Vita Enamic Research Articles

Evaluation of optical and mechanical properties of crown materials produced by 3D printing.

The various advantages of crown materials produced using three-dimensional (3D) printers have increased their use in restorative and prosthetic dentistry in recent years. Accordingly, their optical and mechanical properties have become more important. To evaluate the mechanical, surface and optical properties of crown materials produced with 3D printing and computer-aided design (CAD)/computer-aided manufacturing (CAM), which has recently been used frequently in the clinic. The 3-point bending test was used to evaluate the mechanical properties of 2 different crown materials produced with 3D printing (Permanent Crown and VarseoSmile Crown Plus) and a crown material produced using CAD/CAM (Vita Enamic). After the initial color and surface roughness measurements were made, the specimens were immersed in 4 different solutions. The most translucent material was VarseoSmile Crown Plus (p < 0.05). In all specimens, coffee caused the most discoloration (p < 0.05). The effects of the solutions on the roughness were mostly observed in Permanent Crown specimens (p < 0.05). Vita Enamic showed the highest statistically significant values in terms of flexural strength (p < 0.05). The stereolithographic technique among the materials produced by 3D printing can be recommended for use in restorations due to its higher flexural strength.

The Effect of Erosive Media on the Mechanical Properties of CAD/CAM Composite Materials.

This study aimed to investigate the effect of acidic media storage (gastric acid and Coca-Cola) on the mechanical properties of CAD/CAM materials. Three types of materials were tested: a polymer-infiltrated ceramic network (PICN) (Vita Enamic (En), VITA Zahnfabrik, Germany), a resin composite block (RCB) (Cerasmart (Cs), GC Corp, Japan), and a conventional resin-based composite (Gradia direct (Gr), GC Corp, Japan), which was used as a control. Beam-shaped specimens of each material, with dimensions of 16 mm × 4 mm × 1.5 mm, were prepared (90 in total). The specimens were divided into subgroups (10 each) and stored for 96 h in either gastric acid, Coca-Cola, or distilled water. Flexural strength and elastic modulus were evaluated using a three-point flexural strength test with acoustic emission (AE) monitoring. Vickers microhardness was measured before and after storage in gastric acid and Coca-Cola. Data were statistically analysed using two-way and one-way ANOVA, the Tukey's post hoc, and independent t-test at a significance level of 0.05. The results showed that Cs and En maintained their flexural strength and elastic modulus after acidic media exposure, while Gr experienced a significant decrease in flexural strength following gastric acid storage (p < 0.01). Initial crack detection was not possible using the AE system, impacting the determination of flexural strength. Exposure to acidic media decreased all materials' microhardness, with Gr showing the most notable reduction (p < 0.0001). Gastric acid had a greater impact on the microhardness of all tested materials compared to Coca-Cola (p < 0.0001). In conclusion, storage in erosive media did not notably affect the flexural strength or elastic modulus of CAD/CAM composites but it did affect hardness. CAD/CAM composite blocks demonstrated superior mechanical properties compared to the conventional composite.

INFLUENCE OF ABUTMENT MATERIAL, CEMENT THICKNESS, AND CROWN TYPE ON THE FINAL COLOR OF IMPLANT-SUPPORTED RESTORATIONS.

To evaluate the influence of abutment material, cement thickness, and crown type on the esthetics of implant supported restorations. In total, 60 specimens were prepared to represent six abutment groups: Group PA &#61; pink-anodized Ti; Group GA &#61; gold-anodized Ti; Group T &#61; nonanodized Ti; Group H &#61; hybrid (Ti &#43; zirconia); Group P &#61; PEEK (Ti &#43; PEEK); and Group C &#61; composite resin (control). Crown specimens (n &#61; 120) were obtained from Vita Enamic (VE) and Vita Suprinity (VS). Two cement thicknesses (0.1 and 0.2 mm) were used. The color values of crown configura:ons were measured and ΔE00* values were calculated. Statistical analyses included were Shapiro Wilk, three-way ANOVA, and Tukey HSD tests (P ≤ .05). Abutment (P < .001) and crown materials (P &#61; .001) had a significant effect on ΔE00* values, while cement thickness did not. Groups PA and H resulted in significantly lower mean ΔE00* values than other abutments, whereas Group T revealed the highest. Unlike VS, cement thicknesses created a significant difference on the ΔE00* values for VE (P ≤.05). Pink-anodized Ti or hybrid abutments for VE and pink- or goldanodized Ti for VS seem to be better options, in terms of color change. Cement thickness of 0.1 mm resulted in higher ΔE00* value than 0.2 mm for VE (P ≤ .05).

