Alumina Airborne-particle Abrasion Research Articles

Effects of Er,Cr:YSGG Laser Surface Treatments and Composites with Different Viscosities on the Repair Bond Strength of CAD/CAM Resin Nanoceramic.

This study aims to evaluate the repair micro-shear bond strength of the CAD/CAM resin nanoceramic block treated using four different surface treatments and composite resins of different viscosities. For the current study, 96 samples with dimensions of 14 × 12 × 2 mm were obtained from a CAD/CAM resin nanoceramic block (Cerasmart) with a low-speed precision cutting saw under water cooling. The relevant samples were randomly divided into four groups according to the surface treatment processes: grinding with diamond bur, aluminum oxide airborne-particle abrasion, long-pulse laser, and short-pulse laser. Following silane application, universal adhesive was applied to all surface-treated samples and cured with an LED for 10 s. The samples prepared for the repair procedure were divided into two subgroups (microhybrid composite and injectable composite) according to the viscosity of the repair material to be used (n = 12). After the repair procedure, care was taken to keep the samples in distilled water in an incubator at 37 °C for 24 h. The repair micro-shear bond strength values (μSBSs) of CAD/CAM resin nanoceramic-composite resin complexes were tested. In addition, randomly selected samples from each group were examined with a scanning electron microscope to evaluate the surface topography after both surface treatments and the micro-shear bond strength test. Data were analyzed by two-way ANOVA and Bonferroni test. It was determined that the surface treatment preferred in the repair protocol significantly affected the μSBS value (p < 0.001). While the highest μSBS value was obtained with the short-pulse laser airradiation group, the lowest μSBS values were found in samples with long pulse laser irradiation. However, samples grinded with a bur and airborne-particle abrasion showed similar μSBS values (p > 0.05). The preferred composite viscosity in the repair procedure has a significant effect on the μSBS value (p < 0.001). However, the interaction between the surface treatment and the viscosity of the repair composite does not affect the μSBS values in a statistically significant way (p = 0.193). It may be recommended to clinicians to repair CAD/CAM resin nanoceramic restoration surfaces with injectable composites or after treatment with short-pulse lasers.

The influence of Zircos-E® etchant, silica coating, and alumina air-particle abrasion on the debonding resistance of endocrowns with three different preparation designs.

The study aimed to evaluate the debonding resistance of three different endocrown designs on molar teeth, using three different zirconia surface pretreatments. Ninety human mandibular first molars were divided into three main groups: endocrowns without ferrule, with 1 mm ferrule, and with 2 mm ferrule. The subgroups were defined by their surface pretreatment method used (n = 15): 50 μm alumina air-particle abrasion, silica coating using 30 μm Cojet™ particles, and Zircos-E® etching. The endocrowns were fabricated using multilayer zirconia ceramic, cemented with self-adhesive resin cement, and subjected to 5000 thermocycles (5-55°C) before debonding. The data obtained were analyzed using a two-way ANOVA. All test specimens survived the thermocyclic aging. The results indicated that both the preparation design and the surface treatment had a significant impact on the resistance to debonding of the endocrowns (p < .001). The 2 mm ferrule followed by the 1 mm ferrule designs exhibited the highest debonding resistance, both were superior to the endocrown without ferrule. Zircos-E® etching and silica coating yielded comparable debonding resistance, which were significantly higher than alumina air-particle abrasion. All endocrowns demonstrated a favorable failure mode. All designs and surface treatments showed high debonding resistance for a single restoration. However, ferrule designs with Zircos-E® etching or silica coating may represent better clinical options compared to the nonferrule design or alumina airborne-particle abrasion. Nonetheless, further research, including fatigue testing and evaluations with different luting agents is recommended.

Effect of Zirconia Thickness, Cement Color, and Titanium Implant Abutment Surface Treatment Type on the Esthetic Outcomes of High-Translucency Monolithic Zirconia.

To investigate the esthetic outcomes based on the color differences in zirconia (Zr) of varying thickness, resin cement color, and types of titanium (Ti) implant surface treatments. Overall, 28 high-translucency monolithic zirconia (HTMZ) specimens were arranged into four groups based on Zr thickness: 1.0, 1.5, 2.0, and 2.5 mm (n &#61; 7 per thickness). Each group was tested using two resin cement colors (clear and opaque) in combination with six surface-treated Ti groups (n &#61; 7), including untreated titanium (UT), anodization (AN), 50-μm alumina airborne-particle abrasion followed by AN (SBAN), AN followed by 50-μm alumina airborne-particle abrasion (ANSB), 9.5% hydrofluoric acid followed by AN (HFAN), and AN followed by 9.5% hydrofluoric acid (ANHF). This created a total of 48 experimental groups, including the use of composite resin (n &#61; 7, shade A2D) for four control groups. All specimens were measured using a spectrophotometer and subsequently compared with composite resin (control) with the corresponding Zr thickness to establish color differences. A color difference of < 2.7 was considered clinically acceptable. The data obtained were statistically analyzed using ANOVA and post hoc test (P &#61; .05). Zr thickness, resin cement color, and type of Ti implant surface treatment significantly affected the observed color differences (P < .05). When using 2.5-mm HTMZ with clear resin cement on AN, UT, SBAN, HFAN, and ANSB, the mean color differences were below the clinically acceptable values, and the 95% CIs of color differences were below the clinically acceptable values for AN, UT, and SBAN groups. HTMZ with a minimum thickness of 2.5 mm and clear resin cement on AN, UT, and SBAN groups potentially result in acceptable color matching with 95% CIs.

