Abstract

This study evaluated the effects of three metal primers and one multi-mode adhesive system on the shear bond strength (SBS) of a flowable composite resin to nickel-chrome metal alloy (Ni-Cr). Ninety plates were cast from Ni-Cr and divided in nine groups (n=10). The surfaces were sandblasted with Al2O3 and primed with three adhesive primers: Alloy Primer (AP), Universal Primer (TP) and RelyX Ceramic Primer (CP), and a multi-mode adhesive (Scotchbond Universal, SU). The Adper Single Bond Plus (SB) and SU adhesives were also combined with adhesive primers. Control group did not have any surface treatment. The groups were: AP, AP+SB, AP+SU, TP+SB, TP+SU, CP+SB, CP+SU and SU. Composite cylinders were built on alloy surface. After 24 h, half the specimens were subjected to SBS and the other half to thermal cycling before testing. Data were analyzed by two-way ANOVA and Tukey's test (a=0.05). Failure modes were assessed by SEM observation. Higher SBS were obtained with AP and TP combined with adhesives at 24 h and the lowest one for control group. Thermocycling reduced SBS for AP, CP+SU and SU. Combination between TP and SU resulted in the highest SBS after the thermocycling. TP groups showed all types of failures and high incidence of mixed failures. The use of AP and UP metal primers before application of SU and SB adhesive systems increased the SBS of composite to Ni-Cr. These combinations between metal primers and adhesives had the highest SBS after thermocycling.

Highlights

  • Porcelain-fused-to-metal (PFM) indirect restorations are still considered a good option for oral rehabilitation, for its aesthetic quality and high resistance [1,2]

  • There was no significant difference in shear bond strength (SBS) values between control group, Ceramic Primer (CP) groups (CP+Single Bond Plus (SB) and CP+SU) and SU only

  • The lowest SBS values were found for control group, Alloy Primer (AP), CP+SB, CP+SU and SU (6.7±1.4 MPa to 11.4±4.3 MPa), while the highest SBS was obtained with UP+SB (26.0±3.5 MPa)

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Summary

Introduction

Porcelain-fused-to-metal (PFM) indirect restorations are still considered a good option for oral rehabilitation, for its aesthetic quality and high resistance [1,2]. Some failures of ceramic-fused-to-metal indirect restorations are related to ceramic fractures with exposure of the metal substructure, with aesthetic and functional damages. Replacement of the restoration is desirable, but sometimes the intraoral repair with composite resin is an option with the advantage of shorter time procedure and low cost [4]. Metal primers do not require special equipment or complicated manipulations. They contain active monomers that provide chemical bonding between the composite resin and oxide on the metal alloy surfaces [7,8]

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