scholarly journals Polymer-Based Bioactive Luting Agents for Cementation of All-Ceramic Crowns: An SEM, EDX, Microleakage, Fracture Strength, and Color Stability Study

Polymers ◽  
2021 ◽  
Vol 13 (23) ◽  
pp. 4227
Author(s):  
Samer Al-Saleh ◽  
Turki W. Aboghosh ◽  
Mousa S. Hazazi ◽  
Khalid A. Binsaeed ◽  
Abdulaziz M. Almuhaisen ◽  
...  

The aim of the study was to compare microleakage and fracture loads of all ceramic crowns luted with conventional polymer resins and polymeric bioactive cements and to assess the color stability of polymeric bioactive cements. Seventy-five extracted premolar teeth were tested for fracture loads and microleakage in all-ceramic crowns cemented with two types of polymeric bioactive cements and resin cements. In addition, the degree of color change for each cement with coffee was assessed. Thirty maxillary premolar teeth for fracture loads and thirty mandibular premolar teeth for microleakage were prepared; standardized teeth preparations were performed by a single experienced operator. All prepared specimens were randomly distributed to three groups (n = 20) based on the type of cement, Group 1: resin cement (Multilink N); Group 2: polymeric bioactive cement (ACTIVA); Group 3: polymeric bioactive cement (Ceramir). The cementation procedures for all cements (Multilink, ACTIVA, and Ceramir) were performed according to the manufacturers’ instructions. All specimens were aged using thermocycling for 30,000 cycles (5–55 °C, dwell time 30 s). These specimens were tested using the universal testing machine for fracture strength and with a micro-CT for microleakage. For the color stability evaluation, the cement specimens were immersed in coffee and evaluated with a spectrometer. Results: The highest and lowest means for fracture loads were observed in resin cements (49.5 ± 8.85) and Ceramir (39.8 ± 9.16), respectively. Ceramir (2.563 ± 0.71) showed the highest microleakage compared to resin (0.70 ± 0.75) and ACTIVA (0.61 ± 0.56). ACTIVA cements showed comparable fracture loads, microleakage, and stain resistance compared to resin cements.

2020 ◽  
Vol 14 (1) ◽  
pp. 600-607
Author(s):  
Mohammed Zahran

Background: Several factors might affect the fracture resistance of all-ceramic crowns, including cement thickness. Aim: To evaluate the influence of cement thickness on the fracture resistance. Objective: To determine the effect of varying the adhesive gap thickness on the fracture loads of all-ceramic CEREC 3D molar crowns. Methods: Standardized prepared epoxy resin molar dies (Viade Inc.) were fabricated. A standard molar crown was designed using a CEREC 3D machine (Sirona Dental Systems). Twenty-four crowns were milled from Vita Mark II blocks (Vita Zahnfabrik), using adhesive gap settings of 30, 60 and 90 µm (n=8). A dual-cure resin cement (PanaviaF 2.0, Kuraray) was used to cement the crowns to their respective dies, following manufacturer's recommendation. After 1 week of storage in distilled water at 37°C, each crown was loaded in compression until complete failure in a universal testing machine (Instron 8501) and fracture loads (N) were recorded. Fractured specimens were sectioned to determine cement thickness. Sections were examined using a traveling light microscope to measure cement thickness. Data were statistically analyzed using one-way ANOVA test and Pearson's correlation at (α=0.05). Results: The mean fracture loads and standard deviation values in N were 1,267.57 (122.82), 1,225.20 (179.46) and 1,180.76 (161.77) for the crowns with 30, 60 and 90µm, respectively. ANOVA indicated no significant differences among mean fracture strength values (p = 0.55). All crowns failed in a catastrophic mode and were not repairable. Conclusions: Adhesive cement gap as achieved with three CEREC 3D settings from 30 to 90µm had no significant effect on fracture strength of crowns made from Vita Mark II blocks.