Comparison of retention of monolithic zirconia crowns with alumina airborne-particle abraded and nonabraded intaglio using three different cements: A clinical simulation

The necessity of roughening the intaglio surface of zirconia crowns to achieve adequate retention is unclear. The purpose of this clinical simulation study was to evaluate the retention of airborne-particle-abraded and nonabraded monolithic zirconia crowns using 3 different cement types. Extracted human molars were used and prepared with a 10-degree taper. Impressions were made of the prepared teeth with a polyvinyl siloxane (PVS) material, and dies were made with Type 4 gypsum. Each die was scanned with a NobelProcera 1G Scanner, and the standard tessellation language (STL) files were transferred electronically to the Nobel Biocare production site, where a bar was added virtually on top of each crown and parameters were set for milling. Seventy-two Procera zirconia crowns were generated, of which half were airborne-particle abraded on the intaglio surface with 50-µm alumina particles at 400 to 500 kPa for 15 seconds. The other 36 received no intaglio treatment other than cleaning. Both groups of 36 crowns were divided into 3 subgroups of 12 specimens. The area of each preparation was calculated using a computer-aided design software program. The specimens were distributed to attain similar mean surface areas among the cementation groups. The crowns were cemented onto the specimen with a controlled force of 196N. The 3 cements used were self-adhesive, modified resin RelyX Unicem Aplicap, resin-modified glass ionomer RelyX Luting, and a composite resin, Panavia F2.0 with ED Primer A & B. All specimens were thermocycled (5 °C to 55 °C) for 5000 cycles and then removed axially with a universal testing machine (Instron Model 5585H) at a crosshead speed of 0.5mm/min. The removal force was recorded, and stress of dislodgement was calculated for each crown. A 2-way analysis of variance was used for statistical analyses. The type of failure was analyzed with the chi-squared test of association for independent samples (α=.05 for all tests). The mean dislodging force for crowns with airborne-particle abraded intaglio was 5.4MPa, which was statistically greater than the mean of 3.2MPa for nonabraded specimens (P<.001). No significant differences related to the dislodging stresses were detected among the 3 cements (P=.109). The mode of failure was similar whether abraded or not, with 50% of specimens retaining cement in the crown after separation. Alumina airborne-particle abrasion of the intaglio of zirconia to create surface roughness is beneficial in retaining the crowns, regardless of the cement type. The nonabraded crowns demonstrated significantly lower retentive stress with crown removal. The principal mode of failure was similar whether the zirconia intaglio was airborne-particle abraded or not. The most common mode of failure (>50% of specimens) was at least three-fourths of the cement remaining within the crown.

The Influence of Alumina Airborne-Particle Abrasion on the Properties of Zirconia-Based Dental Ceramics (3Y-TZP)

The objective of this study was to assess the effect of airborne-particle abrasion with alumina particles of various sizes (50 μm, 110 μm, 250 μm) on the surface properties of 3Y-TZP (3 mol% yttria-stabilized tetragonal zirconia polycrystals). The analysis comprised the Vickers hardness test (HV1kp), a surface roughness evaluation (Ra, Rq, Rz, Rsk, Rsm, Rt, Vo, profile displays), and SEM–EDS microanalysis (scanning electron microscopy–energy-dispersive X-ray spectroscopy). Any statistical relationships were assessed using the Kruskal–Wallis one-way analysis-of-variance-by-rank test (p = 0.05). While airborne-particle abrasion with 50 µm alumina significantly increases the Vickers hardness of 3Y-TZP (1678.8 HV1kp), 110 μm and 250 μm alumina particles do not appear to have any such effect. The surface roughness of 3Y-TZP increases with the size of the alumina particles (Ra, Rq, Rz, Rt, Vo: vertical plane and retention volume assessment); a higher Rsm (horizontal plane assessment) was noted for specimens air-abraded with 250 µm alumina particles; air abrasion with 50 μm alumina particles yielded a symmetrical surface roughness profile (Rsk). The major topographic pattern of the surface of 3Y-TZP is altered by alumina airborne-particle abrasion, with larger alumina particles causing more severe changes. Aluminum traces on the 3Y-TZP surface are observed. The shape of the alumina particles is irregular, with rough edges; the size of the alumina particles plays a significant role in the air abrasion of zirconia-based dental ceramics, affecting their morphology and properties.

The Influence of Alumina Airborne-Particle Abrasion with Various Sizes of Alumina Particles on the Phase Transformation and Fracture Resistance of Zirconia-Based Dental Ceramics.

