Post-irradiation hardening of dual-cured and light-cured resin cements through machinable ceramics

PURPOSE: To evaluate the surface hardness (Knoop Hardness Number) of the thin layer in three light-cured and dual-cured resin cements irradiated through or not through 2.0 mm thick machinable ceramics. METHODS: A piece of adhesive polyethylene tape with a circular hole was positioned on the surface of the ceramic plate to control the cement layer (approximately 50 microm). The cement paste was placed on the ceramic surface within the circle. The ceramic plate with resin cement paste was placed on a clear micro cover glass over a zirconia ceramic block to obtain a flat surface, and the material was polymerized using a visible-light-curing unit. The surface hardness was recorded at a series of time intervals up to 5 days, starting from the end of a light-irradiation period. RESULTS: The hardness steadily increased with post-irradiation time and tended towards a maximum, usually reached after 1 or 2 days. In all cases, the increase in hardness was relatively rapid over the first 30 minutes and continued at a lower rate thereafter. The dual-cured resin cement for each material showed a significantly higher hardness value than the light-cured resin cement irradiated either through or not through ceramics at all post-irradiation times. The resin cements cured through ceramic for each material were significantly less hard compared with those cured not through ceramics at all post-irradiation times.     

Hardening of dual-cured cements under composite resin inlays.

This study was conducted to determine the extent of hardening of three dual-cured cements under composite resin inlays and to determine the effectiveness of a light-reflecting wedge in promoting curing of the cements in the proximal margin. The exposure times needed to optimally harden the cements were determined by directly exposing the cements to the curing light. Composite resin inlays were bonded in an extracted molar with Dual cement, Dicor light-activated cement, and Duo cement. Cure-Thru reflective wedges were placed in the gingival embrasure of half of the specimens. None of the cements hardened completely by 24 hours when we used an exposure time that met or exceeded that recommended by the manufacturers. The chemical-cure component did not completely cure the cements when light was attenuated by the tooth and restoration. The light-transmitting wedge had little effect on hardening of the cements.     

光照模式对双固化树脂粘接剂聚合程度的影响

目的研究不同光照模式对两种双固化树脂粘接剂聚合程度的影响。方法采用间歇光照、即刻光照、延迟光照和无光照4种不同固化方式,分别制备3MRelyXUnicem和DMGPermaCem2．0双固化树脂试件．24h避光保存后使用显微硬度仪测定样本表面硬度．三点弯曲试验测量挠曲强度．差示扫描量热仪进行玻璃化转变温度测量。数据采用协方差分析进行统计。结果两种树脂粘接剂各组表面硬度和挠曲强度由高到低依次为：间歇光照模式、即刻光照模式〉延迟光照模式〉无光照模式（P〈0．05）。差示扫描量热分析未检测到明显吸热峰,不能确定玻璃化转变温度。除无光照组外．3MRelvX Unicem表面硬度均显著高于DMG PermaCem2．0（P〈0．05）;DMG PermaCem2．0挠曲强度显著高于3MRelyX Unicem（P〈0．05）。结论间歇光照模式比延迟光照模式更有利于提高双固化树脂粘接剂聚合程度：双固化树脂粘接剂在无光照情况下聚合不全;与3MRelyX Unicem相比．DMGPernlaCem2．0抗压性能较差．但韧性较好．且无光照条件下聚合程度更高。     

Influence of ceramic thickness and curing mode on the polymerization shrinkage kinetics of dual-cured resin cements.

