Effect of Different Decontamination Agents on The Bond Strength of CAD/CAM Blocks and Repair Composite Materials
DOI:
https://doi.org/10.15517/ijds.2023.56839Keywords:
Ivoclean; Katana Cleaner; CAD/CAM; Surface decontamination; Shear bond strength; Composite.Abstract
The purpose of this study was to examine the effect of different decontamination agents on the bond strength of saliva-contaminated CAD/CAM blocks and repair composite materials. Two hunderd eighty 3-mm-thick specimens were prepared from four different CAD/CAM materials: Katana Zirconia UTML disc, IPS e.max CAD block, Shofu block, and Vita Enamic block. Each material was divided into seven different subgroups (N=70). Group 1 had a clean surface. The other groups were comprised of the samples, which were contaminated with human saliva: group 2: negative control (non-cleaned); group 3: cleaned with water spray; group 4: cleaned with 70% ethanol; group 5: cleaned with Ivoclean; group 6: cleaned with Katana Cleaner; and group 7: cleaned with phosphoric acid. After the decontamination protocols, the resin composite cylinders were bonded to the CAD/CAM surfaces with a thin layer of dual-cured resin cement. The samples were stored for 24 hours at 37°C in distilled water. Then, they were subjected to a shear bond strength test (SBS). The values were recorded, and fracture types were evaluated using a microscope. Data were analyzed using two-way ANOVA and Tukey’s post-hoc test. Generally, all decontaminating agents improved the SBS of composites to Katana Zirconia UTML, IPS e.max, and Vita Enamic materials (p<0.05). However, for Shofu materials, group 6 samples exhibited significantly higher bond strength values as compared with group 2 samples (p=0.026). The highest SBS values were seen in the phosphoric acid-treated group in Katana zirconia materials (26.45 ± 9.38 MPa), whereas the lowest values were seen in group 2 samples in Shofu materials (13.17 ± 3.40 MPa). Each decontaminant agent improved the bond strength of composites to the contaminated CAD/CAM materials. If saliva is not cleaned before adhesive procedure, SBS values may decrease. All decontamination agents can be used safely on zirconia, lithium-disilicate glass-ceramic, hybrid ceramic, and polymer-infiltrated ceramic surfaces.
Downloads
References
Leibrock A., Degenhart M., Behr M., Rosentritt M., Handel G. In vitro study of the effect of thermo- and load-cycling on the bond strength of porcelain repair systems. J Oral Rehabil. 1999; 26: 130-137. DOI: https://doi.org/10.1046/j.1365-2842.1999.00346.x
Borges G., Sophr A., De Goes M., Sobrinho L.C.D. Effect of etching and airborne particle abrasion on the microstructure of different dental ceramics. J Prosthet Dent. 2003; 89: 479-488. DOI: https://doi.org/10.1016/S0022-3913(02)52704-9
Kang S.-H., Chang J., Son H.-H. Flexural strength and microstructure of two lithium disilicate glass ceramics for CAD/CAM restoration in the dental clinic. Restor Dent Endod. 2013; 38: 134. DOI: https://doi.org/10.5395/rde.2013.38.3.134
Ruse N.D., Sadoun M.J. Resin-composite Blocks for Dental CAD/CAM Applications. J Dent Res. 2014; 93: 1232-1234. DOI: https://doi.org/10.1177/0022034514553976
Hickel R., Brüshaver K., Ilie N. Repair of restorations–criteria for decision making and clinical recommendations. Dent Mater. 2013; 29 (1): 28-50. DOI: https://doi.org/10.1016/j.dental.2012.07.006
Sailer I., Pjetursson B.E., Zwahlen M., Hämmerle C.H.F. A systematic review of the survival and complication rates of all-ceramic and metal–ceramic reconstructions after an observation period of at least 3 years. Part II: fixed dental prostheses. Clin Oral Impl Res. 2007; 18: 86-96. DOI: https://doi.org/10.1111/j.1600-0501.2007.01468.x
Gordan V.V., Garvan C.W., Blaser P.K., et al. A long-term evaluation of alternative treatments to replacement of resin-based composite restorations: results of a seven-year study. J Am Dent Assoc. 2009; 140 (12): 1476-1484. DOI: https://doi.org/10.14219/jada.archive.2009.0098
Neis C.A., Albuquerque N.L. Albuquerque Ide S., Gomes E.A., Souza- Filho C.B., Feitosa V.P., et al. Surface treatments for repair of feldspathic, leucite - and lithium disilicate-reinforced glass ceramics using composite resin. Braz Dent J. 2015; 26:152-155. DOI: https://doi.org/10.1590/0103-6440201302447
Kimmich M., Stappert C.F.J. Intraoral treatment of veneering porcelain chipping of fixed dental restorations: a review and clinical application. J Am Dent Assoc. 2013; 144 (1): 31-44. DOI: https://doi.org/10.14219/jada.archive.2013.0011
Elsaka S.E. Bond strength of novel CAD/CAM restorative materials to self-adhesive resin cement: The effect of surface treatments. J Adhes Dent. 2014; 16 (6): 531-540.
