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PURPOSE The purpose of this in vitro study was to evaluate the effect of abrasive toothbrushing on the surface properties of monolithic computer-assisted design and computer-assisted manufacturing (CAD/CAM) materials stored in food-simulating liquids (FSLs). MATERIALS AND METHODS Fourty-eight disk-shaped test specimens of each material (Paradigm MZ100/PMZ, Lava Ultimate/LU, Vita Enamic/VE, and Vita Mark II/VMII) with a diameter of 10.0 mm and a thickness of 3.0 ± 0.05 mm were prepared. Specimens were divided into 4 subgroups (n=12) and stored in air, distilled water, 0.02 M citric acid, or 75% ethanol/water solution for 7 days at 36.5℃. Then, the specimens were brushed in a multi-station brushing machine under a vertical load of 2.0 N for 3 hours. Surface gloss (GU), roughness (Ra), and hardness (Vickers [VHN]) were measured after storage and brushing simulation. The data sets were statistically analyzed with 2 and 3-way ANOVAs followed by the Tukey's post-hoc comparisons (α=.05). RESULTS Statistically significant difference was found among the materials concerning the results of surface properties. VMII showed the highest VHN, while PMZ produced the lowest. Storage in FSLs significantly affected the VHN of PMZ and LU. VMII showed the lowest Ra and highest GU irrespective of FSLs and of abrasive toothbrushing. VE, LU, and PMZ produced significant decrease in GU and increase in Ra after toothbrushing. CONCLUSION Surface properties of monolithic CAD/CAM restorative materials were differently affected by the storage media and abrasive toothbrushing.

To compare the shear bond strength of resin cement to zirconia-based monolithic CAD-CAM materials subjected to different surface treatments.2 brands of monolithic zirconia blocks (Vita YZ HT, Sirona inCoris TZI), yttrium-stabilized tetragonal zirconia (IPS e.max ZirCAD) and zirconia-reinforced lithium silicate ceramic (Vita Suprinity) were divided into six groups according to the surface treatment received: no treatment (control), HF acid etching, sandblasting, sandblasting + Er:YAG laser irradiation, Er:YAG laser irradiation and CoJet. Composite resin cylinders were bonded to blocks with self-adhesive resin cement (Theracem). Shear bond strength was evaluated after thermocyling. Failure modes were examined using SEM. Data was analyzed statistically by using 2-way ANOVA and post-hoc Tukey's test (P0,05).The bond strength was significantly affected by the surface treatment and the type of CAD-CAM blocks (P0,001). Surface treatment with CoJet revealed significantly higher bond strength compared to sandblasting in Y-TZP and monolithic zirconia specimens.Monolithic zirconia blocks showed higher bond strength values compared to Y-TZP zirconia block in sandblasting and CoJet groups. HF acid etching is more effective than sandblasting and CoJet for Vita Suprinity.

The occlusal design of dental restorations should stay in harmonic relation to the remaining dentition. In CAD/CAM dentistry, the occlusion is generated by the CAD software based on standard morphologies from the dental database. An automated adaptation process of this standard morphology to an individual clinical situation is difficult and leading to manual adaptation of the proposal with design tools. The new biogeneric software of the chairside CAD/CAD system (CEREC) automatically collects optic measurement of the preparation side including mesial and distal neighbor teeth and antagonist teeth to design a restoration with a patient specific occlusal morphology. This clinical report demonstrated a case, which was treated with ceramic onlay designed and milled with CEREC system used in biogeneric design mode. Digital impression of the preparation was taken with the intraoral camera. Buccal scan,technique was used for taking the occlusal record. Preparation and antagonist images were automatically correlated by software and a virtual articulator was created. After trimming the virtual model, preparation margins were outlined with the automatic margin finder option of the software and then the insertion axis of the restoration was determined. The biogeneric restoration proposal was then automatically seated to the virtual model and desired changes were performed with the design tools of the software. The restoration was milled from feldspathic ceramic block.

Purpose: The aim of this study was to investigate the polymerization efficiency of dual-cured resin cement beneath different shades of zirconia-based feldsphathic ceramic restorations. Materials and Methods: Five translucent zirconia (Zirkonzahn) discs (4.0-mm diameter, 1.2-mm height) were prepared. Feldsphathic ceramic (1.2 mm) (Noritake Cerabien Zr) in 5 shades (1M2, 2M2, 3M2, 4M2, 5M2) was applied on the zirconia discs. Twelve dual-cure resin cement specimens were prepared for each shade, using Panavia F 2.0 (Kuraray) in Teflon molds (4.0-mm diameter, 6.0-mm height), following the manufacturer's instructions. Light activation was performed through the zirconia-based ceramic discs for 20 seconds, using a quartz tungsten halogen curing device (Hilux 200) with irradiance of 600 mW/cm2. Immediately following light curing, specimens were stored for 24 hours in dry, light-proof containers. Vickers hardness measurements were conducted using a microhardness tester with a 50-g load applied for 15 seconds. The indentations were made in the cross sectional area at four depths, and the mean values were recorded as Vickers hardness number (VHN). Results were statistically analyzed with one-way ANOVA and Tukey HSD test (p < 0.05). Results: A statistically significant decrease in VHN of the resin cement was noted with increasing depth and darkness of the shade (p < 0.05). Conclusion: Curing efficiency of dual-cure resin cement is mainly influenced by the lightness of the shades selected.

