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Purpose: To investigate the effects of a novel tribochemical silica coating technique with powders made from feldspathic ceramic and leucite-based ceramic on the bond strength of zirconia to resin cement before and after aging. Materials and Methods: Zirconia blocks were divided into 3 groups according to the material used for airborne-particle abrasion: 1) SP (control): silica-coated alumina particles; 2) FP: feldspathic ceramic powder; 3) LP: leucite glass-ceramic powder. After silanization, composite resin cylinders were cemented on the zirconia surface using a dual-curing resin cement. Prior to the shear bond strength (SBS) test, half of the samples (n = 15) were stored in distilled water for 24 h; the other half (n = 15) were submitted to aging (10,000 thermocycles of 5°C to 55°C; 150 days of water storage). The bond strength data were analyzed using two-way ANOVA and Tukey’s test (􀁟 = 0.05). Scanning electron microscopy (SEM), energy dispersive spectroscopy (EDS), and x-ray diffraction analysis were performed. Results: The initial bond strengths did not differ significantly between the groups (p = 0.053). However, after aging procedures, airborne-particle abrasion with feldspathic ceramic powder (FP) resulted in higher values of bond strength (p = 0.0001). SEM and EDS indicated that all the treatments promoted silica deposition on the Y-TZP surface ceramic. Airborne-particle abrasion with FP and LP induced a lower percentage of the monoclinic phase. Conclusion: Airborne abrasion with fine feldspathic ceramic particles is a novel tribochemical technique and appears to be suitable for improving the bond strength between zirconia and resin cements. [ABSTRACT FROM AUTHOR]

Purpose: To evaluate the effect of different concentrations of hydrofluoric acid (HF) on the contact angle and the resin bond strength durability to feldspathic ceramic. Materials and Methods: To evaluate the contact angles of distilled water on etched feldspathic ceramic, 25 specimens (12 × 10 × 2.4 mm) of VitaBlocks Mark II were used, divided into 5 groups (n = 5): one unconditioned control (UC) group with no ceramic surface treatment, and 4 other groups that were etched for 60 s with different concentrations of HF: 1% (HF1), 3% (HF3), 5% (HF5) and 10% (HF10). The bond testing utilized 40 ceramic blocks (12 × 10 × 4 mm) that were fabricated and subjected to the same surface treatments as previously mentioned (excluding the control). The etched surfaces were silanized and resin cement was applied. After 24 h, the blocks were sectioned to produce bar specimens that were divided into two groups, non-aged (immediate testing) and aged (storage for 230 days + 12,000 thermocycles at 5°C and 55°C), and subjected to microtensile testing (µTBS). Micromorphogical analysis of the treated surfaces was also performed (atomic force and scanning electron microscopy). One-way ANOVA and Tukey's tests were applied for data analysis. Results: UC had the highest contact angle (61.4°), whereas HF10 showed the lowest contact angle (17.5°). In non-aged conditions, different acids promoted statistically similar bond strengths (14.2 to 15.7 MPa) (p > 0.05); in terms of bond durability, only the bond strength of the HF1 group presented a statistically significant decrease comparing before and after aging (14.5 to 10.2 MPa). Conclusion: When etched with 3%, 5%, or 10% hydrofluoric acid, the ceramic tested showed stable resin adhesion after long-term aging. [ABSTRACT FROM AUTHOR]

This study evaluated the effect of the number of specimens in a furnace during the firing of porcelain-zirconia (Y-TZP) discs on their biaxial flexural strength. Eighty bilayer disc-shaped specimens (∅: 15mm; thickness: 1.2 mm, ISO 6872) of zirconia (Vita In-Ceram YZ Cubes/Vita) and porcelain (Vita VM9) ceramics, were prepared and divided into four groups (n = 20) according to the number of specimens in a furnace for each porcelain sintering: G1- one disc/20 sintering cycles.; G2 – two discs/10 sintering cycles.; G5-five discs/4 sintering cycles; and G10 – ten discs/2 sintering cycles. Then, the specimens were submitted to biaxial flexure testing (BFS) (1 mm/min, water). The data (MPa) were analyzed with Kruskal-Wallis test followed by the Dunn's post hoc analysis at a 95% level of confidence (α = 0.05). Kruskal-Wallis showed that the number of samples in the furnace affected flexural strength (p < 0.0001). The highest BFS was observed for the G5 (132.3 MPa)A, which was significantly higher than G1 (53.6 MPa)B. No significant difference was observed for the Weibull moduli and characteristic strength among the groups. In terms of flexural strength, approximately five specimens at a time can be placed in a furnace for sintering. [ABSTRACT FROM AUTHOR]