Ozcan M., Niedermeier W. Clinical study on the reasons for and location of failures of metal-ceramic restorations and survival of repairs. Int J Prosthodont. 2002; 15 (3): 299-302.
Raposo L.H.A., Neiva N.A., Silva G.R. da, Carlo H.L., Mota A.S. da, Prado C.J. do, et al. Ceramic restoration repair: report of two cases. J Appl Oral Sci. 2009; 17 (2): 140-144. DOI: https://doi.org/10.1590/S1678-77572009000200013
Fasbinder D.J. Clinical performance of chairside CAD/CAM restorations. J Am Dent Assoc. 2006; 137: 2-31. DOI: https://doi.org/10.14219/jada.archive.2006.0395
Senyilmaz D.P., Palin W.M., Shortall A.C.C., Burke F.J.T. The effect of surface preparation and luting agent on bond strength to a zirconium-based ceramic. Oper Dent. 2007; 32: 623-630. DOI: https://doi.org/10.2341/07-14
Akyil M.S., Uzun I.H., Bayindir F. Bond strength of resin cement to yttrium- stabilized tetragonal zirconia ceramic treated with air abrasion, silica coating, and laser irradiation. Photomed Laser Surg. 2010; 28: 801-808. DOI: https://doi.org/10.1089/pho.2009.2697
Yang B., Scharnberg M., Wolfart S., Quass A.C., Ludwig K., Adelung R., et al. Influence of contamination on bonding to zirconia ceramic. J Biomed Mater Res B Appl Biomater. 2007; 81 (2): 283-290. DOI: https://doi.org/10.1002/jbm.b.30664
Eiriksson S.O., Pereira P.N., Swift E.J. Jr., Heymann H.O. Effects of saliva contamination on resin-resin bond strength. Dent Mater. 2004; 20 (1): 37-44. DOI: https://doi.org/10.1016/S0109-5641(03)00066-6
Aboush Y. Removing saliva contamination from porcelain veneers before bonding. J Prosthet Dent. 1998; 80 (6): 649-653. DOI: https://doi.org/10.1016/S0022-3913(98)70050-2
Takahashi K., Toshiyama T., Yokoyama A., Shimada Y, Yoshiyama M. Effect of decontamination materials on bond strength of saliva-contaminated CAD/CAM resin block and dentin. Dent Mater J. 2022: 41: 601-607. DOI: https://doi.org/10.4012/dmj.2021-268
Klosa K., Wolfart S., Lehmann F., Wenz H., Kern M. The effect of storage conditions, contamination modes and cleaning procedures on the resin bond strength to lithium disilicate ceramic. J Adhes Dent 2009; 11: 127-135.
Angkasith P., Burgess J.O., Bottino M.C., Lawson N.C. Cleaning methods for zirconia following salivary contamination. J Prosthodont. 2016; 25: 375-379. DOI: https://doi.org/10.1111/jopr.12441
Irmak Ö., Yaman B.C., Orhan E.O., Kılıcarslan M.A., Mante F.K., Ozer F. Influence of cleaning methods on bond strength to saliva contaminated zirconia. J Esthet Restor Dent. 2018; 30: 551-556. DOI: https://doi.org/10.1111/jerd.12416
Yoshida F., Tsujimoto A., Ishii R., Nojiri K., Takamizawa T., Miyazaki M., et al. Influence of surface treatment of contaminated lithium disilicate and leucite glass ceramics on surface free energy and bond strength of universal adhesives. Dental Materials Journal. 2015; 34: 855-862. DOI: https://doi.org/10.4012/dmj.2015-123
Güth J.F., Stawarczyk B., Edelhoff D., Liebermann A. Zirconia and its novel compositions: What do clinicians need to know? Quintessence Int. 2019; 50: 512-520.
Nejatidanesh F., Savabi O., Savabi G., Razavi M. Effect of cleaning methods on retentive values of saliva-contaminated implant-supported zirconia copings. Clin Oral Implants Res. 2018; 29: 530-536. DOI: https://doi.org/10.1111/clr.13150
Atsu S.S., Kilicarslan M.A., Kucukesmen H.C., Aka P.S. Effect of zirconium-oxide ceramic surface treatments on the bond strength to adhesive resin. J Prosthet Dent. 2006; 95: 430-436. DOI: https://doi.org/10.1016/j.prosdent.2006.03.016
Published
Issue
Section
License
Copyright (c) 2023 Dilan Kopuz, Elif İlgi Sancak, Neslihan Tekçe
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
ODOVTOS - Int. J. Dent. Sc. endorses CC BY-NC-SA
This license enables reusers to distribute, remix, adapt, and build upon the material in any medium or format for noncommercial purposes only, and only so long as attribution is given to the creator. If you remix, adapt, or build upon the material, you must license the modified material under identical terms. CC BY-NC-SA includes the following elements:
BY: credit must be given to the creator.
NC: Only noncommercial uses of the work are permitted.
SA: Adaptations must be shared under the same terms.
