Adhesive Cementation of CAD/CAM Silica-based Ceramics: Effect of Adhesive Type and Long-term Aging on the Bond Strength to Composite Cement

• Published in: The journal of adhesive dentistry Vol. 26; no. 1; p. 125
• Main Authors: Silva, Nathalia Ramos da, Duarte, Evelynn Crhistyann Medeiros, Moura, Dayanne Monielle Duarte, Ramos, Nathália de Carvalho, Souza, Karina Barbosa, Dametto, Fábio Roberto, Özcan, Mutlu, Bottino, Marco Antonio, Souza, Rodrigo Othávio de Assunção E
• Format: Journal Article
• Language: English
• Published: Germany 15-01-2024
• Subjects: Aluminum Silicates - chemistry; Cementation - methods; Ceramics - chemistry; Composite Resins - chemistry; Computer-Aided Design; Dental Bonding; Dental Cements - chemistry; Dental Porcelain - chemistry; Dental Stress Analysis; Humans; Materials Testing; Potassium Compounds - chemistry; Resin Cements - chemistry; Shear Strength; Silicon Dioxide - chemistry; Surface Properties; Temperature; Time Factors; ceramics; surface treatment; adhesive; dental materials; dentin-bonding agents
• ISSN: 1757-9988; 1757-9988
• DOI: 10.3290/j.jad.b5341383

To investigate the effect of adhesive type and long-term aging on the shear bond strength (SBS) between silica-based ceramics and composite cement (CC).
Lithium-silicate (LS), feldspathic (FD) and polymer-infiltrated ceramic (PIC) blocks were sectioned (10 x 12 x 2 mm) and divided into 24 groups considering the factors: "ceramics" (LS, FD, and PIC), "adhesive" (Ctrl: without adhesive; 2SC: 2-step conventional; 3SC: 3-step conventional; 1SU: 1-step universal), and "aging" (non-aged or aged [A]). After the surface treatments, CC cylinders (n = 15, Ø = 2 mm; height = 2 mm) were made and half of the samples were subjected to thermocycling (10,000) and stored in water at 37°C for 18 months. The samples were submitted to SBS testing (100 kgf, 1 mm/min) and failure analysis. Extra samples were prepared for microscopic analysis of the adhesive interface. SBS (MPa) data was analyzed by 3-way ANOVA and Tukey's test (5%). Weibull analysis was performed on the SBS data.
All factors and interactions were significant for SBS (p<0.05). Before aging, there was no significant difference between the tested groups and the respective control groups. After aging, the LS_1SU (22.18 ± 7.74) and LS_2SC (17.32 ± 5.86) groups exhibited significantly lower SBS than did the LS_Ctrl (30.30 ± 6.11). Only the LS_1SU group showed a significant decrease in SBS after aging vs without aging. The LS_1SU (12.20) group showed the highest Weibull modulus, which was significantly higher than LS_2SC_A (2.82) and LS_1SU_A (3.15) groups.
No type of adhesive applied after silane benefitted the long-term adhesion of silica-based ceramics to CC in comparison to the groups without adhesive.