Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “CEMENTATION”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 505 records · Page 28Linked to original sources
PubMed1996

In vitro measurement of strain in the bone cement surrounding the femoral component of total hip replacements during simulated gait and stair-climbing.

The strains in the cement mantle surrounding the cemented femoral component of a total hip replacement were measured in vitro, using strain gauges embedded within the cement mantle adjacent to the femoral component in femurs from cadavers under physiologic loads simulating both single-limb stance and stair-climbing. Cement strains in the most proximal portion of the cement mantle were measured with and without full contact of the collar of the femoral stem on the cortex of the medial portion of the femoral neck during both loading conditions. To our knowledge, these are the first studies to contrast by direct measurement the strain profile in the cement mantle of a cemented femoral component under simulated stair-climbing with that occurring under simulated single-limb stance. They extend the findings from finite element analyses and from clinical specimens retrieved at autopsy in identifying those regions of the cement mantle most likely to fail. At two specific foci, the magnitude of the strain in the cement mantle approaches values that could lead to early fatigue failure of the cement. The two regions in which the strains were highest (greater than 1,000 microstrain) were the most proximal portions of the cement mantle and near the tip of the femoral component. Although these two regions are recognized areas of high strain and also common sites of cement debonding and cement mantle failure, the strain-gauge studies showed that the magnitude of cement strains in the proximal portion of the cement mantle were highest during stair-climbing; in contrast, high strains at the tip region occurred in both gait and stair-climbing. Contact between the collar and the medial portion of the femoral neck reduced the strain in the proximal portion of the cement mantle not only in single-limb stance but in stair-climbing as well. The level of strain recorded in these studies for a simulated person weighing 115 pounds (52 kg) could lead to cement fracture during extended in vivo service life of a cemented femoral component, from either single-limb stance or stair-climbing. This risk would be increased if a void or defect existed in the cement mantle at these sites. Moreover, the increase in strain in the cement mantle was linear with increases in body weight between 100 and 200 pounds (45 and 91 kg) of spinal load, indicating that strains in a heavy patient could readily exceed the fatigue limit of the cement, particularly if a stress riser such as a pore in the cement or a sharp corner of the prosthesis were present. These data reemphasize the need to continue efforts to develop methods to strengthen bone cement and to reduce those factors that increase the strain in the cement mantle of cemented femoral components of total hip arthroplasty, particularly proximally and near the tip.

Adult↗
PubMed1978

[Cytotoxicity of some dental cements in a cell culture system (author's transl)].

Four dental cements of zinc phosphate cement, polycarboxylate cement, zinc oxide-eugenol cement and epoxy resin cement have been tested by means of cell culture method using L strain cell. The cells were cultured with a test piece of the cements in the incubator of 37 degrees C. The test pieces of powder, liquid, un-set cement and set cement were prepared. Cell multiplication, medium pH and zone index in agar diffusion method were measured and also cell morphological changes were observed around the test piece. Test pieces of the four un-set cements showed cytotoxic action at 2 hours administration, although the cytotoxicity of their cements decreased after setting. pH 7.2 of the normal medium was changed to 4.6 with un-set zinc phosphate cement. The other cements affected slightly comparing with zinc phosphate cement. The largest zone index which indicates degree of cytotoxicity, were observed around the test piece of the liquid of zinc phosphate cement. In this study, a biocompatibility of four dental cements was investigated and the following results were obtained. 1. Zinc phosphate cement showed strong cytotoxic action under the un-set condition, and the cytotoxicity almost disappeared after setting. 2. Polycarboxylate cement showed weaker cytotoxic action than zinc phosphate cement. However the cytotoxicity did not disappear after setting. 3. Zinc oxide-eugenol cement showed cytotoxic action which was similar to polycarboxylate cement, but it was slightly stronger than that of polycarboxylate cement. 4. Epoxy resin cement showed the weakest cytotoxic action than other three cements under the un-set condition. The cytotoxicity of set epoxy resin cement was strong, followed by zinc oxide-eugenol cement.

Cell Division↗
PubMed1990

[Effect of dental luting cements from the viewpoint of cell recovery (in vitro)].

