scholarly journals 1-Year clinical study of indirect resin composite restorations luted with a self-adhesive resin cement: effect of enamel etching

2012 ◽  
Vol 23 (2) ◽  
pp. 97-103 ◽  
Author(s):  
Cristiana Godoy Sartori Azevedo ◽  
Mario Fernando De Goes ◽  
Glaucia Maria Bovi Ambrosano ◽  
Daniel C.N. Chan
Keyword(s):  
Composite Resin ◽  
Resin Cement ◽  
Acid Etching ◽  
Adhesive Resin ◽  
Relyx Unicem ◽  
Indirect Composite ◽  
Adhesive Resin Cement ◽  
Composite Resin Restorations ◽  
Resin Restorations

In vitro studies have recommended enamel-etching before luting indirect restorations with self-adhesive resin cement. However, there is no scientific proof that this procedure has any clinical relevance. Thus, the aim of this study was to evaluate the effect of enamel-etching on the marginal quality of indirect composite resin restorations (inlay/onlay) using the self-adhesive cement RelyX Unicem clicker. Forty-two posterior teeth were selected from 25 patients that presented one or two teeth with large restorations in need of replacement. All teeth were prepared by the same operator and impressed with polyvinylsiloxane material. The composite resin restorations were built over plaster casts using the incremental technique with a LED device for light-curing the increments. The inlays/onlays were cemented according to one of the following protocols: 1. Etched group (ETR) - selective enamel phosphoric-acid etching + RelyX Unicem clicker; 2. Non-etched group (NER) - RelyX Unicem clicker alone. Each surface was light-cured for 60 s. Recalls occurred after 1 week (baseline), 6 and 12 months when the teeth were evaluated according to previously established scores (modified USPHS criteria). The clinical analysis showed little or no visible changes in the marginal quality after 1 year, even though a probe could detect all the restorations margins. Statistical analysis (Fisher’s exact test, p<0.05) detected no differences between the groups after 12 months. No restorations failed and no secondary caries were found. Enamel acid etching had no clinical relevance on the marginal quality of indirect composite resin restorations luted with RelyX Unicem clicker after 1 year of follow up.

scholarly journals Influence of method and period of storage on the microtensile bond strength of indirect composite resin restorations to dentine

2008 ◽  
Vol 22 (4) ◽  
pp. 352-357 ◽  
Author(s):  
Fernanda Ribeiro Santana ◽  
Janaína Carla Pereira ◽  
Cristina Alves Pereira ◽  
Alfredo Júlio Fernandes Neto ◽  
Carlos José Soares
Keyword(s):  
Bond Strength ◽  
Composite Resin ◽  
Microtensile Bond Strength ◽  
Indirect Composite ◽  
Composite Resin Restorations ◽  
Resin Restorations

scholarly journals Step-by-step teaching method: improving learning outcomes of undergraduate dental students in layering techniques for direct composite resin restorations

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Jia-xue Yuan ◽  
Ke-yu Yang ◽  
Jing Ma ◽  
Zhen-zhen Wang ◽  
Qing-yu Guo ◽  
...  
Keyword(s):  
Composite Resin ◽  
Teaching Method ◽  
Dental Students ◽  
Control Group ◽  
Final Score ◽  
Composite Resin Restorations ◽  
Group Control Group ◽  
Experimental Group ◽  
Resin Restorations