OBJECTIVES: The purpose of this study was to assess how ceramic disc thickness and curing mode (light or chemical) affects the polymerization shrinkage of dual-cured resin cements and to evaluate the effect of the ceramic discs on the curing speed of the cements during light exposure. METHODS: Six commercial resin cements, RelyX ARC, Bistite II, Duolink, Panavia F, Variolink II and Choice were used. Filler weight contents were determined by the ash method. Four ceramic discs with thicknesses of 0.5, 1, 2 and 4mm, respectively, were made. The attenuation of light intensity due to the ceramic discs was measured using a radiometer. The polymerization shrinkage kinetics of the resin cements by chemical or light cure through the different ceramic discs was measured using a bonded-disc method. RESULTS: There were differences in filler content among brands of resin cement. The polymerization shrinkage without ceramic disc was 2.61-4.59% by chemical cure and 2.93-4.66% by light cure. The polymerization shrinkage of RelyX ARC and Panavia F by chemical cure was statistically lower than by light cure (p<0.05). Polymerization shrinkage and filler weight were inversely related (R=-0.965). Both the transmitted light intensity and polymerization shrinkage decreased with increasing thickness of ceramic discs (p<0.05). The time to reach the maximum shrinkage rate of the resin cements increased with increasing ceramic thickness. The cure speed by light cure was 15-322 times faster than by chemical cure. SIGNIFICANCE: The polymerization shrinkage kinetics of dual-cured resin cements significantly differed between brands under various curing conditions. Clinicians should be aware of the setting characteristics of the cements, so they can choose the optimal materials for different clinical situations.     

Effect of CAD/CAM aesthetic material thickness and translucency on the polymerisation of light- and dual-cured resin cements

ObjectivesThis study investigated potential variations in polymerisation of light- and dual-cured (LC and DC) resin cements photoactivated through four CAD/CAM restorative materials as a function of substrate thickness.MethodsFour CAD/CAM materials [two resin composites CeraSmart (CS) and Grandio Blocs (GB); a polymer infiltrated ceramic Vita Enamic (VE) and a feldspathic ceramic Vita Mark II (VM)], with five thicknesses (0.5, 1, 1.5, 2, and 2.5 mm) were prepared and their optical characteristics measured. 1 mm discs of LC and DC resin cement (Variolink® Esthetic, Ivoclar AG) were photoactivated through each specimen thickness. After 1 h post-cure, polymerisation efficiency was determined by degree of conversion (DC%) and Martens hardness (H_M). Interactions between materials, thicknesses and properties were analysed by linear regressions, two-way ANOVA and one-way ANOVA followed by post hoc multiple comparisons (α = 0.05).ResultsAll substrates of 0.5- and 1.0-mm thickness transmitted sufficiently high peak irradiances at around 455 nm: (I_t = 588–819 mW/cm²) with translucency parameter TP = 21.14 – 10.7; ranked: CS> GB = VM> VE. However, increasing the substrate thickness (1.5–2.5 mm) reduced energy delivery to the luting cements (4 – 2.8 J/cm²). Consequently, as their thicknesses increased beyond 1.5 mm, H_M of the cement discs differed significantly between the substrates. But there were only slight reduction of DC% in LC cements and DC cement discs were not affected.Significance: Photoactivating light-cured Ivocerin? containing cement through feldspathic ceramics and polymer-infiltrated ceramics achieved greater early hardness results than dual-cured type, irrespective of substrate thickness (0.5 – 2.5 mm). However, only 0.5 and 1 mm-thick resin composites showed similar outcome (LC>DC). Therefore, for cases requiring early hardness development, appropriate cement selection for each substrate material is recommended.     

Surface conditioning of a composite used for inlay/onlay restorations: effect on muTBS to resin cement

PURPOSE: To assess the effect of the composite surface conditioning on the microtensile bond strength of a resin cement to a composite used for inlay/onlay restorations. MATERIALS AND METHODS: Forty-two blocks (6 x 6 x 4 mm) of a microfilled composite (Vita VMLC) were produced and divided into 3 groups (N = 14) by composite surface conditioning methods: Gr1--etching with 37% phosphoric acid, washing, drying, silanization; Gr2--air abrasion with 50-lm Al203 particles, silanization; Gr3--chairside tribochemical silica coating (CoJet System), silanization. Single-Bond (one-step adhesive) was applied on the conditioned surfaces and the two resin blocks treated with the same method were cemented using RelyX ARC (dual-curing resin cement). The specimens were stored for 7 days in water at 37 degrees C and then sectioned to produce nontrimmed beam samples, which were submitted to microtensile bond strength testing (muTBS). For statistical analysis (one-way ANOVA and Tukey's test, alpha = 0.05), the means of the beam samples from each luted specimen were calculated (n = 7). RESULTS: muTBS values (MPa) of Gr2 (62.0 +/- 3.9a) and Gr3 (60.5 +/- 7.9a) were statistically similar to each other and higher than Gr1 (38.2 +/- 8.9b). The analysis of the fractured surfaces revealed that all failures occurred at the adhesive zone. CONCLUSION: Conditioning methods with 50-lm Al203 or tribochemical silica coating allowed bonding between resin and composite that was statistically similar and stronger than conditioning with acid etching.     