A Comparison of the Shear Bond Strength between a Luting Composite Resin and Both Machinable and Printable Ceramic–Glass Polymer Materials

This study aims to compare the shear bond strength (SBS) and Weibull characteristics between a luting composite resin and both printable and two different machinable ceramic–glass polymer materials. A total of 36 substrates were prepared, with 12 in each group. Printable substrates (12 mm × 12 mm × 2 mm) were printed by using permanent crown resin (3D-PR). Machinable substrates were obtained from Cerasmart 270 (CS) and Vita Enamic (VE) blocks (2 mm in thickness). The bonding surfaces of substrates were polished and airborne abraded (50 µm Al2O3). A self-adhesive luting composite resin (RelyX U200, 3M ESPE, St. Paul, MN, USA, SLC) was applied on substrates with the help of a cylindrical (Ø3 × 3 mm) mold. The SBS test was conducted using a universal test machine. The SBSs of three materials were compared using a one-way analysis of variance (ANOVA) (α = 0.05). The Weibull modulus was calculated for each material. The Kruskal–Wallis and chi-square tests were carried out for the failure mode analysis. There was no significant difference between the SBSs of the three materials (p = 0.129). The Weibull modulus was 3.76 for the 3D-PR, 4.22 for the CS, and 6.52 for the VE group. Statistical analysis showed no significant difference between the failure modes of the groups (p = 0.986). Mixed-failure fractures were predominantly observed in all three groups. The results show that the SBS of the SLC to printable 3D-PR is comparable to that of CS and VE material. Failure modes of printable 3D-PR show similar results with two different machinable ceramic–glass polymers.

Effect of thermomechanical aging on marginal fit of three CAD-CAM restorative materials: An in vitro study.

The present study assessed the impact of thermomechanical aging on the marginal fit of hybrid ceramic, reinforced composite resin, and lithium disilicate ceramic. Eighteen human upper first premolars freshly extracted for orthodontic purposes were used to fabricate 18 CAD-CAM veneers and divided into three groups based on materials used: group H (n=6): hybrid ceramics (Vita Enamic), group R (n=6): reinforced composite resin (Brilliant crios), and group L (n=6): lithium disilicate ceramic (IPS e-max CAD). Each material's cementation procedure was carried out according to the manufacturer's instructions. The vertical marginal gap between the laminate veneer margin and the prepared tooth finish line was measured to assess the specimens by digital microscopy. Subsequently, all the samples were thermomechanically cycled (TMC) (5 °C to 55 °C, 30 seconds, 75000 cycles). Then, the vertical marginal gap was re-evaluated. The Brilliant crios group displayed a significantly lower vertical marginal gap mean score (31.36±2.82 µm) followed by Vita Enamic (39.27±6.54 µm) and E max (41.39±3.97 µm) groups. Similarly, after thermomechanical aging, the Brilliant crios group displayed a significantly lower vertical marginal gap mean score (41.83±8.28 µm) followed by Vita Enamic (55.47±18.65 µm), and the E max group showed the greatest vertical marginal gap mean score (59.43±16.27 µm). Thermomechanical aging affected the marginal fit of different materials employed in the current research, and these changes were under the established clinical limit.

