Investigation of the Bond Stregth Between Resin Cement and Current CAD/CAM Restorative Materials Applied With Different Surface Treatments

Yıl 2023, , 1134 - 1143, 17.03.2023

Numan Tatar

https://doi.org/10.33715/inonusaglik.1210994

Öz

In dentistry, the fact that the restorations applied to the patient remain in the patient's mouth for a long time without falling is among the important criteria for the success of the restoration. For this reason, the aim of our study is to examine the relationship between the resin cement and the different surface treatments applied to the current CAD/CAM blocks, which can be polished by the physician without the need for the firing process. 15 samples (n=15) of 2 mm thickness were produced from Vita Enamic (V) Lava Ultimate (L) and PEEK (P) blocks with surface treatments of control (VC, LC, PC), HF acid (VHF, LHF, PHF), 50 µm Al2O3 powder (VAl, LAl, PAl), 30 µm Silica coated Al2O3 powder (VSi, LSi, PSi). The resin cement applied samples were aged by thermal cycling. Afterwards, shear bond strength test was applied to the samples with an universal test device. Bond strength results were evaluated in the statistical program. When the findings were examined, it was seen that all applied surface treatments increased the bonding values.The highest bond strength values in all groups were observed in the silica coated Al2O3 powder (VSi 17.2750±1.89167; LSi 18.0815±1.66664; PSi 14.8151±1.57730). The bond strength values of HF acid applied to Lava Ultimate and Vita Enamic groups were found to be statistically higher than the HF acid group applied to PEEK (p˂0.05). As a result of our study, it has been observed that all surface treatments applied to CAD/CAM blocks increase the bond strength values, and the most successful bond strength value was in the sandblasting surface treatment with silica coated Al2O3 powder.

Anahtar Kelimeler

Bond strength, CAD/CAM block, Fixed prostheses, Resin cement.

FARKLI YÜZEY İŞLEMLERİ UYGULANAN GÜNCEL CAD/CAM RESTORATİF MATERYALLERİ İLE REZİN SİMAN ARASINDAKİ BAĞLANMA DAYANIMININ İNCELENMESİ

Öz

Diş hekimliğinde hastaya uygulanan restorasyonların hasta ağzında uzun süre desimante olmadan kalması restorasyonun başarısı açısından önemli kriterler arasında yer almaktadır. Bu sebeple çalışmamızın amacı fırınlama işlemine gerek kalmadan hekim tarafından da masa başı parlatılabilen güncel CAD/CAM bloklarına uygulanan farklı yüzey işlemlerinin rezin siman ile olan bağlantısının incelenmesidir. Vita Enamic (V), Lava Ultimate (L) ve PEEK(P) bloklardan, kontrol (VC, LC, PC), HF asit (VHF, LHF, PHF), 50 µm Al2O3 tozu (VAl, Lal, PAl), 30 µm Silika kaplı Al2O3 tozu (VSi, LSi, PSi) yüzey işlemleri ile 2 mm kalınlığında 15’er adet (n=15) numune üretildi. Rezin siman uygulanan örneklere termal siklus ile yaşlandırma işlemi uygulandı. Sonrasında örneklere üniversal test cihazı ile makaslama bağlanma dayanımı testi uygulandı. Bağlanma kuvveti sonuçları istatistik programında değerlendirildi. Elde edilen bulgular incelendiği zaman uygulanan tüm yüzey işlemlerinin bağlanma değerlerini arttırdığı görülmüştür.Tüm gruplardaki en yüksek bağlanma değerlerinin silika kaplı Al2O3 tozu uygulanan numunelerde olduğu (VSi 17.2750±1.89167; LSi 18.0815±1.66664; PSi 14.8151±1.57730) görüldü. Lava Ultimate ve Vita Emamic gruplarına uygulanan HF asit’in bağlanma değerlerinin istatiksel olarak PEEK’e uygulanan HF asit grubundan yüksek olduğu görüldü (p˂0.05). Çalışmanın sonucunda CAD/CAM bloklarına uygulanan tüm yüzey işlemlerinin bağlantı değerlerini arttırdığı, en başarılı bağlantı değerinin silika kaplı Al2O3 tozu ile kumlama yüzey işleminde olduğu gözlemlenmiştir.

