[Bonding with EBA cement and resin cement].
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The retentive property of cast gold complete crowns cemented with an adhesive resin cement (Panavia Ex) was compared with retention of crowns cemented with zinc phosphate cement (Flecks) and the conventional resin cement (Comspan). The effect of these agents on seating of crowns also was evaluated. Panavia cement exhibited the highest retentive strength, with values almost twice those obtained with zinc phosphate cement. However, the difference in mean retention values of crowns cemented with Comspan cement or with zinc phosphate cement was not statistically significant. Both resin cements used in this study provided better seating of crowns than did zinc phosphate cement.
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.
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.
This study evaluated the effect of temporary cements with or without eugenol on the bond strength of a dual-cure resin cement to dentin. Etched, silanated Dicor buttons were bonded to dentin surfaces after pretreatment with the cements. The buttons were sheared in an Instron testing machine. The results showed that shear bond strength is not affected by the temporary cements, if the dentin is cleaned with pumice and treated with Prisma Universal Bond 3 dentin bonding system.
The potential for in-depth cure of the light-activated resin cement TULUX-CEM was investigated. Disks of TULUX-CEM were irradiated through a layer of inlay/onlay material of varying thickness. After the irradiation, the hardness of the disks was measured. It was found that the resin cement became softer as the thickness of overlying inlay/onlay material increased from 2.0 to 3.5 mm. At a thickness of 4.0 mm, the resin cement remained unpolymerized. It was concluded that in certain situations the in-depth cure of resin cements activated only by light may not be sufficient.
The curing of two light-activated resin cements under two ceramic materials was examined to assess the influence of ceramic thickness on polymerization. The degree of resin cure was determined by microhardness measurements (Knoop) on resin cement samples cured under five ceramic thicknesses with light exposures of 30 to 120 seconds. These cements cured under thin ceramic specimens with recommended exposures. With thick ceramics, both cements cured better under the glass-ceramic, but neither reached a level of maximum cure under the porcelain.
We performed an experiment on adhesive strength between teeth and resin cements for porcelain laminate veneer. A compression shear test was performed using three types of resin cement in extracted human anterior teeth. In dentin, the effects of various surface treatment methods were also evaluated. All three types of resin cement showed high adhesive strengths to enamel, but low adhesive strengths to dentin that were less than 1/2 of those to enamel. Treatment of the dentin surface with both a surface treatment agent and primer significantly increased adhesive strength.
The purpose of this study was to examine the influences of thermal cycling on the adhesive strength of the adhesive resin cements. Four kinds of adhesive resin cements, which belonged to the commercial composite resin inlay products, were used for the study. They were CR Inlay Cement, Duo Cement, Dual Cement and P-30 diluted with Enamel Bond. The shear adhesive strengths to tooth substance and composite resin inlay were measured. Adhesive strength to etched enamel : CR Inlay Cement showed the highest values of 274 kg/cm2 after immersion in water at 37 degrees C for 24 hours and 230 kg/cm2 after 300 thermal cycles at 4 degrees C for 3 min and at 60 degrees C for 3 min. Adhesive strength to etched dentin : P-30 diluted with Enamel Bond showed the highest values of 64 kg/cm2 after 24-hour immersion in water, and 63 kg/cm2 after 300 thermal cycles. Adhesive strength to composite resin inlay : CR Inlay Cement showed the highest values of 310 kg/cm2 after 24-hour immersion in water, 306 kg/cm2 after 300 thermal cycles, and 297 kg/cm2 after 1000 thermal cycles. Adhesive resin cements other than CR Inlay Cement, showed a decrease in adhesive strengths to tooth substance and composite resin inlay after thermal cycling. Especially, Dual Cement and Duo Cement showed considerable decreases.
Reported studies have implicated eugenol in the reduction in retention of restorations luted with chemically cured composite resin cement. This study investigated the effect of residual eugenol in the root canal on the retention of ParaPost dowels cemented with Panavia EX composite resin. An attempt was also made to identify and to determine the most effective cleansing procedure. Findings of this study demonstrated a substantial decrease in retention of posts luted with Panavia composite resin cement in the presence of eugenol. Irrigation with ethyl alcohol (ethanol) or etching with 37% phosphoric acid gel was found to be effective in restoring the resistance to dislodgment of the posts, but alcohol produced the most consistent and reliable results.
