Adhesive Resin Research Articles

A novel surgical treatment approach for the vertical root fracture of posterior teeth: a case report with 24-month review

Background Up to 25% of the tooth extraction after root canal treatment could be attributed to the vertical root fracture (VRF). The treatment choice for teeth with VRF would mostly be the extraction despite some repairing methods were also reported. The repairing treatment result of VRF would mostly depend on the fixation strength and the bioactivity of the repairing materials, especially for the posterior teeth with high masticating stresses. This case report designed a novel surgical treatment approach for the VRF of posterior teeth.Methodsa maxillary premolar with buccal-palatal complete VRF was treated with a new dual-layered repairing approach using adhesive resin + iRoot BP Plus bioceramic cement to fill the modified fracture line with retention forms through the intentional replantation.ResultsAt the 24-month review, the tooth showed desirable periodontal healing and normal function.ConclusionsThis case report indicated that the dual-layered repairing approach might be effective for saving the posterior teeth with VRF. Nevertheless, further clinical trials are needed for its long-term result.

Influence of titanium dioxide nanotubes with alkyl ammonium alkyl bromide on the physicochemical properties and adhesion of experimental adhesive resins to dentin

ObjectiveThis study evaluated the effect of the incorporation of titanium dioxide nanotubes with alkyl trimethyl ammonium bromide (ntTiO2/ATAB) into experimental adhesive resins on their physicochemical properties and adhesion to dentin. Materials & methodsThe experimental adhesive resins were formulated with 66.66 wt% Bis-GMA and 33.33 wt% HEMA, photoinitiator with addition of ntTiO2/ATAB (1:1) in different concentrations: G1%, G2.5%, and G5%. One groups with no ntTiO2/ATAB addition was used as control (G0%). An optical tensiometer was used to analyze the contact angle (COA) by the sessile drop method (distilled water and α-bromonaphthalene) (n = 5), while the surface free energy (SFE) was calculated using Owens-Wendt-Rabel-Kaelble method. Flexural strength (FS) test (three-point bending) of polymerized adhesive samples was performed according to ISO 4049:2019 (n = 10) after 24 h or one year of water storage at 37 °C, as well as for the microtensile bond strength (μTBS) test, in which a commercial adhesive (GSBMP) was also used as control (n = 10). The adhesive-dentin interfaces were evaluated by scanning electron microscopy and X-ray spectrometry (n = 5). Data were analyzed by one-way (COA and SFE), two-way (FLE and μTBS) ANOVA and Tukey's test (α = 0.05). ResultsG5% showed the highest COA with nonpolar liquid and higher SFE than G0%. The G5% showed decreased FS compared to G0%. The μTBS of both controls (G0% and GSBMP) decreased after one year. TiO2/ATAB-containing adhesives to dentin showed no significant decrease after one year. All adhesives formed hybrid layer and the resin tags inside the dentinal tubules. ConclusionsThe incorporation of 1 and 2.5% of ntTiO2/ATAB into experimental adhesive resins did not impar the SFE. After one year, any concentration of ntTiO2/ATAB reduced the FS compared with control, but did not impair the μTBS.

Controlling the stability and adhesion performance of cold-setting phenol–resorcinol–formaldehyde resin adhesives through methanol addition

Phenol–resorcinol–formaldehyde (PRF) resin adhesives are commonly used in the manufacture of laminated timber products, and they are cold-set at room temperature rather than hot-pressed to generate a three-dimensional polymer structure in the products. However, their excellent reactivity often leads to poor storage stability and a short pot life. This study examines the influence of methanol addition on the stability and adhesion performance of PRF resins. These resins were synthesized by various levels of methanol addition (5 %, 10 %, and 15 %), and their structures were investigated using Fourier-transform infrared (FTIR) and nuclear magnetic resonance (NMR) spectroscopies. Furthermore, differential scanning calorimetry (DSC) was used to analyze their thermal behavior, and their cure kinetics were analyzed with two isoconversional analyses: Kissinger–Akahira–Sunose (KAS) and Vyazovkin (VYZ) method. The adhesion performances of PRF resins were evaluated for glue-laminated timber (GLT). The results demonstrated that the viscosity and solids content of PRF resins decreased while their gelation time increased as the methanol addition level increased. Methanol addition has also improved the resin stability over time. The chemical structure of PRF resins did not change considerably with an increase in the methanol level. However, methanol interaction with formalin in a hardener presumably hindered the reactivity of PRF resins. This was supported with an increase in the apparent activation energy of the curing process of PRF resins as the methanol level increased. In addition, decreasing the methanol levels from 15 % to 5 % enhanced the adhesion performance of GLT bonded with PRF resins. The results indicated that adding methanol to PRF resins improved its stability while simultaneously weakened its performance. However, 5 % methanol level is recommended for PRF resins.

