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Does the Conditioning Mode and Duration of Universal Adhesives Affect the Bonding Effectiveness to Fluorotic Enamel? 万能胶的调理方式和使用时间对氟牙釉质的粘接效果有影响吗?
Pub Date : 2019-01-01 DOI: 10.3290/j.jad.a43695
F. Siqueira, A. Armas-Vega, Alexie Izquierdo-Bucheli, Thaysa Fernandes Pinto, T. Hanzen, J. Bauer, A. Cardenas, A. Loguércio
PURPOSE To compare the adhesive-enamel microshear bond strength (µSBS), in situ degree of conversion (DC), and the enamel-etching pattern of universal adhesives when applied for a prolonged period in the self-etch vs the etch-and-rinse mode in fluorotic enamel. MATERIALS AND METHODS Ninety-six human molars (48 with a Thylstrup and Fejerskov index [TFI] score of 0 and 48 with TFI score of 4) were sectioned into four parts and divided into 24 experimental groups based on enamel surface (sound enamel or fluorotic enamel), adhesive (Clearfil Universal Bond, Futurabond U, iBond Universal, or Scotchbond Universal), and enamel treatment/application time (etch-and-rinse mode [ER] or self-etch mode with application times of 20 s [20SE] and 40 s [40SE]). The specimens were stored for 24 h and tested in shear at 1.0 mm/min (μSBS). Adhesive-enamel interfaces were evaluated for DC using micro-Raman spectroscopy. The enamel-etching pattern was evaluated using SEM. For each adhesive, data from µSBS and DC were analyzed separately using two-way ANOVA and Tukey's post-hoc test at α = 0.05. RESULTS On sound enamel, 40SE usually resulted in statistically similar mean µSBS (p > 0.52) and statistically significantly improved mean DC values (p < 0.001) compared with the ER mode. Moreover, significantly improved mean µSBS and DC values were obtained compared with 20SE (p < 0.01). On fluorotic enamel, there was no statistically significant difference in µSBS between the experimental groups (p > 0.76). However, for each applied adhesive, 40SE resulted in improved mean DC values compared with 20SE or ER (p < 0.001). The deepest enamel-etching pattern was obtained in ER mode, followed by 40SE in sound and fluorotic enamel. CONCLUSION Compared with ER mode, the prolonged application time of universal adhesives in SE mode in fluorotic enamel increased the DC, enhanced enamel-etching pattern and promoted similar results in terms of adhesive-enamel bond strength.
目的比较通用胶粘剂在自蚀刻和氟牙釉质蚀刻-冲洗模式下长时间应用时,胶粘剂-牙釉质微剪切结合强度(µSBS)、原位转化度(DC)和牙釉质蚀刻模式。材料和METHODSNinety-six人类的臼齿(48 Thylstrup和Fejerskov指数(TFI)得分为0和48 TFI得分4)分为四个部分,分成24个实验小组基于搪瓷表面(声音搪瓷或氟斑牙釉质)、胶粘剂(Clearfil环球债券,Futurabond U, iBond普遍,或Scotchbond通用),和搪瓷处理/应用程序时间(etch-and-rinse模式(ER)或self-etch模式与应用程序* 20 (20 se)和40年代[40 se])。试件保存24 h,在1.0 mm/min (μSBS)剪切下进行试验。用微拉曼光谱对黏合剂-牙釉质界面进行了评价。用扫描电镜对其进行了表征。对于每种粘合剂,µSBS和DC的数据分别使用双向方差分析和Tukey事后检验进行分析,α = 0.05。结果与ER模式相比,40SE模式的声牙釉质平均µSBS (p < 0.52)和平均DC值(p < 0.001)差异有统计学意义。此外,与20SE相比,平均µSBS和DC值显著提高(p < 0.01)。在氟牙釉质上,实验组之间µSBS的差异无统计学意义(p > 0.76)。然而,对于每种应用的粘合剂,与20SE或ER相比,40SE导致平均DC值提高(p < 0.001)。在ER模式下获得最深的珐琅蚀刻图案,其次是声音和氟牙釉质的40SE。结论与ER模式相比,SE模式下通用粘接剂在氟牙釉质上的应用时间延长,增加了DC,增强了珐琅-蚀刻模式,并促进了粘接剂-牙釉质结合强度的相似结果。
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引用次数: 7
Orthodontic Bracket Bonding Using Self-adhesive Cement to Facilitate Bracket Debonding. 使用自粘水泥粘合正畸托槽以促进托槽脱粘。
Pub Date : 2019-01-01 DOI: 10.3290/j.jad.a43652
R. Mitwally, Zuhair. Bakhsh, R. Feteih, A. Bakry, M. Abbassy
PURPOSE To evaluate shear bond strength (SBS), adhesive remnant index (ARI), and orthodontic bracket base after debonding of orthodontic brackets bonded using two different adhesives. MATERIALS AND METHODS Ninety sound human premolars were divided into three groups of n = 30. 1. Transbond, where brackets were bonded with Transbond XT (3M Unitek); 2. Multilink, where brackets were bonded with Multilink Speed (Ivoclar Vivadent); 3. Multilink+etch, where brackets were bonded using Multilink Speed after etching enamel. ARI scores were obtained using a stereomicroscope. SEM was used to evaluate the treated enamel surfaces and the base of the brackets. One-way ANOVA was performed to statistically analyze SBS. The Kruskal-Wallis test was conducted to investigate ARI scores, followed by multiple comparison tests (p < 0.05). RESULTS SBS was significantly lower in the Multilink group compared to the other groups (p < 0.05). SEM evaluation revealed minimum penetration of resin tags within the enamel and that most of the resin was attached to the base of the brackets in the Multilink group compared to the other two groups (p < 0.05). CONCLUSION Application of Multilink Speed on nonetched enamel provides acceptable SBS of orthodontic brackets bonded to enamel with minimum penetration of resin tags into enamel and less residual resin on tooth surfaces.
