EFFECTS OF ETCHING DURATION ON THE SURFACE ROUGHNESS, SURFACE LOSS, FLEXURAL STRENGTH OF E.MAX CAD GLASS CERAMIC AND SHEAR BOND STRENGTH TO A RESIN CEMENT Background: Long-term retention of ceramic restorations is dependent on the bond strength of the luting resin to both the tooth and porcelain substrates. In order to achieve successful bonding, the surface of the porcelain substrate must be modified to increase the surface roughness, and this can be achieved chemically by hydrofluoric (HF) acid etching. However, prolonged HF acid etching has shown to have a weakening effect on the evaluated lithium disilicate glass-ceramics. Therefore, it is essential to quantify the required etching duration of HF acid to minimize the possible deleterious effects on ceramic strength while maximizing the bond strength to tooth structure. Objectives: To evaluate the effects of HF acid etching duration on the surface roughness, surface loss, flexural strength, and shear bond strength of IPS e.max CAD (Ivoclar Vivadent) lithium disilicate-based glass ceramic to a resin cement. Hypothesis: The differences in HF acid etching durations will not have a significant effect on the surface roughness, surface loss, flexural strength, or shear bond strength of IPS e.max CAD to a resin cement. Methods: 168 specimens were prepared from IPS e.max CAD blocks. All specimens were polished and sonically cleaned in distilled water. Specimens were fired in the vacuum pump furnace according to the manufacturer’s instructions. Specimens were then divided into 4 groups, according to etching durations, then further divided into 3 subgroups, according to the properties tested. Group A was not etched (control), Groups B, C and D were etched with 5-percent HF acid (IPS Ceramic Etching gel, Ivoclar Vivadent) for 20 s, 60 s and 90 s respectively. The morphologies of both etched and non-etched surfaces in specimens of subgroup 1 of each etching group (n = 16/group) were observed under scanning electron microscopy (SEM). In addition, non-contact surface profilometry (Proscan 2000) was used to calculate the surface loss and to examine the surface roughness of the etched ceramic surfaces and roughness values (Ra, Rq) were documented for each group. Furthermore, etched specimens of subgroup 2 (n = 16/group) were silanated (Monobond Plus, Ivoclar Vivadent) and cemented with a resin cement (Multilink Automix, Ivoclar Vivadent). The shear bond strength (SBS) was measured using a universal mechanical testing machine. For each etching group, subgroup 3 specimens (n = 10/group) were loaded to failure in a three-point bending test to measure their flexural strength values using a universal mechanical testing machine. Data for surface roughness, surface loss, and flexural strength were analyzed using one-way analysis of variance (ANOVA), to identify the significant effects of different HF acid etching durations. Data for shear bond strength test were analyzed using two-way ANOVA to test the effects of etching duration, storage for 24 hours/thermocycling, and their interaction. All pair-wise comparisons from ANOVA analysis were made using Fisher’s Protected Least Significant Differences to control the overall significance level at 5 percent. Results: Difference in HF etching durations did not have a significant effect on surface roughness values Ra or Rq (p = 0.3408; p = 0.3245) respectively, but had a significant effect on surface loss (p = 0.0006). SBS values were not significantly different between experimental groups (p = 0.4650); however, SBS values after 24-h storage were significantly higher than that found after thermocycling (p = 0.0166) among different etching durations. Finally, different HF etching durations did not have a significant effect on flexural strength values (p = 0.1260). Conclusion: Within the limitations of this study, different HF etching durations did not have a significant effect on surface roughness, flexural strength, or shear bond strength of IPS e.max CAD. However, the different etching durations significantly affected the surface loss of the lithium disilicate glass ceramics.