Cell recovery of four cell lines [L-929 cells, HEp-2 cells, Gin-1 cells and the cells from human dental pulp tissues (Hp cells)] was examined after exposure to four zinc phosphate cements, five polycarboxylate cements, three glass ionomer cements, five resin based cements and one zinc oxide-eugenol.EBA cement. Phosphate cements, glass ionomer cements and zinc oxide-eugenol.EBA cement were markedly cytotoxic to the four cell lines 3 hours and 24 hours after mixing. Polycarboxylate cements considerably inhibited cell recovery of the three types of cells except Hp cells even 24 hours after mixing, compared to the gradual recovery of Hp cells after mixing. Two of the resin based cements inhibited cell recovery, while the three others allowed moderate cell recovery. The pH values of the medium used for the experiments was 6.6-6.8 for phosphate cements, glass ionomer cements and zinc oxide-eugenol.EBA cements. Polycarboxylate cements had no effect on the pH. On the other hand, in resin based cements the pH was shifted from acidic to basic. The solubility of the materials used was, in decreasing order: glass ionomer cements, zinc oxide-eugenol.EBA cement and one of the resin based cements, polycarboxylate cements, phosphate cements and another resin based cement, and the other three of resin based cements (lowest). The difference in cell recovery was considered to be due to composition and solubility of the materials.

Cells, Cultured↗
PubMed2003

In vitro comparison of orthodontic band cements.

The aim of the study was to compare the mean retentive strength of microetched orthodontic bands cemented to extracted human third molars with a modified composite, a resin-modified glass ionomer cement, and a conventional glass ionomer cement. The mode of band failure and amount of cement remaining on the tooth at deband were also assessed. Finally, survival time of bands with each cement was assessed with simulated mechanical stress in a ball mill. Ninety banded specimens were used to assess retentive strength, and another 30 banded specimens were used to assess survival time. The mean retentive strength of the modified composite (0.415 MPa) was significantly less than that of either the resin-modified (1.715 MPa) or the conventional glass ionomer cement (1.454 MPa; P <.001). Specimens failed predominantly at the cement-enamel interface. The amount of cement remaining on the tooth at deband differed significantly between bands cemented with the resin-modified cement and those cemented with the conventional glass ionomer cement (P <.05). Mean survival time of bands cemented with the resin-modified glass ionomer cement (14.3 hours) was significantly longer (P <.01) than for bands cemented with the conventional glass ionomer cement (9.9 hours) but did not differ significantly from that of bands cemented with the modified composite (11.1 hours; P >.05). Orthodontic bands cemented with the modified composite appear to have a significantly lower mean retentive strength than bands cemented with resin-modified or conventional glass ionomer cement, but mean survival time did not differ significantly for bands cemented with modified composite or resin-modified glass ionomer.

Acrylic Resins↗
PubMed2005

Chlorhexidine-modified glass ionomer for band cementation? An in vitro study.

OBJECTIVE: To compare the mean retentive strength, predominant site of band failure, amount of cement remaining on the tooth at deband and survival time of orthodontic micro-etched bands cemented with chlorhexidine-modified (CHXGIC) or conventional glass ionomer cement (GIC). DESIGN: In vitro study. SETTING: Dental Materials Laboratory. MATERIALS AND METHODS: One-hundred-and-twenty intact, caries-free third molars were collected from patients attending for third molar surgery. These were stored for 3 months in distilled water and decontaminated in 0.5% chloramine. To assess retentive strength, 80 teeth were randomly selected and 40 were banded with each cement. Testing was undertaken using a Nene M3000 testing machine at a cross-head speed of 1 mm/min. Following debanding, the predominant site of failure was recorded as cement-enamel or cement-band interface. The amount of cement remaining on the tooth surface following deband was assessed and coded. Survival time for another 40 banded specimens, 20 cemented with each cement, was assessed following application of mechanical stress in a ball mill. MAIN OUTCOME MEASURES: Retentive strength, predominant site of failure, amount of cement remaining on the tooth surface, survival time. RESULTS: Mean retentive strength for bands cemented with CHXGIC (0.32 MPa, SD 0.09) or GIC (0.28 MPa, SD 0.07) did not differ significantly (p=0.05). All bands failed at the enamel-cement interface. There was no significant difference in the amount of cement remaining on the tooth surface after deband for each cement type (p=0.23). The mean survival time of bands cemented with CHXGIC or GIC was 7.0 and 6.4 hours, respectively (p=0.23). CONCLUSIONS: There was no significant difference in mean retentive strength, amount of cement remaining on the tooth after deband or mean survival time of bands cemented with CHXGIC or GIC. Bands cemented with either cement failed predominantly at the enamel-cement interface. The results suggest that CHXGIC may have comparable clinical performance to GIC for band cementation.

