structures, bonding to a cured composite material has remained a challenge. This study evaluated the shear bond strength of a resin cement bonded to a cured composite inlay material by use of a variety of composite surface treatments: (1) hydrofluoric acid/60 seconds, (2) ammonium bifluoride/60 seconds, (3) resin adhesive, (4) microabrasion with 50 microns aluminum oxide, and (5) microabrasion with 50 microns aluminum oxide and application of a resin adhesive. The resin cement was also bonded to human enamel that was etched with phosphoric acid. Scanning electron microscopy examinations were completed to evaluate the effects of the composite surface treatments. The results indicated that microabrasion of a cured composite enhances bonding of a resin cement. The bond strength of a resin cement to a composite surface that was air abraded with aluminum oxide, with or without the application of a resin adhesive, was higher than surface treatments with hydrofluoric acid or ammonium bifluoride. Scanning electron microscopy indicated that an irregular surface on the composite was created with aluminum oxide air abrasion.

Acid Etching, Dental↗

PubMedDate not supplied

The influence of chemical activation on hardness of dual-curing resin cements.

During the cementation of metallic restorations, the polymerization of dual-curing resin cements depends exclusively on chemical activation. This study evaluated the influence of chemical activation compared with dual-curing (chemical and light activation), on the hardness of four dual-curing resin cements. In a darkened environment, equal weight proportions of base and catalyst pastes of the cements Scotchbond Resin Cement, Variolink II, Enforce and Panavia F were mixed and inserted into moulds with cavities of 4 mm in diameter and 2 mm in height. Subsequently, the cements were: 1) not exposed to light (chemical activation = self-cured groups) or 2) photoactivated (dual-curing = dual-cured groups). The Vickers hardness number was measured at 1 hour, 24 hours and 7 days after the start time of cements' spatulation. For all the cements, the hardness values of self-cured groups were lower than those of the respective dual-cured groups at 1 hour and 24 hours. At 7 days, this behavior continued for Variolink II and Panavia F, whilst for Scotchbond Resin Cement and Enforce there was no statistical difference between the two activation modes. All cements showed a significant increase in their hardness values from 1 hour to 7 days for both activation modes. Of the self-cured groups, Scotchbond Resin Cement and Variolink II presented the highest and the lowest hardness values, respectively, for all three times tested. Within the limitations of this study, up to the time of 24 h, chemical activation alone was unable to promote similar hardness as to that obtained with dual-curing.

Analysis of Variance↗

PubMedDate not supplied

Temporary cement remnants as an adhesion inhibiting factor in the interface between resin cements and bovine dentin.

This study investigated the effect of temporary cement remnants on freshly prepared dentin in the adhesion of resin cements. The tensile bond strength of three types of resin cements to dentin were measured in a control group and after the application of two types of temporary cement. Scanning electron microscopy and energy dispersive x-ray spectroscopy were used to confirm the presence of temporary cement remnants. Overall results suggest that temporary cement application significantly decreased the tensile bond strength in all adhesive systems (P = 0.0001, analysis of variance). Scanning electron micrographs presented granular elements on the dentin surfaces treated with temporary cement even after preconditioning. Energy dispersive x-ray spectroscopy results showed the presence of zinc peaks in the specimens that was not present in the control.

Adhesiveness↗

PubMed1999

[Color differences between a resin cement and try-in paste].

OBJECTIVE: This study was to measure the color coincidence and difference of resin cement and its try-in paste. METHODS: 3 shades of a resin cement and its try-in paste were measured and analyzed by CIE L*a*b* on a reflection spectrophotometer. RESULTS: For shade 200, vulue of delta E* was less 1.4 in comparison between try-in paste and self-cured resin. CONCLUSION: The try-in paste of shade 200 matched the self-cured resin cement very well, but the try-in paste was lighter and more yellow than the light-cured resin cement. The resin cement of shade 100 was darker and more yellow than try-in paste; resin cement of shade 300 was lighter and more yellow than try-in paste.

Color↗

PubMed2006

Effect of low O2-gas transmission rate barrier films on knoop hardness and toothbrush abrasion of resin cements.

