Abdulaziz Samran1, Ammar Al-Ammari2, Shadi El Bahra3, Esam Halboub4, Sebastian Wille5, Matthias Kern6. 1. Visiting Assistant Professor, Department of Prosthodontics, Propaedeutics and Dental Materials, Dental School, Christian-Albrechts University, Kiel, Germany; Assistant Professor, Department of Prosthodontics, College of Dentistry, Ibb University, Ibb, Yemen; Assistant Professor, Department of Restorative and Prosthetic Dental Sciences, College of Dentistry, Dar Al Uloom University, Riyadh, Saudi Arabia. Electronic address: asamran@proth.uni-kiel.de. 2. Visiting Assistant Professor, Department of Prosthodontics, Propaedeutics, and Dental Materials, Dental School, Christian-Albrechts University, Kiel, Germany; Assistant Professor, Department of Prosthodontics, College of Dentistry, Ibb University, Ibb, Yemen. 3. Visiting Assistant Professor, Department of Prosthodontics, Propaedeutics and Dental Materials, Dental School, Christian-Albrechts University, Kiel, Germany; Assistant Professor, Department of Removable Prosthodontics, College of Dentistry, Damascus University, Damascus, Syria; Assistant Professor, Department of Prosthodontics, College of Dental Sciences, Ras Al-Khaimah, United Arab Emirates. 4. Assistant Professor Department of Maxillofacial Surgery and Diagnostic Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia; Assistant Professor, Department of Oral Medicine and Periodontology, Faculty of Dentistry, Sana'a University, Sana'a, Yemen. 5. Research Associate, Department of Prosthodontics, Propaedeutics and Dental Materials, School of Dentistry, Christian-Albrechts University, Kiel, Germany. 6. Professor and Chairman, Department of Prosthodontics, Propaedeutics and Dental Materials, School of Dentistry, Christian-Albrechts University, Kiel, Germany.
Abstract
STATEMENT OF PROBLEM: How contamination, cleaning, and artificial aging affect the bond strength of self-adhesive resin cements to zirconia ceramics is unclear. PURPOSE: The purpose of this in vitro study was to assess the durability and bond strength of different self-adhesive resin cements to zirconia ceramics subjected to contamination, cleaning, and aging. MATERIAL AND METHODS: A total 192 zirconia ceramic squares were airborne-particle abraded with 50 μm Al2O3 at a pressure of 100 kPa. The specimens were then divided into 4 main experimental groups (n=48) according to the type of self-adhesive resin. Specimens in the subgroups (n=16) were exposed to 3 different treatment methods: alcohol bath cleaning only, contamination with saliva and alcohol bath cleaning, and contamination with saliva and cleaning with Ivoclean followed by alcohol bath cleaning. Bonded specimens were stored in distilled water (37°C), either for 3 days with no thermocycling or for 150 days interrupted by 37500 thermocycles between 5°C and 55°C. After storage, the bond strength was determined using a universal testing machine. Results were analyzed statistically, using nonparametric tests. RESULTS: After saliva contamination, the tensile bond strength for all specimens decreased significantly (P<.001). Furthermore, after saliva contamination and during 150 days of water storage with thermocycling, all specimens debonded spontaneously. However, use of the cleaning medium (Ivoclean) significantly increased the tensile bond strength for almost all specimens (P<.05). CONCLUSIONS: Saliva contamination significantly negatively influenced the bond strength and durability to zirconia ceramic. Ceramic cleaning using Ivoclean significantly improved the bond strength to saliva contaminated zirconia ceramics.
STATEMENT OF PROBLEM: How contamination, cleaning, and artificial aging affect the bond strength of self-adhesive resin cements to zirconia ceramics is unclear. PURPOSE: The purpose of this in vitro study was to assess the durability and bond strength of different self-adhesive resin cements to zirconia ceramics subjected to contamination, cleaning, and aging. MATERIAL AND METHODS: A total 192 zirconia ceramic squares were airborne-particle abraded with 50 μm Al2O3 at a pressure of 100 kPa. The specimens were then divided into 4 main experimental groups (n=48) according to the type of self-adhesive resin. Specimens in the subgroups (n=16) were exposed to 3 different treatment methods: alcohol bath cleaning only, contamination with saliva and alcohol bath cleaning, and contamination with saliva and cleaning with Ivoclean followed by alcohol bath cleaning. Bonded specimens were stored in distilled water (37°C), either for 3 days with no thermocycling or for 150 days interrupted by 37500 thermocycles between 5°C and 55°C. After storage, the bond strength was determined using a universal testing machine. Results were analyzed statistically, using nonparametric tests. RESULTS: After saliva contamination, the tensile bond strength for all specimens decreased significantly (P<.001). Furthermore, after saliva contamination and during 150 days of water storage with thermocycling, all specimens debonded spontaneously. However, use of the cleaning medium (Ivoclean) significantly increased the tensile bond strength for almost all specimens (P<.05). CONCLUSIONS: Saliva contamination significantly negatively influenced the bond strength and durability to zirconia ceramic. Ceramic cleaning using Ivoclean significantly improved the bond strength to saliva contaminated zirconia ceramics.