Anti-Infective Agents, Local↗
PubMed1986

Retention of orthodontic bands with new fluoride-releasing cements.

The prevalence of enamel decalcification beneath orthodontic bands has indicated the need for a fluoride-releasing, enamel-adhesive orthodontic luting cement. The purpose of this study was to compare the retentive bond strengths of orthodontic bands cemented with two new fluoride-releasing cements, a zinc polycarboxylate and a glass ionomer, with the retentive bond strength of bands cemented with the standard orthodontic cement zinc phosphate. The site of cement failure was also evaluated. One hundred eighty extracted human molar teeth were embedded in resin blocks and randomly assigned to three cement groups. Adapted bands were cemented by a clinically acceptable technique. The cemented teeth were then assigned to one of three time intervals--24 hours, 7 days, and 60 days--and thermocycled in synthetic saliva. The force required to initially fracture the cement bond was used as a measure of cement retention. By means of the Instron, a tensile load was applied to each cemented band. The maximum retentive strength (cement failure) was interpreted from the stress-strain curve at the point where linearity deviated. The failure site was judged subjectively: between cement and enamel, within the cement, or between cement and the band. Using stress at failure, an analysis of variance showed no significant differences among the retentive strengths of the three cements. The chi-square test revealed a significant difference (P less than 0.01) between failure sites of the zinc phosphate and glass ionomer cements. Significantly more bands cemented with the glass ionomer failed at the cement/band interface, leaving the cement adhered to the tooth.(ABSTRACT TRUNCATED AT 250 WORDS)

Delayed-Action Preparations↗
PubMed1998

Retention of posts with resin, glass ionomer and hybrid cements.

OBJECTIVES: To measure and compare the retention of serrated root canal posts cemented with glass ionomer, resin and resin-modified glass ionomer (hybrid) cements. METHODS: Fifty single-rooted human teeth were decoronated, treated endodontically and then embedded in resin blocks. Standard post-holes, 10 mm long, were prepared to receive 1.5 mm serrated stainless steel posts. Five equal-sized groups of roots had posts cemented using either a glass ionomer cement, one of two resin cements or one of two resin-modified glass ionomer luting cements. The cements were prepared and used according to the manufacturers' instructions. The tensile force required to dislodge the cemented posts in a testing machine was recorded. Statistical analysis was performed using Student's t-test and Mann-Whitney U-tests at the 99.9% confidence level. RESULTS: Statistical analysis revealed that posts cemented with resin A were significantly better retained (340.06 N+/-23.13 N) than those cemented with resin B (212.56 N+/-67.62 N), or either of the two resin-modified glass ionomer cements (53.90 N+/-28.42 N, 25.97 N+/-14.70 N), but not statistically better than posts cemented with the glass ionomer cement (286.16 N+/-38.71 N). The retention of posts cemented with either resin B or the glass ionomer cement was significantly better than with either hybrid cement. There was no significant difference in retention between the hybrid cements. CONCLUSION: The performance of the resin-modified glass ionomer cements was significantly below that of alternative cements in this study. Possible explanations for this finding are discussed. Dentists should be cautious in adopting this new cementing regime.

Cementation↗
PubMed1996

Positive and negative signals modulate formation of the Xenopus cement gland.

