Thermal cycling procedures for laboratory testing of dental restorations.

Current ceramic materials offer preferred optical properties for highly esthetic restorations. The inherent brittleness of some ceramic materials, specific treatment modalities, and certain clinical situations require resin bonding of the completed ceramic restoration to the supporting tooth structures for long-term clinical success. This article presents a literature review on the resin bond to dental ceramics. A PubMed database search was conducted for in vitro studies pertaining to the resin bond to ceramic materials. The search was limited to peer-reviewed articles published in English between 1966 and 2001. Although the resin bond to silica-based ceramics is well researched and documented, few in vitro studies on the resin bond to high-strength ceramic materials were identified. Available data suggest that resin bonding to these materials is less predictable and requires substantially different bonding methods than to silica-based ceramics. Further in vitro studies, as well as controlled clinical trials, are needed.

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Resin-ceramic bonding: a review of the literature.

Statement of problem Developments in ceramic core materials such as lithium disilicate, aluminum oxide, and zirconium oxide have allowed more widespread application of all-ceramic restorations over the past 10 years. With a plethora of ceramic materials and systems currently available for use, an overview of the scientific literature on the efficacy of this treatment therapy is indicated. Purpose This article reviews the current literature covering all-ceramic materials and systems, with respect to survival, material properties, marginal and internal fit, cementation and bonding, and color and esthetics, and provides clinical recommendations for their use. Material and methods A comprehensive review of the literature was completed seeking evidence for the treatment of teeth with all-ceramic restorations. A search of English language peer-reviewed literature was undertaken using MEDLINE and PubMed with a focus on evidence-based research articles published between 1996 and 2006. A hand search of relevant dental journals was also completed. Randomized controlled trials, nonrandomized controlled studies, longitudinal experimental clinical studies, longitudinal prospective studies, and longitudinal retrospective studies were reviewed. The last search was conducted on June 12, 2007. Data supporting the clinical application of all-ceramic materials and systems was sought. Results The literature demonstrates that multiple all-ceramic materials and systems are currently available for clinical use, and there is not a single universal material or system for all clinical situations. The successful application is dependent upon the clinician to match the materials, manufacturing techniques, and cementation or bonding procedures, with the individual clinical situation. Conclusions Within the scope of this systematic review, there is no evidence to support the universal application of a single ceramic material and system for all clinical situations. Additional longitudinal clinical studies are required to advance the development of ceramic materials and systems.

Current ceramic materials and systems with clinical recommendations: A systematic review

New developments of polymeric dental composites

Statement of problem. The practice of fixed prosthodontic has changed dramatically with the introduction of innovative techniques and materials. Adhesive resin systems are examples of these changes that have led to the popularity of bonded ceramics and resin-retained fixed partial dentures. Today's dentist has the choice of a water-based luting agent (zinc phosphate, zinc polycarboxylate, glass ionomer, or reinforced zinc oxide-eugenol) or a resin system with or without an adhesive. Recent formulations of glass ionomer luting agents include resin components (resin-modified glass ionomers), which are increasingly popular in clinical practice. Purpose. This review summarizes the research on these systems with the goal of providing information that will help the reader choose the most suitable material. Material. The scientific studies have been evaluated in relation to the following categories: (1) biocompatibility, (2) caries or plaque inhibition, (3) microleakage, (4) strength and other mechanical properties, (5) solubility, (6) water sorption, (7) adhesion, (8) setting stresses, (9) wear resistance, (10) color stability, (11) radiopacity, (12) film thickness or viscosity, and (13) working and setting times. In addition, guidelines on luting-agent manipulation are related to available literature and include: (1) temporary cement removal, (2) smear layer removal, (3) powder/liquid ratio, (4) mixing temperature and speed, (5) seating force and vibration, and (6) moisture control. Tables of available products and their properties are also presented together with current recommendations by the authors with a rationale. (J Prosthet Dent 1998;80:280-301.)

Dental luting agents: A review of the current literature

https://cyberleninka.org/article/n/247243.pdf

Current status of zirconia restoration.