Exploring the optical behavior and relative translucency parameter of CAD-CAM resin-based composites, polymer-infiltrated ceramic network, and feldspar porcelain

ObjectivesTo evaluate and compare the optical properties and relative translucency parameter of CAD-CAM restorative materials. MethodsFour CAD-CAM materials were evaluated: Lava Ultimate (LU), Grandio Blocs (GB), VITA Enamic (VE), and VITA Mark II (VM). Disk-shaped samples in shade A2-HT were prepared (n = 10) and polished to 1.00 ± 0.01 mm of thickness. Scattering (S), absorption (K), albedo (a) coefficient, transmittance (T%), light reflectivity (RI), infinite optical thickness (X∞), and radiative transfer coefficients (μa, and μ′S) were calculated using Kubelka-Munk method and Thennadil's semi-empirical approach. Root Mean Square Error (RMSE) and Goodness of Fit (GFC) were used as performance optical behavior. Translucency differences were evaluated using the relative translucency parameter (RTP00) and 50:50 % translucency perceptibility and acceptability thresholds (TPT00 and TAT00). ResultsThe spectral distribution of S, K, T%, RI, and X∞ was wavelength-dependent. GFC and RMSE values indicated good spectral behavior matches and good comparative spectral values for RI in LU-GB, LU-VE, and GB-VE, and for K in VE-VM. VM displayed the highest scattering values across the wavelengths, while VE and VM showed lower absorption at shorter wavelengths. LU and GB had the highest transmittance. The X∞ values indicated that all 1.0 mm thick materials could be influenced by the background. No good spectral match and no good comparative spectral values were found between CAD-CAM materials and anterior bovine maxillary specimens. VM had the lowest RTP00 values with perceptible and unacceptable differences compared to CAD-CAM materials evaluated. SignificanceUnderstanding the optical behavior of different CAD-CAM materials was essential for guiding clinicians in material selection and optimizing their clinical performance. The findings confirm that the different compositions and microstructure impact the optical properties and translucency of CAD-CAM restorative materials.

Hybrid Ceramics Cementation Protocols: Scope Review.

Compared to high modulus repair materials such as zirconia and alumina, hybrid polymer-ceramic materials have lower stress concentrations in the tooth structure and bonding interface. The aim of this study is to evaluate viable cementation protocols through an integrative review and meta-analysis. This systematic review was based on the PRISMA criteria. An electronic search was carried out in seven databases: Web of Science, Embase, PubMed, Clinical Trials, Scopus, Cochrane, Periodicals of Capes. The following inclusion criteria were used: hybrid ceramics, surface treatment protocol and which union test was presented, discarding duplicate articles and studies that did not meet the inclusion criteria. The articles were analyzed and selected through the RayYan platform. Of the 160 articles identified, 24 studies were included in this review. The materials used by the authors were the hybrid ceramics: Vita ENAMIC, LAVA ULTIMATE, Cerasmart, Shofu Block, and the possible surface treatment protocols presented involving the use of: HF, Alumina blasting with or without silica, Silane, Laser and adhesive. The tests were carried out at different times and concentrations of the analyzed materials. With the studies that were included in this review, it was possible to show that the corrosion made by HF continues to be the gold standard for the treatment of surfaces in hybrid ceramics. Key words:Hybrid ceramic, Bond Strength, Cementation.

Comparison of optical properties and bond strength of new CAD/CAM ceramic materials

Objective. To compare the shear bond strength values of current CAD/CAM materials and to evaluate the color changes resulting from immersion in coloring solutions. Material and Methods. A total of 160 specimens were prepared from 4 CAD/CAM blocks; lithium disilicate glass ceramic (IPS E.max CAD[EC]), zirconia reinforced lithium silicate ceramic (Vita Suprinity[VS]), polymer infiltrated glass ceramic (Vita Enamic[VE]) and hybrid ceramic (GC Cerasmart [GC]). The ceramic specimens were immersed in tea, coffee, cherry juice and distilled water solutions. Color measurements were made. To compare the shear bond strength values, all specimens were bonded to resin cement. Then the specimens were aged with 5000 thermocycling. The failure modes were classified according to stereomicroscope analysis and than scanning electron microscopy images for surface topography were obtained. Results. The color change values were significantly greater in coffee compared to other solutions and the highest color change was seen in GC and VE. The highest bond strength values were seen in VS and VE. The shear bond strength values are listed as follows: VS>VE>EC>CS. Conclusions. EC and VS can be used, especially in aesthetic restorations, due to their high color stability. Additionally, considering the bond strength values of VS, it appears to be a highly satisfactory material.