PURPOSE: To investigate the influence of utilizing films with different oxygen transmission rates (O2-GTR) on Knoop hardness and toothbrush abrasion of resin cements for luting. METHODS: Four dual-activated, composite-type resin cements, and a chemically activated PMMA-type resin cement, were used. Three different types of barrier films (Techbarrier HI, Harden Film N130, and Lix-2) were used. Resin cement was mixed and inserted into a cylindrical mold (4 mm in diameter, 3 mm in height), then chemically activated. The specimens were stored in the dark at 37 +/- 1 degrees C, 90 +/- 5%RH conditions for 1 hour. Knoop hardness on the top surface of the resin cement was measured with a microhardness tester. The top surface of specimens (8 mm in diameter, 3 mm in height) polymerized under the same conditions were used for toothbrush abrasion testing. One-way ANOVA followed by Tukey HSD test (P< 0.05) were done. RESULTS: When the cement surface was covered by low O2-GTR film, a significant increase in Knoop hardness and resistance to toothbrush abrasion was observed for the dual activated, composite-type resin cements, but not for the chemically activated PMMA type resin cement. From the results of this study, the use of low O2-GTR matrix barrier films for the dual activated, composite-type resin cements could be effective in eliminating the oxygen inhibited layer on the cement surface.

Hardness↗

PubMedDate not supplied

Influence of the feldspathic ceramic thickness and shade on the microhardness of dual resin cement.

This study evaluated the microhardness of a dual resin cement under the influence of thickness and shade of a feldspathic ceramic. Ninety-five bovine incisors were selected; the crowns, with the roots removed, were embedded in a polystyrene resin and were randomly divided into 19 groups (n=5). On the buccal surface, a standardized cavity, 4.0 mm in diameter and 1.0 mm in depth, was prepared. Ceramic restorations (Noritake Ex 3) were manufactured with 4.0 mm diameter and 1, 2 and 4-mm thicknesses at shades A1, A2, A3, A3.5 and A4. A dual resin cement (Rely X-ARC) was inserted into the prepared cavity. A mylar strip was positioned over the prepared cavity, and light curing was performed for 40 seconds following the protocols: controls-without insertion of the restoration at distances of 0.0, 1.0, 2.0 and 4.0 mm. The remaining groups had the restorations positioned between the resin cement and light source during polymerization. The Vickers hardness test was performed on the cement layer with 50 g of load application for 30 seconds, with 5 indentations for each sample. Two-way ANOVA (5 x 3) and Tukey test (alpha = 0.05) were used to compare the results. The chemical curing of the dual resin cement was not sufficient to compensate for the energy attenuation promoted by the interposition of A3.5 and A4 ceramic material with 4-mm of thickness. The thickness had a greater influence on the cement microhardness than the ceramic restoration shade.

Aluminum Silicates↗

PubMed1992

Pulp reactions to resin cements.

Several formulas of a resin-filled cement that successfully passed a series of laboratory tests were evaluated for their pulp reactions in primates. Their performance was compared to three controls: a positive control (silicate cement), a negative control (zinc oxide-eugenol) and a control group with the protection of calcium hydroxide. The chemical cure resin cement scored the lowest reactions for the 5-day evaluation. The intermediate and prolonged periods demonstrated no significant differences while average, acceptable responses were recorded. No resin cement formula scored as low as the negative control for the three time periods. Silicate cement, the positive control, scored the greatest inflammatory reaction of any material in the intermediate period, but this response was resolved after 60 days. When the resin cements were used with calcium hydroxide, the traditional reactions to calcium hydroxide were observed; an initial mild irritation that diminished with time and was completely resolved after 60 days. The resin cements, with or without the calcium hydroxide, compared favorably to the negative control IRM after 60 days. If the resin cements are appropriately applied, they are expected to be well tolerated by the human pulp. The microorganisms associated with microleakage (MLM) were minimal and there appeared to be no correlation between the MLM and pulp inflammation.

Analysis of Variance↗

PubMed2000

The effect of secondary curing of resin composite on the adherence of resin cement.

PURPOSE: The aim of this study was to measure the adherence between a resin cement and a resin composite polymerized with and without an additional secondary cure of the resin composite. MATERIALS AND METHODS: The resin cement was 3M Opal Luting Composite and the resin composite was Z-100. The resin composite was either polymerized by light only, or given an additional secondary cure at 110 degrees C for 10 min. For each curing mode, the composite was either ground on carborundum paper #1000 or sandblasted with alumina powder. The adherence was determined as bond strength and as bond energy. RESULTS: Without sandblasting of the resin composite, the heat treatment resulted in reduced adherence both in the bond strength and the bond energy mode of measurement. With sandblasting, only the bond energy was reduced as a consequence of the heat treatment. CONCLUSION: On the basis of the experiments conducted, it may be concluded that secondary cure of resin composites takes place at the expense of the adherence to the resin cement.

Adhesiveness↗

PubMedDate not supplied

Effects of thermocycling on the tensile bond strength between resin cement and dentin surfaces after temporary cement application.