Antibacterial Properties of an Experimental Dental Resin Loaded with Gold Nanoshells for Photothermal Therapy Applications.

This study explored the chemical and antibacterial properties of a dental resin loaded with gold nanoshells (AuNPs) in conjunction with photothermal therapy (PTT) as a novel method against Streptococcus mutans (S. mutans) to prevent secondary caries. First, a 20-h minimum inhibitory concentration (MIC) assay was performed on solutions of AuNPs with planktonic S. mutans under an LED device and laser at 660 nm. Next, resin blends containing 0, 1 × 1010, or 2 × 1010 AuNPs/mL were fabricated, and the degree of conversion (DC) was measured using an FTIR spectroscopy. Lastly, a colony forming unit (CFU) count was performed following 24 h growth of S. mutans on 6 mm diameter resin disks with different light treatments of an LED device and a laser at 660 nm. The MIC results only showed a reduction in S. mutans at AuNP concentrations less than 3.12 µg/mL under a laser illumination level of 95.5 J/cm2 compared to the dark treatment (p < 0.010 for each). CFU and DC results showed no significant dependence on any light treatment studied. The AuNPs expressed antibacterial effects following PPT against planktonic S. mutans but not in a polymerized dental adhesive resin. Future studies should focus on different shapes, structure, and concentrations of AuNPs loaded in a resin blend.

Color stability and marginal adaptation of ceramic veneers cemented using different composite resins.

The purpose of this study was to compare the color stability and marginal adaption of lithium disilicate veneers before and after thermocycling using various resin composite materials employed as cement. Laminate veneer preparation was done on an acrylic tooth according to standardized procedures. The veneer preparations were duplicated into twenty-one dies. The veneers were fabricated from lithium disilicate using the CEREC in Lab system. According to the cement type, the twenty-one die specimens were randomly divided into three equal groups: group I, with light cured adhesive resin cement (N.=7), group II, with flowable light cured composite, and group III, with preheated nano filled composite. The cemented specimens underwent 5000 thermocycling cycles. Color was assessed using a reflective spectrophotometer. The vertical marginal gap, following cementation and thermocycling, was measured using a digital microscope. One-way ANOVA followed by Tukey's post-hoc test was used to statistically assess the data. After thermocycling, there was no statistically significant difference in ΔE among cement type groups for color stability (P=0.369). However, the preheated composite showed the lowest ΔE mean values. Within adhesive resin cement and flowable composite groups, marginal gap means values recorded after thermocycling were significantly higher than those after cementation (P=0.013 and P<0.001, respectively). Although preheated composite cement showed the highest marginal discrepancy, it would be the best choice regarding color stability.

Preparation of biomimetic reinforced modified carbon fiber composites and study of their friction properties