Anahtar Kelimeler

Bağlanma dayanımı, CAD/CAM blok, Rezin siman, Sabit protezler.

Kaynakça

• Aguiar, T. R., André, C. B., Correr-Sobrinho, L., Arrais, C. A., Ambrosano, G. M. ve Giannini, M. (2014). Effect of storage times and mechanical load cycling on dentin bond strength of conventional and self-adhesive resin luting cements. The Journal of Prosthetic Dentistry, 111(5), 404-410.
• Akay, C. ve Ersöz, M. B. (2020). PEEK in dentistry, properties and application areas. International Dental Research, 10(2), 60-65.
• Anusavice K. J. (1993). Recent developments in restorative dental ceramics. J Am Dent Assoc, 124(2), 72-74, 76-78, 80-84.
• Batalha-Silva, S., de Andrada, M. A. C., Maia, H. P. ve Magne, P. (2013). Fatigue resistance and crack propensity of large MOD composite resin restorations: direct versus CAD/CAM inlays. Dental Materials, 29(3), 324-331.
• Burke, F. T., Crisp, R. J. ve Richter, B. (2006). A practice‐ based evaluation of the handling of a new self‐ adhesive universal resin luting material. International Dental Journal, 56(3), 142-146.
• de Castro, H. L., Corazza, P. H., Paes-Júnior TdA. ve Della Bona, A. (2012). Influence of Y-TZP ceramic treatment and different resin cements on bond strength to dentin. Dental Materials Journal, 28(11), 1191-1197
• de Melo, R. M., Valandro, L. F. ve Bottino, M. A. (2007). Microtensile bond strength of a repair composite to leucite-reinforced feldspathic ceramic. Braz Dent J, 18, 314-319
• Della Bona, A., Donassollo, T. A., Demarco, F. F., Barrett, A. A. ve Mecholsky Jr JJ. (2007). Characterization and surface treatment effects on topography of a glass-infiltrated alumina/zirconia-reinforced ceramic. Dent Mater, 23, 769-775
• Dolan, T. A., Gilbert, G. H., Duncan, R. P. ve Foerster, U. (2001). Risk indicators of edentulism, partial tooth loss and prosthetic status among black and white middle-aged and older adults. Community Dent Oral Epidemiol, 29, 329.
• Fabianelli, A., Pollington, S., Papacchini, F., Goracci,. C. Cantoro, A. …Ferrari, M. (2010). The effect of different surface treatments on bond strength between leucite reinforced feldspathic ceramic and composite resin. J Dent, 38, 39-43
• Gallucci, G. O., Guex, P., Vinci, D. ve Belser, U. C. (2007). Achieving natural-looking morphology and surface textures in anterior ceramic fixed rehabilitations. Int J Periodontics Restorative Dent, 27(2), 117-125.
• Guarda, G. B., Correr, A. B., Ga L. S., Costa, A. R., Borges, G. A. Correr-Sobrinho, MAC S. L. (2013). Effects of surface treatments, thermocycling, and cyclic loading on the bond strength of a resin cement bonded to a lithium disilicate glass ceramic. Operative Dentistry, 38-2, 208-217.
• Guess, P. C ., Zavanelli, R. A., Silva, N. R., Bonfante, E. A., Coelho, P. G. ve Thompson, V. P. (2010). Monolithic CAD/CAM lithium disilicate versus veneered Y-TZP crowns: comparison of failure modes and reliability after fatigue. Int J Prosthodont, 23(5), 434-442.
• Fasbinder, D. J. (2012). Chairside CAD/CAM: an overview of restorative material options. Compendium of continuing education in dentistry (Jamesburg, NJ: 1995), 33(1), 50, 52-58.
• Kurtz, S. M. ve Devinei, J. N. (2007). PEEK biomaterials in trauma, orthopedic, and spinal implants. Biomaterials, 28(32), 4845-4869.
• Mak Y. F., Lai, S. C., Cheung, G. S., Chan, A. W., Tay, F. R. ve Pashley, D. H. (2002). Micro-tensile bond testing of resin cements to dentin and an indirect resin composite. Dental Materials Journal, 18(8), 609-721.
