The use of resin cements in restorative dentistry to overcome retention problems. (1/11)

The use of resin cements in combination with dentin bonding agents can result in superior attachment of prostheses to tooth structure. This paper describes four clinical cases in which dentin-bonded resin cements were used to overcome retention problems. In the first case, a detached fixed partial denture, which was in good condition when separated, was recemented to abutment teeth prepared with less-than-ideal angle of convergence. In the second case, a detached all-porcelain crown was recemented with a dentin-bonded resin cement after appropriate surface treatment. In the third case, a porcelain-fused-to-metal crown made for a molar tooth was cemented to a short clinical crown, avoiding crown-lengthening surgery. In the fourth case, a 3-unit fixed partial denture was recemented to abutments with less-than-ideal supporting features. Dentin-bonded resin cements can help to extend the life of detached prostheses until the patient is financially prepared for replacement or it can help to avoid crown-lengthening surgery.  (+info)

Evaluation of shear bond strength of composite to porcelain according to surface treatment. (2/11)

This study evaluated the shear bond strength of porcelain/composite using 40 metal + porcelain + composite cylindrical specimens divided into 4 groups, according to porcelain surface treatment: 1) no treatment, 2) mechanical retentions performed with diamond burs, 3) etching with phosphoric acid+silane, and 4) etching with hydrofluoric acid+silane. After being stored in distilled water at room temperature for one week, the specimens were submitted to a shear force (load) and the data were analyzed statistically (ANOVA). The means (in Mpa) of the groups were: 4.71 (group 1); 4.81 (group 2); 11.76 (group 3); 11.07 (group 4). There were no statistically significant differences between groups 1 and 2 and between groups 3 and 4.  (+info)

Accuracy of temporary laser welding of FPDs by Nd:YAG laser in the oral cavity. (3/11)

The purpose of this study was to investigate the accuracy of temporary fixation with laser welding for fixed partial dentures (FPDs). Five kinds of experimental FPD with different welding/soldering gaps were fabricated (0, 20, 50 microm for welding; 300 microm for soldering). Then, FPDs were temporary-fixed by laser welding or with a self-curing resin. Fixation accuracy was evaluated by the change in distance and the angular deformation between two retainers. The change in distance and the angular deformation between two retainers of the FPD without welding/soldering gap were significantly larger than the other FPDs (p<0.05). With due consideration to the displacement of teeth or implants especially in the mesiodistal direction, and by taking into account the inevitable errors of the indirect method, it seemed reasonable to provide a welding space of approximately 20 microm.  (+info)

Microtensile bond strength of a repair composite to leucite-reinforced feldspathic ceramic. (4/11)

The purpose of this study was to evaluate the microtensile bond strength of a repair composite resin to a leucite-reinforced feldspathic ceramic (Omega 900, VITA) submitted to two surface conditionings methods: 1) etching with hydrofluoric acid + silane application or 2) tribochemical silica coating. The null hypothesis is that both surface treatments can generate similar bond strengths. Ten ceramic blocks (6x6x6 mm) were fabricated and randomly assigned to 2 groups (n=5), according to the conditioning method: G1- 10% hydrofluoric acid application for 2 min plus rinsing and drying, followed by silane application for 30 s; G2- airborne particle abrasion with 30 microm silica oxide particles (CoJet-Sand) for 20 s using a chairside air-abrasion device (CoJet System), followed by silane application for 5 min. Single Bond adhesive system was applied to the surfaces and light cured (40 s). Z-250 composite resin was placed incrementally on the treated ceramic surface to build a 6x6x6 mm block. Bar specimens with an adhesive area of approximately 1 +/- 0.1 mm(2) were obtained from the composite-ceramic blocks (6 per block and 30 per group) for microtensile testing. No statistically significant difference was observed between G1 (10.19 +/- 3.1 MPa) and G2 (10.17 +/- 3.1 MPa) (p=0.982) (Student's t test; a = 0.05). The null hypothesis was, therefore, accepted. In conclusion, both surface conditioning methods provided similar microtensile bond strengths between the repair composite resin and the ceramic. Further studies using long-term aging procedures should be conducted.  (+info)

Evaluation of the dental structure loss produced during maintenance and replacement of occlusal amalgam restorations. (5/11)

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Repair potential of a laboratory-processed nano-hybrid resin composite. (6/11)

The purpose of this study was to compare the 24-h composite-to-composite microtensile bond strength of Gradia Forte (GF) repaired with the same or a different material after different surface treatments. Different groups were set up, in which composite blocks of GF were subjected to the following treatments: Group 1, sandblasting with 50-microm aluminum oxide and 37% phosphoric acid etching (PA); Group 2, bur roughening and etching with 37% PA; Group 3, etching with 37% PA only. In all groups, a bonding resin was used as an intermediate agent prior to layering of the repair material (Gradia Direct (GD), Gradia (G), or GF). Bond strengths were then determined and analysed statistically. Scanning electron microscopy (SEM) evaluation of substrates and bonded interfaces was also performed. Surface treatment (P < 0.001) and repair materials (P < 0.001) were factors that significantly affected repair strength, whereas their interaction (P = 0.31) had no significant effect. Group 3 showed significantly superior repair strength to Groups 1 and 2, whereas Group 2 showed significantly weaker repair strength to Groups 1 and 3. Irrespective of surface treatment, GD and G gave similar results, which were better than those obtained using GF. The lowest probability of failure was found for GD and G in Group 3, whereas the highest was found for GF in Groups 1 and 2. Premature failures occurred mainly with G and GF. No pre-testing failures were found in the sandblasting/GD subgroup. Surface-treated composites showed different textures under SEM, whereas composite-repair bonds showed comparable interfacial features.  (+info)

Influence of surface treatment and cyclic loading on the durability of repaired all-ceramic crowns. (7/11)

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Restorative material and other tooth-specific variables associated with the decision to repair or replace defective restorations: findings from The Dental PBRN. (8/11)

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