目的评价两种不同粘接剂粘接的正畸托槽脱粘后的剪切粘接强度(SBS)、粘接剂残留指数(ARI)和托基。材料与方法90例健康人前磨牙随机分为3组,每组30例。1. Transbond,其中括号与Transbond XT (3M Unitek)键合;2. Multilink,其中括号与Multilink Speed (Ivoclar Vivadent)结合;3.Multilink+蚀刻,在蚀刻搪瓷后使用Multilink Speed粘合托架。使用体视显微镜获得ARI评分。扫描电镜对处理后的牙釉质表面和托槽底部进行评价。采用单因素方差分析对SBS进行统计分析。采用Kruskal-Wallis检验比较ARI评分,并进行多项比较检验(p < 0.05)。结果Multilink组ssbs明显低于其他组(p < 0.05)。扫描电镜显示,与其他两组相比,Multilink组树脂标签在牙釉质内的渗透最小,大部分树脂附着在托槽的基部(p < 0.05)。结论在无蚀牙釉质上应用多节速,可获得与牙釉质结合的正畸托槽的SBS,树脂标签渗入牙釉质的程度最小,牙表面残留树脂较少。
{"title":"Orthodontic Bracket Bonding Using Self-adhesive Cement to Facilitate Bracket Debonding.","authors":"R. Mitwally, Zuhair. Bakhsh, R. Feteih, A. Bakry, M. Abbassy","doi":"10.3290/j.jad.a43652","DOIUrl":"https://doi.org/10.3290/j.jad.a43652","url":null,"abstract":"PURPOSE To evaluate shear bond strength (SBS), adhesive remnant index (ARI), and orthodontic bracket base after debonding of orthodontic brackets bonded using two different adhesives. MATERIALS AND METHODS Ninety sound human premolars were divided into three groups of n = 30. 1. Transbond, where brackets were bonded with Transbond XT (3M Unitek); 2. Multilink, where brackets were bonded with Multilink Speed (Ivoclar Vivadent); 3. Multilink+etch, where brackets were bonded using Multilink Speed after etching enamel. ARI scores were obtained using a stereomicroscope. SEM was used to evaluate the treated enamel surfaces and the base of the brackets. One-way ANOVA was performed to statistically analyze SBS. The Kruskal-Wallis test was conducted to investigate ARI scores, followed by multiple comparison tests (p < 0.05). RESULTS SBS was significantly lower in the Multilink group compared to the other groups (p < 0.05). SEM evaluation revealed minimum penetration of resin tags within the enamel and that most of the resin was attached to the base of the brackets in the Multilink group compared to the other two groups (p < 0.05). CONCLUSION Application of Multilink Speed on nonetched enamel provides acceptable SBS of orthodontic brackets bonded to enamel with minimum penetration of resin tags into enamel and less residual resin on tooth surfaces.","PeriodicalId":94234,"journal":{"name":"The journal of adhesive dentistry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75339682","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Fatigue Failure Load of Resin-bonded Simplified Lithium Disilicate Glass-Ceramic Restorations: Effect of Ceramic Conditioning Methods. 树脂粘结简化二硅酸锂玻璃陶瓷修复体的疲劳失效载荷:陶瓷调理方法的影响。
Pub Date : 2019-01-01 DOI: 10.3290/j.jad.a43000
João Paulo Mendes Tribst, J. Monteiro, A. B. Venturini, G. Pereira, M. Bottino, R. Melo, L. Valandro
PURPOSE To evaluate the influence of different ceramic surface conditioning methods on the fatigue failure load of adhesively cemented simplified lithium-disilicate glass-ceramic restorations. MATERIALS AND METHODS Ceramic (IPS e.max CAD, Ivoclar Vivadent) (Ø = 10 mm; thickness = 1.2 mm) and epoxy resin (Ø = 10 mm; thickness = 2.3 mm) disks were produced. The ceramic bonding surfaces were treated as follows: no etching and MPS-silane primer application only (MN); etching with 10% hydrofluoric acid (HF) for 20 s followed by primer application (HF + MN); HF + universal multimode adhesive application (HF + SU); etching with a one-step etching primer (ME&P); HF + primer + conventional adhesive (HF + MN + PAB). The epoxy resin disks were etched with 10% HF for 20 s followed by a coat of bonding agent (Multilink Primer A+B). Pairs of ceramic/epoxy resin disks were cemented with composite cement (Multilink N, Ivoclar Vivadent). The mean fatigue failure load was determined by the staircase method (100,000 cycles at 20 Hz frequency; initial load = 1435 N; step size = 72 N). RESULTS ME&P had the highest fatigue failure load, followed by HF etched groups, while the non-etched condition (MN group) had the lowest. All samples presented radial cracks originating from defects at the conditioned ceramic surface (interface). CONCLUSION The simultaneous physicochemical conditioning with one-step self-etching ceramic primer promoted the best fatigue behavior results of the glass-ceramic restorations. It might indicate that this one-step conditioning reduces the number of flaws at the ceramic surface due to the slighter surface alterations than those produced by hydrofluoric acid etching, improving the fatigue behavior.