The surface of zirconia-based dental ceramic restorations require preparation prior to adhesive cementation. The purpose of this study was to assess the influence of airborne-particle abrasion with different sizes of alumina particles (50 μm, 110 μm, or 250 μm) on the mechanical strength of zirconia-based ceramics' frameworks and on the extent of phase transformations. A fracture resistance test was performed. The central surface of the frameworks was subjected to a load [N]. The identification and quantitative determination of the crystalline phase present in the zirconia specimens was assessed using X-ray diffraction. The Kruskal-Wallis one-way analysis of variance was used to establish significance (α = 0.05). The fracture resistance of zirconia-based frameworks significantly increases with an increase in the size of alumina particles used for air abrasion: 715.5 N for 250 μm alumina particles, 661.1 N for 110 μm, 608.7 N for 50 μm and the lowest for the untreated specimens (364.2 N). The X-ray diffraction analysis showed an increase in the monoclinic phase content after air abrasion: 50 μm alumina particles-26%, 110 μm-40%, 250 μm-56%, and no treatment-none. Air abrasion of the zirconia-based dental ceramics' surface with alumina particles increases the fracture resistance of zirconia copings and the monoclinic phase volume. This increase is strongly related to the alumina particle size.

Shear Bond Strength of Lithium Disilicate Bonded with Various Surface-Treated Titanium.

Purpose Retention is one of the most important factors for fixed dental prostheses, especially in implant dentistry. Accordingly, the goal of this study was to evaluate the level of shear bond strength between titanium (Ti) subjected to different surface treatments and lithium disilicate glass-ceramics. Materials and Methods In this work, 90 titanium alloy specimens were divided into six groups as follows: the control group (CT), 50 μm alumina airborne-particle abrasion group (SB), silica-coated group (CJ), anodization group (AN), anodization followed by alumina 50 μm airborne-particle abrasion group (ANSB), and anodization followed by silica coating group (ANCJ). Titanium specimens were bonded to lithium disilicate specimens with resin cement (Multilink N). The specimens were restored in water at 37°C for 24 h, and then, shear bond strength (SBS) tests were performed using a universal testing machine (Shimadzu, Japan). The SBS values were statistically analyzed. The failure mode of the debonded titanium was classified after viewing the samples under a stereoscope. Results The results demonstrated that the mean SBSs of CT and AN were significantly lower than those of the other groups (p < 0.05). The SB group showed the highest SBS (29.47 ± 2.41 MPa); however, there was no significant difference between SB, ANSB, ANCJ, and CJ. The stereoscopic analysis demonstrated that the failure mode of AN was predominantly adhesive failure; whereas, the other groups showed cohesive and mixed failures. Conclusions In this study, it was found that the surface treatment with 50 μm alumina airborne-particle abrasion, silica coating with Cojet™ sand, anodization followed by 50 μm alumina airborne-particle abrasion, and anodization followed by silica coating with Cojet™ sand improved the SBS between titanium and lithium disilicate luted with Multilink N resin cement.

Effect of airborne-particle abrasion with a novel spherical abrasive on the zirconia surface

Statement of problemA novel zirconia-alumina composite (ZAC) particle has yet to be studied for airborne-particle abrasion in a bonding protocol for the zirconia surface. PurposeThe purpose of this in vitro study was to evaluate the shear bond force of resin cement to yttria-stabilized tetragonal zirconia polycrystal (Y-TZP) when using spherical ZAC particles to conduct airborne-particle abrasion and modify the topography of Y-TZP. Material and methodsSpherical 30- to 70-μm ZAC particles were fabricated by using a hybrid gel technique. A total of 160 Ø6.6×4.0-mm zirconia disks were fabricated from 4 commercially available zirconia blanks, e.max ZirCAD zirconia (EM), NexxZr T zirconia (NE), Lava Plus High Translucency zirconia (LP), and Imagine High Translucency Zirconia (IM), by using computer-aided manufacturing technology. As-sintered specimens without further surface treatment were used as controls (ZR0). Surface treatment groups included sharp-edged alumina airborne-particle abrasion (ABC), 50 μm, 0.2 MPa; airborne-particle abrasion with ZAC particle at 0.2 MPa (2ZA); and airborne-particle abrasion with spherical ZAC particle at 0.4 MPa (4ZA). All surface treatment groups were airborne-particle abraded at the specified pressures for 10 seconds at a standardized distance of 10 mm. The surface roughness (Ra) and area roughness (Sa) of specimens from each group were measured. Following the application of an adhesive (Scotchbond Universal), Ø6.6×4.0-mm resin cement (RelyX Ultimate) buttons were fabricated for shear bond testing by using a universal testing machine at a 5-mm/min crosshead speed (n=10). The data were analyzed by using a 2-way ANOVA, Tukey HSD test, and regression analysis (α=0.05). Scanning electron microscopy (SEM) was performed to observe changes of the zirconia surface and the failure modes of each group before and after shear bond testing. ResultsThe mean ±standard deviation shear bond force values ranged from 272.6 ±41.4 N to 686.7 ±152.8 N. Statistically significant higher force values than those of the controls (P<.05) were obtained by using airborne-particle abrasion. No significant differences were found among any of the airborne-particle abrasion treatment groups (P>.05). The mean of Ra values ranged from 0.27 μm to 0.74 μm, and the mean of Sa values, from 0.48 μm to 1.48 μm. SEM observation revealed that the zirconia surface was made jagged by abrasion with sharp-edged alumina particles. The spherical ZAC particles create microcraters on the zirconia surface. Fractographic observation disclosed that failures were adhesive-cohesive failure modes with residual resin cement attached on the zirconia surface. ConclusionsThe surface treatment of zirconia with sharp-edged alumina or the spherical ZAC abrasives improved the bonding force between the zirconia and resin cement. No statistically significant differences in shear bond force values were found between airborne-particle abrasion surface treatment groups.

