Evaluation of shear and tensile bond strength between dentin and ceramics using dual-polymerizing resin cements. 2009

Gurel Pekkan, and Canan Hekimoglu
Department of Dentistry, Dumlupinar University, Kutahya, Turkey. gurelp@gmail.com

BACKGROUND The applications of dual-polymerizing resin cements for all-ceramic restorations have considerably increased. For a successful clinical outcome, the luting agent should have high bond strength, not only to the ceramic surface, but also to the tooth surface. OBJECTIVE The purpose of this study was to examine shear (S) and tensile (T) bond strengths between 2 all-ceramic systems and human dentin using 3 dual-polymerizing resin cements. METHODS The buccal surfaces of 120 freshly extracted human third molars were ground flat, parallel to the long axis. Sixty specimens were prepared from each of 2 all-ceramic systems (IPS Empress 2 (E) and Cergo Pressable Ceramic (C)). Twenty specimens were luted with each of the following resin cements: Nexus 2 (N) with Self-Etch Primer, Duo-Link (D), and Variolink II (V), with their respective bonding systems. All specimens were immersed in water at 37 degrees C for 1 week, before being thermal cycled for 500 cycles in 5 degrees C and 55 degrees C water. Shear (S) and tensile (T) bond strength tests were applied to 10 specimens from each group. Fractured surfaces were inspected by scanning electron microscopy (SEM). Statistical analyses were performed using nonparametric 1-way ANOVA (Kruskal-Wallis) followed by Duncan's multiple range tests for post hoc comparison and Mann-Whitney U test for 2 ceramic systems (alpha=.05). RESULTS Significant differences were observed in shear and tensile bond strength values of the adhesive systems used (P<.05). Duo-Link showed the highest mean bond strength values, whereas Nexus 2 revealed lower shear and tensile bond strength values. Fracture modes were hybrid at the dentin interface and/or cohesive in dentin. CONCLUSIONS Cementing agents/adhesive systems may influence the bond to dental hard tissues. Dual-polymerizing activators may have a negative effect on polymerization of the bonding agent.

UI MeSH Term Description Entries
D008422 Materials Testing The testing of materials and devices, especially those used for PROSTHESES AND IMPLANTS; SUTURES; TISSUE ADHESIVES; etc., for hardness, strength, durability, safety, efficacy, and biocompatibility. Biocompatibility Testing,Biocompatible Materials Testing,Hemocompatibility Testing,Testing, Biocompatible Materials,Testing, Hemocompatible Materials,Hemocompatibility Testings,Hemocompatible Materials Testing,Materials Testing, Biocompatible,Materials Testing, Hemocompatible,Testing, Biocompatibility,Testing, Hemocompatibility,Testing, Materials,Testings, Biocompatibility
D008964 Molar, Third The aftermost permanent tooth on each side in the maxilla and mandible. Tooth, Wisdom,Teeth, Wisdom,Molars, Third,Third Molar,Third Molars,Wisdom Teeth,Wisdom Tooth
D001840 Dental Bonding An adhesion procedure for orthodontic attachments, such as plastic DENTAL CROWNS. This process usually includes the application of an adhesive material (DENTAL CEMENTS) and letting it harden in-place by light or chemical curing. Bonding, Dental,Cure of Orthodontic Adhesives,Curing, Dental Cement,Dental Cement Curing,Orthodontic Adhesives Cure
D003776 Dental Porcelain A type of porcelain used in dental restorations, either jacket crowns or inlays, artificial teeth, or metal-ceramic crowns. It is essentially a mixture of particles of feldspar and quartz, the feldspar melting first and providing a glass matrix for the quartz. Dental porcelain is produced by mixing ceramic powder (a mixture of quartz, kaolin, pigments, opacifiers, a suitable flux, and other substances) with distilled water. (From Jablonski's Dictionary of Dentistry, 1992) Porcelain,Porcelain, Dental,Dental Porcelains,Porcelains,Porcelains, Dental
D003793 Dental Restoration, Permanent A restoration designed to remain in service for not less than 20 to 30 years, usually made of gold casting, cohesive gold, or amalgam. (Jablonski, Dictionary of Dentistry, 1992) Dental Fillings, Permanent,Dental Filling, Permanent,Dental Permanent Filling,Dental Permanent Fillings,Dental Restorations, Permanent,Filling, Dental Permanent,Filling, Permanent Dental,Fillings, Dental Permanent,Fillings, Permanent Dental,Permanent Dental Filling,Permanent Dental Fillings,Permanent Dental Restoration,Permanent Dental Restorations,Permanent Filling, Dental,Permanent Fillings, Dental,Restoration, Permanent Dental,Restorations, Permanent Dental
D003799 Dental Stress Analysis The description and measurement of the various factors that produce physical stress upon dental restorations, prostheses, or appliances, materials associated with them, or the natural oral structures. Analyses, Dental Stress,Analysis, Dental Stress,Stress Analyses, Dental,Stress Analysis, Dental,Dental Stress Analyses
D003804 Dentin The hard portion of the tooth surrounding the pulp, covered by enamel on the crown and cementum on the root, which is harder and denser than bone but softer than enamel, and is thus readily abraded when left unprotected. (From Jablonski, Dictionary of Dentistry, 1992) Dentine,Dentines,Dentins
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

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