Abstract Background Layering techniques for direct composite resin restorations might be complicated for inexperienced learners, as a number of materials and instruments are required at each step. The present study aimed to compare and assess the teaching effect of step-by-step and all-in-one teaching methods in layering techniques for direct composite resin restorations among undergraduate dental students. Methods A total of 68 junior dental students participated in this study, which was a prospective and single-blind trial. The students were randomly divided into a step-by-step group (experimental group, n = 34) and all-in-one group (control group, n = 34). The same teacher taught the two groups, ensuring a comparable teaching effect. The final score of each student was an average of scores by two experts who were blinded to the grouping. The scoring system was consisted by five parts. Each part was assigned scores of 3.0, 1.5, or 0. The total maximum score was 15 and minimum was 0. The total time taken by each group was also calculated. Results The values of the quality of tooth restorations evaluated by experts for step-by-step and all-in-one groups were 11.29 ± 2.13 from 15 and 9.00 ± 2.71 from 15 (t = 3.88, P < 0.001), respectively. In addition, the time spent by the experimental group was significantly lesser than that spent by the control group, which was 122.47 ± 2.82 and 137.18 ± 6.75 min, respectively (t = 11.72, p < 0.001). Conclusion With regard to the layering techniques for direct composite resin restorations, the outcomes were better in the step-by-step group than in the all-in-one group.

A Five-Year Clinical Evaluation of Direct Nanofilled and Indirect Composite Resin Restorations in Posterior Teeth

2013 ◽  
Vol 38 (2) ◽  
pp. E31-E41 ◽  
Author(s):  
AR Cetin ◽  
N Unlu ◽  
N Cobanoglu
Keyword(s):  
Composite Resin ◽  
Clinical Performance ◽  
United States Public Health ◽  
The United States ◽  
Composite Resins ◽  
Posterior Teeth ◽  
Indirect Composite ◽  
Composite Resin Restorations ◽  
Clinical Conditions ◽  
Resin Restorations

SUMMARY Aim: To assess the clinical efficacy of posterior composite resin restorations placed directly and indirectly in posterior teeth after five years. Materials and Methods: A total of 108 cavities in 54 patients were restored with three direct composite resins (Filtek SupremeXT [FSXT], Tetric Evo Ceram [TEC], AELITE Aesthetic [AA]) and two indirect composite resins (Estenia [E] and Tescera ATL [TATL]). All restorations were evaluated by two examiners using the United States Public Health Service criteria at baseline and five years after placement. Statistical analysis was completed with Fisher exact and McNemar χ2 tests. Results: At baseline, 4% (five) of the restored teeth presented postoperative sensitivity; however, only one of them (a member of the E group) required canal treatment and replacement after two years. At the five-year evaluation, all restorations were retained, with Alpha ratings at 100%. Only one tooth (in the TEC group) required replacement after three years due to secondary caries. Color match, surface texture, and marginal integrity were predominantly scored as Alpha after five years for all groups. After that time, marginal discoloration was scored as Alpha in 64% of AE restorations, 70% of TATL restorations, 73% of E restorations, and 87% of FSXT restorations. There were no Charlie scores recorded for any of the restorative systems. Conclusions: Under controlled clinical conditions, indirect composite resin inlays and direct composite resin restorations exhibited an annual failure rate of 2.5% and 1.6%, respectively, after five years. Therefore, the investigated materials showed acceptable clinical performance, and no significant differences were found among them.

The Effect of Aging and Surface treatments on Micro-shear Bond Strength of Resin Nano-Ceramic Material Using Two Resin Cements

2020 ◽  
Author(s):  
Ayman Mohammed Said
Keyword(s):  
Bond Strength ◽  
Hydrofluoric Acid ◽  
Shear Bond Strength ◽  
Surface Treatments ◽  
Resin Cement ◽  
Acid Etching ◽  
Resin Cements ◽  
Adhesive Resin ◽  
Mean Values ◽  
Adhesive Resin Cement