Avaliou-se a resistência à corrosão pelos testes de perda de peso em imersão alternada (solução-ar) e as conseqüentes alterações produzidas nas superfícies dos três materiais restauradores (os amálgamas Dispersalloy e Tytin Plus, ambos de alto conteúdo de cobre, respectivamente do tipo fase dispersa e do tipo partícula única, assim como a liga à base de gálio Galloy), não ou associados a dois sistemas adesivos (All-Bond 2 e PAAMA-2), observadas através da medição da rugosidade de superfície. Confeccionou-se dez corpos-de-prova, para cada condição específica, a partir de uma matriz metálica de aço inoxidável contendo cinco cavidades cilíndricas, com 10,7 mm de diâmetro por 3,0 mm de altura cada uma. Após o polimento, como é feito no caso de análises metalográficas, os espécimes foram pesados e levados ao rugosímetro para realizar as medições imediatamente. Estes foram submetidos à imersão alternada, na solução de sulfeto de sódio a 5 %, por um período de 24 horas e novamente foi realizada a pesagem e obtidos os valores de perda de peso. Depois da pesagem, os corpos-de-prova foram levados novamente ao rugosímetro para obtenção dos valores médios de rugosidade de superfície. Os resultados foram registrados e submetidos à análise de variância, a dois critérios, e ao teste de contrastes de Tukey-Kramer. Dos resultados obtidos, conclui-se que todos os espécimes perderam peso e tiveram sua rugosidade de superfície aumentada após a imersão em solução corrosiva; a liga Galloy mostrou valores maiores, tanto no método de perda de peso como no de rugosidade de superfície, quando comparada aos dois amálgamas; a liga Tytin Plus alcançou os melhores resultados; houve diferença estatisticamente significante entre os materiais restauradores, mas não entre os sistemas adesivos utilizados, mostrando comportamentos diferentes dependendo da combinação desses fatores. / The resistance to the corrosion was evaluated through weight loss to an alternated immersion (solution-air) and its consequent changes on the surface of three restoring materials (them amalgams Dispersalloy and Tytin Plus, both with high copper content, respectively dispersion phase and unique particle, as well as the alloy gallium base Galloy), associated or not to two adhesive systems (All-Bond 2 and PAAMA-2), observed by measuring the surface roughness. Ten bodies-of-test were made, for each specific condition, in a metallic matrix os stainlesss steel with five cilindrical cavities, measuring 10,7 mm in diameter and 3,0 mm thickness each one. After polishing, as in the metalographic anal ysis, the specimens were weighed and submitted to the roughness measurer to measuring inicial. These were submitted to an alternated immersion in 5 % sodium sulfide solution, for 24 hours and then the second weighting was performed and obtained the average values of weight loss. A second measure of the surface roughness was then performed. The results were registered and submitted to the variance analysis, to two approaches, and to the test of contrasts of Tukey-Kramer. From the obtained results, it was concluded that all specimens lost weight and there was an increasing roughness surface after immersion in corrosive solution; Galloy showed higher values, both weight loss test and the rougness surface, compared to two amalgams; the alloy Tytin Plus obtained better results; there was significant statistical difference among the restoring materials, but not among adhesive systems, showing different behaviors according to arrangement of these factors.

Thesis (M.S.)--University of Alabama at Birmingham, 2008. / Title from PDF title page (viewed on Feb. 3, 2010). Includes bibliographical references (p. 52-57).