The effect of hydrogen peroxide and subsequent resveratrol application to CAD-CAM blocks on the cell viability of fibroblasts.

The aim is to assess viability of fibroblasts exposed to 2 CAD-CAM blocks and a nanohybrid resin after application of hydrogen peroxide (HP) and resveratrol with 2 extraction media at 24h, 48h, and 72h. Eighteen specimens were obtained from Lava Ultimate (LU), Vita Enamic (VE), and Grandio (GR). Specimens of each material were divided into 3 groups (material only, bleached, resveratrol applied) for 2 extraction media as artificial saliva (AS) and phosphate buffer saline (PBS) (n = 3). For bleached group, 40% HP was applied to specimens for 20min twice. For resveratrol group, 0.5µM resveratrol was applied after bleaching for 10min. Mouse fibroblast cells were exposed to extracts of each group. The viability of cells was determined with MTT assay at 24h, 48h, and 72h. Cell viability data (%) were analyzed statistically using one-way ANOVA, and post hoc Tukey test. Bleached materials showed the lowest cell viability (PBS; p < 0.01/ AS; p < 0.001). There is no statistically significant difference between resveratrol applied and bleached groups (PBS; p = 0.14/ AS; p = 0.072). Regardless of period of time and procedure, GR showed lower viable cell numbers than LU and VE (p < 0.001). Viable cell numbers were higher at 24h than at 72h (p < 0.001). There was no statistically difference between AS and PBS (p > 0.05). For all materials, the application of resveratrol did not affect the cell viability which decreased after bleaching over time. The decrease in nanohybrid resin was more critical than hybrid CAD-CAM blocks. The type of extraction media had no effect on cell viability results.

Effect of Successive At-home Bleaching Sessions on the Surface Properties, Biaxial Flexural Strength, and Reliability of CAD-CAM Monolithic Materials.

Although at-home bleaching can recover the optical properties of stained CAD-CAM monolithic materials, little is known about its impact on their surface and mechanical properties, especially when successive sessions are performed. This study evaluated the effect of successive at-home bleaching sessions on the microhardness, roughness, topography, biaxial flexural strength (BFS), and reliability of CAD-CAM monolithic materials. Disks from Lava Ultimate (LU), Vita Enamic (VE), and IPS Empress CAD (EMP) were fabricated and submitted to up to three bleaching sessions. At-home bleaching was performed with 10% carbamide peroxide, and each session consisted of one application for 10 hours/day for 14 days. The analyses of the aforementioned parameters were assessed before and after the first, second, and third bleaching sessions, except for BFS, which was evaluated at baseline and after the third session. The Weibull modulus was calculated from the BFS data. The microhardness of the three materials as well as the roughness of LU were not affected by the sessions, whereas the roughness of VE and EMP increased from the second session. All materials displayed topographic changes, which became more pronounced with the increase in the number of sessions. Although bleaching decreased the BFS of the materials, it did not adversely affect their reliability. Successive at-home bleaching sessions with the protocol used in the present study cannot be considered a safe procedure for the materials evaluated.

Effects of two dentifrices on the surface properties and staining susceptibility of polymer-based materials.