In this study, effects of etching on a dental ceramic material were investigated. 9.6% hydrofluoric acid solution was used to etch 28 specimens which were prepared from the Finesse TM (trademark of Dentsply Inc.) core ceramic fabricated through ceramic hot pressing routes followed by ingot casting. The specimens were randomly divided into four groups. Three groups were etched at different times. The fourth group was the control group. 4-point bending tests and scanning electron microscopy (SEM) investigations were carried out on these specimens to determine the effects of etching on the flexural strength. Whereas the control group had better flexural strength values, there were no statistically significant differences between the strength values of the specimens of the three groups etched at different times.

Statement of problem. Resin bonding surface treatment methods for conventional silica-based dental ceramics are not reliable for glass infiltrated high alumina content In-Ceram ceramics. Purpose. This study developed an alternative surface treatment to improve resin bonding of glass-infiltrated aluminum oxide ceramic blasting with diamond particles and then observed the efficiency of this treatment. Material and methods. In-Ceram test specimens were prepared and divided into 2 groups. All specimens were sandblasted with Al 2 O 3 , and blasted with diamond particles and 2 adhesive resins were applied. After bonding and storage in humid conditions, shear bond strength values were measured with a universal testing machine. Surface roughness and fracture interfaces were determined with a perthometer and a SEM. Results. The highest bond strength was obtained on the samples blasted with diamond particles (group II). The differences between the 2 groups and the 2 adhesive resin cements were both statistically significant. Conclusion. Panavia-Ex cement exhibited higher bond strength than Super-Bond cement. This higher bond strength was attributed to ceramic oxide and ester bond and the mechanical properties of Panavia-Ex cement. (J Prosthet Dent 2000;83:210-5.)

PURPOSE. This study evaluated the adhesion of 10-MDP containing self-etch and self-adhesive resin cements to dentin with and without the use of etch-and-rinse technique. MATERIALS AND METHODS. Human third molars (N=180) were randomly divided into 6 groups (n=30 per group). Conventional (Panavia F2.0, Kuraray-PAN) and self-adhesive resin cements (Clearfil SA, Kuraray-CSA) were bonded to dentin surfaces either after application of 3-step etch-and-rinse (35% H 3 PO 4 + ED Primer) or two-step self-etch adhesive resin (Clearfil SE Bond). Specimens were subjected to shear bond strength test using the universal testing machine (0.5 mm/min). The failure types were analyzed using a stereomicroscope and quality of hybrid layer was observed under a scanning electron microscope. The data (MPa) were analyzed using two-way ANOVA and Tukey’s tests (α=.05). RESULTS. Overall, PAN adhesive cement showed significantly higher mean bond strength (12.5 ± 2.3 - 14.1 ± 2.4 MPa) than CSA cement (9.3 ± 1.4 - 13.9 ± 1.9 MPa) (P

Background This study evaluated the effect of air-particle abrasion with different particle sizes on the surface roughness and phase transformation of yttria-stabilized tetragonal zirconia ceramics (Y-TZP). Methods Eighty-four Y-TZP discs of 15 mm diameter and 1.0 mm thickness were fabricated. The samples were divided into four groups (n = 21): (1) air-particle abrasion with 30 μm CoJet sand blast coating agent (CoJet, 3M ESPE); (2) 50 μm Al2O3 particles; (3) 110 μm Al2O3 particles; and (4) 250 μm Al2O3 particles. Each group was further divided into three subgroups each (n = 7) and treated for 5 seconds, 15 seconds and 30 seconds. Mean surface roughness was determined using a profilometer. The surfaces were analysed with a scanning electron microscope. XRD analysis was employed and the relative amount of the monoclinic phase was calculated. The results were statistically analysed by two-way analysis of variance (ANOVA, p

The aim of this study was to evaluate the effects of pH changes in the oral cavity on the mechanical properties of zirconia and feldspathic ceramics. Bilayered zirconia-feldspathic samples were prepared from three different commercial brands of Y-TZP blocks: Zirkonzahn, Cercon, and Everest. Samples were stored in artificial saliva with different pH values (3.5, 7.0, and 10.0) for 10 days at 37°C. Flexural strength, Vickers hardness, and fracture toughness were calculated after samples were subjected to biaxial flexure test. Microstructural analysis of the materials was also performed.Data were analyzed by one-way analysis of variance (ANOVA), and multiple comparisons were performed using Tukey's test (α=0.05). Acidic and alkaline environments adversely affected the mechanical properties of zirconia, resulting in material degradation, loss of stabilizer content, and increase in tetragonal-monoclinic phase transformation. Commercial dental zirconia blocks have varied mechanical properties, but they are generally susceptible to degradation when exposed to corrosive environments.

summary The purpose of this study was to compare the retention of two different pre-fabricated posts cemented to the root canal with four different adhesive luting cements and a zinc phosphate cement. The crowns of 100 freshly extracted human mandibular central and lateral incisors were removed at the cementoenamel junction and divided into two main groups (A = ParaPost and B = Flexi-Post) and further divided into five subgroups to evaluate the effects of five different cements (Rely-X ARC, Panavia F, ParaPost Cement, Flexi-Flow Natural and Adhesor) each with 10 samples. Post-holes were prepared on all of the roots following the manufacturer's instructions. Each sample was placed into a specialized jig and tensile strength tests performed by using testing machine with a crosshead speed of 0·638 cm min−1 and force applied until failure. The data were analysed with one-way anova (Post Hoc a Scheffe's S test) and two-way anova (P