Avaliou-se a resistência à corrosão pelos testes de perda de peso em imersão alternada (solução-ar) e as conseqüentes alterações produzidas nas superfícies dos três materiais restauradores (os amálgamas Dispersalloy e Tytin Plus, ambos de alto conteúdo de cobre, respectivamente do tipo fase dispersa e do tipo partícula única, assim como a liga à base de gálio Galloy), não ou associados a dois sistemas adesivos (All-Bond 2 e PAAMA-2), observadas através da medição da rugosidade de superfície. Confeccionou-se dez corpos-de-prova, para cada condição específica, a partir de uma matriz metálica de aço inoxidável contendo cinco cavidades cilíndricas, com 10,7 mm de diâmetro por 3,0 mm de altura cada uma. Após o polimento, como é feito no caso de análises metalográficas, os espécimes foram pesados e levados ao rugosímetro para realizar as medições imediatamente. Estes foram submetidos à imersão alternada, na solução de sulfeto de sódio a 5 %, por um período de 24 horas e novamente foi realizada a pesagem e obtidos os valores de perda de peso. Depois da pesagem, os corpos-de-prova foram levados novamente ao rugosímetro para obtenção dos valores médios de rugosidade de superfície. Os resultados foram registrados e submetidos à análise de variância, a dois critérios, e ao teste de contrastes de Tukey-Kramer. Dos resultados obtidos, conclui-se que todos os espécimes perderam peso e tiveram sua rugosidade de superfície aumentada após a imersão em solução corrosiva; a liga Galloy mostrou valores maiores, tanto no método de perda de peso como no de rugosidade de superfície, quando comparada aos dois amálgamas; a liga Tytin Plus alcançou os melhores resultados; houve diferença estatisticamente significante entre os materiais restauradores, mas não entre os sistemas adesivos utilizados, mostrando comportamentos diferentes dependendo da combinação desses fatores. / The resistance to the corrosion was evaluated through weight loss to an alternated immersion (solution-air) and its consequent changes on the surface of three restoring materials (them amalgams Dispersalloy and Tytin Plus, both with high copper content, respectively dispersion phase and unique particle, as well as the alloy gallium base Galloy), associated or not to two adhesive systems (All-Bond 2 and PAAMA-2), observed by measuring the surface roughness. Ten bodies-of-test were made, for each specific condition, in a metallic matrix os stainlesss steel with five cilindrical cavities, measuring 10,7 mm in diameter and 3,0 mm thickness each one. After polishing, as in the metalographic anal ysis, the specimens were weighed and submitted to the roughness measurer to measuring inicial. These were submitted to an alternated immersion in 5 % sodium sulfide solution, for 24 hours and then the second weighting was performed and obtained the average values of weight loss. A second measure of the surface roughness was then performed. The results were registered and submitted to the variance analysis, to two approaches, and to the test of contrasts of Tukey-Kramer. From the obtained results, it was concluded that all specimens lost weight and there was an increasing roughness surface after immersion in corrosive solution; Galloy showed higher values, both weight loss test and the rougness surface, compared to two amalgams; the alloy Tytin Plus obtained better results; there was significant statistical difference among the restoring materials, but not among adhesive systems, showing different behaviors according to arrangement of these factors.

Devido a alterações químico-estruturais causadas pelo clareamento, os substratos dentais poderiam tornar-se mais susceptíveis a perda tecidual, principalmente se expostos a desafios erosivo/abrasivos. Desta forma, o presente estudo teve como objetivos: 1) analisar in vitro, se o esmalte e a radicular dentina clareada com diferentes agentes e concentrações, apresenta uma maior susceptibilidade ao desgaste, quando submetido a ciclos de erosão e abrasão; 2) comparar o efeito da aplicação de um agente clareador a base de peróxido de carbamida a 10% a um placebo no desgaste do esmalte e da dentina radicular, através de um modelo in situ. Os resultados do estudo in vitro mostraram que, independentemente do agente usado, o clareamento não aumentou o desgaste do esmalte frente a episódios erosivo-abrasivos. Na dentina, o desgaste foi dependente do agente clareador aplicado. Baseado no protocolo in situ adotado, o peróxido de carbamida a 10% não causou maior desgaste superficial no esmalte, mas aumentou a perda de tecido dentinário comparado ao placebo. Pode-se concluir que, em termos de desgaste superficial, o esmalte não foi afetado pelo tratamento clareador, enquanto a dentina mostrou-se mais susceptível. Assim, sugerem-se cuidados adicionais na seleção do agente clareador em situações clínicas que apresentam dentina radicular exposta. / Due to the chemical and microstructural alterations caused by bleaching, the dental substrates can become more susceptible to tissue loss, mainly if exposed to erosive/abrasive challenges. Therefore, the present study had the following objectives: 1) to analyze in vitro, if enamel and root dentin that had been bleached with different agents and concentrations, were at increased risk of wear when submitted to cycles of erosion and abrasion; 2) to compare the effect of the application of a 10% carbamide peroxide bleaching agent to a placebo on wear of enamel and root dentin, through an in situ model. The results of the in vitro study showed that independent of agent used, the bleaching demonstrated no increase in the wear of enamel when exposed to the erosive-abrasive episodes. In dentin, the wear was dependent on the bleaching agent applied. Based on the in situ protocol adopted, the 10% carbamide peroxide did not cause higher wear on the enamel, but increased the wear of the root dentin compared to the placebo. It could be concluded that in terms of superficial wear, enamel was not affected by bleaching treatment, while dentin showed to be more susceptible. Thus, additional caution is suggested in the choice of the bleaching agent when root dentin is exposed.