Because aluminum-based parts cannot be used for long-term applications in large load-wear environments, nickel–tungsten (molybdenum disulfide)/carbon fiber/aluminum composites were successfully prepared in this study for that purpose. By adjusting the plating solution ratio, nickel–tungsten was used as a carrier to introduce molybdenum disulfide nanoparticles, forming a nickel–tungsten/molybdenum disulfide composite coating on the surface of carbon fibers. To enhance the interfacial bonding strength between the carbon fiber and aluminum matrix, a laser was employed to induce the formation of a honeycomb-like structure on the surface of the aluminum base. This increased the contact area between the carbon fiber, aluminum matrix, and epoxy resin adhesives, forming a nickel–tungsten (molybdenum disulfide)/carbon fiber/aluminum composite material. The performance of this composite material was tested and analyzed. The results demonstrated that compared with the carbon fiber/aluminum composite material, the shear strength of the nickel–tungsten (molybdenum disulfide)/carbon fiber/aluminum composite material was increased by 129.7 %, and the friction coefficient and wear rate were reduced by 54.8 % and 83 %, respectively. Next, investigation of the mechanism underlying the honeycomb structure's contribution to the adhesive strength of the composites and their resistance to shear load revealed that the wear-resistant mechanism of molybdenum disulfide nanoparticles reinforced the nickel–tungsten composite coatings. The preparation and study of nickel–tungsten (molybdenum disulfide)/carbon fiber/aluminum composites provide a reference for expanding the applications of aluminum-based composite materials to meet the service requirements of complex environments.

Resin Cements in Dentistry

Even though the GIC has undergone many advances, its chemistry is fundamentally different from that of modern resin based composite direct filling products, which feature a silica or glass particle filled polymer matrix that enhances repair retention. When the restoration is etched or air abraded after the tooth has been conditioned with an adhesive resin and etched, retention becomes "micromechanical," ensuring the resin cement's high tensile strength. Cementation of the extraoral fabricated restoration is very important for the longevity of the restoration. The bond strength of resin cement to ceramic and fibre post is better than conventional cements. This article discusses about the various types of resin cements and there uses for luting indirect restorations such crowns, veneers, inlays, and onlays, etc.

Influence of screw channel angulation on reverse torque value and fracture resistance in monolithic zirconia restorations after thermomechanical cycling: an in-vitro study

BackgroundWhile the concept of angled screw channels has gained popularity, there remains a scarcity of research concerning the torque loss and fracture strength of monolithic zirconia restorations with various screw channel angulations when exposed to thermomechanical cycling. This in-vitro study aimed to evaluate the reverse torque value and fracture resistance of one-piece screw-retained hybrid monolithic zirconia restorations with angulated screw channels after thermomechanical cycling.MethodsOne-piece monolithic zirconia restorations, with angulated screw channels set at 0°, 15°, and 25° (n = 6 per angulation) were fabricated and bonded to titanium inserts using a dual-cure adhesive resin cement. These assemblies were then screwed to implant fixtures embedded in acrylic resin using an omnigrip screwdriver, and reverse torque values were recorded before and after thermomechanical cycles. Additionally, fracture modes were assessed subsequent to the application of compressive load. One-way ANOVA and Bonferroni post hoc test were used to compare the groups (α = 0.05).ResultsThe study groups were significantly different regarding the fracture resistance (P = 0.0015), but only insignificantly different in the mean percentage torque loss (P = 0.4400). Specifically, the fracture resistance of the 15° group was insignificantly higher compared to the 0° group (P = 0.9037), but significantly higher compared to the 25° group (P = 0.0051). Furthermore, the fracture resistance of the 0° group was significantly higher than that of the 25° group (P = 0.0114).ConclusionsOne-piece hybrid monolithic zirconia restorations with angulated screw channels can be considered an acceptable choice for angulated implants in esthetic areas, providing satisfactory fracture strength and torque loss.

Molecular Understanding of the Distinction between Adhesive Failure and Cohesive Failure in Adhesive Bonds with Epoxy Resin Adhesives.

In the development of adhesives, an understanding of the fracture behavior of the bonded joints is inevitable. Two typical failure modes are known: adhesive failure and cohesive failure. However, a molecular understanding of the cohesive failure process is not as advanced as that of the adhesive failure process. In this study, research was developed to establish a molecular understanding of cohesive failure using the example of a system in which epoxy resin is bonded to a hydroxyl-terminated self-assembled monolayer (SAM) surface. Adhesive failure was modeled as a process in which an epoxy molecule is pulled away from the SAM surface. Cohesive failure, on the other hand, was modeled as the process of an epoxy molecule separating from another epoxy molecule on the SAM surface or breaking of a covalent bond within the epoxy resin. The results of the simulations based on the models described above showed that the results of the calculations using the model of cohesive failure based on the breakdown of intermolecular interactions agreed well with the experimental results in the literature. Therefore, it was suggested that the cohesive failure of epoxy resin adhesives is most likely due to the breakdown of intermolecular interactions between adhesive molecules. We further analyzed the interactions at the adhesive failure and cohesive failure interfaces and found that the interactions at the cohesive failure interface are mainly accounted for by dispersion forces, whereas the interactions at the adhesive failure interface involve not only dispersion forces but also various chemical interactions, including hydrogen bonds. The selectivity between adhesive failure and cohesive failure was explained by the fact that varying the functional group density affected the chemical interactions but not the dispersion forces.