• Marklund, S., Bergman, B., Hedlund, S. O. ve Nilson, H. (2003). An intraindividual clinical comparison of two metal-ceramic systems: a 5-year prospective study. Int J Prosthodont, 16(1), 70-73.
• Miyazaki, T., Hotta, Y., Kunii, J., Kuriyama, S. ve Tamaki, Y. (2009). A review of dental CAD/CAM: current status and future perspectives from 20 years of experience. Dent Mater J, 28(1), 44- 56.
• Neis, C. A., Albuquerque, N. L., Albuquerque Ide S., Gomes, E. A., SouzaFilho, C. B., Feitosa, V. P. …Bacchi A. (2015). Surface treatments for repair of feldspathic, leucite- and lithium disilicate-reinforced glass ceramics using composite resin. Braz Dent J, 26, 152-155.
• Oh, W. S. ve Shen, C. (2003). Effect of surface topography on the bond strength of a composite to three different types of ceramic. J Prosthet Dent, 90, 241-246.
• Papia, E., Larsson, C., du Toit, M. ve Vult von Steyern, P. (2014). Bonding between oxide ceramics and adhesive cement systems: a systematic review. J Biomed Mater Res B Appl Biomater, 102, 395-413.
• Pjetursson, B. E., Sailer, I., Zwahlen, M. ve Hämmerle, C. H. (2007). A systematic review of the survival and complication rates of all-ceramic and metal-ceramic reconstructions after an observation period of at least 3years. PartI: Single crowns. Clin Oral Implants Res, 18(3), 73–85.
• Radovic, I., Monticelli, F., Goracci, C., Vulicevic, Z. R. ve Ferrari, M. (2008). Self-adhesive resin cements: a literature review. Journal of Adhesive Dentistry, 10(4).
• Reitemeier, B., Hansel, K., Kastner, C., Weber, A. ve Walter, M. H. (2013). A prospective 10-year study of metal ceramic single crowns and fixed dental prosthesis retainers in private practice settings. J Prosthet Dent, 109(3), 149-155.
• Rocha, R. F. V., Anami, L. C., Campos, T. M. B., Melo, R. M. D., Souza, R. O. D. A. ve Bottino, M. A. (2016). Bonding of the polymer polyetheretherketone (PEEK) to human dentin: effect of surface treatments. Brazilian Dental Journal, 27(6), 693-699
• Sanares, AME., Itthagarun, A., King, N. M., Tay, F. R. ve Pashley, D. H. (2001). Adverse surface interactions between one-bottle light-cured adhesives and chemical-cured composites. Dental Materials Journal, 17(6), 542-556.
• Sjogren, G., Sletten, G. ve Dahl, J. E. (2000). Cytotoxicity of dental alloys, metals, and ceramics assessed by millipore filter, agar overlay, and MTT tests. J Prosthet Dent, 84(2), 229-236.
• Stawarczyk, B., Beuer, F., Wimmer, T., Jahn, D., Sener, B., Roos, M. ve Schmidlin, P. R. (2013). Polyetheretherketone—A suitable material for fixed dental prostheses? J Biomed Mater Res B Appl Biomater, 101(7), 1209-1216.
• Tatar, N. ve Ural, C. (2018). Repair Success of Two Innovative Hybrid Materials as a Function of Different Surface Treatments. The International Journal of Prosthodontics, 31(3), 267-270.
• Tzanakakis, E. G., Tzoutzas, I. G. ve Koidis, P. T. (2016). Is there a potential for durable adhesion to zirconia restorations? A systematic review. J Prosthet Dent, 115, 9-19.
• Türkmen, C., Durkan, M., Cimilli, H. ve Öksüz, M.. (2011). Tensile bond strength of indirect composites luted with three new self-adhesive resin cements to dentin. J Appl Oral Sci, 19(4), 363-369.
• Vrochari, A. D. Eliades, G., Hellwig, E. ve Wrbas, K. T. (2009). Curing efficiency of four self-etching, self-adhesive resin cements. Dental Materials Journal, 25(9), 1104-1108.