Purpose: To evaluate the effect of aging and different surface treatments on micro-shear bond strength of two resin cements to resin nano-ceramic composite blocks using an in-vitro study. Materials and methods: Blocks of resin nano-ceramic (Lava Ultimate, 3M, St Paul, Minnesota, USA) were used to prepare eight plates having the following dimensions: (14mm × 12mm × 2mm). After plates preparation they were assigned to two main groups according to the surface treatment applied, either hydrofluoric acid etching and silane or sandblasting and silane. Scanning electron microscope (SEM) was used to analyze the surface topography of the Lava-Ultimate plates before and after application of surface treatments. Two resin cements were used; dual cured adhesive resin cement (Bifix QM, VOCO, Cuxhafen, Germany) and dual cured self-adhesive resin cement (Bifix SE, VOCO, Cuxhafen, Germany) to create a five resin micro-cylinders received on each lava ultimate plate. Ten specimens from each subgroup were tested after 24 hours and the other ten specimens were tested after aging in saline for 6 months. Micro-shear bond strength test was applied until failure. . Multi-factorial ANOVA test and One-way ANOVA followed by pair-wise Tukey’s post-hoc tests were used to analyze the data. Results: Both resin cements showed statistically significant decrease on bond strength after aging. Before aging, both surface treatments with adhesive resin cement showed statistically significant higher micro-shear bond strength mean values than with self-adhesive resin cement. After aging sandblasting showed a statistically significant higher micro-shear bond strength mean values with adhesive resin cement, while hydrofluoric acid etching revealed a statistically non-significant higher values with adhesive resin cement than self-adhesive resin cement. Conclusion: For both surface treatments and resin cements aging had a detrimental effect on micro- shear bond strength.

scholarly journals The Influence of Irrigation during the Finishing and Polishing of Composite Resin Restorations—A Systematic Review of In Vitro Studies

Materials ◽  
2021 ◽  
Vol 14 (7) ◽  
pp. 1675
Author(s):  
João Paulo Silva ◽  
Ana Coelho ◽  
Anabela Paula ◽  
Inês Amaro ◽  
José Saraiva ◽  
...  
Keyword(s):  
Systematic Review ◽  
Composite Resin ◽  
Dental Materials ◽  
In Vitro Studies ◽  
Cochrane Library ◽  
Polishing Procedures ◽  
Composite Resin Restorations ◽  
Resin Restorations

The surface smoothness of composite restorations affects not only their esthetic appearance but also other properties. Thus, rough surfaces can lead to staining, plaque accumulation, gingival irritation, recurrent caries, abrasiveness, wear kinetics, and tactile perception by the patient. The aim of this study was to evaluate the influence of irrigation during the finishing and polishing of composite resin restorations. A systematic search of the PubMed, Cochrane Library, EMBASE, Web of Science, and Clinical Trials databases was conducted. Papers published up to 11 February 2021 were considered. The quality of each study was assessed using the modified Consolidated Standards of Reporting Trials checklist for reporting in vitro studies on dental materials. No clinical studies were identified. Six in vitro studies were included, reporting changes in physical and esthetic properties. After performing a methodological quality assessment of the studies, some limitations were identified, the main limitation being the heterogeneous methodology across studies. The evidence resulting from this systematic review did not favor either wet or dry finishing/polishing procedures. There is a clear need for well-designed studies focusing on the comparison of dry/wet finishing/polishing with standard protocols to evaluate the differences among different materials and methods.

scholarly journals The difference of bond strength between multi step and self adhesive resin cements in indirect composite restoration

2010 ◽  
Vol 22 (1) ◽  
Author(s):  
Myrna Nurlatifah Zakaria ◽  
Moch. Richata Fadil ◽  
Milly Armilia
Keyword(s):  
Bond Strength ◽  
Resin Cement ◽  
The Self ◽  
Tensile Bond Strength ◽  
Resin Cements ◽  
Adhesive Resin ◽  
Dentin Surface ◽  
Indirect Composite ◽  
Adhesive Resin Cement ◽  
Composite Restoration

Resin based luting cement application generally requires pre-treatment procedure such as etching and adhesive application prior to cementation. This multi-step application technique might compromise bonding alternative effectiveness and is time consuming. An alternative for multi-step resin cement is the self-adhesive resin cement that combines the use of etch, adhesive and cement in one single application. The objective of this study was to compare the bonding effectiveness of the multi-step resin cement and the self-adhesive resin cement using tensile bond strength method towards indirect composite block dentin surface. This study was a true experimental research conducted by in vitro method on 30 flat dentin surfaces created from extracted lower premolars samples. Samples were divided into two groups, each 15 samples for multi-step and self-adhesive resin cements. An indirect composite block (2x2x10 mm) was then cemented to each dentin surface using multi-step resin cement (Rely X ARC, 3M ESPE) or self-adhesive resin cement (Rely X Unicem, 3M ESPE) according to manufacture’s instruction. Samples were storage for 24 hours in saline water and tensile bond strength of each samples were tested using the LRX Plus Lyod Instrument at 1 mm/minute speed. The result of the study concluded that the tensile bond strength of multi-step resin cement towards indirect composite restoration and dentin surface was significantly higher than the self-adhesive resin cement.

