Main Article Content
Abstract
BACKGROUND
The purpose of the study was to assess bond strength of various modern resin cements based on CAD-CAM ceramic in multilayer technique.
METHODS
CAD-CAM blocks specimens, IPS e.max ZirCAD (core, n=60) and IPS e max CAD (veneer, n=60) were fabricated. All specimens were divided into 3 groups (n=20). By multilayer technique, zirconia core and veneer were cemented with 3 different cements, RelyX U200 (MR), Panavia V5 (MP), and Multilink N (MM]. Ageing was performed for (5-55°C, 5000). The shear bond strength test was performed with a universal test unit. The data were analyzed using the analysis of variance (ANOVA) and Tukey significant difference test (alpha =0.05).
RESULTS
The SBS differed substantially depending on the resin cement used. Group MP had the highest bond strength (P < .001) and lower MM. No significant differences were found between the groups MR and MM.
CONCLUSIONS
Significant differences were found in the shear bond strength of the veneer luted to zirconia base in multilayer technique using self-adhesive and conventional cement. The bond strength depended on the combination of ceramic and cement. The Panavia V5 had the highest bond strength.
Keywords
Article Details

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References
- Spitznagel FA, Boldt J, Gierthmuehlen PC. CAD/CAM ceramic restorative materials for natural teeth. J Dent Res 2018;97(10):1082-91.
- Guess PC, Schultheis S, Bonfante EA, et al. All-ceramic systems: laboratory and clinical performance. Dent Clin North Am 2011;55(2):333-52.
- Juntavee N, Sirisathit I. Marginal accuracy of computer-aided design and computer-aided manufacturing-fabricated full-arch zirconia restoration. Clin Cosmet Investig Dent 2018;10:9-17.
- Tanış MC, Kılıçarslan MA, Bellaz IB. In vitro evaluation of bond strength between the zirconia core and CAD/CAM produced veneers. J Prosthodont 2020;29(1):56-61.
- Sasany R, Ceylan G, Koca MF, et al. Effect of potassium nitrate and boric acid on the bond strength of veneering ceramics to zirconia. Eur J Prosthodont Restor Dent 2020;28(4):182-8.
- Shahin A, Al-Wahadni A, Masri R. Zirconia-based restorations: literature review. IJMRP 2017;3(2):253-60.
- Alessandretti R, Ribeiro R, Borba M, et al. Fracture load and failure mode of CAD-on ceramic structures. Braz Dent J 2019;30(4):380-4.
- Wiedhahn K. The impression-free Cerec multilayer bridge with the CAD-on method. Int J Comput Dent 2011;14(1):33-45.
- Sim JY, Lee WS, Kim JH, et al. Evaluation of shear bond strength of veneering ceramics and zirconia fabricated by the digital veneering method. J Prosthodont Res 2016;60(2):106-13.
- Ishibe M, Raigrodski AJ, Flinn BD, et al. Shear bond strengths of pressed and layered veneering ceramics to high-noble alloy and zirconia cores. J Prosthet Dent 2011;106(1):29-37.
- Sasany R, Saraç D, Özcan M. Effect of different liner techniques and argon plasma treatment of zirconia base on the adhesion and color change of veneering ceramic. J Adhesion Sci Technol 2021;35(18):1981-94.
- Ab-Ghani Z, Ariffin Z, Jaafar W, et al. Shear bond strength of computer-aided design and computer-aided manufacturing feldspathic and nano resin ceramics blocks cemented with three different generations of resin cement. J Conserv Dent 2015;18(5):355-9.
- Małysa A, Weżgowiec J, Danel D, et al. Bond strength of modern self-adhesive resin cements to human dentin and different CAD/CAM ceramics. Acta Bioeng Biomech 2020;22(2):25-34.
- Ozyoney G, Yanikoğlu F, Tağtekin D, et al. Shear Bond Strength of Composite Resin Cements to Ceramics, Marmara Dent J 2013;1(2):61-6.
- Arango S, Pelaez-Vargas A, Monteiro FJ, et al. Ceramics for Dental Restorations - an introduction. Dyna (Columbia) 2010;77(163):26-36.
- Lukomska-Szymanska M, Sokolowski J, Lapinska B. Current views on adhesive bonding systems. J Stoma 2017;70(4):384-93.
- Sasany R, Kunt GE, Koca MF. Influence different polishing systems on roughness and colour stability of chairside CAD/CAM blocks with laminate veneer thickness. J Appl Biomater Funct Mater 2022;20:22808000221086493.
- Sasany R, Saraç D, Ergun-Kunt G. Effect of various veneering techniques on bond strength and colour stability of zirconia/veneering ceramic after hydrothermal aging. J Evolution Med Dent Sci 2021;10:3474-9.
- Ereifej N, Rodrigues FP, Silikas N. Experimental and FE shear bond strength at core/veneer interfaces in bilayered ceramics. Dent Mater 2011;27(6):590-7.
- Van Meerbeek B, Peumans M, Poitevin A, et al. Relationship between bond-strength tests and clinical outcomes. Dent Mater 2010;26(2):e100-21.
- Kanat-Ertürk B, Çömlekoğlu EM, Dündar–Çömlekoğlu M, et al. Effect of veneering methods on zirconia framework-veneer ceramic adhesion and fracture resistance of single crowns. J Prosthodont 2015;24(8):620-8.