Waterborne epoxy composite coating containing N,S-doped carbon dots for enhancing corrosion resistance

In order to construct waterborne epoxy composite coating with enhanced anti-corrosive performance, the development of efficient additives with good compatibility with adhesive resin and good interaction with steel matrix is of significance. Herein, we adapted two heteroatom (N and S) doped carbon quantum dots, namely ACDs and LCDs, as eco-friendly anti-corrosion components to mix with water-based epoxy resin (WP) to prepare the CDs/WP composite coating. Compared with the ACDs/WP composite, the LCDs/WP composite exhibited a better performance because it contained more functional groups such as carboxyl and hydroxyl on the surface of LCDs, which not only made the system denser but also facilitated the multi-anchor coordination and adsorption on carbon steel. Following immersing in a 3.5 wt% NaCl solution for 28 d, the impedance modulus of LCDs/WP surpassed 109 Ω cm2, exhibiting approximately three orders of magnitude higher values compared to pure WP coatings. The inhibition efficiency was improved by 96.9%. The facile synthesis of LCDs coupled with excellent anti-corrosive properties of LCDs/WP composites, provides a new way for developing anti-corrosion coating materials.

Influence of different immediate dentin sealing strategies on bond strength of indirect resin nanoceramic restorations.

In this study, we evaluated the effect of four different strategies for bonding a CAD/CAM resin nanoceramic restoration (Lava Ultimate, 3M) to the dentin surface using a universal adhesive (Scotch Bond Universal, 3M) and adhesive resin cement (RelyX Ultimate, 3M) on the shear bond strength (SBS) and failure mode. The strategies comprised: (i) immediate sealing, immediate bonding; (ii) immediate sealing, bonding after 2weeks with provisional restoration; (iii) immediate sealing with flowable resin composite reinforcement and bonding after 2weeks with provisional restoration; and (iv) no immediate sealing, and bonding after 2weeks with provisional restoration. After bonding, all the specimens were thermocycled, shear tests were performed using a universal testing machine, and failure modes were determined using stereomicroscope and scanning electron microscopy. The highest mean SBS was recorded with immediate sealing, immediate bonding strategy. Most adhesive failures with exposed dentinal tubules were noted in specimens exposed to bonding after 2weeks with no immediate sealing, which was associated with the lowest SBS. Mixed failures predominated in all immediate dentin sealing groups. Immediate sealing with universal adhesives improves SBS, particularly in the single-visit approach, which has shown significantly better performance, whereas the provisional phase has a negative effect.

Evaluation of Microvoid and Microleakage Potential of Bulk-Fill Resin Composites in MOD Restorations

Background: Polymerization shrinkage and microvoid formation has been a significant problem giving way to resin composite failure. The aim of this study was to evaluate the microvoid potential and microleakage of two bulk-fill and a microhybrid resin composite applied with different adhesive materials. Materials and Methods: MOD cavities were prepared in 60 endodontically treated maxillary premolars. The teeth were divided into six different groups (n = 10) according to adhesive systems (Gluma (Kulzer), OptiBond FL (Kerr) and resin composite materials EverX Posterior (GC) and Filtek One Bulk Fill (3M ESPE). An aging procedure with 5000 cycles of thermal cycling was applied. All teeth were individually scanned with micro-computed tomography. A Shapiro–Wilk test, two-way MANOVA, and Bonferroni analysis were used for statistical tests. Results: Self-etch groups showed more microleakage than total-etch groups. Minimum microleakage was observed in Filtek One Bulk Fill groups, whereas G-aenial Posterior groups showed maximum microleakage. Conclusions: Filtek One Bulk Fill (3M ESPE) resin composite was found to be more effective in reducing microvoid formation in MOD cavities when applied with total-etch adhesive systems. However, EverX Posterior (GC) and G-aenial Posterior (GC) showed less microvoid formation with self-etch adhesive systems.