This study examined the effect of whitening and abrasive regular dentifrices on the surface characteristics and stain susceptibility of polymer-based CAD-CAM blocks subjected to artificial toothbrushing abrasion (TB). Two resin composite blocks [CeraSmart (CS) and Grandio Blocs (GB)], one polymer-infiltrated ceramic [Vita Enamic (VE)], and one direct resin composite [GrandioSO (RC)] were used to produce 60 specimens. The baseline mass, gloss, roughness, Vickers hardness (Hv), and color were measured after 7 days of water storage. The specimens were then separated into three TB treatment groups (n = 5): water control (C), regular daily dentifrice (R), and whitening dentifrice (W). Measurements were repeated post-TB (20,000 cycles). All specimens were immersed in coffee, and the CIE ΔE00 was measured after 1, 7, and 14 days. Two-way, one-way ANOVA, and Tukey's post hoc tests were performed to determine any significant differences between the materials and TB groups. To determine the stain resistance, repeated measures of ANOVA, one-way ANOVA, and Tukey's post hoc tests were used (α = 0.05). The R and W mass changes were minimal (-3.77 to 3.16g%). W reduced the gloss of all the materials by 12.6%-65%. All materials in W were slightly rougher (Ra, 0.107-0.144 μm) than those in R (Ra, 0.049-0.072 μm). The ΔE00 ranged from 0.6 to 1.6 in W and 0.4 to 1.4 in R. VE was the hardest material at baseline (Hv = 362), whereas brushing and staining lowered Hv in all TB groups (282.8-300.6). After brushing in W, VE, and RC were more susceptible to coffee stains than were CS and GB. The whitening dentifrice roughened CAD-CAM specimens, reducing gloss, yet lightened some materials. Polymer-infiltrated ceramic and direct resin composite specimens brushed with abrasive regular or whitening dentifrice resulted in more intense staining than the CAD-CAM resin composites.

Flowable composite as an alternative to adhesive resin cement in bonding hybrid CAD/CAM materials: in-vitro study of micro-shear bond strength

ObjectiveTo assess the micro-shear bond strength of light-cured adhesive resin cement compared to flowable composite to hybrid CAD/CAM ceramics.Materials and methodsRectangular discs were obtained from polymer-infiltrated (Vita Enamic; VE) and nano-hybrid resin-matrix (Voco Grandio; GR) ceramic blocks and randomly divided according to the luting agent; light-cured resin cement (Calibra Veneer; C) and flowable composite (Neo Spectra ST flow; F), resulting in four subgroups; VE-C, VE-F, GR-C and GR-F. Substrates received micro-cylinders of the tested luting agents (n = 16). After water storage, specimens were tested for micro-shear bond strength (µSBS) using a universal testing machine at 0.5 mm/min cross-head speed until failure and failure modes were determined. After testing for normality, quantitative data were expressed as mean and standard deviation, whereas, qualitative data were expressed as percentages. Quantitative data were statistically analysed using Student t test at a level of significance (P ≤ 0.05).ResultsGroup GR-F showed the highest µSBS, followed by VE-C, VE-F and GR-C respectively, although statistically insignificant. All groups showed mixed and adhesive failure modes, where VE-F and GR-C showed the highest mixed failures followed by GR-C and VE-C respectively.ConclusionsAfter short-term aging, flowable composite and light-cured resin cement showed high comparable bond strength when cementing VE and GR.

Effect of Common Staining Beverages on Color Stability of Polymer-infiltrated Ceramics and Extra Translucent Zirconia: An In Vitro Study.

The current study aims to assess the color change of polymer-infiltrated ceramic Vita Enamic (VE) and extra translucent multilayer zirconia (XTML) after being immersed in different types of beverages, which are coffee, tea, and cola in comparison to distilled water as control. A total of 80 rectangular-shaped specimens were prepared with fixed dimensions (14 × 12 × 0.5 mm) and then were divided into two groups (n = 40) according to ceramic material (VE, XTML). Specimens were sliced as each slice measures about 0.5 mm thick. Each group specimens were divided into four subgroups (n = 10) based on the immersion solutions in which specimens were stored (water, coffee, tea, and cola) for 28 days. The color parameters (L-a-b) of the specimens were recorded before immersion and at the end of the 7th (T1), 14th (T2), 21st (T3) and 28th (T4) days after immersion. Color measurements were statistically analyzed with a significance threshold of p < 0.05. There was a significant difference in color change between VE and XTML in all periods of tea and coffee immersion subgroups and in T3 and T4 in cola immersion subgroups (p < 0.001). Vita Enamic showed the highest differences in ΔE through all storage periods after 28 days of tea immersion (ΔE of VE= 8.06 ± 1.04). Extra translucent multilayer zirconia showed the highest differences in ΔE through all storage periods after 28 days of tea immersion (ΔE of XTML = 3.0 ± 0.33). Commonly consumed staining beverages influenced the color stability of the polymer-infiltrated ceramics more than extra translucent zirconia ceramics. This study may provide guidance for clinicians to select the appropriate ceramic restorative material with high color stability and low tendency for color change by common staining beverages to achieve long-lasting esthetic results for the patients. How to cite this article: Abdelhafez MHA, Abu-Eittah MRH. Effect of Common Staining Beverages on Color Stability of Polymer-infiltrated Ceramics and Extra Translucent Zirconia: An In Vitro Study. J Contemp Dent Pract 2024;25(5):411-416.

