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Study of the fluoridated adhesive resin cement--fluoride release, fluoride uptake and acid resistance of tooth structures.

The objectives of this study, were to evaluate the fluoride release from fluoridate adhesive resin cement, fluoride uptake into surrounding tooth structures and the effect of their acid resistance. Several specimens were prepared using a plastic ring mould, from extracted human premolars, and prepared from enamel and dentin of the central area of the buccal surface of bovine teeth. The fluoride release rate of fluoridate adhesive resin cement (PN 200) per day was higher than other materials during the 7-day study period. Fluoride released and fluoride uptake by tooth structures was higher in the fluoridate adhesive resin cement. WDX analysis showed the fluoride concentration on dentin contact area was higher than that of enamel after 60 days of immersion in deionized water. The calcium release values were similar for enamel and dentin plates in the various test materials. The present findings indicated the important enhancement of tooth structure acid resistance by fluoridate material.

Animals↗

Effects of surface treatments on shear bond strengths between a resin cement and an alumina core.

STATEMENT OF PROBLEM: Although bonding to all-ceramic restorations is desirable, there is little information on the use of resin cements containing a phosphate monomer, and the importance of different surface treatments on their adhesion to high-strength core materials. PURPOSE: This study attempted to determine the shear bond strength values between Panavia 21 resin cement (Kuraray) and an alumina core material (In-Ceram) after 3 surface treatments and the application of a silane coupling agent. MATERIAL AND METHODS: Forty-five In-Ceram cylindrical rods were fabricated and assigned to 3 groups. Group I specimens were treated with a 9.5% hydrofluoric (HF) acid, group II with a 5% HF acid, and group III were sandblasted. All specimens were coated with a silane coupling agent (Cavex Clearfil Photobond and Activator) before cementation with Panavia 21 to sandblasted nickel-chromium rods. As a control, group IV consisted of 8 porcelain (Vitadur Alpha) rods treated with a 5% HF acid and silane. All specimens were subjected to a load of 1.2 kg during cementation, then stored under water for 36 hours. A jig mounted on a Hounsfield Universal Testing machine was used at a crosshead speed of 0.5 mm/min to test the shear bond strengths. RESULTS: The results were 14.65 +/- 4.64 MPa for group I, 18.03 +/- 6.13 MPa for group II, and 22.35 +/- 5.98 MPa for group III In-Ceram specimens; and 18.05 +/- 8.46 MPa for control (group IV). CONCLUSION: The use of Panavia 21 resin cement and a silane coupling agent can achieve a successful bond between either sandblasted or 5% HF acid-etched In-Ceram core material.

Aluminum Oxide↗

Effect of light source direction and restoration thickness on tensile strength of a dual-curable resin cement to copy-milled ceramic.

PURPOSE: To evaluate the effects of exposure duration and source direction on bond strength of a dual-curable resin cement to copy-milled ceramic MATERIALS AND METHODS: Ceramic blocks (Vita Celay Blanks) were cut into 1 mm, 2 mm and 3 mm thick slices. Following silanization (Tokuso Ceramic Primer), the slices were bonded using dual-cure resin cement (Bistite II) and subjected to one of four photo-curing strategies: no light-cure (control), 20 seconds light-cure from one direction, 120 seconds from one direction, and 20 seconds from each of six directions. After 24-hour water storage at 37 degrees C, the microtensile bond strengths and resin cement Knoop Hardness of the bonded specimens were determined. The data were analyzed using two-way ANOVA and Fisher's PLSD test at a confidence level of 95%. Specimen failure modes were determined using a laser-scanning confocal microscope. RESULTS: The KHN of the control group was significantly lower than those of the light-cured groups (P < 0.05). There were no significant differences in bond strength and microhardness when the 1 and 2 mm thick ceramic slices were light-cured for either 120 seconds from one direction, or for 20 seconds from six directions (P > 0.05). However, when ceramic thickness increased from 2 to 3 mm, significant reduction in bond strength occurred when light-cure was applied for 120 seconds from one direction, but not when applied for 20 seconds each from six directions (P < 0.05).

Analysis of Variance↗

Bond strength of resin cements to microfilled composites.