Tougher Bioadhesives through Dual Stimulation Strategies.

Carbene-based bioadhesives have favourable attributes for tissue adhesion, including non-specific bonding to wet and dry tissues, but suffer from relatively weak fracture strength after photocuring. Light irradiation of carbene-precursor (diazirine) also creates inert side products that are absent under thermal activation. Herein, a dual activation method combines light irradiation at elevated temperatures for the evaluation of diazirine depletion and effects on cohesive properties. A customized photo/thermal-rheometer evaluates viscoelastic properties, correlated to the kinetics of carbene:diazoalkane ratios via 19F NMR). The latter exploits the sensitive -CF3 functional group to determine joule-based light/temperature kinetics on trifluoroaryl diazirine consumption. The combination of heat and photoactivation produced bioadhesives that are 3× tougher compared to control. Dual thermal/light irradiation may be a strategy to improve viscoelastic dissipation and toughness of photo-activated adhesive resins.

A Comparative Study of Shade-Matching Reproducibility Using an Intraoral Scanner and a Spectrophotometer.

We compared the repeatability of the shade determination of resin composite restorations and acrylic teeth in light and darker shades at baseline and after an aging process through two digital tooth color-matching methods: using a Trios 3Shape intraoral scanner and using a Vita Easyshade Compact spectrophotometer. Forty upper central incisor acrylic teeth in the shade A1 (n = 10) and A3 (n = 10) were randomly assigned to be restored with Filtek Bulk Fill in the shade A1 (n = 10) or A3 (n = 10). Subsequently, 20 Class V cavities were prepared in a standardized manner (mesio-distal = 3.0 mm, cervical-occlusal = 2.0 mm, depth = 1.5 mm). Cavities were restored using an universal adhesive system and resin composite in two increments and were light-cured. The shade difference between the resin composite Class V restorations in acrylic teeth of the A1 and A3 shades was evaluated at baseline and after aging. Aging was simulated using ultraviolet light for 120 h. An Easyshade device and an intraoral scanner were used under D65 illumination. Measurements were taken five times, on top of the restoration and on the acrylic teeth, in a randomized manner. Data analysis was on the calculation of the arithmetic mean for the percentage of repeatability conducted by the Trios scanner and the Easyshade device. There was no statistically significant comparison between the shade measurement devices (p > 0.05). At baseline, the repeatability for both the Trios intraoral scanner and the Vita Easyshade Compact device for artificial teeth in the shades A1 and A3 was 100%. After aging, the trueness recorded by the intraoral scanner and the Easyshade device for artificial teeth in the shade A1 was 80%. For Class V restoration with shade A1, the intraoral scanner recorded 80% trueness and the Easyshade device recorded 60% trueness at baseline. For shade A3, the intraoral scanner recorded 60% trueness and the Easyshade device recorded 60% trueness. The intraoral scanner and Easyshade device are reliable for baseline shade selection, but their accuracy decreases after aging, particularly for darker shades.

Physical Properties of Polymer Concrete Utilizing Pahae Natural Zeolite, Corn Husk Fiber, and Polyurethane Resin Adhesives

This study aimed to determine the optimum composition in the manufacture of polymer concrete using Pahae natural zeolite, corn husk fiber, and polyurethane resin adhesives. This study used the hot-press method at 170℃ for 30 minutes. The compositions of zeolite and corn husk fiber tested were varied under three different additions of polyurethane resin of 15 g, 20 g, and 25 g, while the composition of sand was fixed at 60 g. The inclusion of corn husk fiber content reduces the density of the concrete and increases the porosity and water absorption. The physical properties analysis showed that the polymer concrete samples showed the highest density was 1.89 g/cm3 from 20 g of polyurethane resin and no addition of corn husk fiber; the highest porosity was 6.15% from 15 g of polyurethane resin and 10 g of corn husk fiber; and the highest water absorption was 5.85% from 15 g of polyurethane resin and 10 g of corn husk fiber. Because improved material quality and durability are linked to reduced water absorption rates in polymer concrete, the most favorable composition with minimal water absorption (0.51%) came from the sample utilizing 20 grams of polyurethane resin without incorporating corn husk fiber.