The cement gland is a simple secretory organ that marks the anterior-most dorsal ectoderm in Xenopus embryos. In this study, we examine the timing of cement gland induction and the cell interactions that contribute to cement gland formation. Firstly, we show that the outer ectodermal layer, from which the cement gland arises, becomes specified as cement gland by mid-gastrula. Curiously, at early gastrula, the inner layer of the dorsal ectoderm, which does not contribute to the mature cement gland, is strongly and transiently specified as cement gland. Secondly, we show that the mid-gastrula dorsoanterior yolky endoderm, which comes to underlie the cement gland primordium, is a potent inducer of cement gland formation and patterning. The cement gland itself has an anteroposterior pattern, with the gene XA expressed only posteriorly. Dorsoanterior yolky endoderm greatly enhances formation of large, patterned cement glands in partially induced anterodorsal ectoderm, but is unable to induce cement gland in naive animal caps. Neural tissue is induced less frequently than cement gland by the dorsoanterior yolky endoderm, suggesting that the endoderm induces cement gland directly. Thirdly, we demonstrate that the ventral ectoderm adjacent to the cement gland attenuates cement gland differentiation late during gastrulation. The more distant ventral mesendoderm is also a potent inhibitor of cement gland formation. These are the first data showing that normal ventral tissues can inhibit cement gland differentiation and suggest that cement gland size and position may be partly regulated by negative signals. Previous work has shown that cement gland can be induced by neural plate and by dorsal mesoderm. Together, these data suggest that cement gland induction is a complex process regulated by multiple positive and negative cell interactions.

Animals↗
PubMed1990

[Dissolution and radio-opacity of apatite cement].

Dissolution and remineralization behaviors of self-setting apatite cement is organic acids and synthetic saliva and the effect of barium apatite (BaAp)on physicochemical and mechanical properties of the apatite cement were investigated. One-week solubility of several types of apatite cement was considerably smaller than that of commercially available dental cements in 1 mM of acetic, lactic and citric acids (pH4.0 at 37 degrees C). For example, the one-week solubility in citric acids was less than 4.5%. To investigate the dissolution behavior of the apatite cement in detail, two types of 45Ca labeled apatite cement were prepared. In one, the seed apatite was labeled with 45Ca(45Ca-HAp cement) and in the other the matrix apatite was labeled with 45Ca through use of 45Ca-DCPD (45Ca-DCPD cement). Solubility, estimated from the concentration of 45Ca released in 1mM of the organic acid was approximately zero for 45Ca-HAp cement, whereas the solubility of 45Ca-DCPD cement was similar to that of unlabeled cements. This suggests cat dissolution of the matrix apatite governs dissolution of the set cement. In synthetic saliva, the solution phosphate decreased with time once the set cement was introduced to the solution, whereas the solution calcium increased. The former finding suggests that some phosphate compounds precipitated in the synthetic saliva and the latter finding indicates that some portion of the set cement dissolved. The thermodynamic analysis of the solution compositions strongly suggests that remineralization is a major process and dissolution a minor one. In fact, in systhetic saliva labeled with 45Ca having a degree of supersaturation with respect to apatite comparable to rest saliva, 45Ca concentration in solution decreased once the cement pellet was introduced. This finding clearly suggests that the set apatite cement has the ability to remineralize but not to dissolve in synthetic saliva even if the degree of supersaturation with respect to apatite is relatively low. Addition of barium hydroxyapatite (BaAp) successfully bestowed clinically acceptable radio-opacity to the apatite cement. To accelerate the setting reaction which was retarded by Ba2+ released from BaAp at a lower pH during the first stage of spatulation, calcium hydroxyapatite (CaAp) was added to the cement mixture. At 20wt% of BaAp and 20wt% CaAp, the setting reaction proceeded at a neutral or weak alkaline pH, which is one of the most promising aspects of the apatite cement. The cement spaturated at L/P = 0.4 set within 10 minutes and its radio-opacity was comparable to or more than that of tooth enamel.(ABSTRACT TRUNCATED AT 400 WORDS)

Acetates↗
PubMed1997

A light microscopic and ultrastructural examination of calcified dental tissues on horses: 4. Cement and the amelocemental junction.

Ultrastructural examinations showed the diameter of cement lacunae to be greater in infundibular cement than in peripheral cement of upper cheek teeth, which in turn was greater than in the peripheral cement of the lower cheek teeth. However, numbers of lacunae/unit area remained similar in these 3 dentinal region. Two types of cemental hypoplasia were found in equine cheek teeth. The first type was termed central infundibular cemental hypoplasia and was confined to the central region of infundibular cement. The cement adjacent to these frequently large defects was very porous and contained large vascular channels. In recently erupted cheek teeth, these central infundibular cemental defects were filled with connective tissue. The size of these cemental defects, the relationships of such defects with the occlusal surface and the degree of porosity of cement surrounding these defects may be important in the development of cemental caries. The second type of cemental defect was found at the amelodentinal junction of both peripheral and infundibular cement and was termed junctional cemental hypoplasia and appeared as spaces varying from focal, to long narrow defects along the amelocemental junction with the adjacent cement of normal appearance. Peripheral cement was deposited both directly, i.e. on unresorbed or resorbed enamel surfaces or indirectly, where the cement was separated from enamel by a thin calcified layer. The surface of unresorbed enamel had a pitted appearance, with the bases of the pits formed by enamel prisms and the pit walls by interprismatic enamel. The cemental surface of resorbed enamel contained depressions of variable shapes and sizes. These depressions which are believed to be caused by the resorption of enamel by odontoclasts were both focal and diffuse and were more marked on the cemental surface of infundibular as compared to peripheral enamel.