Strength and flexibility of lithium disilicate bonded to polyetherketoneketone

Statement of problemPolyetherketoneketone (PEKK) is a high-performance polymer gaining popularity in dentistry for the fabrication of crowns, fixed partial dentures, removable partial denture frameworks, and frameworks for implant-supported fixed complete dentures. Despite a lack of performance data, lithium disilicate crowns have been bonded to retentive elements in PEKK frameworks. PurposeThe purpose of this in vitro study was to compare the bond strengths and flexibility of lithium disilicate to PEKK or zirconia. Material and methodsForty-five PEKK, 15 zirconia, and 60 lithium disilicate beam-shaped specimens (12.5×2×2 mm) were fabricated. The ends of the PEKK beams were subjected to 3 different surface treatments before the application and light polymerization of a primer: 50-μm aluminum oxide airborne-particle abrasion, nonthermal air plasma, and argon-oxygen plasma. The zirconia specimen bonding surfaces were prepared with 50-μm aluminum oxide airborne-particle abrasion and the application of primer. Lithium disilicate specimens were etched with 4.5% hydrofluoric acid, and primer was applied. The lithium disilicate specimens were luted with an adhesive resin cement to the PEKK and zirconia specimens by using light-activated and chemically activated polymerization. Fifteen monolithic specimens of PEKK, lithium disilicate, and zirconia (25×2×2 mm) were also fabricated. All specimens were incubated overnight in 100% humidity before testing. Bonded and monolithic specimens were loaded in a universal testing machine, and 4-point bend tests were conducted until failure (n=15). The flexural modulus and strength were calculated and statistically analyzed with 1-way analysis of variance and Student-Newman-Keuls post hoc tests (α=.05). ResultsAll bonded specimens failed at the adhesive interface. The zirconia-lithium disilicate bond strength was approximately twice that of the strongest group of PEKK (airborne-particle abrasion group) bonded to lithium disilicate (42 ±12 MPa and 24 ±13 MPa, respectively) and was approximately 9 times more rigid (71 ±19 GPa and 8 ±2 GPa, respectively). Monolithic PEKK fractured at 238 ±22 MPa, monolithic zirconia at 771 ±128 MPa, and monolithic lithium disilicate at 173 ±26 MPa. Monolithic PEKK was approximately 30 times more flexible than monolithic zirconia (6 ±1 GPa and 178 ±16 GPa, respectively). All values were statistically significantly different (P<.05), except for the bond strength between lithium disilicate and PEKK treated with airborne-particle abrasion and nonthermal air plasma and the flexural moduli of PEKK to lithium disilicate. ConclusionsBond strength between PEKK and lithium disilicate was significantly weaker than that between zirconia and lithium disilicate. Monolithic PEKK was significantly more flexible than monolithic zirconia.

Effect of oxidation heat treatment with airborne-particle abrasion on the shear bond strength of ceramic to base metal alloys

Statement of problemOxidation heat treatment has been studied to increase the metal-ceramic bond strength. However, information about its use with cobalt-chromium (Co-Cr) alloys is lacking. PurposeThe purpose of this study was to evaluate the effect of oxidation heat treatment and oxidation heat treatment with alumina airborne-particle abrasion on the metal-ceramic bond strength of Co-Cr alloys compared with that of nickel-chromium (Ni-Cr) alloys. Material and methodsIn total, 165 metal cylinders (∅5×8 mm) made of 5 base metal alloys were obtained by casting: 2 Ni-Cr (Fit Cast-SB and Fit Cast-V) and 3 Co-Cr alloys (Keragen, StarLoy C, and Remanium 2001). The specimens were divided into groups (n=11): no treatment, oxidation heat treatment, and oxidation heat treatment with airborne-particle abrasion. Oxidation heat treatment was performed starting at 650 °C and rising to 980 °C. The airborne-particle abrasion was performed with 100-μm alumina (0.2-MPa pressure, 5 seconds). One specimen had the surface topography and composition evaluated by scanning electron microscopy and energy dispersive X-ray spectrometry. The feldspathic ceramic was applied to the base metal alloy specimens (n=10). Shear tests were performed to obtain the metal-ceramic bond strength (MPa). The failure modes were evaluated. Data were evaluated by 2-way ANOVA and the Tukey post hoc test, Pearson correlation, and Fisher exact tests (α=.05). ResultsThe group without treatment showed the highest roughness. The treatments increased oxygen and chromium levels and decreased nickel, molybdenum, and tungsten levels. Oxidation heat treatment provided an increase in metal-ceramic bond strength (P<.05) for base metal alloys with over 7% molybdenum (Fit Cast-SB, Fit Cast-V, and Remanium 2001). With oxidation heat treatment with airborne-particle abrasion, there was improvement only in Fit Cast-SB. No treatment was better for StarLoy C. A weak correlation was found between metal-ceramic bond strength and failure mode (ρ=.166; P=.043). The mixed failures were prevalent in Co-Cr alloys (P<.001) and oxidation heat treatment with airborne-particle abrasion (P=.008). ConclusionsThe oxidation heat treatment was only beneficial for base metal alloy with a molybdenum content of over 7%. Although the oxidation heat treatment with alumina airborne-particle abrasion was a better treatment for Fit Cast-SB, its use is not justified because it showed no difference for oxidation heat treatment and requires another step in the surface treatment.