The in vitro bond strengths of three resin cements and a light-cured and a laboratory-processed micro-filled composite were measured. Effects of two surface treatments, and three bond enhancers were analyzed. Resin cements were bonded to sandblasted composite substrates, stored at 37 degrees C in 100% humidity overnight, and debonded in tension. An analysis of variance revealed significant differences among bond strengths. Overall, the composite substrate had the largest effect on bond strength, followed by bond enhancer, cement and, finally, surface treatment. Mean bond strengths ranged from 0.9 to 13.6 MPa. A combination of Concept, Dual Cement, phosphoric acid and Silane produced the lowest mean bond strength (0.9 MPa), while EOS, Dual Cement, hydrofluoric acid, and Heliobond produced the highest recorded mean bond strength (13.6 MPa). In general, the highest bonds were produced using the light-cured composite (EOS), the acrylic monomer (Special Bond II) or the dimethacrylate monomer (Heliobond), the adhesive cement (CR Inlay Cement), and surface treatment with hydrofluoric acid (Comp-Etch). Most of the bond failures (86%) with the laboratory-cured microfilled composite were adhesive. With the light-cured composite, 69% of the failures were mixed adhesive-cohesive types.

Acid Etching, Dental↗

Tensile bond strength of a resinous cement to a nickel-chromium alloy modified with five surface treatments.

A problem associated with resin-bonded fixed partial dentures is inadvertent dislodgment at the metal/cement interface. It has been suggested that Panavia Ex resinous cement requires only air abrasion of the alloy with 50 microns aluminum oxide particles to record reliable bond strength values. The purpose of this study was to discuss the consequences of changes in the type of air abrasion and surface oxidation of the alloy. Fifty pairs of disks of a Ni-Cr alloy were treated by five methods: (1) air abrasion with 50 microns aluminum oxide (control), (2) air abrasion with 50 microns glass beads, (3) air abrasion with a mixture of aluminum oxide and glass beads (ratio 1:1), (4) air abrasion with aluminum oxide and immersion in acid solution of potassium permanganate, and (5) air abrasion with aluminum oxide and immersion in aqueous solution of potassium permanganate. The disks were cemented to each other with Panavia Ex composite resinous cement and tensile tests were conducted at a crosshead speed of 0.5 mm/ minute. No statistically significant differences were recorded among the treatments for the alloys used in this study except air abrasion with glass beads, which exhibited the lowest bond strength values.

Acid Etching, Dental↗

Degree of conversion and surface hardness of resin cement cured with different curing units.

OBJECTIVE: The aim of this study was to evaluate the degree of conversion and Vickers surface hardness of resin cement under a simulated ceramic restoration with 3 different curing units: a conventional halogen unit, a high-intensity halogen unit, and a light-emitting diode system. METHODS AND MATERIALS: A conventional halogen curing unit (Hilux 550) (40 s), a high-intensity halogen curing unit used in conventional and ramp mode (Optilux 501) (10 s and 20 s, respectively), and a light-emitting diode system (Elipar FreeLight) (20 s, 40 s) were used in this study. The dual-curing resin cement (Variolink II) was cured under a simulated ceramic restoration (diameter 5 mm, height 2 mm), and the degree of conversion and Vickers surface hardness were measured. For degree of conversion measurement, 10 specimens were prepared for each group. The absorbance peaks were recorded using the diffuse-reflection mode of Fourier transformation infrared spectroscopy. For Vickers surface hardness measurement, 10 specimens were prepared for each group. A load of 200 N was applied for 15 seconds, and 3 evaluations of each of the samples were performed. RESULTS: Degree of conversion achieved with Optilux 501 (20 s) was significantly higher than those of Hilux, Optilux 501 (10 s), Elipar FreeLight (20 s), and Elipar FreeLight (40 s). For Vickers surface hardness measurement, Optilux 501 (20 s) produced the highest surface hardness value. No significant differences were found among the Hilux, Optilux 501 (10 s), Elipar FreeLight (20 s), and Elipar FreeLight (40 s). CONCLUSION: The high-intensity halogen curing unit used in ramp mode (20 s) produced harder resin cement surfaces than did the conventional halogen curing unit, high-intensity halogen curing unit used in conventional mode (10 s) and light-emitting diode system (20 s, 40 s), when cured through a simulated ceramic restoration.