Animals↗
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↗
PubMed1994

Effect of cement film thickness on the fracture resistance of a machinable glass-ceramic.

OBJECTIVES: The aim of this study was to determine the fracture resistance of a machinable glass-ceramic plate cemented to a resin composite block as a function of the cement film thickness for two types of cement. METHODS: Ceramic plates were cemented to resin composite blocks using either zinc phosphate cement or a resin composite cement. For the zinc phosphate cement, the film thickness was 33 +/- 8 microns or 128 +/- 8 microns; for the resin composite cement, the thickness ranged from 26 +/- 11 microns to 297 +/- 48 microns. The elastic modulus was determined for each of the cements. Fracture loads were obtained by using a spherical steel indenter in the center of the glass-ceramic plate. The Weibull distribution was used for the statistical analysis. RESULTS: For glass-ceramic plates cemented with zinc phosphate cement, the fracture resistance was independent of the film thickness. When the resin composite cement was used, a gradual decrease of the fracture strength was observed that became statistically significant at a cement thickness of 300 microns or more. The characteristic fracture strength of glass-ceramic plates cemented with the resin composite cement was about 75% higher than when using the zinc phosphate cement. This difference is attributed to the bonding of the resin cement to the ceramic plate and the supporting structure. SIGNIFICANCE: The findings of this study suggest that the resistance to fracture due to indentation of the glass-ceramic may not be affected by the cement film thickness as much as previously thought.

Acrylic Resins↗
PubMed1995

Coulomb frictional interfaces in modeling cemented total hip replacements: a more realistic model.

Loosening of cemented femoral hip stems could be initiated by failure of the cement mantle due to high cement stresses. The goals of this study were to determine if realistic stem-cement interface characteristics could result in high cement stresses when compared to a bonded stem-cement interface and to determine if stem design parameters could be chosen to reduce peak cement stresses. Three-dimensional finite-element models of cemented femoral hip components were studied with bonded or realistic Coulomb friction stem-cement interfaces. The results showed that the use of a non-bonded, non-linear Coulomb friction interface resulted in substantially different stress fields in the cement when compared to a bonded stem-cement interface. Tensile stresses in the proximal cement mantel for the Coulomb friction interface case (10.8 MPa) were greater than the fatigue strength of the cement. In contrast, the tensile stresses in the cement mantle were not greater than the fatigue strength for the bonded case (7.5 MPa). Failure of the cement mantle in the proximal femur could therefore be initiated by a lack of a bond at the stem-cement interface. The effect of different cross-sectional stem geometries (medial radii of 3.0, 4.9 and 5.5 mm and antero-posterior widths of 9.8 and 13.7 mm) and different elastic moduli (cobalt chromium alloy and titanium alloy) for the stem material were also evaluated for models with a Coulomb friction interface. Changes in the stem cross-section and elastic modulus had only limited effects on the stress distributions in the cement. Of the parameters evaluated in this study, the characteristics of the stem-cement interface had the largest effect on cement mantle stresses.

Alloys↗
PubMedDate not supplied

[Cemented total hip arthroplasty in Germany--an update].

