STATEMENT OF PROBLEM: Fractures in ceramometal restorations can occur and need to be repaired because replacements are not an economic solution. PURPOSE: This study evaluated the shear bond strengths of 4 porcelain repair systems (Metabond C&B [ME], Silistor [SI], Clearfil Lustre [CL], and Scotchbond Multipurpose Plus [SQ]) to a base metal alloy and porcelain in relation with the polymerization shrinkage of a visible light-cured composite superstructure and compared with the ceramometal bond strength (Vita VMK 68). MATERIAL AND METHODS: Thirty-two samples were prepared for each bonding system: 16 for resin-metal bond strength test, and 16 for resin-porcelain bond strength test. For each group, bonding agent was applied to 8 substructures and the resin superstructure was polymerized onto the bonding agent; and for the remaining 8 specimens, prepolymerized resin superstructures were bonded with bonding agent. All specimens were subjected to 500 cycles between 5 degrees C and 55 degrees C with 20 seconds dwell time. Tests were performed in a mechanical testing machine with a 0.5 mm/min crosshead speed. RESULTS: All materials showed an increase in shear bond strength when prepolymerized resin superstructures were used. However, the effect of polymerization shrinkage of resin superstructure was statistically significant only for CL group (P <. 05). The highest metal-resin bond was obtained from ME group with prepolymerized resin superstructures (35.27 +/- 2.40 MPa), and the lowest value was obtained for the SI group in which resin superstructures were polymerized in situ (8.71 +/- 1.03 MPa). The highest porcelain-resin bond was obtained from SC group with prepolymerized resin superstructures (20.71 +/- 1.13 MPa) and the lowest was obtained from SI group (9.99 +/- 1.52 MPa). CONCLUSION: Higher bond strength values were obtained with prepolymerized resin superstructures compared to in situ polymerized superstructures. Metabond C&B provided the best results for both prepolymerized and in situ polymerized resin superstructure preparation techniques at the failures where metal was exposed. The best results in situations in which the fracture is limited into porcelain were obtained with the use of Scotchbond Multipurpose Plus material. However, a variety of in vivo and in vitro tests are required before a final judgment is made.
STATEMENT OF PROBLEM: Fractures in ceramometal restorations can occur and need to be repaired because replacements are not an economic solution. PURPOSE: This study evaluated the shear bond strengths of 4 porcelain repair systems (Metabond C&B [ME], Silistor [SI], Clearfil Lustre [CL], and Scotchbond Multipurpose Plus [SQ]) to a base metal alloy and porcelain in relation with the polymerization shrinkage of a visible light-cured composite superstructure and compared with the ceramometal bond strength (Vita VMK 68). MATERIAL AND METHODS: Thirty-two samples were prepared for each bonding system: 16 for resin-metal bond strength test, and 16 for resin-porcelain bond strength test. For each group, bonding agent was applied to 8 substructures and the resin superstructure was polymerized onto the bonding agent; and for the remaining 8 specimens, prepolymerized resin superstructures were bonded with bonding agent. All specimens were subjected to 500 cycles between 5 degrees C and 55 degrees C with 20 seconds dwell time. Tests were performed in a mechanical testing machine with a 0.5 mm/min crosshead speed. RESULTS: All materials showed an increase in shear bond strength when prepolymerized resin superstructures were used. However, the effect of polymerization shrinkage of resin superstructure was statistically significant only for CL group (P <. 05). The highest metal-resin bond was obtained from ME group with prepolymerized resin superstructures (35.27 +/- 2.40 MPa), and the lowest value was obtained for the SI group in which resin superstructures were polymerized in situ (8.71 +/- 1.03 MPa). The highest porcelain-resin bond was obtained from SC group with prepolymerized resin superstructures (20.71 +/- 1.13 MPa) and the lowest was obtained from SI group (9.99 +/- 1.52 MPa). CONCLUSION: Higher bond strength values were obtained with prepolymerized resin superstructures compared to in situ polymerized superstructures. Metabond C&B provided the best results for both prepolymerized and in situ polymerized resin superstructure preparation techniques at the failures where metal was exposed. The best results in situations in which the fracture is limited into porcelain were obtained with the use of Scotchbond Multipurpose Plus material. However, a variety of in vivo and in vitro tests are required before a final judgment is made.