Purpose: To evaluate the microtensile bond strength of indirect resin composite inlays to dentin using two cementation strategies, before and after mechanical aging. Materials and Methods: Standardized inlay cavities (bucco-lingual width: 3 mm; depth: 4 mm) were prepared in 32 human premolars. The teeth were embedded in self-curing acrylic resin up to 3 mm from the cementoenamel junction, impressions were made using a polyvinyl siloxane material, master dies were obtained using type 4 stone, and inlay composite resin restorations were fabricated (Sinfony, 3M ESPE). The teeth were randomly allocated into 4 groups according to the cementation strategy (conventional [C] and simplified [S]) and aging (mechanical cycling [MC] and not aged): C[G1]: Adper SingleBond + RelyX ARC without aging; CMC[G2]: conventional cementation + mechanical cycling (106 cycles, 88 N, 4 Hz, ± 37°C); S[G3]: self-adhesive resin cement (RelyX U-100) without aging; SMC[G4] self-adhesive cementation + mechanical cycling. Intaglio surfaces of composite inlays were treated by tribochemical silica coating in G1 and G2, while G3 and G4 received no surface treatment. Non-aged specimens were stored in a moist environment at ca 37°C for the same period as MC (3 days). Non-trimmed beam specimens (bonding area = 1 mm²) were produced by serial cutting, and microtensile testing was performed (0.5 mm/min). Results: Two-way ANOVA showed that the microtensile bond strength was affected only by cementation strategy (p < 0.0001). Tukey's test showed that groups G1 (35.1 ± 9.1) and G2 (32.7 ± 10.7) presented significantly higher bond strength values than G3 (8.7 ± 6.3) and G4 (5.2 ± 4.6). Conclusion: The use of a conventional adhesive technique and tribochemical silica coating resulted in higher μTBS than the one-step simplified cementation, even after mechanical cycling [ABSTRACT FROM AUTHOR]

Purpose: To evaluate the effect of the cementation strategy and mechanical cycling (MC) on the microtensile bond strength (MTBS) of feldspathic inlays cemented to premolars. Materials and Methods: Forty-eight human premolars were prepared and porcelain inlays were produced. Specimens were allocated into 3 groups, based on the cementation strategy: 1) conventional adhesive cementation (RelyX ARC, 3M ESPE): application of etch-and-rinse single bottle adhesive to dentin / ceramic surface treated with hydrofluoric acid (HF) and silane (S) / cementation with resin cement; 2) simplified cementation using a self-adhesive resin cement (RelyX U100, 3M ESPE); 3) modified simplified cementation using a self-adhesive resin cement (RelyX U100, 3M ESPE) with HF+S treatment. Half of the specimens from each group were submitted to MC (2x106 pulses, frequency = 4 Hz, load = 100 N). Each specimen was serially sliced for MTBS and the failures were classified. The stress distribution analysis using FEA was verified. Results: All of the bar-samples from G2 were lost during cutting of the specimens. Mechanical-cycling had no significant effect on bond strength, whereas cementation strategy significant affected MTBS results. The most common type of failure was cohesive of cement. FEA showed that stresses were concentrated mainly at the loading region going up to the root fixation. Conclusion: Porcelain inlays cemented with conventional resin cement or self-adhesive resin cement should be associated with ceramic surface treatment. FEA showed the most critical zone for failure is located in the cement region close to the marginal crest. [ABSTRACT FROM AUTHOR]