2006 ◽  
Vol 85 (3) ◽  
pp. 272-276 ◽  
Author(s):  
G.J.P. Fleming ◽  
F.R. Maguire ◽  
G. Bhamra ◽  
F.M. Burke ◽  
P.M. Marquis

All-ceramic crowns bonded with resin cements have increased performance, and two theories have been proposed. Marquis (1992) suggested that the resin modified defects by crack healing, while Nathanson (1993) proposed that resin polymerization shrinkage strengthened porcelains. Both theories imply a sensitivity of strengthening to defect size. The hypothesis tested was that resin strength enhancement is independent of defect severity. We ground 200 porcelain discs to remove imperfections and indented 120 to create a large defect. Discs were tested dry, wet, and after being coated with 75–100 μm of resin cement in bi-axial flexure. Disc strength with and without indentations was increased significantly when coated with 2 resin cements. Both cements significantly increased the strength independent of defect population, and the hypothesis was accepted. It is proposed that the combination of surface pre-treatment and cement moved the fracture origin from the porcelain/cement interface to the cement surface, consistent with resin strength enhancement independent of defect severity.


Cerâmica ◽  
2018 ◽  
Vol 64 (370) ◽  
pp. 284-287
Author(s):  
A. C. Piccoli ◽  
M. Borba

Abstract Different methods are available to produce all-ceramic dental prosthesis. Each processing step may introduce flaws to the material, which compromises its properties and reliability. The objective of this study was to evaluate the effect of fabrication method on the fracture behavior of prosthetic crowns produced with an alumina-based glass-infiltrated zirconia-reinforced ceramic. Two groups of all-ceramic crowns were produced according to the fabrication method of the infrastructure (IS) (n=30): IZC - IS produced by CAD-CAM; IZS - IS produced by slip-casting. The IS were veneered with porcelain and cemented to fiber-reinforced composite dies with resin cement. Crowns were loaded in compression to failure using a universal testing machine, at 1 mm/min crosshead speed and 37 ºC distilled water. Fractography was performed using stereomicroscope and SEM. Data were statistically analyzed with Student’s t test (α=0.05) and Weibull analysis. There were no significant differences among the experimental groups for fracture load (p=0.481) and Weibull modulus. For both groups, the failure mode was catastrophic failure involving IS and porcelain. It was concluded that the fabrication methods evaluated resulted in all-ceramic crowns with similar fracture behavior and reliability.


2018 ◽  
Vol 9 (1-2) ◽  
pp. 24-30 ◽  
Author(s):  
Murat Alkurt ◽  
Zeynep Yesil Duymus

Objective: This study aims to compare the color change (Δ E) of 5 resin cements (Panavia SA, Panavia V5, RelyX U200, Variolink NLC clear and +1) after thermocycling. Changes in color of specimens were determined after 10,000 cycles of thermocycling by spectrophotometer in the CIELAB. Materials and Methods: Ceramic disks, simulating laminate veneers, with thicknesses of 0.5, 0.7, and 1.0 mm (A1, IPS e.max) were fabricated. Color differences (Δ E) between the control and test groups were calculated. Data were statistically analyzed by 2-way analysis of variance (ANOVA). Also, Tukey’s multiple comparison tests were applied to know the difference between the groups (α = 0.05). Results: The factors of cement type and thickness of ceramic showed significant influence on Δ E values ( P < .05). After thermocycling, all resin cements, except benzoyl peroxide including resin cement (Pan SA), were showed clinically acceptable to color change limits (Δ E < 3.3). On evaluating the effects of ceramic thickness on color change after thermocyle aging, control group (no ceramic thickness) showed color change ( P < .05) visually. Conclusion: Amine-reduced, amine-free and lacking benzoyl peroxide resin cement showed minimal color change and better color stability.