Bond strength of lithium disilicate to polyetheretherketone

Statement of problemPolyetheretherketone (PEEK) is a high-performance polymer that is increasingly used in dentistry, for example, as a framework for implant-supported fixed complete dentures. One protocol calls for individual lithium disilicate crowns to be cemented on preparation-shaped retentive elements on the framework. However, the flexibility and strength of the bonded system is unclear. PurposeThe purpose of this in vitro study was to compare the flexibility and strength of bonded lithium disilicate to PEEK with the bond between lithium disilicate and zirconia. Material and methodsFifteen PEEK (JUVORA Dental Disc), 15 zirconia (ArgenZ HT+), and 30 lithium disilicate (IPS e.max CAD) beam-shaped specimens (12.5×2×2 mm) were prepared. The ends of the PEEK beams were conditioned with 50-μm aluminum oxide airborne-particle abrasion, followed by primer (visio.link) and light-activated polymerization. Zirconia specimens were prepared with airborne-particle abrasion and primer (Monobond Plus). Lithium disilicate specimens were etched with 4.5% hydrofluoric acid (IPS Ceramic Etching Gel) and primed (Monobond Plus). The lithium disilicate specimens were cemented (Multilink Automix) to the PEEK and zirconia specimens. Light- and chemical-activated polymerization were used. Monolithic specimens of PEEK and zirconia (25×2×2 mm) were also prepared. All specimens were stored overnight in distilled water and submitted to a 4-point bend test in a universal testing machine at 0.5 mm/min crosshead speed until fracture, and the flexural modulus and strength were calculated. Differences among groups were statistically tested by using 1-way analysis of variance followed by the Student-Newman-Keuls post hoc test (α=.05). ResultsAll bonded specimens fractured at their adhesive interface. Zirconia bonded to lithium disilicate specimens (29.7 ±8.8 MPa) were approximately 3 times stronger than PEEK bonded to lithium disilicate specimens (10.4 ±2.7 MPa) and approximately 12 times more rigid (78.5 ±6.7 GPa and 6.5 ±1.8 GPa, respectively). The flexure of monolithic PEEK was such that it did not fracture when loaded at 0.5 mm/min, while zirconia fractured at 413.9 ±38.5 MPa. Monolithic PEEK was approximately 37 times more flexible than monolithic zirconia (4.3 ±0.3 GPa and 157.2 ±7.2 GPa, respectively). All values were statistically significantly different except between the flexural moduli of monolithic PEEK and PEEK bonded to lithium disilicate. ConclusionsThe bond strength between PEEK and lithium disilicate was significantly weaker than between zirconia and lithium disilicate. Monolithic zirconia was significantly stiffer than monolithic PEEK.

Shear bond strength of an acrylic resin to a ceria-stabilized zirconia-alumina nanocomposite

Statement of problemCeria-stabilized zirconia-alumina nanocomposite (Ce-TZP-Al2O3) has properties that may be suitable for partial denture frameworks. However, studies on its adhesion strength and durability with denture base resin are lacking. PurposeThe purpose of this in vitro study was to determine the optimal surface treatment for Ce-TZP-Al2O3 to secure a durable bond with an acrylic resin. Material and methodsThe surface of Ce-TZP-Al2O3 test specimens was alumina airborne-particle abraded (Group APA) and then treated with 10-methacryloyloxydecyl dihydrogen phosphate (MDP) (Group MDP) and 2 silica coating methods: the flame spraying method (Group SLP) and the tribochemical treatment (110 μm: Group TRB-P, 30 μm: Group TRB-S). TRB-P and TBR-S were further treated by MDP (Group CBT-P and CBT-S). Autopolymerizing acrylic resin was bonded to the specimens, and the shear bond strength was tested after thermocycling (5 °C and 60 °C, 10 000 cycles). The area of the resin remaining on the fractured surfaces was also measured. To evaluate the effect of the surface treatment condition on shear bond strength and the resin remaining, 1-way analysis of variance (ANOVA) was conducted, followed by the Tukey multiple comparison post hoc test. Additionally, the effect of thermocycling on the specimens was evaluated by the Student t test. ResultsAfter placement in deionized water for 24 hours, the shear bond strengths of Group MDP and 2 types of combination treatment (Groups CBT-P and CBT-S) were significantly higher than those of Groups SLP, TRB-P, and TRB-S (P<.05). Moreover, the fractured surface of all the treatment conditions except Group APA showed cohesive failure. The shear bond strength as a result of all treatment conditions decreased significantly after thermocycling (P<.05). Group CBT-S showed the highest shear bond strength; however, no significant differences were found between Groups CBT-S and MDP (P=.908). In particular, the area of resin remaining on the fractured surfaces of Group CBT-S was 100% (cohesive failure). ConclusionsThe combined surface treatment of alumina airborne-particle abrasion and tribochemical treatment, along with primer treatment using silane coupling and an MDP monomer, improved the adhesion strength and adhesion durability between base resins and Ce-TZP-Al2O3.