Carbon dots prepared from waste wood and residual adhesive and their use as catalysts for hydrogen production

Large quantities of waste wood with residual resin adhesives are not recycled efficiently. To address this issue, waste wood with residual resin adhesives was synthesized into carbon dots (CDs) via a facile hydrothermal self-assembly method to enhance the H2 evolution performance of graphite C3N4 (g-C3N4), a metal-free photocatalyst. Among all samples, the most significant enhanced sample was MCN-UF-3.5, which has an H2 evolution of 22.1 mmol·g-1·h-1, which is 3.91 times that of unmodified g-C3N4. The band gap and recombination of photogenerated charges were both improved by the doping of CDs. Meanwhile, the DFT calculation showed that adding CDs, especially with the -NH2 group, can significantly deform the structure and destroy the symmetry. This consequence implies an enhancement in the activity of the hydrogen evolution reaction, confirming the feasibility of the modification.

The stress distribution of a primary molar tooth restored with stainless steel crown using different luting cements

BackgroundThe aim of this study is to evaluate the stress distributions of a primary molar tooth restored with a stainless steel crown (SSC) using resin and glass ionomer luting cements by Finite Element Analysis (FEA).MethodsOriginal DICOM data of a primary molar was used to create a 3D model. One model was prepared as a tooth model with SSC. A 30 μm cement layer was used in model. Two different luting cements were tested in the study: self-cure adhesive resin cement, and glass ionomer cement. Vertical and oblique loads of 330 N were applied to simulate maximum bite force and lateral forces in the occlusal contact areas of the models. Maximum von Mises stress values in the models were evaluated as MPa.ResultsThe maximum von Mises stress value was observed in the force application and general occlusal contact areas for all models. The maximum von Mises stress values were higher in the tooth model with SSC using self-cure adhesive resin cement (478.09 MPa and 214.62 MPa) than in the tooth model with SSC using glass ionomer cement (220.06 MPa and 198.72 MPa) in both vertical and oblique loading, respectively.ConclusionsDepending on the magnitude of the bite force on the SSC, fracture of the luting cement materials could occur if the stress exceeds the endurance limit of the luting cement. Cementation with glass ionomer cement may help to reduce stress levels in SSC restorations of primary molars in children.

Comparative evaluation of the effect of 2% graphene oxide and 5% hydroxyapatite nanoparticles in isolation and in combination on micro tensile bond strength of 5th generation adhesive

Background Graphene is the thinnest, strongest, and stiffest imaginable material. The biocompatible property of graphene oxide can initiate and facilitate cell adhesion, proliferation, and differentiation of periodontal ligament, osteogenic, and oral epithelial cells. Furthermore, the antibiofilm and anti-adhesion properties of graphene oxide in the prevention of dental biofilm infections, dental caries, and dental erosion as well as for implant surface modification and as an anti-quorum sensing agent. Composites are the most often utilized materials for restoration in the field of dentistry due to adhesive resins' improved mechanical and cosmetic properties. To safeguard the dentin and prevent dental cavities, dentin adhesives are utilized to affix hydrophobic resin composites to hydrophilic dentin tissue. Materials and Method Dental adhesives have a harder time adhering to dentin because it contains more water and is less mineralized than enamel. This makes the method more sensitive. Result As a result, it was chosen to assess and contrast the impact of 5% Hydroxyapatite nanoparticles and 2% Graphene oxide nanoparticles, both separately and together, on the Micro tensile bond strength of 5th generation adhesive. Conclusion Graphene oxide is the most versatile form of Graphite in structural and functional configuration. Graphene oxide possesses extraordinary physical, chemical, optical, electrical and mechanical properties. Among the graphene family nanomaterials, the reduced form of Graphite adding the oxygenated functional group to the structure increases the surface area and therefore exhibits enviable excellent interaction ability with metal and ions as well as organic species. Graphene oxide in dentistry has provided outstanding results in antimicrobial action, regenerative dentistry, bone tissue engineering, drug delivery, physicochemical properties, enhancement of dental biomaterials and oral cancer treatment.