Do all ceramic and composite CAD-CAM materials exhibit equal bonding properties to implant Ti-base materials? An Interfacial Fracture Toughness Study

ObjectivesTo compare the interfacial fracture toughness (IFT) with or without aging, of four different classes of CAD-CAM ceramic and composite materials bonded with self-adhesive resin cement to titanium alloy characteristic of implant abutments. MethodsHigh translucent zirconia (Katana; KAT), lithium disilicate-based glass-ceramic (IPS. emax.CAD; EMX), polymer-infiltrated ceramic network material (PICN) (Vita Enamic; ENA), and dispersed filler composite (Cerasmart 270; CER) were cut into equilateral triangular prisms and bonded to titanium prisms with identical dimensions using Panavia SA Cement Universal. The surfaces were pretreated following the manufacturers’ recommendations and developed interfacial area ratio (Sdr) of the pretreated surfaces was measured. IFT was determined using the Notchless Triangular Prism test in a water bath at 36 °C before and after thermocycling (10,000 cycles) (n = 40 samples/material). ResultsIFT of the materials ranged from 0.80 ± 0.25 to 1.10 ± 0.21 MPa.m1/2 before thermocycling and from 0.71 ± 0.24 to 1.02 ± 0.25 MPa.m1/2 after thermocycling. There was a statistical difference between IFT of CER and the two top performers in each scenario: KAT and EMX before aging, and KAT and ENA after aging. Thermocycling significantly decreased IFT of EMX. The Weibull modulus of IFT was similar for all materials and remained so after thermocycling. Sdr measurements revealed that ENA (7.60)>Ti (4.97)>CER (2.85)>KAT (1.09)=EMX (0.96). SignificanceDispersed filler CAD-CAM composite showed lower performance than the other materials. Aging only affected IFT of Li-Si glass-ceramic, whereas zirconia and PICN performed equally well, probably due to their chemical bonding potential and surface roughness respectively.

Translucency and colour masking ability of hybrid CAD/CAM materials with different thicknesses: in vitro study

ObjectiveTo evaluate effect of material thickness and translucency of two different hybrid CAD/CAM materials on their masking ability.Materials and Methods40 rectangular-shaped specimens (12 × 14 mm) were obtained from Vita Enamic and Grandio blocks at 0.5 and 1 mm-thick (n = 10/group). Colour parameters of specimens were measured on PMMA tooth-coloured replica backgrounds (A2, C4) and black, white backings using dental spectrophotometer. Translucency parameter (TP) and masking ability (∆E00) values of tested materials with 0.5, and 1 mm thicknesses were calculated. Quantitative variables were compared between groups using student t-test.ResultsTP and ∆E00 significantly decreased as thickness of tested materials increased. Grandio showed significantly higher TP values. There were significantly lower ΔE00 values for Vita Enamic compared to Grandio at 1 mm thickness and inversely insignificant at 0.5 mm. The 0.5 mm-thick ∆E00 of tested materials was above clinical acceptability threshold, whereas, 1 mm-thick did not exceed showing better masking properties.ConclusionsThickness is more effective for colour masking than translucency. In thin thickness, the masking ability is less effective, irrespective of tested materials. Translucency of tested materials was affected by their composition. Both hybrid CAD/CAM materials are promising alternatives for masking dark discolouration at 1 mm-thick.