Purpose: To evaluate the influence of the number of porcelain layers on its cohesive strength and on bonding to zirconia. Materials and Methods: Y-TZP blocks were cut into 1 cm³ specimens (n = 30). The feldspathic porcelain (V9) was applied to the zirconia in different numbers of layers up to 1 cm total thickness (n = 10): ZP1 - one layer; ZP2 - two layers; ZP3 - three layers. Ten specimens with V9 were prepared following the same protocols of groups 1 (P1) and 3 (P3). All study specimens were sintered three times. The specimens were cut into 1 mm² microbars and tested under tension in a universal testing machine (0.5 mm/min). We calculated strength (σ, in MPa) by dividing the fracture load (N) by the fractured area (mm²). The failure mode was classified as cohesive (used to calculate the cohesive strength, σc) or adhesive (bond strength, σa). The data were analyzed by Kruskal-Wallis and Dunn's tests (α = 0.05) or ANOVA and Tukey's test (α = 0.05), according to their distribution parameters. Results: The ZP1 group presented the highest values for a data, compared with other groups, which were statistically similar. The predominant failure mode for the bonded specimens was cohesive. With regard to the cohesive strength (αc), ZP1 presented the highest values. Conclusion: It can be concluded that the presence of more than one porcelain layer decreases its cohesive strength and its bonding strength to zirconia. [ABSTRACT FROM AUTHOR]

Purpose: To evaluate the effect of post-silanization heat treatment of a silane agent and rinsing with hot water of silanized CAD/CAM feldspathic ceramic surfaces on the microtensile bond strength between resin cement and the ceramic, before and after mechanical cycling. Materials and Methods: Blocks measuring 10 × 5.7 × 3.25 mm3 were produced from feldspathic ceramic cubes (VITA Mark II, VITA Zanhfabrik). Each ceramic block was duplicated in composite resin using a template made of polyvinylsiloxane impression material. Afterwards, ceramic and corresponding resin composite blocks were ultrasonically cleaned and randomly divided according to the 5 strategies used for conditioning the ceramic surface (n = 10): GHF: etching with hydrofluoric acid 10% + rinsing with water at room temperature + silanization at 20°C; G20: silanization; G77: silanization + oven drying at 77°C; G20r: silanization + hot water rinsing; G77r: silanization + oven drying at 77°C + hot water rinsing. The resin and ceramic blocks were cemented using a dual-curing resin cement. Every group was divided in two subgroups: aging condition (mechanical cycling, designated as a) or non-aging (designated as n). All the bonded assemblies were sectioned into microsticks for microtensile bond strength (μTBS) testing. The failure mode of the tested specimens was assessed and μTBS data were statistically analyzed in two ways: first 2-way AN0VA (GHF, G20 and G77 in non-aging/aging conditions) and 3-way AN0VA (temperature x rinsing x aging factors, excluding GHF), followed by Tukey's test (p = 0.05). Results: The 2-way AN0VA revealed that the μTBS was significantly affected by the surface treatment (p < 0.001) but not by aging (p = 0.68), and Tukey's test showed that G77-n/G77-a (18.0 MPa) > GHF-n/GHF-a (12.2 MPa) > G20-n/G20-a (9.1 MPa). The 3-way ANOVA revealed that the μTBS was significantly affected by the "heat treatment" and "rinsing" factors (p < 0.001), but not affected by "aging" (p = 0.36). The rinsing procedure decreased, while oven drying increased the bond strengths. Group G77, in both non-aging and aging conditions (18.6-17.4 MPa), had the highest bond values. Failure modes were mainly mixed for all groups. Conclusion: Oven drying at 77°C improved the bond strength between the resin cement and feldspathic ceramic, but hot water rinsing reduced the bond strength and should not be recommended. [ABSTRACT FROM AUTHOR]