Devido a alterações químico-estruturais causadas pelo clareamento, os substratos dentais poderiam tornar-se mais susceptíveis a perda tecidual, principalmente se expostos a desafios erosivo/abrasivos. Desta forma, o presente estudo teve como objetivos: 1) analisar in vitro, se o esmalte e a radicular dentina clareada com diferentes agentes e concentrações, apresenta uma maior susceptibilidade ao desgaste, quando submetido a ciclos de erosão e abrasão; 2) comparar o efeito da aplicação de um agente clareador a base de peróxido de carbamida a 10% a um placebo no desgaste do esmalte e da dentina radicular, através de um modelo in situ. Os resultados do estudo in vitro mostraram que, independentemente do agente usado, o clareamento não aumentou o desgaste do esmalte frente a episódios erosivo-abrasivos. Na dentina, o desgaste foi dependente do agente clareador aplicado. Baseado no protocolo in situ adotado, o peróxido de carbamida a 10% não causou maior desgaste superficial no esmalte, mas aumentou a perda de tecido dentinário comparado ao placebo. Pode-se concluir que, em termos de desgaste superficial, o esmalte não foi afetado pelo tratamento clareador, enquanto a dentina mostrou-se mais susceptível. Assim, sugerem-se cuidados adicionais na seleção do agente clareador em situações clínicas que apresentam dentina radicular exposta. / Due to the chemical and microstructural alterations caused by bleaching, the dental substrates can become more susceptible to tissue loss, mainly if exposed to erosive/abrasive challenges. Therefore, the present study had the following objectives: 1) to analyze in vitro, if enamel and root dentin that had been bleached with different agents and concentrations, were at increased risk of wear when submitted to cycles of erosion and abrasion; 2) to compare the effect of the application of a 10% carbamide peroxide bleaching agent to a placebo on wear of enamel and root dentin, through an in situ model. The results of the in vitro study showed that independent of agent used, the bleaching demonstrated no increase in the wear of enamel when exposed to the erosive-abrasive episodes. In dentin, the wear was dependent on the bleaching agent applied. Based on the in situ protocol adopted, the 10% carbamide peroxide did not cause higher wear on the enamel, but increased the wear of the root dentin compared to the placebo. It could be concluded that in terms of superficial wear, enamel was not affected by bleaching treatment, while dentin showed to be more susceptible. Thus, additional caution is suggested in the choice of the bleaching agent when root dentin is exposed.