目的评价不同陶瓷表面调理方法对粘接胶结简化二硅酸锂玻璃陶瓷修复体疲劳破坏载荷的影响。材料与方法陶瓷(IPS e.max CAD, Ivoclar Vivadent) (Ø = 10 mm;厚度= 1.2 mm)和环氧树脂(Ø = 10 mm;厚度= 2.3 mm)的圆盘。陶瓷结合表面处理如下:不蚀刻,只使用mps -硅烷底漆(MN);用10%氢氟酸(HF)蚀刻20 s,然后涂底漆(HF + MN);HF +通用多模粘合剂应用(HF + SU);用一步蚀刻底漆(ME&P)蚀刻;HF +底漆+常规粘合剂(HF + MN + PAB)。环氧树脂圆盘用10% HF蚀刻20 s,然后涂上一层粘合剂(Multilink Primer a +B)。用复合水泥(Multilink N, Ivoclar Vivadent)对陶瓷/环氧树脂盘进行胶结。平均疲劳破坏载荷采用阶梯法确定(20 Hz频率下10万次循环;初始载荷= 1435 N;结果me&p组的疲劳失效载荷最大,HF腐蚀组次之,而MN组的疲劳失效载荷最小。所有的样品都呈现放射状裂纹,这些裂纹是由条件陶瓷表面(界面)的缺陷引起的。结论采用一步自蚀刻陶瓷底漆同时进行理化调理,促进了玻璃陶瓷修复体的最佳疲劳性能。这可能表明,由于表面变化比氢氟酸蚀刻产生的表面变化更小,因此一步处理减少了陶瓷表面的缺陷数量,改善了疲劳性能。
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引用次数: 19
Effect of Application Mode on Bond Strength of Adhesively Luted Glass-fiber Bundles Inside the Root Canal. 应用方式对根管内玻璃纤维束粘结强度的影响。
Pub Date : 2019-01-01 DOI: 10.3290/j.jad.a43507
K. Bitter, Luís Falcón, A. Prates Soares, Richard Sturm, M. von Stein-Lausnitz, G. Sterzenbach
PURPOSE The aim of the present study was to measure the bond strength of adhesively luted glass-fiber bundles inside the root canal with respect to the application procedure in comparison to conventional solid glass-fiber posts. MATERIALS AND METHODS 104 human anterior teeth were endodontically treated, root filled and divided into 8 groups (n = 13). After post space preparation, fiber bundles consisting of 6 and 12 glass fibers, respectively, were luted adhesively with a multi-mode adhesive (Futurabond U; Voco, Cuxhaven, Germany) and a dual-curing composite (Rebilda DC, Voco) with the following application modes into the root canal: (1) direct application with tweezers, (2) distribution of the fibers using a spreader, (3) application of ultrasound after insertion of fibers. Two different solid posts (Rebilda DC, Voco; and DentinPost, Komet, Lemgo, Germany) were used as controls. Roots were sectioned into 6 slices per root (thickness 1 mm). Bond strengths were measured using thin-slice push-out tests for 3 slices 24 h after post insertion and for 3 slices per sample following thermocycling (TC) for 6000 cycles and storage in 0.9% NaCl for 6 months. Homogeneity of the slices was analyzed using a stereomicroscope and, for representative samples, micro-computed tomography (µCT). RESULTS Mean push-out bond strengths (MPa) were significantly affected by post system (p < 0.0005) and location inside the root canal (p = 0.004) but not by application mode (p = 0.544) or TC (p = 0.098; repeated measurement ANOVA). Fiber bundles consisting of 6 (13.2 ± 4.7) and 12 fibers (14.5 ± 4.3) revealed bond strength comparable to that of Rebilda Post (13.67 ± 3.2) but significantly higher than that of Dentin Posts (8.7 ± 3.02). Inhomogeneities were detected among 35.5% to 43.1% of the fiber-bundle samples, irrespective of number of fibers and application mode, and among 24.4% to 27.3% of the solid posts (p = 0.010; chi-squared test). µCT revealed voids inside the composite bulk between the fibers as well as between composite and dentin of adhesively luted fiber bundles. CONCLUSION Adhesively luted fiber bundles achieved bond strengths comparable to those of solid fiber posts for one investigated post type, and even higher values compared to another post type. Inhomogeneities were frequently detected irrespective of application mode.