Dental Porcelain↗

Shear bond strengths of four resin cements to cobalt-chromium alloy.

PURPOSE: To evaluate the shear bond strengths of four resin cements to cobalt-chromium (Co-Cr) alloy using two adhesive primers. MATERIALS AND METHODS: The adhesive luting agents Imperva Dual (ID), Panavia 21 (P21), Super-Bond C&B (SB) and Bistite Resin Cement (BR), and the adhesive primers Metal Primer (MP) and Cesead Opaque Primer (COP) were used. Two sizes of dental casting alloy disks were nonprimed or primed and cemented with each adhesive luting agent. The specimens were stored in water at 37 degrees C for 1 day, and then immersed alternately in water baths at 4 degrees C and 60 degrees C for 1 minute each for up to 100,000 thermocycles before shear mode testing at a cross-head speed of 0.5 mm/minute. RESULTS: The application of COP was effective for improving the shear bond strengths of ID, SB or BR to Co-Cr alloy compared with nonprimed specimens and those primed with MP. However, when Co-Cr alloy was cemented with P21, there were no significant differences in bond strengths between the three groups at all thermocycles.

Analysis of Variance↗

Effects of adhesive primers for noble metals on shear bond strengths of resin cements.

OBJECTIVES: The purpose of this study was to evaluate the durability and shear bond strengths of the different combinations of two adhesive primers and three resin cements to two types of noble metal alloys, silver-palladium copper-gold and type IV gold alloys. METHODS: The adhesive luting agents Imperva Dual, Panavia 21 and Super-Bond C&B, and the adhesive primers Metal Primer and V-Primer were used. Two sizes of casting alloy disks were nonprimed or primed and cemented with each adhesive luting agent. The specimens were stored in 37 degrees C water for one day and then immersed alternately in 4 degrees C and 60 degrees C water baths for 1 min each for up to 100,000 thermal cycles before shear mode testing at a cross-head speed of 0.5 mm/min. RESULTS: The application of Metal Primer was effective for improving the shear bond strengths between each of the three resin cements and both noble metal alloys compared with nonprimed specimens. When each noble metal alloy was cemented with Super-Bond C&B, there were no significant differences between the bond strengths with the use of Metal Primer and those with the use of V-Primer at 100,000 thermal cycles. However, V-Primer was ineffective for enhancing the shear bond strengths of Imperva Dual and Panavia 21 to noble metals. CONCLUSION: Metal Primer and V-Primer are clinically useful for strongly bonding adhesive resin cements to noble metal alloys.

Analysis of Variance↗

Effect of conditioning time of self-etching primers on dentin bond strength of three adhesive resin cements.

OBJECTIVES: To evaluate the effect of increasing the dentin conditioning time with self-etching primers of different aggressiveness (pH) on the microtensile bond strength (muTBS) of three resin cements. MATERIALS AND METHODS: Pre-cured composite blocks were cemented with M-Bond, Bistite II DC, or Panavia F to flat occlusal dentin surfaces of human third molars, which were conditioned with M-Bond or Bistite II-primer for 30, 60 or 180 s or with Panavia-primer for 60 or 180 s. Each dentin-composite block assembly (four in each group) was longitudinally sectioned to obtain 1x1 mm microbars and tested for the muTBS. The morphology of the conditioned dentin surface and the hybrid layer was examined with SEM. RESULTS: Extending the primer conditioning time for Bistite II DC from 30 to 60 s significantly increased the muTBS (p<0.001) but did not further increase from 60 s to 180 s. For M-Bond there was only a significant increase from 30 to 180 s (p<0.05). For Panavia F the primer-conditioning time had no influence on the muTBS. SEM observations of conditioned dentin showed that the Bistite II DC and M-Bond self-etching primers with the lowest pH completely dissolved the dentin smear layer and plugs and formed well-defined hybrid layers. This was not found for Panavia F. SIGNIFICANCE: Dentin bond strength of resin cements using more aggressive self-etching primers is improved by increasing the conditioning time. To enable resin infiltration of highly filled resin cements, sufficient smear layer dissolution is necessary.

