Abstract

BackgroundDifferent ceramic surface cleaning methods have been suggested after the acid conditioning. The aim was to evaluate the effect of different protocols used to remove the remaining hydrofluoric acid on the shear bond strength (SBS) between lithium disilicate and resin cement. Material and Methods Forty-four specimens of lithium disilicate (IPS e.max Press) were divided in 4 groups (n=11): group C (control, no treatment); group HF+S (5% hydrofluoric acid + silane); group HF+US+S (5% hydrofluoric acid + ultrasound cleaning + silane); group HF+PH+S (5% hydrofluoric acid + 37% phosphoric acid + silane). Scanning electron microscopy (SEM) and energy dispersive spectroscopy (EDS) were performed to characterize the surface morphology. The SBS test was performed on the resin/ceramic interface, and the failure mode was characterized. SBS values were submitted to 1-way ANOVA and the Tukey test (α=.05). The relation between surface treatment and failure modes was analyzed using the chi-squared test (α=.05). Results The surface treatment type interfered in the shear strength (p<.001) and higher SBS values were observed for the groups HF+US+S (17.87 MPa) and HF+PH+S (16.37 MPa). The surface treatment did not influence the failure mode (p=.713). No fluorsilicate salts were observed after ultrasound cleaning. Conclusions The utilization of ultrasound cleaning was an effective procedure to remove remaining fluorsilicate salts, promoting the highest SBS values. Key words:Bond strength, ceramics, fluorsilicate, lithium disilicate, resin cement.

Highlights

  • The clinical procedure of adhesive cementation of all-ceramic fixed prostheses involves the treatment of the dental substrate and the internal surface of the ceramic restoration to be installed [1,2]

  • This study aimed to characterize the morphology of different protocols used to remove the remaining hydrofluoric acid and to evaluate their effect on the shear bond strength (SBS) between lithium disilicate ceramic and resin cement

  • Micrographs were registered with an increase of 10,000×, in different stages: T0, T1, T2

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Summary

Introduction

The clinical procedure of adhesive cementation of all-ceramic fixed prostheses involves the treatment of the dental substrate and the internal surface of the ceramic restoration to be installed [1,2]. It is agreed that the use of hydrofluoric acid followed by the application of silane is the most effective surface treatment method for glass ceramics [2,3]. This study aimed to characterize the morphology of different protocols used to remove the remaining hydrofluoric acid and to evaluate their effect on the shear bond strength (SBS) between lithium disilicate ceramic and resin cement. Different ceramic surface cleaning methods have been suggested after the acid conditioning. The aim was to evaluate the effect of different protocols used to remove the remaining hydrofluoric acid on the shear bond strength (SBS) between lithium disilicate and resin cement. Conclusions: The utilization of ultrasound cleaning was an effective procedure to remove remaining fluorsilicate salts, promoting the highest SBS values

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