2012 ◽  
Vol 13 (2) ◽  
pp. 210-215
Author(s):  
Firas Al Quran ◽  
Reem Haj-Ali

ABSTRACT Purpose The purpose of this study was to investigate the fracture loads and mode of failure of all-ceramic crowns fabricated using Top-Ceram and compare it with all-ceramic crowns fabricated from well-established systems: IPS-Empress II, In-Ceram. Materials and methods Thirty all-ceramic crowns were fabricated; 10 IPS-Empress II, 10 In-Ceram alumina and 10 Top-Ceram. Instron testing machine was used to measure the loads required to introduce fracture of each crown. Results Mean fracture load for In-Ceram alumina [941.8 (± 221.66) N] was significantly (p < 0.05) higher than those of Top-Ceram and IPS-Empress II. There was no statistically significant difference between Top-Ceram and IPS-Empress II mean fracture loads; 696.20 (+222.20) and 534 (+110.84) N respectively. Core fracture pattern was highest seen in Top- Ceram specimens. How to cite this article Quran AF, Haj-Ali R. Fracture Strength of Three All-Ceramic Systems: Top-Ceram Compared with IPSEmpress and In-Ceram. J Contemp Dent Pract 2012;13(2): 210-215.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Linah M. Ashy ◽  
Adnan Al-Mutairi ◽  
Tariq Al-Otaibi ◽  
Lulwa Al-Turki

Abstract Background High-translucency monolithic zirconia were developed to combine the esthetics of all ceramic restorations with the strength properties of zirconia. The purpose of this study was to compare the color stability of high-translucency monolithic zirconia ceramics with lithium disilicate luted using light-cure versus dual-cure resin cements following thermocyclic aging. Methods Forty specimens, each composed of 10 × 10 × 1 mm ceramic slice luted to dentin surface of an extracted tooth, were prepared and assigned into four groups (n = 10) as follows; LiDi/LC: lithium disilicate luted by light-cure resin cement; LiDi/DC: lithium disilicate luted by dual-cure resin cement; Zr/LC: zirconia luted by light-cure resin cement; and Zr/DC: zirconia luted by dual-cure resin cement. Color analysis of the specimens was performed before and after 3000 thermal cycles by means of spectrophotometry. The CIE L*a*b* values of the specimens were measured, and data were analyzed statistically at a significance value of p < 0.05. Results Thermocycling resulted in a significant change in color coordinates of specimens with an overall ΔE = 3.59 ± 1.60, but there was no statistically significant difference in the color change value among all tested groups (P = 0.756). Conclusions At 1 mm restoration thickness, the color stability of high-translucency monolithic lithium disilicate and zirconia ceramics were not significantly different irrespective of the cement type used. Clinical implication Understanding the difference in color stability of dental ceramics may help in determining long-term esthetic result.


2008 ◽  
Vol 9 (2) ◽  
pp. 33-40 ◽  
Author(s):  
Bandar M. A. AL-Makramani ◽  
Abdul A. A Razak ◽  
Mohamed I. Abu-Hassan

Abstract Aim The objective of this study is to investigate the effect of different luting agents on the fracture strength of Turkom-Cera™ all-ceramic copings. Methods and Materials Standardized metal dies were duplicated from a prepared maxillary first premolar tooth using non-precious metal alloy (Wiron 99). Thirty Turkom-Cera™ copings of 0.6 mm thickness were then fabricated. Three types of luting agents were used: zinc phosphate cement (Elite™), glass-ionomer cement (Fuji I™), and a dual-cured composite resin cement (Panavia F™). Ten copings were cemented with each type. All copings were cemented to their respective dies according to manufacturer's instructions and received a static load of 5 kg for ten minutes. After 24 hours of storage in distilled water at 37°C, the copings were vertically loaded until fracture using an Instron Universal Testing Machine at a crosshead speed of 1 mm/minute. The mode of fracture was then determined. Results Statistical analysis carried out using analysis of variance (ANOVA) revealed significant differences in the compressive strength between the three groups (P<0.001). The mean fracture strength (in Newtons) of Turkom-Cera™ copings cemented with Elite™, Fuji I™, and Panavia F™ were 1537.4 N, 1294.4 N, and 2183.6 N, respectively. Conclusions Luting agents have an influence on the fracture resistance of Turkom-Cera™ copings. Citation AL-Makramani BMA, Razak AAA, Abu-Hassan MI. Effect of Luting Cements on the Compressive Strength of Turkom-Cera™ All-ceramic Copings. J Contemp Dent Pract 2008 February;(9)2:033-040.