Acid Etching, Dental↗

Microleakage in ceramic inlays luted with different resin cements.

PURPOSE: The objective of this in vitro study was to evaluate the microleakage in ceramic inlays using different resin cements with margins in enamel and cementum/dentin interfaces. MATERIALS AND METHODS: Standard Class II MOD inlay cavities were prepared in 32 noncarious human premolars. The cavities were randomly divided into 4 groups (n = 8): CONTROL GROUP: cavities were treated with Single Bond and incrementally filled with a composite resin (P60); Enforce group: feldspathic ceramic inlays were luted using Prime & Bond 2.1 and Enforce; RelyX group: inlays were cemented with Single Bond and RelyX ARC; Resin Cement group: ceramic inlays were bonded using Single Bond and Resin Cement. Ceramic inlays were previously treated with 10% hydrofluoric acid for 2 min, followed by silane application. After 7 days of storage in distilled water, teeth were submitted to thermocycling. After applying nail varnish, specimens were immersed in 2% aqueous solution of methylene blue for 8 h. After washing, teeth were cut into three sections through the restorations, and the leakage was assessed using a standardized score. RESULTS: Data were submitted to statistical analysis using nonparametric tests (Mann-Whitney and Kruskal-Wallis). Dye leakage at margins in enamel was statistically lower (p < 0.01) than at cementum/dentin interfaces. RelyX ARC performed better (p < 0.05) than resin cement (enamel) and composite restorations (cementum/dentin). No other statistical differences were observed. CONCLUSIONS: Both the material and the substrate interface influenced microleakage of the ceramic inlays.

Acid Etching, Dental↗

A simple method of increasing the adhesion between resinous cements and tinplated gold alloys: a pilot study.

PURPOSE: This study: (1) tested 2 BIS-GMA resinous cements on tinplated gold alloy surfaces with shearing forces to record their bond strengths, and (2) determined whether storage of the tinplated surfaces in water before cementation affected initial bond strengths. MATERIAL AND METHODS: The bond strengths of Panavia Ex and Panavia 21 resinous cements to tinplated Type III gold alloy were measured when subjected to shearing forces. Specimens were luted in pairs with these cements. In one group, the cementation was performed after tinplating procedures. In the other group, tinplated alloy surfaces were first stored in water at 37 degrees C for 48 hours before cementation. RESULTS: A 3-fold increase in bond strength values was recorded for tinplated specimens stored in water before cementation with both cements, these differences were statistically significant. Storage of the specimen in water before cementation appeared to increase resistance of the alloy resin bond to failure with application of shearing forces. CONCLUSION: This pilot study suggested that it would be advantageous to age tinplated gold alloy surfaces in water for 48 hours before cementation.

Bisphenol A-Glycidyl Methacrylate↗

Bond strength of a resin cement to high-alumina and zirconia-reinforced ceramics: the effect of surface conditioning.

PURPOSE: The aim of this study was to evaluate the effect of two surface conditioning methods on the microtensile bond strength of a resin cement to three high-strength core ceramics: high alumina-based (In-Ceram Alumina, Procera AllCeram) and zirconia-reinforced alumina-based (In-Ceram Zirconia) ceramics. MATERIALS AND METHODS: Ten blocks (5 x 6 x 8 mm) of In-Ceram Alumina (AL), In-Ceram Zirconia (ZR), and Procera (PR) ceramics were fabricated according to each manufacturer's instructions and duplicated in composite. The specimens were assigned to one of the two following treatment conditions: (1) airborne particle abrasion with 110-microm Al2O3 particles + silanization, (2) silica coating with 30 microm SiOx particles (CoJet, 3M ESPE) + silanization. Each ceramic block was duplicated in composite resin (W3D-Master, Wilcos, Petrópolis, RJ, Brazil) using a mold made out of silicon impression material. Composite resin layers were incrementally condensed into the mold to fill up the mold and each layer was light polymerized for 40 s. The composite blocks were bonded to the surface-conditioned ceramic blocks using a resin cement system (Panavia F, Kuraray, Okayama, Japan). One composite resin block was fabricated for each ceramic block. The ceramic-composite was stored at 37 degrees C in distilled water for 7 days prior to bond tests. The blocks were cut under water cooling to produce bar specimens (n = 30) with a bonding area of approximately 0.6 mm2. The bond strength tests were performed in a universal testing machine (crosshead speed: 1 mm/min). Bond strength values were statistically analyzed using two-way ANOVA and Tukey's test (< or = 0.05). RESULTS: Silica coating with silanization increased the bond strength significantly for all three high-strength ceramics (18.5 to 31.2 MPa) compared to that of airborne particle abrasion with 110-microm Al2O3 (12.7-17.3 MPa) (ANOVA, p < 0.05). PR exhibited the lowest bond strengths after both Al2O3 and silica coating (12.7 and 18.5 MPa, respectively). CONCLUSION: Conditioning the high-strength ceramic surfaces with silica coating and silanization provided higher bond strengths of the resin cement than with airborne particle abrasion with 110-microm Al2O3 and silanization.