- Kaimal A, Ramdev P, Shruthi CS. Evaluation of the effect of zirconia surface treatment, using plasma of Argon and silane, on the shear bond strength of two composite resin cement. J Clin Diagn Res 2017;11(8):ZC30-43.
- da Silva NR, Rodrigues MP, Bicalho AA, et al. Effect of resin cement mixing and insertion method into the root canal on cement porosity and fiberglass post bond strength. J Adhes Dent 2019;21(1):37-46.
- Ergun-Kunt G, Sasany R, Koca MF, et al. Comparison of silane heat treatment by laser and various surface treatments on microtensile bond strength of composite resin/lithium disilicate. Materials (Basel) 2021;14(24):7808.
References
Spitznagel FA, Boldt J, Gierthmuehlen PC. CAD/CAM ceramic restorative materials for natural teeth. J Dent Res 2018;97(10):1082-91.
Guess PC, Schultheis S, Bonfante EA, et al. All-ceramic systems: laboratory and clinical performance. Dent Clin North Am 2011;55(2):333-52.
Juntavee N, Sirisathit I. Marginal accuracy of computer-aided design and computer-aided manufacturing-fabricated full-arch zirconia restoration. Clin Cosmet Investig Dent 2018;10:9-17.
Tanış MC, Kılıçarslan MA, Bellaz IB. In vitro evaluation of bond strength between the zirconia core and CAD/CAM produced veneers. J Prosthodont 2020;29(1):56-61.
Sasany R, Ceylan G, Koca MF, et al. Effect of potassium nitrate and boric acid on the bond strength of veneering ceramics to zirconia. Eur J Prosthodont Restor Dent 2020;28(4):182-8.
Shahin A, Al-Wahadni A, Masri R. Zirconia-based restorations: literature review. IJMRP 2017;3(2):253-60.
Alessandretti R, Ribeiro R, Borba M, et al. Fracture load and failure mode of CAD-on ceramic structures. Braz Dent J 2019;30(4):380-4.
Wiedhahn K. The impression-free Cerec multilayer bridge with the CAD-on method. Int J Comput Dent 2011;14(1):33-45.
Sim JY, Lee WS, Kim JH, et al. Evaluation of shear bond strength of veneering ceramics and zirconia fabricated by the digital veneering method. J Prosthodont Res 2016;60(2):106-13.
Ishibe M, Raigrodski AJ, Flinn BD, et al. Shear bond strengths of pressed and layered veneering ceramics to high-noble alloy and zirconia cores. J Prosthet Dent 2011;106(1):29-37.
Sasany R, Saraç D, Özcan M. Effect of different liner techniques and argon plasma treatment of zirconia base on the adhesion and color change of veneering ceramic. J Adhesion Sci Technol 2021;35(18):1981-94.
Ab-Ghani Z, Ariffin Z, Jaafar W, et al. Shear bond strength of computer-aided design and computer-aided manufacturing feldspathic and nano resin ceramics blocks cemented with three different generations of resin cement. J Conserv Dent 2015;18(5):355-9.
Małysa A, Weżgowiec J, Danel D, et al. Bond strength of modern self-adhesive resin cements to human dentin and different CAD/CAM ceramics. Acta Bioeng Biomech 2020;22(2):25-34.
Ozyoney G, Yanikoğlu F, Tağtekin D, et al. Shear Bond Strength of Composite Resin Cements to Ceramics, Marmara Dent J 2013;1(2):61-6.
Arango S, Pelaez-Vargas A, Monteiro FJ, et al. Ceramics for Dental Restorations - an introduction. Dyna (Columbia) 2010;77(163):26-36.
Lukomska-Szymanska M, Sokolowski J, Lapinska B. Current views on adhesive bonding systems. J Stoma 2017;70(4):384-93.
Sasany R, Kunt GE, Koca MF. Influence different polishing systems on roughness and colour stability of chairside CAD/CAM blocks with laminate veneer thickness. J Appl Biomater Funct Mater 2022;20:22808000221086493.
Sasany R, Saraç D, Ergun-Kunt G. Effect of various veneering techniques on bond strength and colour stability of zirconia/veneering ceramic after hydrothermal aging. J Evolution Med Dent Sci 2021;10:3474-9.
Ereifej N, Rodrigues FP, Silikas N. Experimental and FE shear bond strength at core/veneer interfaces in bilayered ceramics. Dent Mater 2011;27(6):590-7.
Van Meerbeek B, Peumans M, Poitevin A, et al. Relationship between bond-strength tests and clinical outcomes. Dent Mater 2010;26(2):e100-21.
Kanat-Ertürk B, Çömlekoğlu EM, Dündar–Çömlekoğlu M, et al. Effect of veneering methods on zirconia framework-veneer ceramic adhesion and fracture resistance of single crowns. J Prosthodont 2015;24(8):620-8.
Kaimal A, Ramdev P, Shruthi CS. Evaluation of the effect of zirconia surface treatment, using plasma of Argon and silane, on the shear bond strength of two composite resin cement. J Clin Diagn Res 2017;11(8):ZC30-43.
da Silva NR, Rodrigues MP, Bicalho AA, et al. Effect of resin cement mixing and insertion method into the root canal on cement porosity and fiberglass post bond strength. J Adhes Dent 2019;21(1):37-46.
Ergun-Kunt G, Sasany R, Koca MF, et al. Comparison of silane heat treatment by laser and various surface treatments on microtensile bond strength of composite resin/lithium disilicate. Materials (Basel) 2021;14(24):7808.