Effect of different etching periods on the bond strength of a composite resin to a machinable porcelain

Zirconium dioxide (zirconia) ceramics are currently used for fixed restorations as a framework material due to their mechanical and optical properties. This review article describes the current status of zirconia-based fixed restorations, including results of current in vitro studies and the clinical performance of these restorations. Adaptation of zirconia-based restorations fabricated with CAD/CAM technology is within an acceptable range to meet clinical requirements. In terms of fracture resistance, zirconia-based fixed partial dentures (FPDs) have the potential to withstand physiological occlusal forces applied in the posterior region, and therefore provide interesting alternatives to metal-ceramic restorations. Clinical evaluations have indicated an excellent clinical survival of zirconia-based FPDs and crown restorations. However, some clinical studies have revealed a high incidence of chipping of veneered porcelain. Full-coverage zirconia-based restorations with adequate retention do not require resin bonding for definitive cementation. Resin bonding, however, may be advantageous in certain clinical situations and is a necessity for bonded restorations, such as resin-bonded FPDs. Combined surface treatment using airborne particle abrasion and specific adhesives with a hydrophobic phosphate monomer are currently reliable for bonding to zirconia ceramics. Further clinical and in vitro studies are needed to obtain long-term clinical information on zirconia-based restorations.

Current status of zirconia-based fixed restorations

The purpose of this study was to evaluate the effect of etching and silane priming on bond strength to a feldspathic porcelain (VMK 68) of a composite resin (Clearfil APX). Two hydrofluoric acid etchants (2.5% and 5%) and seven different etching times (0, 30, 60, 90, 120, 150, and 180 seconds) were used to etch the porcelain specimens respectively. A self-curing bonding agent containing a silane coupler (Clearfil Porcelain Bond) was used on both etched and unetched porcelain surfaces. Etched relief patterns were observed by means of a scanning electron microscope, and the bond strengths between the photocured composite resin and the porcelain were determined. Scanning electron micrographs revealed complicated etching patterns with increased etching time periods. Shear testing results showed that the bond strength to the unetched porcelain of the composite resin was very low, and that etching periods for more than 30 seconds effectively enhanced the bond strength. Of the two etching agents applied to the unsilanated porcelain, the buffered 2.5% etchant produced higher bond strengths than the 5% etchant for all etching time periods except for 180 seconds. Silane priming was effective and critical for improving bond strength to the porcelain. Application of the silane bonding agent to the porcelain after hydrofluoric acid etching appeared to be suitable for achieving consistent bonding between the composite resin and the porcelain.

Effect of etchant, etching period, and silane priming on bond strength to porcelain of composite resin.

Statement of problem High chipping rates of veneering porcelain for zirconia ceramic restorations have been reported in clinical studies. The information on the bonding behavior of veneering porcelain to zirconia frameworks is limited. Purpose This study assessed the relationship between coefficient of thermal expansion (CTE) and shear bond strength of veneering porcelain to zirconia frameworks. Material and methods Zirconia ceramics (Katana; ZrO 2 ), casting gold alloy (DeguDent U; DEG), and feldspathic porcelain (Cerabien ZR; CZR) were used as the bonding substrates. Five types of porcelain (CZR, Cercon ceramkiss (CER), IPS e.max Ceram (EMX), Vintage ZR (VZR), and VITA VM 9 (VM9)) were fired to ZrO 2 discs (n=8). Feldspathic porcelain (Super Porcelain AAA; AAA) designed for metal ceramic systems was fired to DEG discs. To evaluate the strength of veneering porcelain, CZR was veneered on CZR discs. The porcelain with a strong thermal mismatch for each substrate was applied; AAA and CZR were applied to ZrO 2 and DEG substrates, respectively. Shear bond strength was tested after 24 hours of water storage. Debonded surfaces were examined with an optical microscope and SEM. Data were analyzed with 1- and 2-way ANOVA followed by Dunnett and Tukey multiple comparison tests (α=.05). Results No significant differences in the mean shear bond strength (MPa) were found between groups ZrO 2 -VZR (24.8), ZrO 2 -CZR (27.0), and ZrO 2 -VM9 (30.9). ZrO 2 -CER (22.0) ( P =.017) and -EMX (22.1) ( P =.020) groups had significantly lower bond strengths than the ZrO 2 -CZR group. ZrO 2 -CZR, -VM9, -CER, -VZR, and -EMX groups demonstrated cohesive failures in veneering porcelain. There was no significant difference among the groups ZrO 2 -CZR, DEG-AAA, and CZR-CZR. Two-way ANOVA showed that interaction between the 2 factors was significant ( P Conclusions Strong discrepancies in CTE between veneering porcelains and zirconia significantly affect their bond strength.

Hideo Matsumura

Papers

Current status of zirconia restoration.

Effect of different etching periods on the bond strength of a composite resin to a machinable porcelain

Current status of zirconia-based fixed restorations

Effect of etchant, etching period, and silane priming on bond strength to porcelain of composite resin.

A comparison of bond strength of layered veneering porcelains to zirconia and metal