目的:本研究的目的是测量根管内玻璃纤维束在应用程序方面的结合强度,并与传统固体玻璃纤维桩进行比较。材料与方法对104颗人前牙进行根管治疗,根际充填,分为8组(n = 13)。后空间制备后,分别由6根和12根玻璃纤维组成的纤维束用多模粘接剂(Futurabond U;Voco, Cuxhaven,德国)和一种双固化复合材料(Rebilda DC, Voco),其在根管中的应用方式如下:(1)用镊子直接应用,(2)使用铺布器分配纤维,(3)在纤维插入后应用超声波。两个不同的固体哨所(Rebilda DC, Voco;和DentinPost, Komet, Lemgo, Germany)作为对照。根切片,每根6片,厚度1mm。通过插入后24小时3片的薄片推出试验,以及在6000次热循环(TC)和在0.9% NaCl中储存6个月后每个样品3片的薄片推出试验来测量粘结强度。使用体视显微镜分析切片的均匀性,并对代表性样品进行微计算机断层扫描(µCT)。结果根管固定方式(p < 0.0005)和根管内位置(p = 0.004)对根管的平均外推结合强度(MPa)有显著影响,但对根管固定方式(p = 0.544)和TC (p = 0.098;重复测量方差分析)。由6根(13.2±4.7)和12根(14.5±4.3)纤维组成的纤维束的结合强度与Rebilda Post(13.67±3.2)相当,但明显高于Dentin Posts(8.7±3.02)。无论纤维数量和施用方式如何,35.5% ~ 43.1%的纤维束样品检测到不均匀性,24.4% ~ 27.3%的固体桩检测到不均匀性(p = 0.010;卡方测试)。微CT显示纤维之间的复合体内部以及粘连纤维束的复合体与牙本质之间存在空隙。结论粘接纤维束的粘结强度与固体纤维桩相当,甚至高于其他类型的桩。无论应用模式如何,都经常检测到不均匀性。
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引用次数: 6
Reconsideration of Enamel Etching Protocols for Universal Adhesives: Effect of Etching Method and Etching Time. 通用胶粘剂珐琅蚀刻方案的重新考虑:蚀刻方法和蚀刻时间的影响。
Pub Date : 2019-01-01 DOI: 10.3290/j.jad.a42933
Y. Shimatani, A. Tsujimoto, Kie Nojiri, K. Shiratsuchi, T. Takamizawa, W. Barkmeier, M. Latta, M. Miyazaki
PURPOSE To evaluate whether different etching methods with reduced etching times would improve the enamel bonding efficacy of universal adhesives. MATERIALS AND METHODS Three enamel etching methods were evaluated - 1. phosphoric acid ester monomer etching (PPM); 2. phosphoric acid etching (PPA); and 3. polyalkenoic acid etching (PLA) - as were three universal adhesives: 1. BeautiBond Universal (BU); 2. Prime&Bond elect (PE); and 3. Scotchbond Universal Adhesive (SU). The shear bond strengths of the universal adhesives to ground enamel and ground enamel etched for 1, 5, 10, and 15 s with different etching methods were determined after 24 h and 10,000 thermal cycles. Surface roughness average (Ra) and surface area ratio (surface area:planar area) were measured using a confocal laser scanning microscope. Field-emission scanning electron microscope (FE-SEM) observations of enamel with different etching protocols were also conducted. RESULTS The bond strengths of universal adhesives to enamel subjected to PPA etching with maximum times of 1-15 s and PLA etching for 15 s were significantly higher than those to ground enamel. The bond strength to enamel subjected to PPM etching did not increase and was similar to that for ground enamel. PPA and PLA etching were effective at increasing the Ra and surface area ratio of enamel. Although both values were significantly higher than those of ground enamel, those subjected to PPA etching were significantly higher than those which underwent PLA etching. In addition, the Ra and surface area of enamel subjected to PPM etching were similar to those of ground enamel, regardless of the etching time. CONCLUSIONS Phosphoric acid etching for <1-15 s and polyalkenoic-acid etching for 15 s both improve the bonding of universal adhesives, the Ra, and the surface area ratio of enamel. However, phosphoric acid ester monomer etching was not effective, regardless of the etching time.