AIM: The results of a national survey from 1998 had shown at the time that only around 10 % of orthopaedic surgeons in Germany had strictly implemented modern cementing techniques in total hip arthroplasty (THA). The same study was repeated 5 years later to evaluate the current situation and to determine whether modern cementing techniques have become more popular. METHODS: A detailed, slightly modified questionnaire regarding cement and bone preparation, cementing techniques on acetabulum and femur, and implant types was sent to 572 German orthopaedic and trauma hospitals, as well as to visiting surgeons with an interest in THA. In total, 293 questionnaires were available for evaluation and statistical analysis. RESULTS: Palacos bone cement remained the most widely used cement (> 90 %). The mixing times given varied significantly. Vacuum mixing systems had become more popular (67.9 %). In the femur 81.8 % of the surgeons attempted to preserve cancellous bone and 57.2 % used pulsatile lavage (jet-lavage). Retrograde cement application via a cement gun was done in 71.1 %. Cement restrictors were used in more than 95 %. Only two-thirds of the surgeons implemented sustained cement pressurisation and preferred a cement mantle thickness > 2mm (64 %). Only 16.9 % made multiple small acetabular keyholes and 48.6 % used jet-lavage. In 73.1 % no cement gun was used and in 68.3 % the cement was applied at high viscosity. Manual cement pressurisation was done in 58.1 %. The Muller straight stem device remained the most popular implant. For only 5 of the over 50 stem designs implanted have long-term results been published as yet. Only 10.6 % of surgeons/centres performed > 20 and almost 50 % implanted > 100 cemented THAs/year. CONCLUSION: The results of this survey demonstrated that, in comparison to 1998, the current state of cemented THA, in particular cementing technique has significantly improved. Future emphasis should be on continued surgeon education and training, as the operative, i. e., cementing techniques are of utmost importance for long-term success.

Arthroplasty, Replacement, Hip↗
PubMed1976

In vivo evaluation of marginal leakage of four inlay cements.

Marginal leakage was demonstrated in all the inlays at all time intervals with all cements by the use of the isotope Ca45. Gross marginal leakage was observed in all inlays luted with the cyanoacrylate cement at all time intervals. The setting time of this cement is very short, making it difficult to completely seat the inlay before the cement sets. The results of this study indicate that the cyanoacrylate cement is not a satisfactory luting medium for Class V inlays. Inlays cemented with EBA demonstrated leakage patterns similar to those of inlays seated with polycarboxylate and zinc phosphate cements in the specimens taken at 72 hours. In the 3 month and 6 month specimens, greater marginal leakage was seen with EBA cement than with polycarboxylate and zinc phosphate cements. Leakage patterns associated with polycarboxylate and zinc phosphate cements were very similar at all time intervals. The polycarboxylate and zinc phosphate cements showed less marginal leakage than the other two cements at 3 months and 6 months. The results of this study indicate that inlays cemented with polycarboxylate cement and zinc phosphate cement exhibit significantly less marginal leakage than the cyanoacrylate cement and EBA cement over a 6 month period of time.

Animals↗
PubMed2004

In vitro shear bond strength of cementing agents to fixed prosthodontic restorative materials.

STATEMENT OF PROBLEM: Durable bonding to fixed prosthodontic restorations is desirable; however, little information is available on the strength of the bond between different cements and fixed prosthodontic restorative materials. PURPOSE: This study determined the shear-bond strength of cementing agents to high-gold-content alloy castings and different dental ceramics: high-strength aluminum oxide (Procera AllCeram), leucite-reinforced (IPS Empress), and lithium disilicate glass-ceramic (IPS Empress 2). MATERIAL AND METHODS: Prepolymerized resin composite cylinders (5.5 mm internal diameter, n=20) were bonded to the pretreated surfaces of prosthodontic materials. High-gold-content alloy and high-strength aluminum oxide surfaces were airborne-particle-abraded, and pressable ceramics were hydrofluoric acid-etched and silanized prior to cementing. The cementing agents tested were a zinc-phosphate cement (Fleck's zinc cement), glass ionomer cements (Fuji I, Ketac-Cem), resin-modified glass ionomer cements (Fuji Plus, Fuji Cem, RelyX Luting), resin cements (RelyX ARC, Panavia F, Variolink II, Compolute), and a self-adhesive universal resin cement (RelyX Unicem). Half the specimens (n=10) were tested after 30 minutes; the other half (n=10) were stored in distilled water at 37 degrees C for 14 days and then thermal cycled 1000 times between 5 degrees C and 55 degrees C prior to testing. Shear-bond strength tests were performed using a universal testing machine at a constant crosshead speed of 0.5 mm/min. Statistical analysis was performed by multifactorial analysis of variance taking interactions between effects into account. For multiple paired comparisons, the Tukey method was used (alpha=.05). RESULTS: In a 3-way ANOVA model, the main factors substrate, cement, time, and all corresponding interactions were statistically significant (all P <.0001). In subsequent separate 1-way or 2-way ANOVA models for each substrate type, significant differences between cement types and polymerizing modes were found (all P <.001). None of the cement types provided the highest bonding values with all substrate types. CONCLUSION: After 14 days of water storage followed by thermal cycling, only the self-adhesive universal resin cement (RelyX Unicem) and 2 of the resin cements (Panavia F and Compolute) exhibited strong bond strengths to specific prosthodontic materials. In contrast, zinc-phosphate, glass ionomer, and resin-modified glass ionomer cements showed the lowest values of all tested cementing agents after 14 days of water storage followed by thermal cycling.