Purpose: To determine the bond strength between zirconia and porcelain with varying numbers of veneer firing cycles. Materials and Methods: Fifty specimens of zirconia veneered with feldspathic ceramic were submitted to one (1-firing), two (2-firings), three (3-firings), four (4-firings), or five (5-firings) firing cycles to sinter the porcelain. After the respective number of firings, the specimens were embedded into acrylic resin and sectioned into bars with a 1-mm2 cross-sectional area. The microbars were bonded to a special device and attached to a universal testing machine (Ernie DL 1000). Microtensile bond strength testing (MTBS) was performed at 0.5 mm/min. The maximum load for fracture was recorded (N) and the microtensile bond strength was calculated in MPa. Data were analyzed using one-way ANOVA and Tukey's test (a = 0.05). The Weibull modulus and characteristic strength was also calculated for each experimental group. Results: Specimens submitted to a single firing cycle presented the lowest bond strength values (14.1 MPa), two firing cycles provided intermediate bond strength values (15 MPa) and the other groups presented equivalents high values (18.1 - 18.4 MPa). The Weibull modulus did not change between the groups. Conclusion: More than three firing cycles of a veneer ceramic provided higher bond strengths between zirconia and the veneering ceramic. [ABSTRACT FROM AUTHOR]

Purpose: This study evaluated the microtensile bond strength (uTBS) of 3 different resin cements to lithium-disil-icate ceramic using two assemblies: ceramic-cement-ceramic (CCC) and ceramic-cement-dentin (CCD). Materials and Methods: The bonding surfaces of lithium disilicate ceramic blocks (5x5x4 mm) (Nbiock = 90) were etched with 4% hydrofluoric acid for 20 s and silanized. Flat dentin surfaces of human third molars were conditioned according to the respective manufacturer's specifications for three types of resin cements (ML: Multilink, Ivoclar-Vivadent; PF: Panavia F, Kuraray; SB: Super Bond C&B, Sun Medical). While one set of ceramic blocks (n = 30) was cemented to another equal set (CCC assembly), another set of ceramic blocks (n = 30) was cemented on flat dentin (CCD assembly). The bonded specimens were stored in distilled water at 37°C for 24 h, and then sectioned along the x- and y-axes to obtain nontrimmed beam specimens. The beam specimens were randomly divided into two conditions: dry condition (DC - immediate testing); and aging condition (AC - thermo-cycling 12,000 times + water storage for 150 days). The uTBS bond strength test was performed using a universal testing machine (1 mm/min). After debonding, the substrate and adherent surfaces were analyzed using a scanning electron microscope to categorize the failure types. The data were statistically evaluated using 2-way AN0VA and Tukey's test (5%). Results: While the mean uTBS of CCC assemblies were significantly influenced by the cement type (p < 0.05) and aging (p < 0.05), CCD assemblies showed a significant effect of the cement (p < 0.05) but not the aging (p > 0.05). Without aging (DC), the mean uTBS (MPa) of SB (26.9) and PF (26.9) were significantly higher than ML (18.5) (p < 0.05). For CCC after aging (AC), SB (26.6) showed higher mean μTBS than those of PF (16.4) and ML (18.5) (p < 0.05). However, in CCD after AC, no significant difference was found between the groups (p > 0.05). In both CCC and CCD assemblies, pre-test failures were the least with SB cement. Regardless of the resin cement type employed and storage conditions, adhesive failures ranged between 35.3% and 88.9%, cohesive failures in cement between 2.3% and 35.3%, and cohesive failures in ceramic between 3.3% and 6.8%. Conclusion: SB resin cement demonstrated the highest bond strength to a lithium disilicate ceramic in both tests assemblies with and without aging conditions [ABSTRACT FROM AUTHOR]