目的探讨不同的蚀刻方法在减少蚀刻次数的情况下,是否能提高通用胶粘剂的牙釉质粘接效果。材料与方法对三种牙釉质蚀刻方法进行了评价。磷酸酯单体腐蚀(PPM);2. 磷酸腐蚀(PPA);和3。聚烯酸蚀刻(PLA) -三种通用胶粘剂:1。BeautiBond Universal (BU);2. 优质债券(PE);和3。Scotchbond万能胶(SU)。在24 h和10000次热循环后,测定了通用胶粘剂与不同蚀刻方法蚀刻1、5、10和15 s的地釉和地釉的剪切粘接强度。用共聚焦激光扫描显微镜测量表面粗糙度平均值(Ra)和表面积比(表面积:平面面积)。对不同蚀刻方式的牙釉质进行了场发射扫描电镜(FE-SEM)观察。结果经PPA刻蚀1 ~ 15s和PLA刻蚀15s的通用胶粘剂与牙釉质的结合强度显著高于与研磨牙釉质的结合强度。经PPM腐蚀处理后,其与珐琅质的结合强度没有增加,与地面珐琅质的结合强度相似。PPA和PLA刻蚀均能有效提高牙釉质的Ra和比表面积。虽然这两个值都显著高于磨牙釉质,但经PPA蚀刻的牙釉质明显高于经PLA蚀刻的牙釉质。此外,无论腐蚀时间如何,经PPM腐蚀的牙釉质的Ra和表面积与地面牙釉质相似。结论<1 ~ 15s的磷酸刻蚀和15s的聚烯酸刻蚀均能改善通用胶粘剂的粘接,提高Ra和牙釉质的比表面积。而磷酸酯单体蚀刻效果不佳,与蚀刻时间无关。
{"title":"Reconsideration of Enamel Etching Protocols for Universal Adhesives: Effect of Etching Method and Etching Time.","authors":"Y. Shimatani, A. Tsujimoto, Kie Nojiri, K. Shiratsuchi, T. Takamizawa, W. Barkmeier, M. Latta, M. Miyazaki","doi":"10.3290/j.jad.a42933","DOIUrl":"https://doi.org/10.3290/j.jad.a42933","url":null,"abstract":"PURPOSE To evaluate whether different etching methods with reduced etching times would improve the enamel bonding efficacy of universal adhesives. MATERIALS AND METHODS Three enamel etching methods were evaluated - 1. phosphoric acid ester monomer etching (PPM); 2. phosphoric acid etching (PPA); and 3. polyalkenoic acid etching (PLA) - as were three universal adhesives: 1. BeautiBond Universal (BU); 2. Prime&Bond elect (PE); and 3. Scotchbond Universal Adhesive (SU). The shear bond strengths of the universal adhesives to ground enamel and ground enamel etched for 1, 5, 10, and 15 s with different etching methods were determined after 24 h and 10,000 thermal cycles. Surface roughness average (Ra) and surface area ratio (surface area:planar area) were measured using a confocal laser scanning microscope. Field-emission scanning electron microscope (FE-SEM) observations of enamel with different etching protocols were also conducted. RESULTS The bond strengths of universal adhesives to enamel subjected to PPA etching with maximum times of 1-15 s and PLA etching for 15 s were significantly higher than those to ground enamel. The bond strength to enamel subjected to PPM etching did not increase and was similar to that for ground enamel. PPA and PLA etching were effective at increasing the Ra and surface area ratio of enamel. Although both values were significantly higher than those of ground enamel, those subjected to PPA etching were significantly higher than those which underwent PLA etching. In addition, the Ra and surface area of enamel subjected to PPM etching were similar to those of ground enamel, regardless of the etching time. CONCLUSIONS Phosphoric acid etching for <1-15 s and polyalkenoic-acid etching for 15 s both improve the bonding of universal adhesives, the Ra, and the surface area ratio of enamel. However, phosphoric acid ester monomer etching was not effective, regardless of the etching time.","PeriodicalId":94234,"journal":{"name":"The journal of adhesive dentistry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78715210","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 8
Surface Conditioning Prior to the Application of Glass-Ionomer Cement: A Systematic Review and Meta-analysis. 玻璃离子水泥应用前的表面调理:系统回顾和荟萃分析。
Pub Date : 2019-01-01 DOI: 10.3290/j.jad.a43183
W. M. Avila, D. Hesse, C. Bonifácio
PURPOSE To systematically review the literature to determine whether the laboratory and clinical performance of glass-ionomer cement (GIC) is influenced by surface conditioning with polyacrylic acid (PAA). MATERIALS AND METHODS This systematic review was conducted according to PRISMA and registered in PROSPERO (CRD42016039305). A comprehensive literature search was conducted in seven electronic databases considering clinical and laboratory studies published up to July 2018, with no limit on year of publication. Two reviewers independently selected papers, extracted data, and assessed the risk of bias. Of 141 eligible studies, 23 were fully analyzed. A total of 15 studies (12 laboratory and three clinical trials) were included in the systematic review and three laboratory studies concerning the microtensile bond strength (μTBS) were included in the meta-analysis. RESULTS The meta-analysis showed that pretreating the surface with PAA before using GIC significantly improved the μTBS (OR = 3.17; 95% CI: 0.51-5.83; p = 0.02). In the longitudinal clinical trials, no significant difference was observed between applying PAA or not into the cavities before using GIC. Risk of bias was considered high in all study designs. CONCLUSION Surface preconditioning with PAA has a positive effect on the bond strength of GIC. However, this finding was not confirmed in longitudinal clinical trials.