Effect of a new resin inlay/onlay restorative material on cuspal reinforcement

Nine maxillary premolars were restored with composite resin inlays involving large intracoronal cavity preparations. Buccal and lingual bonded strain guages measured the cuspal flexure under a carefully controlled application of occlusal force. The intact tooth was compared with the corresponding preparation and final restoration. The preparation itself greatly reduced the coronal rigidity, but this was completely recovered in the restored tooth, within the functional force of 111 N. A stiffness ratio showed a 97% recovery. From the point of view of cuspal strength, this may mean that larger intracoronal restorations are feasible with this type of restoration. However, other factors, such as chairside time and complexity, and material properties, such as occlusal wear, have to be taken into consideration.     

Direct composite resin inlay

Posterior composite resin restorations have several physical limitations. Polymerization shrinkage during curing and resistance to wear are two factors that can be alleviated by a composite resin inlay. Curing the restoration extraorally in a heat-and-light curing unit and cementing the restoration with a composite resin cement reduces the deleterious effects of polymerization shrinkage and increases wear resistance of the material. A method to make a direct composite resin inlay is detailed.     

Bond strength of dual-cured resin cements to human teeth

PURPOSE: This study evaluated the bond strength of four commercial resin luting cements to enamel and superficial dentin, using a second-generation laboratory composite. MATERIALS AND METHODS: Forty teeth were embedded in acrylic: 20 had superficial dentin exposed; 20 had enamel exposed. Each group was divided into four subgroups (n = 5) to be bonded with Variolink II, Dual Cement, 2-bond-2, and Permalute System, using an inverted, truncated cone of pre-cured Artglass that was placed over the resin cement with a load of 2 N for 2 seconds. Specimens were stored at 37 degrees C in 100% relative humidity for 24 hours before being tested for tensile bond strength (MPa). Data were analyzed using a two-way analysis of variance. Tukey-Kramer intervals for comparisons among resin cements and bonding substrates were calculated at a .05 significance level. RESULTS: Significant differences were found among resin cements. Variolink II had statistically higher bond strength values for both substrates than the rest of the cements evaluated. When bonding was to enamel, all failures were cohesive in the composite, and when bonding was to dentin, some adhesive failures occurred at the resin cement-dentin interface. Permalute System had higher bond strengths than 2-bond-2 and Dual Cement when bonded to enamel. CONCLUSIONS: Variolink II and Permalute had statistically different bond strengths to enamel and dentin. Variolink II showed statistically higher values for dentin bonding than the other cements. Use of Variolink II and Permalute resulted in statistically higher bond strengths than the other two cements.     

不同水门汀黏接树脂嵌体对牙体抗折力影响的研究

目的评价不同的水门汀黏接树脂嵌体后,牙体抗折力的差异。方法选20颗健康的上颌前磨牙,在面制备近远中邻洞(MOD洞)并作树脂嵌体,分为4组:A组(玻璃离子水门汀,GIC);B组(聚羧酸锌水门汀);C组(树脂加强型玻璃离子水门汀,RRGIC);D组(树脂水门汀,ARC)黏接树脂嵌体。样品经37℃水浴72h;5-55℃水浴循环2500次后,用振动动态测试系统进行抗折实验。结果RPGIC组与ARC组的抗折力高于GIC组和聚羧酸锌水门汀组;RPGIC组与ARC组之间无显著差异;GIC组和聚羧酸锌水门汀组之间无显著差异。结论RPGIC可以成为替代ARC的一种理想选择。     

Effect of activation mode of dual-cured resin cements and low-viscosity composite liners on bond strength to dentin