Effect of Thermo-mechanical Cycling on Fracture Resistance of Different CAD/CAM Crowns: An In Vitro Study.

To evaluate the effect of thermo-mechanical cycling (TMC) on fracture resistance of different computer-aided design/computer-aided manufacture (CAD/CAM) crowns. A total of 42 CAD/CAM crowns were fabricated on epoxy resin maxillary first premolar teeth and divided into three groups (n = 14) according to the material used: IPS e.max CAD (Ivoclar Vivadent) lithium disilicate (LD), Vita ENAMIC (VE) (VITA Zahnfabrik), Tetric CAD (Ivoclar Vivadent). Also, each group was subdivided into two equal subgroups according to TMC (n = 7). Subgroups (O) without TMC and subgroup (W) with TMC (5-55°C, 30 second, 75,000 cycles). All samples in each group were cemented with a universal bond (Tetric N bond universal) and adhesive resin cement (Variolink Esthetic DC) (Ivoclar Vivadent). Subsequently, the samples were loaded to failure in a universal testing machine at a crosshead speed of 1 mm/min, and the fracture pattern and the fracture resistance in each group were recorded. Fracture resistance was analyzed by one-way analysis of variance (ANOVA) test, followed by Tukey's post hoc test for pairwise comparison. Fracture resistance showed a significant difference between the tested groups before and after TMC; IPS e.max CAD has the highest value (1233.35 ± 97.72, 1165.73 ± 199.54 N) followed by Tetric CAD (927.62 ± 42.5, 992.04 ± 53.46 N) and Vita ENAMIC has lowest value (506.49 ± 74.24, 354.69 ± 90.36 N). Thermo-mechanical cycling affected the fracture resistance of both polymer-based CAD/CAM crowns. For dental practitioners, both IPS e.max CAD and Tetric CAD can be used clinically for posterior teeth, providing satisfactory results and resistance to fracture. How to cite this article: Elmokadem MI, Haggag KM, Mohamed HR. Effect of Thermo-mechanical Cycling on Fracture Resistance of Different CAD/CAM Crowns: An In Vitro Study. J Contemp Dent Pract 2024;25(1):29-34.

Does the universal adhesive's film thickness affect dentin-bonding effectiveness?

To investigate the influence of adhesive resin application modalities on the film thickness of the adhesive resin and the effectiveness of a two-step universal adhesive (UA) bonded in self-etch (SE) bonding mode to high C-factor class-I cavity-bottom dentin. After application of the primer of G2-Bond Universal (G2B, GC), the adhesive resin was applied into standard class-I cavities (human molars) following four application modalities: (1) one layer, strongly air-blown; (2) one layer, gently air-blown; (3) two layers, each gently air-blown; (4) one layer, not air-blown. After being restored with composite, each tooth was sectioned to obtain one micro-specimen (n = 10), of which the adhesive resin film thickness was measured using optical microscopy. The micro-tensile bond strength (μTBS) was tested immediately or upon 100,000 thermocycles. Statistical analyses involved Kruskal-Wallis and Mann-Whitney U testing (p < 0.05). G2B's μTBS was significantly affected by the adhesive resin application modality and aging. Gently air-blowing the adhesive resin resulted in significantly higher immediate μTBS than strong air-blowing or no air-blowing. No significant difference in μTBS was found between single or double gently air-blown adhesive resin applications. The adhesive resin film thickness significantly varied with the application modalities. A too thin or too thick adhesive resin film thickness adversely affected bond strength of the two-step UA applied in SE mode and high C-factor condition. The adhesive resin layer thickness can affect the bonding performance of two-step UAs in high C-factor cavities. Dental clinicians remain advised to avoid improper air-blowing of UAs and strictly follow the application instructions.