Air Abrasion, Dental↗

Adhesive permeability affects coupling of resin cements that utilise self-etching primers to dentine.

OBJECTIVES: To examine the effects of an experimental bonding technique that reduces the permeability of the adhesive layer on the coupling of resin cements to dentine. METHODS: Extracted human third molars had their mid to deep dentin surface exposed flat by transversally sectioning the crowns. Resin composite overlays were constructed and cemented to the surfaces using either Panavia F (Kuraray) or Bistite II DC (Tokuyama) resin cements mediated by their respective one-step or two-step self-etch adhesives. Experimental groups were prepared in the same way, except that the additional layer of a low-viscosity bonding resin (LVBR, Scotchbond Multi-Purpose Plus, 3M ESPE) was placed on the bonded dentine surface before luting the overlays with the respective resin cements. The bonded assemblies were stored for 24 h in water at 37 degrees C and subsequently prepared for microtensile bond strength testing. Beams of approximately 0.8 mm(2) were tested in tension at 0.5 mm/min in a universal tester. Fractured surfaces were examined under scanning electron microscopy (SEM). Additional specimens were prepared and examined with TEM using a silver nitrate-staining technique. RESULTS: Two-way ANOVA showed significant interactions between materials and bonding protocols (p<0.05). When bonded according to manufacturer's directions, Panavia F produced bond strengths that were significantly lower than Bistite II DC (p<0.05). The placement of an additional layer of a LVBR improved significantly the bond strengths of Panavia F (p<0.05), but not of Bistite II DC (p>0.05). SEM observation of the fractured surfaces in Panavia F showed rosette-like features that were exclusive for specimens bonded according to manufacturer's directions. Such features corresponded well with the ultrastructure of the interfaces that showed more nanoleakage associated with the more permeable adhesive interface. The application of the additional layer of the LVBR reduced the amount of silver impregnation for both adhesives suggesting that reduced permeability of the adhesives resulted in improved coupling of the resin cements to dentin. CONCLUSIONS: Placement of an intermediate layer of a LVBR between the bonded dentine surface and the resin cements resulted in improved coupling of Panavia F to dentine.

Acid Etching, Dental↗

Endodontic dowel retention with resinous cements.

This study compared the capability of three composite resin cements to sustain a standard endodontic dowel. All of the systems incorporated some form of smear layer removal on the dentin of the endodontic channel. One system that used a methyl ethyl ketone drying agent provided inadequate clinical resistance to dislodgment of 5.4 DaN. A second cementing system that used only smear layer removal resisted loads at 54.7 DaN. The third cementing regimen that included a surface-initiated dentinal adhesive and smear layer removal recorded retention of 77.4 DaN. This study supported the concept that passively cemented dowels with composite resin can be as effective as actively seated dowels.

Acrylic Resins↗

Interfacial gaps of resin cemented ceramic inlays.