OBJECTIVES: The aim of this study was to investigate the influence of the activation mode of dual-cured resin cements and application of low-viscosity composite liners over self-primed dentin on bond strength (BS) of dentin-bonding agents (DBA). METHODS: Three DBA (Single Bond; Prompt L-Pop and Clearfil SE Bond), their respective resin cements (RelyX ARC and Panavia F) and two low-viscosity composites (Filtek Flow and Protect Liner F) were tested. After removing the buccal enamel surfaces of 25 bovine incisors, each flat dentin surface was sectioned longitudinally and divided into two similar parts. The dentin surfaces were wet-abraded with 600-grit SiC paper and randomly divided into 10 groups. Experimental groups comprised the use of DBA and their respective dual-cured resin cements, with or without light-activation of resin cements. The low-viscosity resin was used only for the self-etching systems, Prompt L-Pop and Clearfil SE Bond. Three resin cement cylinders (0.5mm high and 0.75mm diameter) were built on each bonded dentin surface, using a tygon tubing mold. After water storage for 24h, specimens were subjected to micro-shear testing. Data were statistically analyzed by two-way ANOVA and Tukey test. RESULTS: Light-activation of resin cements resulted in significantly higher BS for all DBA versus groups in which the resin cements were allowed to self-cure. The low-viscosity composite application increased the BS only for Prompt L-Pop. CONCLUSIONS: The bond strength of resin cements to dentin is reduced if light-activation is not employed. The use of a low-viscosity composite liner resulted in improved bond strength only for the single-step self-etching adhesive.     

Influence of filler content and gap dimension on wear resistance of resin composite luting cements around a CAD/CAM ceramic inlay restoration

We investigated the influence of filler content and gap dimension on the wear resistance of composite luting cement around CAD/CAM ceramic inlay restorations. Experimental hybrid dual-cured composite luting cements containing 60, 70, 72, 74 and 80 wt% of silanated barium-silica fillers were used for cementing CAD/CAM ceramic inlay into the cavity. The specimens involving inlay-cement-tooth interfaces were subjected to a three-body wear test. The relation between the interfacial gap dimension and wear loss was also investigated using 60, 70 and 80 wt% filled cements. The cements containing more than 70 wt% filler presented significantly higher wear resistance than 60 wt% filled cement. There was a positive linear relationship between gap dimension and wear loss, and the inclination of the regression line decreased with increasing filler content. These results indicated that the higher filler content of the cement increased the wear resistance and this desirable influence appeared more remarkably in the wider horizontal gap dimension.     

Chemical versus dual curing of resin inlay cements

Dual-cure inlay resin cements polymerize both chemically and through light activation; however, clinically some aspects of the cement are not readily accessible to the light source. This study investigated the degree of cement hardening achieved through chemical curing only versus dual curing and the effect of inlay thickness on cement hardness. Disks 6 x 2.5 mm were prepared from seven commercially available cements. Eight specimens were prepared from each material; half of the specimens were cured chemically only, and the remainder were dual-cured. Knoop hardness measurements were then recorded at 1-hour, 1-day, and 1-week intervals. In addition, 24 specimens of the same dimensions were prepared from each cement. Twelve specimens were dual-cured through resin composite spacers of varying thicknesses (1 to 6 mm), and the others were cured through similar ceramic spacers, and hardness measurements were recorded. Multivariate analysis of variance revealed significant differences in hardness of chemically cured versus dual-cured specimens at the 5% level of significance for all examined cements. Significant differences were also found in the hardness of specimens dual cured through ceramic or resin composite spacers 2 to 3 mm in thickness or more versus those that were dual cured without spacer regardless of the spacer material. It is concluded that chemical curing alone was not sufficient to achieve maximum hardening of the examined cements. Cement hardness was significantly reduced when inlay thickness was 2 to 3 mm or more.     

Preparation design and considerations for direct posterior composite inlay/onlay restoration

In order to ensure a functional, aesthetic, and long-lasting porcelain result, clinicians need to anticipate the strengths and limits of the restorative material, as well as the specific requisites of the presented case. As flaws in preparation design can have significant and detrimental effects on the final result, clinical comprehension of the dimensions and limitations during this step is of utmost importance. This article discusses a case presentation in which porcelain restorations were placed for two adjacent teeth. Although the clinician anticipated placing inlay or onlay restorations, the degree of decay and the location of hairline fractures would necessitate prophylactic removal of a weakened or undermined cusp.