目的系统地回顾文献,以确定聚丙烯酸(PAA)表面处理是否会影响玻璃离子水泥(GIC)的实验室和临床性能。材料与方法:本系统综述按照PRISMA进行,在PROSPERO注册(CRD42016039305)。在7个电子数据库中进行了全面的文献检索,包括截至2018年7月发表的临床和实验室研究,没有出版年份限制。两位审稿人独立选择论文、提取数据并评估偏倚风险。在141项符合条件的研究中,有23项得到了全面分析。系统评价共纳入15项研究(12项实验室试验和3项临床试验),meta分析纳入3项关于微拉伸键合强度(μTBS)的实验室研究。结果荟萃分析显示,在使用GIC前用PAA预处理表面可显著提高μTBS (OR = 3.17;95% ci: 0.51-5.83;P = 0.02)。在纵向临床试验中,在使用GIC前应用PAA与不应用PAA在空腔中无显著差异。在所有的研究设计中,偏倚风险被认为是高的。结论PAA表面预处理对GIC的结合强度有积极影响。然而,这一发现并未在纵向临床试验中得到证实。
{"title":"Surface Conditioning Prior to the Application of Glass-Ionomer Cement: A Systematic Review and Meta-analysis.","authors":"W. M. Avila, D. Hesse, C. Bonifácio","doi":"10.3290/j.jad.a43183","DOIUrl":"https://doi.org/10.3290/j.jad.a43183","url":null,"abstract":"PURPOSE To systematically review the literature to determine whether the laboratory and clinical performance of glass-ionomer cement (GIC) is influenced by surface conditioning with polyacrylic acid (PAA). MATERIALS AND METHODS This systematic review was conducted according to PRISMA and registered in PROSPERO (CRD42016039305). A comprehensive literature search was conducted in seven electronic databases considering clinical and laboratory studies published up to July 2018, with no limit on year of publication. Two reviewers independently selected papers, extracted data, and assessed the risk of bias. Of 141 eligible studies, 23 were fully analyzed. A total of 15 studies (12 laboratory and three clinical trials) were included in the systematic review and three laboratory studies concerning the microtensile bond strength (μTBS) were included in the meta-analysis. RESULTS The meta-analysis showed that pretreating the surface with PAA before using GIC significantly improved the μTBS (OR = 3.17; 95% CI: 0.51-5.83; p = 0.02). In the longitudinal clinical trials, no significant difference was observed between applying PAA or not into the cavities before using GIC. Risk of bias was considered high in all study designs. CONCLUSION Surface preconditioning with PAA has a positive effect on the bond strength of GIC. However, this finding was not confirmed in longitudinal clinical trials.","PeriodicalId":94234,"journal":{"name":"The journal of adhesive dentistry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89756662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 6
Bond Strength of CAD/CAM Restorative Materials Treated with Different Surface Etching Protocols. 不同表面蚀刻方法处理CAD/CAM修复材料的粘结强度。
Pub Date : 2019-01-01 DOI: 10.3290/j.jad.a42931
L. Colombo, F. Murillo-Gómez, M. D. De Goes
PURPOSE To evaluate the effect of different surface treatments on the surface morphology of CAD/CAM ceramics and on their bond strength to cement. MATERIALS AND METHODS Sixty cubic sections were cut from each of three materials (lithium disilicate glass-ceramic [DL], leucite-based glass-ceramic [LC], resin-matrix ceramic composite [RMCC]) and were treated as follows (n = 10): 1. no treatment (C); 2. 5% hydrofluoric acid applied for 20 s plus silane (HF5% 20 s); 3. 5% hydrofluoric acid applied for 60 s plus silane (HF5% 60 s); 4. 10% hydrofluoric acid applied for 20 s plus silane (HF10% 20 s); 5. 10% hydrofluoric acid applied for 60 s plus silane (HF10% 60 s); 6. Self-etching ceramic primer (MBEP). Ceramic cubes were bonded to pre-polymerized composite resin cubes with a composite cement. Each set was cut into stick-shaped specimens (1 ± 0.3 mm2). After 24-h water storage, microtensile bond strength (µTBS) was measured. Data were analyzed using two-way ANOVA and Tukey's test (α = 0.05). Failure pattern and surface morphology were assessed using scanning electron microscopy (SEM). RESULTS Both factors significantly influenced µTBS, while no interaction between factors was found. RMCC presented statistically higher µTBS values than LC and DL, while the surface treatments HF5% 20 s, HF5% 60 s, HF10% 20 s, HF10% 60 s and MBEP, did not show statistical differences between them, although they resulted in statistically significantly higher bond strengths than did C groups. A high number of pre-test failures were detected in the control groups for all materials. MBEP produced less extensive surface alterations than did all HF treatments. CONCLUSION All of the hydrofluoric acid treatments tested showed similar cement-ceramic bonding efficacy. The self-etching ceramic primer produced less surface alterations and comparable bonding efficacy compared to separate hydrofluoric acid/silane primer application.