Effect of surface treatment and manufacturing process on the shear bond strength of veneering composite resin to polyetherketoneketone (PEKK) and polyetheretherketone (PEEK)

Statement of problemPolyaryletherketones (PAEKs) are high-performance polymer materials in which polyetheretherketone (PEEK) and polyetherketoneketone (PEKK) are the most used. Although mechanical and shear bonding strength tests have been performed on the 2 materials, studies on the influence of processing on bonding are scarce. PurposeThe purpose of this in vitro study was to determine the influence of the surface treatment and the manufacturing process on the shear bond strength of veneering composite resin to PEKK and PEEK. Material and methodsThirty pressed PEKK, 30 milled PEKK, and 30 milled PEEK specimens were distributed in 6 groups (n=13) as per the manufacturing process and treatment surface. The specimens were either treated with airborne-particle abrasion with 110-μm aluminum oxide, or no surface treatment was applied. Moreover, the PEKK specimens were grouped regarding their manufacturing process, as either milled or heat-pressed. The specimens were all bonded by using a methyl methacrylate–based adhesive (visio.link), and composite resin (Gradia Revolution 2) was bonded to the specimens. An Instron universal machine was used to calculate the shear bond strength between the PEEK or PEKK and the composite resin. Two specimens from each group had their topography modification assessed with a scanning electron microscope. Statistical analysis was performed by using a 3-way ANOVA for multiple comparisons (α=0.05) ResultsThe groups that were surface treated with 110-μm aluminum oxide (Al2O3) before bonding showed significantly higher shear bond strength (P=.001) than the other groups. However, no statistically significant difference was observed among the groups, regardless of the manufacturing process (milled or heat-pressed) (P=.607). ConclusionsPEEK and PEKK surfaces treated with 110-μm aluminum oxide airborne-particle abrasion displayed better shear bond strength to composite resin. The manufacturing process (milled or heat-pressed) did not significantly affect the bond strength of PEKK when subjected to the same bonding process.

Effects of alumina airborne-particle abrasion on the surface properties of CAD/CAM composites and bond strength to resin cement.

The purpose of this study is to clarify physical and chemical changes in surfaces of CAD/CAM composites caused by alumina airborne-particle abrasion and its effect on adhesive bonding. Our study involved three dispersed filler (DF)-based and a polymer-infiltrated ceramic network (PICN)-based CAD/CAM composites. Changes in the surface morphologies of the composites were examined, and surface free energy (SFE) analysis was performed based on Owens-Wendt theory. The influence of the abrasion on the bond strengths of CAD/CAM composites to the resin cement was characterized by shear bond strength (SBS) test. The abrasion increased the roughness of the composites. The SFE analysis showed that the abrasion significantly increased the dispersive component but decreased the polar component of the SFE associated with the DF-based composites, while no change occurred for those of the PICN-based composite. The abrasion slightly improved the SBSs for the DF-based composites but not that of the PICN-based composite.

Influence of different surface treatments and universal adhesives on the repair of CAD-CAM composite resins: An in vitro study

Statement of problemThe repairability of computer-aided design and computer-aided manufacturing (CAD-CAM) composite resins might be adversely affected by the high degree of matrix polymerization that occurs during their manufacturing process. However, information on their repairability is lacking. PurposeThe purpose of this in vitro study was to evaluate the microtensile bond strength of CAD-CAM composite resins subjected to simulated repair procedures by using varying surface treatments and universal adhesives. Material and methodsFour different CAD-CAM blocks (Brilliant Crios, Lava Ultimate, Shofu Block HC, and Vita Enamic) were thermocycled (5000 times, 5/55 °C) and divided into 4 groups according to the surface treatment: control, 9% hydrofluoric acid etching, aluminum oxide airborne-particle abrasion, and tribochemical silica airborne-particle abrasion. After surface treatments, the surface roughness was measured with a nanoindenter and further examined with scanning electron microscopy. After the application of 3 different universal adhesives (Clearfil Universal Bond, Prime&Bond Universal, and Single Bond Universal), the specimens were subjected to a simulated repair process with composite resin. Bonded specimens were cut into 1 mm2 beams, and microtensile bond strength values were determined until failure at a crosshead speed of 0.5 mm/min. The bond strength data were analyzed with 3-way analysis of variance, and surface roughness data were analyzed with 2-way analysis of variance tests. Pairwise analyses were performed with the Tukey test (α=.05). ResultsAll surface treatments effectively improved repair microtensile bond strength values compared with the control (P<.05). Aluminum oxide airborne-particle abrasion had similar mean bond strength values compared with tribochemical silica airborne-particle abrasion (P>.05). Among the CAD-CAM blocks treated with hydrofluoric acid etching, Vita Enamic had the highest mean bond strength values. The highest mean microtensile bond strength repair values with the highest cohesive failure rates were found with the silane-containing universal adhesive (Single Bond Universal). ConclusionsSurface treatment with aluminum oxide airborne-particle abrasion and tribochemical silica airborne-particle abrasion produced successful repair results for aged resin nanoceramics, whereas hydrofluoric acid etching can be used for aged hybrid ceramic repair. Silane-containing universal adhesive reported increased bond strength. Application of universal adhesive after surface treatment is recommended to increase repair strength.

