Immediate dentin sealing influences the fracture strength of ultrathin occlusal veneers made of a polymer-infiltrated ceramic network. 2022

Francesca Pigatto Teche, and Eneida Beatriz Sanfelice Valenzuela, and Julieta Gomes Tavares, and Eduarda Waiss Castellan de Oliveira, and Hélio Radke Bittencourt, and Luiz Henrique Burnett Júnior, and Ana Maria Spohr
Department of Restorative Dentistry, School of Dentistry, Pontifical Catholic University of Rio Grande do Sul, Brazil.

The objective of this laboratory study was to assess the effect of immediate dentin sealing (IDS) on the fracture strength of teeth restored with ultrathin occlusal veneers made of a polymer-infiltrated ceramic network (PICN - Vita Enamic) with different fissure/cusp thicknesses. Forty third molars were identically prepared in the dentin and allocated into four groups (n = 10) according to the fissure/cusp thickness of the occlusal veneers (0.3/0.6 mm or 0.6/0.9 mm) and the application or not of the IDS technique. Ten sound third molars were used as the control group. IDS was performed using a universal adhesive system (Single Bond Universal). The prepared teeth were scanned (Cerec software, version 4.1), and the occlusal veneers were shaped following the occlusal anatomy of a right second molar. Blocks of PICN were milled in the unit inLab MC XL. Following luting with Single Bond Universal and RelyX Ultimate, the fracture strength of the specimens was obtained with a universal testing machine. The fractures were classified as reparable or irreparable. Fracture strength values were analyzed with 2-way and 1-way ANOVA (α = 0.05) and Tukey's test. Only the IDS factor was significant (p = 0.001). The teeth restored with IDS (2875 ± 508 N) achieved significantly higher fracture strength than the teeth restored without IDS (2263 ± 354 N) (p < 0.05). The fracture strength of the specimens with IDS did not differ significantly from that of the sound teeth (3230 ± 620 N). The fractures were predominantly reparable. IDS improved the fracture strength of ultrathin occlusal veneers made of PICN.

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
D011108 Polymers Compounds formed by the joining of smaller, usually repeating, units linked by covalent bonds. These compounds often form large macromolecules (e.g., BIOPOLYMERS; PLASTICS). Polymer
D002516 Ceramics Products made by baking or firing nonmetallic minerals (clay and similar materials). In making dental restorations or parts of restorations the material is fused porcelain. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed & Boucher's Clinical Dental Terminology, 4th ed) Ceramic
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
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
D000077298 Flexural Strength The maximum MECHANICAL STRESS that a heterogeneous material, subject to a bending load or flexure, can withstand before fracturing. Bend Strength,Flexural Properties,Flexural Resistance,Fracture Strength,Modulus of Rupture,Bend Strengths,Flexural Property,Flexural Resistances,Flexural Strengths,Fracture Strengths,Properties, Flexural,Property, Flexural,Resistance, Flexural,Resistances, Flexural,Rupture Modulus,Strength, Bend,Strength, Flexural,Strength, Fracture,Strengths, Bend,Strengths, Flexural,Strengths, Fracture
D019279 Resin Cements Dental cements composed either of polymethyl methacrylate or dimethacrylate, produced by mixing an acrylic monomer liquid with acrylic polymers and mineral fillers. The cement is insoluble in water and is thus resistant to fluids in the mouth, but is also irritating to the dental pulp. It is used chiefly as a luting agent for fabricated and temporary restorations. (Jablonski's Dictionary of Dentistry, 1992, p159) Resin Cement,Cement, Resin,Cements, Resin

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