scholarly journals Influence of Surface Treatment and Resin Cements on the Bond Strength between the Y-TZP Zirconia and Composite Resin Interface

2019 ◽  
Vol 21 (5) ◽  
pp. 477-482
Author(s):  
Lucas Campagnaro Maciel ◽  
Amanda Pádua Proeza ◽  
Hélyda Coelho Guimarães Balbino ◽  
Marcela Moráo Corteletti ◽  
Ricardo Huver De Jesus ◽  
...  
Keyword(s):  
Bond Strength ◽  
Surface Treatment ◽  
Composite Resin ◽  
Surface Treatments ◽  
Resin Cement ◽  
The Self ◽  
Resin Cements ◽  
Adhesive Resin ◽  
Significant Difference ◽  
Adhesive Resin Cement

AbstractThe evolution of dental materials and the improvement of ceramic systems stimulated the increased use of Y-TZP zirconia-based ceramics. Despite the excellent mechanical performance, this material has low adhesion potential. The objective of this work was to evaluate the surface treatments and resin cements influence on bond strength between Y-TZP zirconia and composite resin interface. A total of 60 blocks of Y-TZP zirconia (3x8x8mm) were prepared and divided into 3 groups according to the surface treatments: (C) control - extra fine diamond bur, (J) sandblasting with Al2O3 and (JP) sandblasting with Al2O3 + ceramic primer. Each group was subdivided into two groups according to type of resin cement used for cementing composite resin discs (2mm thick x 5mm diameter): self-adhesive and conventional (n=10). The samples were stored in distilled water for 24 hours at 37±1°C in a incubator and subsequently submitted to the shear bond test to determine the bond strength (RU). There was no significant difference in RU among the  surface treatments when using conventional resin cement. For the self-adhesive resin cement, Al2O3 blasting and Al2O3 + primer blasting increased the RU but did not present significant differences between them (p<0.05). Comparing the cements, it was observed that regardless of the surface treatment, the highest values were for the self-adhesive resin cement (p<0.05). Application of the primer after blasting with Al2O3 did not increase RU. Keywords: Dental Prosthesis. Ceramics. Dental cements. Shear Strength.  ResumoA evolução dos materiais odontológicos e o aprimoramento dos sistemas cerâmicos impulsionaram o aumento da utilização da cerâmica a base de zircônia Y-TZP. Apesar do excelente desempenho mecânico, este material apresenta baixo potencial de adesão. O objetivo deste trabalho foi avaliar a influência dos tratamentos de superfícies e dos cimentos resinosos na resistência de união entre a interface zircônia Y-TZP e resina composta. Foram confeccionados 60 blocos de zircônia Y-TZP (3x8x8 mm) e divididos em 03 grupos de acordo com os tratamentos de superfícies que receberam: (C) controle - ponta diamantada extrafina, (J) jateamento com Al2O3 e (JP) jateamento com Al2O3 + primer cerâmico. Cada grupo foi subdividido em dois novos grupos de acordo com tipo de cimento resinoso utilizado para cimentação de discos de resina composta (2mm de espessura x 5mm de diâmetro): autoadesivo e resinoso convencional (n=10). As amostras foram armazenadas em água destilada por 24 horas a 37±1°C em estufa e posteriormente submetidas ao teste de cisalhamento para averiguar a resistência de união (RU). Não houve diferença significativa na RU entre os tratamentos de superfície quando utilizado o cimento resinoso convencional. Para o cimento resinoso autoadesivo o jateamento com Al2O3 e o jateamento de Al2O3 + primer aumentaram a RU porém não apresentaram diferenças significativas entre si (p<0,05). Comparando os cimentos observou-se que, independente do tratamento de superfície, os maiores valores foram para o cimento resinoso autoadesivo (p<0,05). A aplicação do primer após o jateamento com Al2O3 não proporcionou aumento da RU. Palavras-chave: Prótese Dentária. Cerâmica. Cimentos Dentários. Resistência ao Cisalhamento.