<p>Gleđ je supstrat adhezije direktnih i indirektnih ispuna, ljuspi, splintova, zalivača i ortodontskih bravica. Adhezija između materijala i zubnog tkiva je ključna za uspe&scaron;no sprovođenje različitih stomatolo&scaron;kih intervencija. Ova veza, bez obzira na brojnost i raznovrsnost novih materijala nije u potpunosti re&scaron;ena. CILJ: Ispitati mehaničke i hemijske osobine gleđi nakon tretmana različitim kondicionerima za pripremu gleđi. Odrediti tvrdoću i modul elastičnosti, odrediti hemijski udeo minerala kalcijuma i fosfata u povr&scaron;inskom sloju gleđi pre i posle nagrizanja različitim kiselinama i utvrditi uticaj prizmatičnosti gleđi na stepen nagrizanja gleđi primenom različitih kiselina. METODE: Sprovedeno je in vitro istraživanje na ekstrahovanim humanim zubima. U odnosu na primenjeni kondicioner analizirano je 192, od toga 96 uzoraka stalnih zuba i 96 uzoraka mlečnih zuba. Pripremljeni uzorci gleđi su analizirani pre i nakon primene četiri vrste kondicionera: 37% ortofosforne kiseline (Kerr, Gel etchant), 10% poliakrilne kiseline (GC, Dentin Conditioner), monomera estra fosforne kiseline (GC G bond), hidroksietilmetakrilata sa fosfornom kiselinom (3M Unitek, Transbond&trade; Plus Self Etching Primer). Određivana je tvrdoća i modul elastičnosti gleđi nanoindentacijom, struktura povr&scaron;inskog sloja gleđi pomoću skening elektronske mikroskopije, dok je hemijski sastav povr&scaron;inskog sloja gleđi određen metodom energetske disperzione spektroskopije. Rezultati modula elastičnosti unutar grupe mlečnih zuba ukazali su na postojanje statistički značajnih razlika između rezultata netretirane okluzalne povr&scaron;ine i svih tretiranih uzoraka okluzalne povr&scaron;ine, dok analiza tvrdoće gleđi u istoj grupi, ukazala je na statistički značajne razlike između vrednosti netretiranih i svih tretiranih uzoraka, na svim povr&scaron;inama, osim na uzorcima bukalne povr&scaron;ine tretiranih poliakrilnom kiselinom. U grupi stalnih zuba, postoje statistički značajne razlike vrednosti modula elastičnosti između uzoraka tretiranih ortofosfornom kiselinom, bez obzira na povr&scaron;inu zuba, u odnosu na grupe u kojima su kori&scaron;ćeni drugi kondicioneri, osim kada su poređeni uzorci lingvalne povr&scaron;ine stalnih zuba tretirani ortofosfornom kiselinom sa uzorkom - iste povr&scaron;ine tretirane Transbondom. Rezultati tvrdoće gleđi stalnih zuba pokazali su statistički značajne razlike između netretirane, kontrolne grupe i svih grupa testiranih kondicionera, bez obzira na ispitivanu povr&scaron;inu zuba. Svaki primenjeni kondicioner promenio je povr&scaron;insku morfologiju uzorka. Ortofosforna i poliakrilna kiselina, u najvećoj meri su uticala na pojavu polja nagrizanja tipa 1 i tipa 2. Primenom G bonda i Transbonda pored tipa 1, veliki udeo polja nagrizanja bio je tipa 5. Analiza hemijskih elemenata povr&scaron;inskog sloja gleđi uzoraka pre i nakon kondicioniranja ukazala je na smanjenje udela analiziranih elemenata, osim kiseonika čiji se maseni udeo povećao nakon tretmana sa svim kondicionerima u grupi stalnih i mlečnih zuba. ZAKLJUČAK: Vrednosti tvrdoće gleđi i vrednosti modula elastičnosti značajno se smanjuju nakon nagrizanja gleđi u stepenu koji je u zavisnosti od primenjenog kondicionera. Efekat nagrizanja aprizmatične gleđi je značajno manji u odnosu na stepen nagrizanja prizmatične gleđi, primenom svih testiranih kondicionera. Hemijski udeo minerala kalcijuma i fosfata u povr&scaron;inskom sloju gleđi je značajno niži posle nagrizanja u odnosu na vrednosti pre nagrizanja gleđi, međutim sam odnos Ca i P se ne menja.</p> / <p>Dental enamel is a substrate for the adhesion of direct and indirect fillings, venners, splints, fissure sealants and orthodontic brackets. Adhesion between the material and dental tissue is key to success of various interventions in dentistry. Despite the abundance and variety of new materials, adhesion has not been fully resolved. OBJECTIVES: To investigate the mechanical and chemical properties of the enamel after treatment with different conditioners. Determine the hardness and modulus of elasticity, the chemical content of calcium and phosphate minerals in the surface layer of the enamel before and after etching with different acids, and define the effect of enamel prismaticity on the degree of demineralisation by applying different acids. METHODS: An in vitro study was performed on extracted human teeth. In relation to the conditioner used, 192 were analyzed, of which 96 were permanent teeth and 96 were decidous teeth. Prepared enamel samples were analyzed before and after the application