PURPOSE: In a previous study the authors found that 2 of 3 tooth conditioners examined were able to reduce the negative effect of temporary cement on the bond strength between resin cement and teeth. The aim of this study was to evaluate the bond durability with the conditioners, as well as their capability for temporary cement dissolution. MATERIALS AND METHODS: After eliminating the temporary cement with a curette from the bovine dentin surface, a conditioner (ethyl dihydrogen phosphate, EP; or methacryloxyethyl dihydrogen phosphate, MEP) was applied to the surface and a resin cement was adhered. Tensile bond strength measurement, scanning electron microscopic observation, and energy-dispersive analysis were carried out without thermocycling and after thermocycling. RESULTS: The tensile bond strength gradually decreased with an increase in the number of thermocycles. However, specimens treated with EP or MEP showed significantly higher tensile bond strength values compared to those that did not receive conditioner application (P < 0.0001); EP showed significantly higher tensile bond strength values compared to the specimens that did not receive both temporary cement and conditioner application (P < 0.0001). The scanning electron microscopic, energy-dispersive, and solubility analyses suggest that both conditioners have the capability of dissolving temporary cement remnants. CONCLUSION: Both EP and MEP have potential value as conditioners to reduce the negative effect of temporary cement on the bond strength between resin cement and dentin and to improve the bond durability.

Analysis of Variance↗

PubMed2002

Shear bond strength of resin cements to both ceramic and dentin.

STATEMENT OF PROBLEM: All ceramic restorations benefit from resin cement bonding to the tooth. However, the literature is unclear on which cement, ceramic conditioning treatment, and dentin bonding agent produce the highest and longest-lasting bond strength. PURPOSE: This in vitro study evaluated immediate and 6-month shear bond strengths between a feldspathic ceramic and 4 different resin cements with the use of 6 different surface-conditioning treatments. Shear bond strengths between the 4 resin cements and dentin also were measured. MATERIAL AND METHODS: Four hundred eighty discs (10 mm in diameter and 4 mm thick) of Ceramco II porcelain were randomly divided into 6 main groups (n = 80). The ceramic specimens received 6 different surface conditioning treatments before the application of resin cement. These surface treatments were sanding with 600-grit silicon carbide paper, microetching with aluminum oxide, sanding followed by silane application, microetching followed by silane application, hydrofluoric acid-etching, and hydrofluoric acid-etching followed by silane application. Each group then was subdivided into 4 subgroups (n = 20) for the application of 1 of 4 cements: Nexus, Panavia 21, RelyX ARC, and Calibra. All cemented specimens were tested under shear loading until fracture on a universal testing machine; the load at fracture was reported in MPa as the bond strength. Bond strengths were determined at 24 hours and after 6 months of specimen storage in a saline solution. For dentin-resin cement shear bond strength testing, dentin specimens were treated with dentin bonding agents, and a thin layer of resin cement was applied according to the manufacturer's directions. Prodigy composite was bonded to the cement. Shear bond strengths were determined as above and reported in MPa at fracture. Data were analyzed with 3-way analysis of variance (P<.01). RESULTS: Hydrofluoric acid-etching followed by silane application produced bond strengths (15.0 +/- 7.4 to 21.8 +/- 5.8 MPa) in the highest statistical group with all 4 cements at both 24 hours and 6 months (P<.01). Sanding with 600-grit silicon carbide paper and microetching with aluminum oxide produced the lowest bond strengths (0.0 to 4.0 +/- 3.5 MPa). At 24 hours and 6 months, there were no significant differences among the 4 cements when hydrofluoric acid-etching was followed by silane application. Both auto- and light-polymerized dentin bonding agents bonded better to dentin than dual-polymerized bonding agents. CONCLUSION: Within the limitations of this study, hydrofluoric acid-etching followed by silane application produced the best bonds at 24 hours and 6 months with all 4 cements. Auto- and light-polymerized adhesives were associated with higher bond strengths to dentin than dual-polymerized adhesives.

Acid Etching, Dental↗

PubMed1999

Bonding of hybrid ionomers and resin cements to modified orthodontic band materials.

Orthodontic bands often fail clinically at the band-cement interface. Hybrid ionomer and resin cements and a glass ionomer control were bonded to photo-etched and standard band materials, both of which were tested in as-received and air-abraded conditions. Cements were placed in a 3 mm diameter mold at the bonding interface and bonded to 6 x 6 mm stainless steel band specimens mounted to acrylic blocks. Specimens were stored in water for 24 hours at 37 degreesC and debonded in tension on a testing machine at 0.05 cm/minutes. Bond strengths (MPa) were calculated and data were analyzed by analysis of variance. Bond strengths to as-received bands were less than 3.4 MPa for cements tested, whereas bond strengths to air-abraded bands ranged from 7.1 to 17.7 MPa, except for the glass ionomer control. Air abrasion of band materials provides highly increased bond strength of hybrid ionomer and resin cements.

Acid Etching, Dental↗