A method was developed for measuring presence, location and extent of interfacial contraction gaps of resin-cemented ceramic inlays in dentin cavities. Cylindrical ceramic inlays were cemented using one of 12 commercially available resin composite cements to make a film thickness of 200-microns. Cross-sections revealed absence of marginal gaps but contraction gaps occurred at all dentin-cement interfaces at the cavity floors and ranged from 1.6 to 7.1 microns. This was equivalent to 0.8-3.5% of the cement film thickness and was 3-10 times greater than the wall-to-wall contraction in percent observed when resin composites are used as filling materials in 3-5 mm butt-joint dentin cavities. The results support the theory that contraction gaps developing adjacent to thin films of resin cements reach a size equivalent to the cement film thickness multiplied by the volumetric polymerization shrinkage of the cement.

Adhesiveness↗

Bond strength of dual-cured resin cements to human teeth.

PURPOSE: This study evaluated the bond strength of four commercial resin luting cements to enamel and superficial dentin, using a second-generation laboratory composite. MATERIALS AND METHODS: Forty teeth were embedded in acrylic: 20 had superficial dentin exposed; 20 had enamel exposed. Each group was divided into four subgroups (n = 5) to be bonded with Variolink II, Dual Cement, 2-bond-2, and Permalute System, using an inverted, truncated cone of pre-cured Artglass that was placed over the resin cement with a load of 2 N for 2 seconds. Specimens were stored at 37 degrees C in 100% relative humidity for 24 hours before being tested for tensile bond strength (MPa). Data were analyzed using a two-way analysis of variance. Tukey-Kramer intervals for comparisons among resin cements and bonding substrates were calculated at a .05 significance level. RESULTS: Significant differences were found among resin cements. Variolink II had statistically higher bond strength values for both substrates than the rest of the cements evaluated. When bonding was to enamel, all failures were cohesive in the composite, and when bonding was to dentin, some adhesive failures occurred at the resin cement-dentin interface. Permalute System had higher bond strengths than 2-bond-2 and Dual Cement when bonded to enamel. CONCLUSIONS: Variolink II and Permalute had statistically different bond strengths to enamel and dentin. Variolink II showed statistically higher values for dentin bonding than the other cements. Use of Variolink II and Permalute resulted in statistically higher bond strengths than the other two cements.

Acrylates↗

Microtensile bond strength of a resin cement to glass infiltrated zirconia-reinforced ceramic: the effect of surface conditioning.

OBJECTIVES: This study evaluated the effect of three surface conditioning methods on the microtensile bond strength of resin cement to a glass-infiltrated zirconia-reinforced alumina-based core ceramic. METHODS: Thirty blocks (5 x 5 x 4 mm) of In-Ceram Zirconia ceramics (In-Ceram Zirconia-INC-ZR, VITA) were fabricated according to the manufacturer's instructions and duplicated in resin composite. The specimens were polished and assigned to one of the following three treatment conditions (n=10): (1) Airborne particle abrasion with 110 microm Al(2)O(3) particles + silanization, (2) Silica coating with 110 microm SiO(x) particles (Rocatec Pre and Plus, 3M ESPE) + silanization, (3) Silica coating with 30 microm SiO(x) particles (CoJet, 3M ESPE) + silanization. The ceramic-composite blocks were cemented with the resin cement (Panavia F) and stored at 37 degrees C in distilled water for 7 days prior to bond tests. The blocks were cut under coolant water to produce bar specimens with a bonding area of approximately 0.6mm(2). The bond strength tests were performed in a universal testing machine (cross-head speed: 1mm/min). The mean bond strengths of the specimens of each block were statistically analyzed using ANOVA and Tukey's test (alpha<or=0.05). RESULTS: Silica coating with silanization either using 110 microm SiO(x) or 30 microm SiO(x) particles increased the bond strength of the resin cement (24.6+/-2.7 MPa and 26.7+/-2.4 MPa, respectively) to the zirconia-based ceramic significantly compared to that of airborne particle abrasion with 110-microm Al(2)O(3) (20.5+/-3.8 MPa) (ANOVA, P<0.05). SIGNIFICANCE: Conditioning the INC-ZR ceramic surfaces with silica coating and silanization using either chairside or laboratory devices provided higher bond strengths of the resin cement than with airborne particle abrasion using 110 microm Al(2)O(3).

Air Abrasion, Dental↗