Abstract
Statement of problem
The bond strength of different chairside computer-aided design and computer-aided
manufacturing (CAD-CAM) restorative materials to dentin with different resin cements
needs to be evaluated.
Purpose
The purpose of this in vitro study was to investigate the effect of 3 different cementation
systems after thermal aging on the shear bond strength of different CAD-CAM materials.
Material and methods
The occlusal surfaces of 63 molar teeth of similar size were removed, and 21 zirconia-reinforced
lithium disilicate (Vita Suprinity-VS), 21 polymer infiltrated ceramic (Vita Enamic-VE),
and 21 resin nanoceramic (GC Cerasmart-GC) rectangular specimens of 2.5 mm in thickness
were obtained. The ceramics were cemented using total etch (TE), self-etch (SE), and
self-adhesive (SA) cement systems. Half of the specimens were subjected to thermal
aging with 5000 cycles. The shear bond strength test of all the specimens was measured.
Fractured ceramic surfaces were examined by scanning electron microscopy/energy dispersive
X-ray spectroscopy (SEM/EDX) analysis. The Shapiro-Wilk test, 3-way analysis of variance
(ANOVA), and Fisher Least Significant Difference (LSD) tests were used to analyze
the shear bond strength test data (α=.05).
Results
The highest bond strength value was found in the nonthermal aged VS-TE and the lowest
in the thermal aged VE-TE. Significant interaction was found between TE and SE cemented
ceramics (P<.001). For specimens cemented with the SA system, significant interaction was found
among ceramics with thermal aged specimens (P<.001). Thermal aging significantly decreased the mean bond strength (P<.05).
Conclusions
Differences in bond strength were observed in chairside CAD-CAM ceramics when cemented
with TE, SE, and SA systems. Additionally, thermal aging significantly reduced the
bond strength values of all the ceramic materials, regardless of the cementation procedure.
Clinicians should consider these variables and choose the most suitable cementation
systems for the material used.
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Article info
Publication history
Published online: February 28, 2020
Footnotes
Supported by Karadeniz Technical University Academic Research Project Department by the number: TDH-2018-7636.
Identification
Copyright
© 2020 by the Editorial Council for The Journal of Prosthetic Dentistry.