2016 ◽  
Vol 17 (11) ◽  
pp. 920-925 ◽  
Author(s):  
Bandar MA Al-Makramani ◽  
Fuad A Al-Sanabani ◽  
Abdul AA Razak ◽  
Mohamed I Abu-Hassan ◽  
Ibrahim Z AL-Shami ◽  
...  

ABSTRACT Aim The aim of this study was to evaluate the effect of surface treatments on shear bond strength (SBS) of Turkom-Cera (Turkom-Ceramic (M) Sdn. Bhd., Puchong, Malaysia) all-ceramic material cemented with resin cement Panavia-F (Kuraray Medical Inc., Okayama, Japan). Materials and methods Forty Turkom-Cera ceramic disks (10 mm × 3 mm) were prepared and randomly divided into four groups. The disks were wet ground to 1000-grit and subjected to four surface treatments: (1) No treatment (Control), (2) sandblasting, (3) silane application, and (4) sandblasting + silane. The four groups of 10 specimens each were bonded with Panavia-F resin cement according to manufacturer's recommendations. The SBS was determined using the universal testing machine (Instron) at 0.5 mm/min crosshead speed. Failure modes were recorded and a qualitative micromorphologic examination of different surface treatments was performed. The data were analyzed using the one-way analysis of variance (ANOVA) and Tukey honestly significant difference (HSD) tests. Results The SBS of the control, sandblasting, silane, and sandblasting + silane groups were: 10.8 ± 1.5, 16.4 ± 3.4, 16.2 ± 2.5, and 19.1 ± 2.4 MPa respectively. According to the Tukey HSD test, only the mean SBS of the control group was significantly different from the other three groups. There was no significant difference between sandblasting, silane, and sandblasting + silane groups. Conclusion In this study, the three surface treatments used improved the bond strength of resin cement to Turkom-Cera disks. Clinical significance The surface treatments used in this study appeared to be suitable methods for the cementation of glass infiltrated all-ceramic restorations. How to cite this article Razak AAA, Abu-Hassan MI, AL-Makramani BMA, AL-Sanabani FA, AL-Shami IZ, Almansour HM. Effect of Surface Treatments on the Bond Strength to Turkom-Cera All-Ceramic Material. J Contemp Dent Pract 2016;17(11):920-925.


2017 ◽  
Vol 15 (4) ◽  
pp. 258
Author(s):  
Marcelo Giannini ◽  
Andreia Assis Carvalho ◽  
Ariovaldo Stefani ◽  
Wladimir Franco de Sá Barbosa ◽  
Lawrence Gonzaga Lopes

Self-adhesive, dual-polymerizing resin cements require no treatment to the prepared tooth surfaces before cementation. Aim: The aim of this study was to evaluate the influence of curing mode on bond strength (BS) of three cementing systems to bovine dentin. Methods: The buccal enamel surfaces of 50 bovine incisors were removed to expose dentin and to flat the surface. The teeth were divided into five groups (n=10), which consisted of two resin cements (Multilink and Clearfil SA Cement) that were tested in dual- (halogen light for 40 s) and self-cured modes, and a control (RelyX ARC). Two cylinders of resin cements (1.0 mm X 0.75 mm) were prepared on each bonded dentin surface. After 24h at 37oC, resin cylinders were subjected to micro-shear testing in a universal testing machine (4411/Instron - 0.5 mm/min). Data were statistically analyzed by two-way ANOVA, Tukey and Dunnett`s test (5%). Results: Multilink showed higher BS than those observed on Clearfil SA. Light-curing resulted in higher BS for both Multilink and Clearfil SA. When Multilink was light-cured, no significant difference on BS was demonstrated between it and RelyX ARC. Conclusions: The highest BS values were obtained in control group and light-cured Multilink resin cement.


2008 ◽  
Vol 33 (4) ◽  
pp. 392-399 ◽  
Author(s):  
C. P. Trajtenberg ◽  
S. J. Caram ◽  
S. Kiat-amnuay

Clinical Relevance Among the self-adhesive resin cements, Panavia F 2.0 demonstrated less microleakage than RelyX Unicem or Multilink, whether or not a die spacer technique was used.


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