of four types of conditioner: 37% orthophosphoric acid (Kerr, Gel etchant), 10% polyacrylic acid (GC, Dentin Conditioner), phosphoric acid ester monomer (GC G bond), hydroxyethyl methacrylate with phosphoric acid ( 3M Unitek, Transbond &trade; Plus Self Etching Primer ). The hardness and modulus of elasticity of the enamel were determined by nanoindentation, the structure of the enamel surface layer by scanning electron microscopy, while the chemical composition of the enamel surface layer was determined by energy dispersive spectroscopy. RESULTS: The results of the modulus of elasticity within the group of decidous teeth indicated statistically significant differences between the results of untreated occlusal surface and all treated occlusal surface samples, while the analysis of the hardness of the enamel in the same group indicated statistically significant differences between the values of untreated and all treated samples, on all surfaces except buccal surface samples treated with polyacrylic acid. In the group of permanent teeth, there are statistically significant differences in the value of the modulus of elasticity between the samples treated with orthophosphoric acid, regardless of the tooth surface, compared to the groups in which other conditioners were used, except when the samples of the lingual surface of permanent teeth were treated with orthophosphoric acid in comparison to same sample group treated with Transbond. The results of the hardness of the permanent tooth enamel showed statistically significant differences between the untreated, control group and all groups of conditioners used, regardless of the tooth surface tested. Each conditioner applied changed the surface morphology of the sample. Orthophosphoric and polyacrylic acid, to a large extent, influenced the appearance of etching patterns type 1 and type 2. Using G bond and Transbond alongside to type 1, a large proportion of the etching pattern was type 5. Analysis of the chemical components of the surface layer of the enamel samples before and after conditioning indicated reduction of the proportion of analyzed elements, except for oxygen whose mass fraction increased after treatment with all conditioners in the permanent and deciduous teeth group. CONCLUSION: The values of the hardness of the enamel and the values of the modulus of elasticity decrease significantly after etching of the enamel to a degree that depends on the conditioner applied. The etching effect on aprismatic enamel is significantly smaller than the degree of demineralisation of the prismatic enamel in all conditioners tested. The chemical content of calcium and phosphate minerals in the surface layer of the enamel is significantly lower after the conditioning, however the Ca and P ratio does not change.</p>

El texto completo de este trabajo no está disponible en el Repositorio Académico UPC por restricciones de la casa editorial donde ha sido publicado. / PURPOSE: To assess the long-term effect of a 2% aqueous chlorhexidine (CHX) solution on bond strength to artificially eroded dentin compared to sound dentin. MATERIALS AND METHODS: Flat mid-coronal dentin surfaces of extracted third molars (n = 28) were subjected only to grinding with a 600-grit SiC paper for 1 min (sound dentin S, n = 14) or additionally to erosive pH cycling with a cola-based soft-drink (eroded dentin E, n = 14). After acid etching, rinsing, and air drying, S and E were rehydrated with 1.5 μl of 2% CHX (S2%, n = 7; E2%, n = 7) or of distilled water (control SC, n = 7; EC, n = 7). Composite buildups were incrementally constructed with Filtek Z350 following Adper Single Bond 2 application. Specimens were sectioned into beams, which were subjected to microtensile testing immediately or after 6 or 12 months of aging. Fractured surfaces were observed under a digital microscope (50X magnification). Microtensile bond strength (μTBS) (MPa) was analyzed by three-way ANOVA and Tukey's tests (α = 0.05) and failure mode by the Kruskal-Wallis test (α = 0.05). RESULTS: Compared to sound dentin, eroded dentin was consistently related to lower μTBS. Immediately and after 12-month aging, the effect of CHX was insignificant, but it was significant after 6-month aging, when it conserved the bond strength to both eroded and sound dentin. The percentage of adhesive and mixed failures were equivalent, and significantly more frequent than cohesive failures, whether in dentin or in composite. CONCLUSION: The 2% CHX effect on bond strength conservation to both eroded and sound dentin was not found to be persistent. / Revisión por pares