目的探讨不同表面处理对CAD/CAM陶瓷表面形貌及与水泥结合强度的影响。材料与方法从三种材料(二硅酸锂玻璃陶瓷[DL],白晶石基玻璃陶瓷[LC],树脂基陶瓷复合材料[RMCC])中各切割60个立方截面,并进行如下处理(n = 10): 1。没有处理(C);2. 5%氢氟酸加硅烷20秒(HF5% 20秒);3.5%氢氟酸加硅烷60 s (HF5% 60 s);4. 10%氢氟酸加硅烷20秒(HF10% 20秒);5. 10%氢氟酸加硅烷60秒(HF10% 60秒);6. 自蚀刻陶瓷底漆。用复合水泥将陶瓷立方体与预聚合的复合树脂立方体粘合在一起。每组均切成棒状标本(1±0.3 mm2)。储水24 h后,测量微拉伸粘结强度(µTBS)。数据分析采用双因素方差分析和Tukey检验(α = 0.05)。使用扫描电子显微镜(SEM)评估失效模式和表面形貌。结果两种因素对µTBS均有显著影响,无交互作用。RMCC的µTBS值在统计学上高于LC和DL,而表面处理HF5% 20 s、HF5% 60 s、HF10% 20 s、HF10% 60 s和MBEP之间没有统计学差异,尽管它们的结合强度在统计学上高于C组。在所有材料的控制组中检测到大量的预测试失败。与所有HF处理相比,MBEP产生的表面改变范围较小。结论所有氢氟酸处理均具有相似的水泥-陶瓷粘结效果。与单独应用氢氟酸/硅烷底漆相比,自蚀刻陶瓷底漆产生的表面变化较小,结合效果相当。
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引用次数: 15
Impact of Acid Concentration and Firing on the Long-term Bond Strength of a Zirconia-Lithium Silicate Ceramic Following Adhesive Cementation. 酸浓度和烧成对氧化锆-硅酸锂陶瓷胶结后长期结合强度的影响。
Pub Date : 2019-01-01 DOI: 10.3290/j.jad.a42998
Vandeberg Diniz, J. Monteiro, J. Rodrigues, P. Prado, R. Melo
PURPOSE To evaluate the effect of different firing stages (without firing, additional crystallization and glaze firings), hydrofluoric acid (HF) concentrations (5% and 10%), and thermocycling on the bond strength between resin cement and a zirconia-lithium silicate (ZLS) ceramic. MATERIALS AND METHODS ZLS ceramic (Celtra Duo, Dentsply Sirona) blocks were cut into smaller blocks and divided into 12 groups (N = 72), according to the HF concentration used, firing stage, and thermocycling (n = 6). All specimens were silanized (Monobond N, Ivoclar) and cemented with resin cement (Multilink N, Ivoclar) onto blocks of composite resin (Filtek Z250 XT, 3M). The specimens were immersed in distilled water for 24 h. The blocks were cut into sticks and tested immediately or thermocycled for 10,000 cycles in water (5°C-55°C). Microtensile bond strength (μTBS) testing was then performed in a universal testing machine (0.5 mm/min, 50 kgf load cell). The failure modes of the sticks were examined using SEM and classified as adhesive, predominantly adhesive, or cohesive. Fracture surfaces were topographically evaluated using SEM. The 5% and 10% HF groups were analyzed separately and the data submitted to two-way ANOVA and Tukey's test (p < 0.05). Additional samples were used for SEM topographic analysis of representative ceramic surfaces. RESULTS The most frequent types of failure were predominantly adhesive between cement and ceramic and adhesive (cement completely covered the composite). Statistically significant differences were found only for the thermocycling factor (p < 0.05) for both HF concentrations. However, for the 10% HF groups, a marked decrease in μTBS was observed after firing and thermocycling. SEM showed superficial irregularities on ZLS without etching, partial and total dissolution of the vitreous matrix and exposure of the crystals using 5% and 10% HF, respectively. CONCLUSION The crystallization and glaze firings of ZLS ceramics conditioned with 5% HF promoted bond strength maintenance after thermocycling. Thermocycling decreased the bond strength in all groups, but mainly for fired ZLS conditioned with 10% HF.
目的评价不同烧制阶段(不烧制、附加结晶和釉面烧制)、氢氟酸(HF)浓度(5%和10%)和热循环对树脂水泥与硅酸锆锂(ZLS)陶瓷粘结强度的影响。材料与方法将szls陶瓷(Celtra Duo, Dentsply Sirona)块切割成更小的块,根据使用的HF浓度、烧制阶段和热循环(N = 6)分为12组(N = 72)。所有样品都被硅化(Monobond N, Ivoclar),并用树脂水泥(Multilink N, Ivoclar)粘接在复合树脂块(Filtek Z250 XT, 3M)上。将试件在蒸馏水中浸泡24小时。将试件切成棒状,立即进行测试或在水中(5°C-55°C)热循环10000次。然后在万能试验机(0.5 mm/min, 50 kgf称重传感器)上进行微拉伸粘结强度(μTBS)测试。使用扫描电镜检查了棒的破坏模式,并将其分为粘接,主要粘接或粘接。利用扫描电镜对断口表面进行形貌分析。5%和10% HF组分别进行分析,数据采用双因素方差分析和Tukey检验(p < 0.05)。附加样品用于代表性陶瓷表面的SEM形貌分析。结果最常见的破坏类型主要是水泥与陶瓷之间的粘结和胶粘剂(水泥完全覆盖复合材料)。两组HF浓度只有热循环因子差异有统计学意义(p < 0.05)。而对于10% HF组,烧制和热循环后μTBS明显降低。扫描电镜显示未蚀刻的ZLS表面不规则,玻璃体基质部分和全部溶解,晶体分别用5%和10% HF暴露。结论5% HF条件下ZLS陶瓷的结晶和釉烧成促进了热循环后粘结强度的维持。热循环降低了所有组的结合强度,但以10% HF条件下的燃烧ZLS的结合强度下降最为明显。
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引用次数: 10
Editorial: Adhesive dentistry - direct or indirect? 社论:粘接剂牙科-直接还是间接?