Acid Etching, Dental↗
PubMed2003

Resin-modified glass ionomer, modified composite or conventional glass ionomer for band cementation?--an in vitro evaluation.

The aims of this study were to compare the mean shear-peel bond strength and predominant site of bond failure of micro-etched orthodontic bands cemented with resin-modified glass ionomer cement (RMGIC; Fuji Ortho LC or 3M Multi-Cure), a modified composite or a conventional GIC. The survival time of bands was also assessed following simulated mechanical stress in a ball mill. One hundred and twenty molar bands were cemented to extracted human third molars. Eighty bands (20 cemented with each cement) were used to assess the debonding force and 40 bands (10 cemented with each cement) were used to determine survival time. The specimens were prepared in accordance with the manufacturers' instructions for each cement. After storage in a humidor at 37 degrees C for 24 hours, the shear debonding force was assessed for each specimen using a Nene M3000 testing machine with a crosshead speed of 1 mm/minute. The predominant site of band failure was recorded visually for all specimens as either at the band/cement or cement/enamel interface. Survival time was assessed following application of mechanical stress in a ball mill. There was no significant difference in mean shear-peel bond strength between the cement groups (P = 0.816). The proportion of specimens failing at each interface differed significantly between cement groups (P < 0.001). The predominant site of bond failure for bands cemented with the RMGIC (Fuji Ortho LC) or the modified composite was at the enamel/cement interface, whereas bands cemented with 3M Multi-Cure failed predominantly at the cement/band interface. Conventional GIC specimens failed mostly at the enamel/cement interface. The mean survival time of bands cemented with either of the RMGICs or with the modified composite was significantly longer than for those cemented with the conventional GIC. The findings indicate that although there appears to be equivalence in the mean shear-peel bond strength of the band cements assessed, the fatigue properties of the conventional GIC when subjected to simulated mechanical stress seem inferior to those of the other cements for band cementation.

Acid Etching, Dental↗
PubMed2004

Mechanical behaviour of a new acrylic radiopaque iodine-containing bone cement.

In total hip replacement, fixation of a prosthesis is in most cases obtained by the application of methacrylic bone cements. Most of the commercially available bone cements contain barium sulphate or zirconium dioxide as radiopacifier. As is shown in the literature, the presence of these inorganic particles can be unfavourable in terms of mechanical and biological properties. Here, we describe a new type of bone cement, where X-ray contrast is obtained via the introduction of an iodine-containing methacrylate copolymer; a copolymer of methylmethacrylate and 2-[4-iodobenzoyl]-oxo-ethylmethacrylate (4-IEMA) is added to the powder component of the cement. The properties of the new I-containing bone cement (I-cement) are compared to those of a commercially available bone cement, with barium sulphate as radiopacifier (B-cement). The composition of the I-cement is adjusted such that similar handling properties and radiopacity as for the commercial cement are obtained. In view of the mechanical properties, it can be stated that the intrinsic mechanical behaviour of the I-cement, as revealed from compression tests, is superior to that of B-cement. Concerning the fatigue behaviour it can be concluded that, though B-cement has a slightly higher fatigue crack propagation resistance than I-cement, the fatigue life of vacuum-mixed I-cement is significantly better than that of B-cement. This is explained by the presence of BaSO4 clumps in the commercial cement; these act as crack initiation sites. The mechanical properties (especially fatigue resistance) of the new I-cement warrant its further development toward clinical application.

Bone Cements↗