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.
The present study investigated the influence of surface treatments of composite materials using 6% hydrofluoric acid or 2% acidulated phosphate fluoride, the influence of the application of a bonding agent to the surface, and the influence of incremental curing of composite materials on the shear bonding strength between composite materials and resin cements. These results were studied statistically by analyzing variances in three-way classification and by their contributory ratios. The effects of hydrofluoric acids or acidulated phosphate fluorides on the treated surfaces of composite materials, and also the interfaces between composite materials and resin cements were further examined by mean of scanning electron microscopy (SEM). Unlike the controls, surfaces of all specimens treated with hydrofluoric acid or fluoride revealed micro-porous surfaces, but the effect of the surface treatment on the bonding strength was not equal for all the composite materials tested. The application of a bonding agent influenced some composite material, but the incremental curing of composite materials had no influence on bonding with resin cements.
The shear strengths of Maryland (acid etch) bridge cements were investigated and ranged from 44 to 70 MPa. The bulk shear strength of the resin cements is sufficient; the weak link in the system (other than the technique sensitivity) is the interface at or adjacent to the resin and metal or the resin and enamel. The resin cements were polished and etched, and scanning electron micrographs were taken and digitized to illustrate the filler particle sizes and distribution.
This study was to determine the bond strength of composite to glass ionomer using the following adhesive resin cements: Imperva Dual, CB Metabond, All-Bond, Geristore, and Panavia. All materials were mixed following the manufacturer's specifications. Bonded samples were thermocycled for 2000 x between 5 degrees C and 55 degrees C. Shear bond strengths were determined using an Instron Testing Machine. No statistical differences were noted between materials at the p < .05 level of significance. In addition, scanning electron micrographs were taken of the primed glass ionomer surfaces. These micrographs revealed varying amounts of matrix dissolution along with roughened surface topographies.
Retainers for composite retained prostheses ("Maryland bridges") have traditionally relied upon an etched base metal alloy for micromechanical retention. This study compared the tensile bond strength of three resin cements using two alloy surface treatments. Rexillium III and Olympia disks were cast, oxidized, and given simulated porcelain firings. Paired specimens were cemented with Comspan, Panavia EX, or C & B Metabond after air abrasion with aluminum oxide or silicoating. Air-abraded Olympia disks were tin plated prior to luting with Panavia EX. Electrolytically etched Rexillium III specimens luted with Comspan served as controls. Specimens were thermocycled and tested in tension. Highest tensile bond strengths were achieved with: (1) Olympia specimens, where the bonding surface was air abraded but tin plated before cementation with Panavia EX, and (2) Rexillium III specimens, where the bonding surface was air abraded or silicoated and the disks were cemented with C & B Metabond.
During the setting of a resin composite cement (RCC) used as an adhesive between a resin-bonded bridge and tooth structure, the adhesion may be disrupted by the development of shrinkage stress. The aim of this study was to investigate the influence of the shrinkage stress of three different RCCs on their adhesive and cohesive qualities when bonded to metal surfaces in a rigid set-up. Two opposing parallel NiCr discs (Wiron 77) were mounted in a tensilometer at a mutual distance of 200 microns and cemented with Panavia Ex, Clearfil F2, or Microfill Pontic C. The alloy surfaces were treated by either electrolytic etching, sand-blasting, silane-coating, or tin-plating. During setting, the discs were kept at their original mutual distance to simulate the extreme clinical situation of "complete" rigidity, where the casting and the tooth cannot move toward each other. The developing shrinkage stress was recorded continuously. During setting, the adhesive strength of the RCCs to silane-coated surfaces was always higher than their early cohesive strength. Electrolytically-etched surfaces as well as sand-blasted surfaces showed, in almost all cases, adhesive failure. The tin-plated samples showed mainly adhesive failure at the metal/resin interface. The highest bond strength values were found for silane-coated surfaces in combination with Clearfil F2.