Pub Date : 2019-01-01 DOI: 10.3290/j.jad.a43325
R. Frankenberger, B. Van Meerbeek
{"title":"Editorial: Adhesive dentistry - direct or indirect?","authors":"R. Frankenberger, B. Van Meerbeek","doi":"10.3290/j.jad.a43325","DOIUrl":"https://doi.org/10.3290/j.jad.a43325","url":null,"abstract":"","PeriodicalId":94234,"journal":{"name":"The journal of adhesive dentistry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90720104","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Influence of Monomer Systems on the Bond Strength Between Resin Composites and Polymerized Fiber-Reinforced Composite upon Aging. 老化过程中单体体系对树脂复合材料与聚合纤维增强复合材料粘结强度的影响
Pub Date : 2019-01-01 DOI: 10.3290/j.jad.a43610
A. Khan, B. A. Mohamed, S. Al-Shamrani, Ravikumar Ramakrishnaiah, Leila Perea-Lowery, E. Säilynoja, P. Vallittu
PURPOSE This study examined the influence of different monomer systems on the tensile bond strength between a resin composite and a polymerized fiber-reinforced composite (FRC). The influence of the age (shelf-life) of the FRC prepreg (reinforcing fiber pre-impregnated with a resin system) before preparing the FRC substrate for the bonding test was also assessed. MATERIALS AND METHODS Semi-interpenetrating polymer network (semi-IPN)-based glass FRC prepregs were aged for various durations (1, 1.5, and 3 years) at 4°C before being used to prepare FRC substrates via light polymerization. Four groups of aged prepregs were prepared through different treatments with: 1. no primer; 2. a dimethacrylate-based adhesive primer; 3. a universal primer; and 4. a specific composite primer. Subsequently, a resin composite luting cement was applied on the treated FRC substrates and cured with light. The water sorption of the FRC-composite specimens was determined. Then, the differences in the tensile bond strength were evaluated using ANOVA (p ≤ 0.05). RESULTS There were significant differences in the tensile bond strength between the composite cement and the FRC according to the primer used (p < 0.001), aging time (p < 0.001), and their interactive effect (p < 0.001). CONCLUSION The monomers of the universal primer demonstrated the best ability to diffuse into the semi-IPN structure of the polymer matrix of FRC. This improved the interfacial bond strength between the composite cement and the FRC substrate.
目的研究不同单体体系对树脂复合材料和聚合纤维增强复合材料(FRC)之间拉伸结合强度的影响。在准备FRC基材进行粘合试验之前,还评估了FRC预浸料(用树脂体系预浸渍的增强纤维)的龄期(保质期)的影响。材料和方法半互穿聚合物网络(semi-IPN)基玻璃FRC预浸料在4°C下老化不同时间(1年、1.5年和3年),然后通过光聚合制备FRC基板。采用不同的处理方法制备四组老化前浸料:1。没有底漆;2. 二甲基丙烯酸酯基胶粘剂底漆;3.万能底漆;和4。特定的复合底漆。随后,在处理后的FRC基材上涂上树脂复合水泥,并进行光固化。测定了frp -复合材料试样的吸水率。然后,采用方差分析(ANOVA)评估拉伸粘结强度的差异(p≤0.05)。结果复合水泥与FRC的抗拉强度根据底漆的使用(p < 0.001)、老化时间(p < 0.001)和相互作用(p < 0.001)存在显著差异。结论通用引物的单体在FRC聚合物基质的半ipn结构中扩散能力最好。这提高了复合水泥与FRC基板之间的界面结合强度。
{"title":"Influence of Monomer Systems on the Bond Strength Between Resin Composites and Polymerized Fiber-Reinforced Composite upon Aging.","authors":"A. Khan, B. A. Mohamed, S. Al-Shamrani, Ravikumar Ramakrishnaiah, Leila Perea-Lowery, E. Säilynoja, P. Vallittu","doi":"10.3290/j.jad.a43610","DOIUrl":"https://doi.org/10.3290/j.jad.a43610","url":null,"abstract":"PURPOSE This study examined the influence of different monomer systems on the tensile bond strength between a resin composite and a polymerized fiber-reinforced composite (FRC). The influence of the age (shelf-life) of the FRC prepreg (reinforcing fiber pre-impregnated with a resin system) before preparing the FRC substrate for the bonding test was also assessed. MATERIALS AND METHODS Semi-interpenetrating polymer network (semi-IPN)-based glass FRC prepregs were aged for various durations (1, 1.5, and 3 years) at 4°C before being used to prepare FRC substrates via light polymerization. Four groups of aged prepregs were prepared through different treatments with: 1. no primer; 2. a dimethacrylate-based adhesive primer; 3. a universal primer; and 4. a specific composite primer. Subsequently, a resin composite luting cement was applied on the treated FRC substrates and cured with light. The water sorption of the FRC-composite specimens was determined. Then, the differences in the tensile bond strength were evaluated using ANOVA (p ≤ 0.05). RESULTS There were significant differences in the tensile bond strength between the composite cement and the FRC according to the primer used (p < 0.001), aging time (p < 0.001), and their interactive effect (p < 0.001). CONCLUSION The monomers of the universal primer demonstrated the best ability to diffuse into the semi-IPN structure of the polymer matrix of FRC. This improved the interfacial bond strength between the composite cement and the FRC substrate.","PeriodicalId":94234,"journal":{"name":"The journal of adhesive dentistry","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74787074","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 11
期刊
The journal of adhesive dentistry
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