EFFECT OF ELASTIC GRADIENTS ON THE FRACTURE RESISTANCE OF TRI-LAYER RESTORATIVE SYSTEMS

To assess the impact of elastic gradients formed among restorative material, cement, and substrate on the fracture resistance of tri-layer restorative systems. Four CAD/CAM materials were utilized, two glass-ceramics (IPS e.max CAD, Vita Suprinity) and two resin-ceramic hybrids (Vita Enamic, Lava Ultimate). Their fracture resistance was examined by biaxial flexure (n=8) and Hertzian indentation (n=10) tests. Statistical analysis was conducted using ANOVA and Tukey tests (p=5%). Finite element analysis (FEA) was employed to simulate the Hertzian indentation test and elucidate the stress-fields formed on the intaglio surface below the loading area. The biaxial flexural strength (MPa) of glass-ceramics exceeded the hybrid materials (e.max 417a, Suprinity 230b, Enamic 138c, and Lava Ultimate 183bc). Conversely, the load-bearing capacity (N) of the materials bonded to dentin analog demonstrated the opposite trend, with the hybrid materials achieving superior results (e.max 830C, Suprinity 660D, Enamic 1822B, and Lava Ultimate 2593A). The stress-fields observed by FEA were coherent with the experimental results for Hertzian flexural stresses (MPa): e.max 501A, Suprinity 342C, Enamic 406B, whereas no tensile stress was observed at the intaglio surface of Lava Ultimate. Detailed analysis of the fracture resistance of the tri-layer restorative systems showed that the elastic gradients play a more significant role than the flexural strength of the restorative materials. The coherence of the elastic moduli between the restorative material and supporting structures results in reduced tensile stress concentration at the intaglio surface beneath the loading area and enhances the ability to withstand load.

Effect of polishing and bleaching on color, whiteness, and translucency of CAD/CAM monolithic materials.

To evaluate the effect of polishing and bleaching on the recovery of lightness, color, whiteness, and relative translucency parameter (RTP) in CAD/CAM materials and changes in these properties when another staining in coffee was conducted after the treatments. Disks of Lava Ultimate (LU), Vita Enamic (VE), IPS Empress CAD (EMP), IPS e.max CAD (EMAX), and Vita Suprinity (VS) were (1) not treated (control), (2) polished with Proxyt or (3) Ceramisté, (4) bleached with Opalescence PF or (5) Whiteness HP Blue, and (6) air polished with Clinpro Prophy Powder. CIE L*a*b* color coordinates were registered at baseline (R0), after staining with coffee for 30 min daily for 36.5 days and treatment (R1), and after another staining (R2). Differences (R1-R0 and R2-R0) in lightness (ΔL00), color (ΔE00), RTP (ΔRTP00), and whiteness (ΔWID) were evaluated by mixed repeated measures ANOVA and 95% confidence intervals (α = 0.05) and interpreted in function of their respective 50:50% PT and AT thresholds. Topography was evaluated by scanning electron microscopy (SEM). In LU, Opalescence PF and Proxyt decreased , , and and showed lower , , and . In VE, all treatments decreased , , and , whereas , , and were lower in Opalescence PF than in the control group. In both moments, ΔE00 and ΔWID in EMP (also ΔL00) and EMAX were higher in Opalescence PF than in the control group, from which the other treatments did not differ in R1-R0. In EMP, in Whiteness HP Blue (also ) and Proxyt were also higher in comparison to the control group and in VS, Ceramisté decreased , , and , whereas Opalescence PF increased . of Ceramisté and and of Proxyt were lower than those of the control group. The most suitable treatment to recover the lightness, color, whiteness, and RTP without changing these properties after another coffee exposure is material-dependent. Although the effectiveness of the treatment was material-dependent, Proxyt was the only treatment that promoted clinically acceptable changes for both LU and VE, while for purely ceramic materials, this condition was observed with Ceramisté and Clinpro Prophy Powder.

The effect of different materials and cavity designs on fracture resistance of ceramic partial coverage.