The Effect of Different Combinations of Surface Treatments and Bonding Agents on the Shear Bond Strength Between Titanium Alloy and Lithium Disilicate Glass-Ceramic

In order to obtain a more-natural esthetic prothesis, the use of hybrid abutments is becoming widespread in implant dentistry. The aim of this in vitro study was to assess the effects of different surface treatments, as well as the effects of different combinations of surface treatments and cementation protocols, on the shear bond strength between titanium alloy disks and lithium disilicate glass-ceramics. Forty titanium-alloy disks (4 × 6.6 mm) were fabricated using computer-aided designed/computer-assisted manufacturing, and an identical number of lithium disilicate glass-ceramic disks of similar sizes were fabricated by a heat-pressing technique to be attached to the titanium disks. The specimens from each material group were divided into two groups (n = 20 each) according to the surface treatment type: alumina airborne-particle abrasion or etching with hydrofluoric acid. Each group was then divided into two subgroups (n = 10) depending on the resin-cement type: Multilink Hybrid Abutment Cement (Ivoclar Vivadent) or PANAVIA SA Cement Plus (Kuraray). After thermocycling (5,000 cycles), a shear bond strength (SBS) test was conducted using a universal testing machine. Statistical analysis was performed by analysis of one-way analysis of variance and unpaired tests (P < .05). Statistically, the highest SBS values were obtained using airborne-particle abrasion. The surface treatment of titanium alloys by sandblasting led to a higher SBS compared to etching with hydrofluoric acid. The cement type also had a significant influence on SBS results.

Fitting accuracy of ceramic veneered Co-Cr crowns produced by different manufacturing processes.

PURPOSEThe purpose of this in vitro study was to evaluate the fitting accuracy of single crowns made from a novel presintered Co-Cr alloy prepared with a computer-aided design and computer-aided manufacturing (CAD/CAM) technique, as compared with crowns manufactured by other digital and the conventional casting technique. Additionally, the influence of oxide layer on the fitting accuracy of specimens was tested.MATERIALS AND METHODSA total of 40 test specimens made from Co-Cr alloy were investigated according to the fitting accuracy using a replica technique. Four different methods processing different materials were used for the manufacture of the crown copings (milling of presintered (Ceramill Sintron-group_cer_sin) or rigid alloy (Tizian NEM-group_ti_nem), selective laser melting (Ceramill NPL-group_cer_npl), and casting (Girobond NB-group_gir_nb)). The specimens were adapted to a resin model and the outer surfaces were airborne-particle abraded with aluminum oxide. After the veneering process, the fitting accuracy (absolute marginal discrepancy and internal gap) was evaluated by the replica technique in 2 steps, before removing the oxide layer from the intaglio surface of the crowns, and after removing the layer with aluminum oxide airborne-particle abrasion. Statistical analysis was performed by multifactorial analysis of variance (ANOVA) (α=.05).RESULTSMean absolute marginal discrepancy ranged between 20 µm (group_cer_npl for specimens of Ceramill NPL) and 43 µm (group_cer_sin for crowns of Ceramill Sintron) with the oxide layer and between 19 µm and 28 µm without the oxide layer. The internal gap varied between 33 µm (group_ti_nem for test samples of Tizian NEM) and 75 µm (group_gir_nb for the base material Girobond NB) with the oxide layer and between 30 µm and 76 µm without the oxide layer. The absolute marginal discrepancy and the internal gap were significantly influenced by the fabrication method used (P<.05).CONCLUSIONDifferent manufacturing techniques had a significant influence on the fitting accuracy of single crowns made from Co-Cr alloys. However, all tested crowns showed a clinically acceptable absolute marginal discrepancy and internal gap with and without oxide layer and could be recommended under clinical considerations. Especially, the new system Ceramill Sintron showed acceptable values of fitting accuracy so it can be suggested in routine clinical work.

Effect of Bonding and Rebonding on the Shear Bond Strength of Two-Piece Implant Restorations.