Purpose: This study evaluated the effect of different surface conditioning protocols on the repair strength of resin composite to the zirconia core / veneering ceramic complex, simulating the clinical chipping phenomenon. Materials and Methods: Forty disk-shaped zirconia core (Lava Zirconia, 3M ESPE) (diameter: 3 mm) specimens were veneered circumferentially with a feldspathic veneering ceramic (VM7, Vita Zahnfabrik) (thickness: 2 mm) using a split metal mold. They were then embedded in autopolymerizing acrylic with the bonding surfaces exposed. Specimens were randomly assigned to one of the following surface conditioning protocols (n = 10 per group): group 1, veneer: 4% hydrofluoric acid (HF) (Porcelain Etch) + core: aluminum trioxide (50-µm Al2O3) + core + veneer: silane (ESPE-Sil); group 2: core: Al2O3 (50 µm) + veneer: HF + core + veneer: silane; group 3: veneer: HF + core: 30 µm aluminum trioxide particles coated with silica (30 µm SiO2) + core + veneer: silane; group 4: core: 30 µm SiO2 + veneer: HF + core + veneer: silane. Core and veneer ceramic were conditioned individually but no attempt was made to avoid cross contamination of conditioning, simulating the clinical intraoral repair situation. Adhesive resin (VisioBond) was applied to both the core and the veneer ceramic, and resin composite (Quadrant Posterior) was bonded onto both substrates using polyethylene molds and photopolymerized. After thermocycling (6000 cycles, 5°C-55°C), the specimens were subjected to shear bond testing using a universal testing machine (1 mm/min). Failure modes were identified using an optical microscope, and scanning electron microscope images were obtained. Bond strength data (MPa) were analyzed statistically using the non-parametric Kruskal-Wallis test followed by the Wilcoxon rank-sum test and the Bonferroni Holm correction (α = 0.05). Results: Group 3 demonstrated significantly higher values (MPa) (8.6 ± 2.7) than those of the other groups (3.2 ± 3.1, 3.2 ± 3, and 3.1 ± 3.5 for groups 1, 2, and 4, respectively) (p < 0.001). All groups showed exclusively adhesive failure between the repair resin and the core zirconia. The incidence of cohesive failure in the ceramic was highest in group 3 (8 out of 10) compared to the other groups (0/10, 2/10, and 2/10, in groups 1, 2, and 4, respectively). SEM images showed that air abrasion on the zirconia core only also impinged on the veneering ceramic where the etching pattern was affected. Conclusion: Etching the veneer ceramic with HF gel and silica coating of the zirconia core followed by silanization of both substrates could be advised for the repair of the zirconia core / veneering ceramic complex. [ABSTRACT FROM AUTHOR]

To characterize the effect of two processing techniques (pressing and CAD/CAM — Computer Aided Design/Computer Aided Machining) of lithium-disilicate (LD) based crowns on the microstructure, topography, roughness, fractal dimension, internal and marginal adaptation. One-hundred identical preparations for monolithic crowns were made with dentin analogue material (G10 epoxy resin). One of the preparations was scanned and a monolithic crown in lithium-disilicate was planned in the CAD system. Fifty crowns were milled in a wax pattern and subjected to pressing (IPS e.max Press), while 50 crowns were machined at CAD/CAM (IPS e.max CAD) and posteriorly crystallized. Internal and marginal adaptation were assessed via replica technique at four manufacturing moments (Milled wax pattern; LDPRESS; Milled LDCAD; Crystallized LDCAD) and considering 5 regions (margin, cervico-axial angle, axial wall, axial-occlusal angle and occlusal wall). Complementary analysis considering microstructure and topography, roughness and fractal dimension were performed in Scanning Electron Microscopy (SEM) and Atomic Force Microscopy (AFM). The processing technique resulted in different ceramic microstructure, topography, roughness and fractal dimension, whereas CAD/CAM lead to smoother, more homogeneous but more complex topography features (higher fractal dimension) in comparison to the pressing technique (P < 0.05). Regarding marginal and internal fit, LDPRESS crowns showed to be more adapted at the margin, while LDCAD were more adapted at the occluso-axial angle; other regions were not statistically different (α = 0.05). CAD/CAM and the pressing techniques for manufacturing LD crowns lead to completely different ceramic surface characteristics and affect crown adaptation at the margin and at occluso-axial angle. [ABSTRACT FROM AUTHOR]