Two intra-coronal preparation designs with varying extensions of cuspal coverage can perform differently regarding their fracture resistance against introral forces. Two materials (IPS e-max CAD [EX], VITA ENAMIC [EN]), and two different preparation designs (EX-D1), (EX-D2), (EN-D1), and (EN-D2) were investigated to compare their fracture resistance. A total of 40 (n = 40) caries free human mandibular molars were used. All the prepared samples were scanned using CEREC Omnicam scanner and the preparations were checked by the software for any sharpness and undercuts before restoration designing and fabrication. All restorations were milled using Cerec MCXL 4.4 milling machine. Duo-Link resin cement was used for cementation. After thermocycling and chewing simulation, all samples were loaded in the Universal testing machine in order to evaluate fracture resistance of all samples. Fracture resistance testing revealed that e-max CAD (2134 N) showed statistically significantly higher mean fracture resistance values than Vita Enamic (1728 N). On the other hand, there was no statistically significant difference between mean fracture resistances between the two tested designs. Within the confines of this investigation, it can be said that although preparation design had no appreciable impact on fracture resistance, the CAD/CAM ceramic material utilized did. When restoring compound cavitties indirectly; a conservative defect oriented approach should be used. Glass Ceramic are prefered as restorative material.

Effect of the Application Procedure on The Bond Strength of Universal Adhesive in Restoration Repair

Objective: This study aimed to evaluate the effect of reduced application time on the bond strength of a universal adhesive used for the repair of hybrid ceramic and composite resin restorations. Methods: In the study, a total of 48 rectangular prisms of sizes 7×6×2 mm hybrid ceramic (Vita Enamic, Zahnfabrik, Germany) and composite resin (Solare X, GC, Japan) specimens were prepared. All samples were aged with 5000 thermal cycles. Then, the upper surfaces of the samples were roughened with a diamond fissure bur (10–36µ, 852 FG Meisinger; Hager &amp;amp; Meisinger GmbH, Germany) with 5 strokes under water cooling. The samples were divided into 2 subgroups according to the different application times of the adhesive system (G-Premio Bond, GC, Japan) (n=12). Then, composite resin (Solare X, GC) was placed using plastic cylinder molds with 3 mm inner diameter and height and cured with light for 20 seconds. All samples were thermal aged and then a shear bond strength test was conducted. The data were analyzed with Two-way ANOVA and post-hoc Tukey HSD tests (p˂0,05). Results: Two-way ANOVA revealed that the repair bond strength of the 10 seconds of waiting was significantly higher than the quick application for both hybrid ceramic and composite resin (p˂0,05). It was determined that there was no significant difference between hybrid ceramic and composite resin in the both quick application group and 10 seconds waiting group (p˃0,05). Conclusion: Quick application procedure showed lower shear bond strength than 10 seconds waiting group for the repair of both composite resin and hybrid ceramic (p&amp;lt;0,05). Keywords: Quick application, Application time, Universal adhesive, restoration repair..

Chemical etching of CAD-CAM glass-ceramic-based materials using fluoride solutions for bonding pretreatment.

The surface treatment of glass-ceramic-based materials, namely, lithium disilicate glass (IPS e.max CAD), feldspar porcelain (VITABLOCS Mark II), and a polymer-infiltrated ceramic network (VITA ENAMIC), using aqueous fluoride solutions and their influence on luting agent bonding were investigated. Six experimental aqueous fluoride solutions were applied to these materials, and their effects were assessed by surface topological analysis. The obtained results were compared using non-parametric statistical analyses. Ammonium hydrogen fluoride (AHF) etchant demonstrated the greatest etching effect. Subsequent experiments focused on evaluating different concentrations of the AHF etchant for the bonding pretreatment of glass-ceramic-based materials with a luting agent (PANAVIA V5). AHF, particularly at concentrations above 5 wt%, effectively roughened the surfaces of the materials and improved the bonding performance. Notably, AHF at a concentration of 30 wt% exhibited a more pronounced effect on both etching and bonding capabilities compared to hydrofluoric acid.