To evaluate the rebonding strength of ceramics to titanium alloy after disassembling by heat treatment. A total of 40 titanium alloy (titanium-6 aluminum-4 vanadium) disks (4.0 × 6.6 mm) and 20 zirconia (Lava Plus) disks were manufactured using computer-aided design and computer-aided manufacturing (CAD/CAM) technology. Twenty heat-pressed lithium disilicate glass-ceramic (IPS e.max Press LT) disks were fabricated and used as controls. Bonding protocol for each specimen surface was performed according to manufacturer's instructions. Specimens (n = 10) of zirconia/titanium alloy (ZR) and lithium disilicate/titanium alloy (LD) were bonded using adhesive resin cement (RelyX Ultimate) and then subjected to a heat treatment (HT, 320°C, 2 minutes) to disassemble the bonding complex, cleaned with aluminum oxide airborne-particle abrasion, and rebonded following the initial protocol, group ZRHT and group LDHT, respectively. After 5000 cycles of thermal cycling, a shear bond test was conducted. A universal testing machine was used at a 5 mm/min crosshead speed. Failed specimens were examined with stereomicroscopy at 10× magnification to identify the mode of failure. One-way ANOVA and Tukey HSD tests were applied for statistical analysis of the shear bond strength data, with statistical significance at α = 0.05. The mean ± SD bond strength values ranged from 28.3 ± 7.2 to 45.9 ± 9.7 MPa. Statistically significant lower shear bond strength values were obtained from the LD group (p = 0.002, F = 5.89), while no statistically significant differences in bond strength were observed between the ZR and ZRHT groups (p > 0.05). Failure mode was predominantly mixed-type failure pattern for all specimens. Heat and abrasion surface treatment increased the bond strength of lithium disilicate glass-ceramics cemented to titanium alloy, but no effect was observed on zirconia/titanium alloy bonding.

Retentive Force of Zirconia Implant Crowns on Titanium Bases Following Different Surface Treatments.

Screw-retained zirconia implant crowns with an internal titanium base have favorable mechanical properties compared with single-piece zirconia implant crowns; however, the screw-retained implant crowns require adequate bonding between the zirconia crown and the titanium base. This study measured the retention between a titanium base and a full-contour zirconia implant crown following different surface treatments of their bonded surfaces. Full-contour screw-retained zirconia implant crowns were fabricated to fit a titanium base. The crowns were bonded to the titanium bases following one of four treatment protocols (n = 15 per protocol group): no surface treatment (Control), 10-methacryloyloxydecyl dihydrogen phosphate (MDP) primer on the intaglio of crown and exterior of base (MDP), alumina airborne-particle abrasion of the intaglio of crown and exterior of base (Alu), and alumina airborne-particle abrasion and an MDP primer on the intaglio of crown and exterior of base (Alu+MDP). All crowns were bonded to the base with resin cement. Specimens were stored in water for 24 hours at 37°C and then thermocycled in water, with a temperature range of 5°C to 55°C, for 15,000 cycles with a 15-second dwell time. Crowns were separated from the titanium bases using a universal testing machine. The four treatment protocols were compared using one-way analysis of variance (ANOVA), followed by Tukey post hoc tests (P < .05). Sectioned specimens were examined with scanning electron microscopy (SEM). Retention forces for Control (737.8 ± 148.9 N) and MDP (804.1 ± 114.5 N) were significantly greater than Alu+MDP (595.5 ± 122.2 N), which was significantly greater than Alu (428.2 ± 93.8 N). Visual inspection of the debonded specimens showed that the majority of the cement remnants were seen on the external surface of the titanium bases. Microscopic examination of the interface between the crown and the unaltered base shows that the cement gap is approximately 13 μm at the crest of the microgrooves and 50 μm within the channel of the microgrooves. After airborne-particle abrasion, the microgrooves became significantly dulled, and the cement gap increased to 27 to 40 μm at the crest and 55 to 58 μm in the channels. Airborne-particle abrasion of titanium bases that contain retentive microgrooves prior to bonding is contraindicated. Application of an MDP primer demonstrated limited improvement in the retention of the zirconia implant crowns.

Effects of Postsurface Treatments Including Femtosecond Laser and Aluminum-oxide Airborne-particle Abrasion on the Bond Strength of the Fiber Posts.

Bond strength of fiber posts. The purpose of this study was to evaluate the effect of different Post Surface treatment techniques on the push-out bond strength of the quartz fiber posts. A total of 30 maxillary central incisors were decoronated at cementoenamel junction. Root canals were filled and postspaces were prepared. The specimens were classified into three groups according to the surface treatment performed to the postsurface (n = 10) as no surface treatment (control group) (Group 1), A 50-μm aluminum-oxide airborne-particle abrasion group (Group 2), femtosecond laser (FS) group (Group 3). A self-curing adhesive cement was used for cementation of posts. Six sections (two coronal, two middle, and two apical) of 1-mm thickness specimens were prepared with a slow speed diamond saw. Specimens were stored in distilled water at 37°C for 24 h. Then, push-out test was performed on a universal testing machine. The data were analyzed by one-way ANOVA (α = 0.05). The test results indicated that push-out test values significantly different according to surface treatments among groups (P < 0.05). There were no significant differences between root sections of each group for bond strength (P > 0.05). All dislodged Group 3 posts were free of cement, indicating adhesive failure, Group 1 and 2 were partially coated with cement, indicating a mixed failure at the cement/postsurface. Based on the results, aluminum-oxide airborne-particle abrasion group showed higher and FS irradiation group showed lower bond strength values. Push-out bond strength values of the root segments were the same in all groups.