Effect of the silicone disclosing procedure on the shear bond strength of composite cements to ceramic restorations☆☆☆★★★♢♢♢♦

Abstract 

Statement of problem. There is no evidence-based information on how ceramic restorations with an adhesive bond between restoration material and composite cement may be influenced by a silicone disclosing agent. Purpose. The aim of this study was to determine the effects of the silicone disclosing procedure on the shear bond strength of composite cements in the luting of industrial sintered and laboratory sintered ceramic restorations. Material and methods. Thirty standardized (15 × 10 × 9 mm) prefabricated ceramic specimens (Groups 1, 3, 5) and 30 standardized (15 ×10 × 9 mm) conventionally sintered ceramic specimens (Groups 2, 4, 6) were roughened with sandpaper (800-grit). Each group contained 10 specimens. Groups 3 and 4 were conditioned with hydrofluoric acid and primed with silane solution after the use of a silicone disclosing procedure. Groups 1 and 2 served as the control groups, where no silicone disclosing procedure was performed. Groups 5 and 6 were insulated with glycerine before the silicone disclosing procedure. A glass tube (4.5 mm in diameter) was used to apply a cylinder of dual-polymerized composite cement to the conditioned surfaces. All specimens were submitted to 5000 thermocycles (5° to 55°C) to simulate the in vivo situation. The specimens were subjected to a shear-pull test at a constant crosshead speed of 5 mm/min with a universal testing machine. The comparative shear bond strengths were analyzed by use of Duncan's test (α=0.05). Results. Shear bond strength values for Groups 1 (9.86 ± 4.97 MPa) and 2 (9.56 ± 4.47 Mpa) were obtained with no significant differences. Lower but significantly undifferent values were obtained for Groups 3 (7.49 ± 4.67 MPa) and 4 (7.62 ± 3.49 MPa) after the use of a silicone disclosing procedure. In Groups 5 (8.21 ± 4.75 MPa) and 6 (8.22 ± 3.59 MPa), including insulation with glycerine before the silicone disclosing procedure, no significant differences were obtained. Conclusion. Within the limitations of this study, the use of silicone disclosing procedures before conditioning the ceramic surface did not lead to a significant reduction of the shear bond strength between ceramic and composite cement. The ceramic materials used (industrial-sintered versus laboratory-sintered ceramic) had no significant influence on adhesion. (J Prosthet Dent 2003;89:60-5.)