scholarly journals Effect of Er:YAG Laser and Reduced Time of Acid Etching on Bond Strength of Self-adhesive Resin Cement to MTA and Biodentine

2021 ◽  
Vol 12 (1) ◽  
pp. e36-e36
Author(s):  
Paria Dehghanian ◽  
Fereshteh Shafiei ◽  
Nasrin Kianimanesh
Keyword(s):  
Bond Strength ◽  
Adhesive Bonding ◽  
Er:Yag Laser ◽  
Resin Cement ◽  
Acid Etching ◽  
Control Group ◽  
Laser Etching ◽  
Adhesive Resin ◽  
Surface Pretreatment ◽  
Adhesive Resin Cement

Introduction: Considering the recent trend to use mineral trioxide aggregate (MTA) and Biodentine and resin cements, more conservative approaches concurrent with adequate bond strength have always been requested. The present study aimed to evaluate the effect of pretreatment with Er:YAG laser etching versus acid-etching for 5 and 15 seconds on the micro shear bond strength of self-adhesive resin cement (SRC) to MTA and Biodentine. Materials and Methods: Forty-eight samples of each cement (MTA and Biodentine) were prepared and distributed into four groups based on surface pretreatment: 1) control, no treatment; 2) Er:YAG laser etching with energy of 60 mJ; 3) 5-second acid-etching; 4) 15-second acid-etching. All specimens were cemented using SRC. Microshear bond strengths were tested following 24-hour water storage. Debonded specimens were examined and surface topography was assessed using an atomic force machine (AFM). Data analysis was performed using the two-way ANOVA and Tukey multiple comparisons test. Results: The three testing groups of laser etch and 5-s and 15-s acid-etch demonstrated a significantly higher SBS than the control group (P<0.05) with negligible differences among them (P > 0.05). Furthermore, Biodentine showed better adhesive bonding than MTA in all groups. Conclusion: Laser etching of 60 mJ and 5-s acid-etching were as beneficial as 15-s acid-etching in terms of bond strength of SRC to MTA and Bodentine.

scholarly journals Replacement of Anterior Composite Resin Restorations Using Conservative Ceramics for Occlusal and Periodontal Rehabilitation: An 18-Month Clinical Follow-Up

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Leonardo Fernandes da Cunha ◽  
Rayane Alexandra Prochnow ◽  
Adriana Osten Costacurta ◽  
Carla Castiglia Gonzaga ◽  
Gisele Maria Correr
Keyword(s):  
Case Report ◽  
Minimally Invasive ◽  
Composite Resin ◽  
Resin Cement ◽  
Periodontal Tissues ◽  
Anterior Teeth ◽  
Composite Resin Restorations ◽  
Ceramic Restorations ◽  
Resin Restorations

This case report describes a patient with discolored and fractured composite resin restorations on the anterior teeth in whom substitution was indicated. After wax-up and mock-up, the composite was removed and replaced with minimally invasive ceramic laminates. An established and predictable protocol was performed using resin cement. Minimally invasive ceramic restorations are increasingly being used to replace composite restorations. This treatment improves the occlusal and periodontal aspects during the planning and restorative phases, such as anterior guides, and laterality can be restored easily with ceramic laminates. In addition, the surface smoothness and contour of ceramic restorations do not affect the health of the surrounding periodontal tissues. Here we present the outcome after 18 months of clinical follow-up in a patient in whom composite resin restorations in the anterior teeth were replaced with minimally invasive ceramic laminates.

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