Ex vivo evaluation of the retention of procera® zirconia-yttria systems with different cements
Keywords:Dental porcelain, Dental cements, Denture retention
Introduction: since the specialized literature does not report reliable protocols for cementing zirconia-yttria restorations, the purpose of this study was to perform an ex vivo assessment of the retention by frictional strength of Procera® zirconia-yttria systems cemented with four materials: Ketac Cem (3M) ESPE), Multilink Automix (Ivoclar Vivadent), Panavia F 2.0 (Kuraray), and RelyX U100 (3M ESPE) on natural teeth. Methods: We gathered 40 recently extracted third molars, which were disinfected with 0.5% NaOCl and stored in saline solution, embedded in acrylic resin, and cut at a 10° convergence angle per wall with an axial carving of 1.5 mm in depth and 4 mm in height. Impressions were taken with Aquasil Ultra® Dentsply and cast with type IV plaster, obtaining 40 Procera AllZircon (Nobel Biocare) structures. 10 samples per material were cemented and thermocycled x 5,000 cycles of 15 s. They were then tractioned with a universal testing machine and failure types at the different interfaces were analyzed. One-way multiple-range ANOVA statistical analysis was performed. Results: average retention values in Newtons were 440 N for Ketac Cem, 698 N for Multilink Automix, 686 N for Panavia F 2.0, and 551 N for RelyX U100. Dentin adhesion failure occurred in 53.8% of cases, followed by mixed failure, with 12.82%. Conclusions: resinous cements with acid phosphate monomers reported higher retention values in comparison with conventional acid-base cements. Adherence to dentin and cement handling can affect the final result.
Anusavice KJ. Dental Ceramics. En: Phillips. The science of dental material. 11.a ed. España: Elsevier; 2004. p. 660-662.
Raigrodski AJ, Chiche GJ, Potiket N, Hochstedler JL, Mohamed SE, Billiot S. The efficacy of posterior three-unit zirconium-oxide based ceramic fixed partial dental prostheses: A prospective clinical pilot study. J Prosthet Dent 2006; 96(4): 237-244.
May KB, Russell MM, Razzoog ME, Lang BR. Precision of fit: the procera all ceram crowns. J Prostht Den 1998; 80(4): 394-404.
Snyder MD, Hogg KD. Load-to-fracture value of different All-ceramic crown systems. Jour Comt Dent Pract 2005; 15; 6(4): 54-63.
Odman P, Andersson B. Procera All Ceram crowns followed for 5 to 10.5 years: a prospective clinical study. Int J Prosthodont 2001; 14(6): 504-509.
Fradeani M, D’Amelio M, Redemagni M, Corrado M. Five years follow-up with Procera all Ceramic crowns. Quintessence Int 2005; 36(2): 105-113.
Behr M, Rosentritt M, Loher H, Kolbeck C, Trempler C, Stemplinger B et al. Changes of cement properties caused by mixing errors: the therapeutic range of different cement types. Dent Mater 2008; 24(9): 1187-1193.
Attar N, Tam LE, McComb D. Mechanical and physical properties of contemporary dental luting agents. J Prosthet Dent 2003; 89(2): 127-134.
Hill EE. Dental cements for definitive luting: a review and practical clinical considerations. Dent Clin North Am 2007; 51(3): 643-658.
Mount GJ. Glass ionomers: a review of their current status. Oper Dent 1999; 24(2): 115-124.
Macchi RL. Ionómeros vítreos. En: Materiales dentales. 4.a ed. Argentina: Panamericana; 2007. p. 149-155.
Fruits TJ, Coury TL, Miranda FJ, Duncanson MG Jr. Uses and properties of current glass ionomers cements: a review. Gen Dent 1996; 44(5): 410-418.
Heintze SD. Crown pull-off test (crown retention test) to evaluate the bonding effectiveness of luting agents. Dent Mater 2010; 26(3): 193-206.
Peumans M, Kanumilli P, De Munck J, Van Landuyt K, Lambrechts P, Van Meerbeek B. Clinical effectiveness of contemporary adhesives: A systematic review of current clinical trials. Dent Mater 2005; 21(9): 864-881.
Irie M, Maruo Y, Nishigawa G, Suzuki K, Watts DC. Physical properties of dual-cured luting agents correlated to early no interfacial-gap incidence with composite inlay restorations. Dent Mater 2010; 26(6): 608-615.
Mirmohammadia H, Aboushelib MN, Salameh Z, Feilzer AJ, Kleverlaan CJ. Innovations in bonding to zirconia based ceramics: Part III. Phosphate monomer resin cements. Dent Mater 2010; 26(8): 786-792.
Ivoclar Vivadent. [Internet]. [Consultado 2008 Ago 19] Disponible en: http://www.ivoclarvivadent.es/content/products/detail.aspx?id=prd_t1_100955863&product=Multilink
Holderegger C, Sailer I, Schuhmacher C, Schläpfer R, Hämmerle C, Fischer J. Shear bond strength or resin cements to human dentin. Dent Mater 2008; 24(7): 944-950.
Wolfart M, Lehmann F, Wolfart S, Kern M. Durability of the resin bond strength to zirconia ceramic after using different surface conditioning methods. Dent Mater 2007; 23(1): 45-50.
Kuraray. [sitio en internet]. [Fecha de acceso 19 de agosto de 2008] URL disponible en: http://www.kuraraydental.com/viewproduct.php?pid=13
Quaas AC, Yang B, Kern M. Panavia F 2.0 bonding to contaminated zirconia ceramic after different cleaning procedures. Dent Mater 2007; 23(4): 506-512.
Moszner N, Sals U, Zirmmermann J. Chemical aspects of self-etching enamel-dentin adhesives: a systematic review. Dent Mater 2005; 21(10): 895-910.
M [Internet]. [Consultado 2008 Ago 19] Disponible en: http://solutions.3m.com/wps/portal/3M/en_US/3M-ESPE/dental-professionals/products/category/cement/relyx-unicem/
Gerth HU, Dammaschke T, Züchner H, Schäfer E. Chemical analysis and bonding reaction of RelyX Unicem and Bifix composites —a comparative study. Dent Mater 2006; 22(10): 934-941.
Frankenberger R, Lohbauer U, Schaible RB, Nikolaenko SA, Naumann M. Luting of ceramic inlays in vitro: marginal quality of self-etch and etch-and-rinse adhesive versus self-etch cements. Dent Mater 2008; 24(2): 185-191.
Vrochari AD, Eliades G, Hellwig E, Wrbas KT. Curing efficiency of four self-etching, self-adhesive resin cements. Dent Mater 2009; 25(9): 1104-1108.
Aboushelib MN, Mirmohamadi H, Matinlinna JP, Kukk E, Ounsi HF, Salameh Z. Innovations in bonding to zirconia-based materials. Part II: Focusing on chemical interactions. Dent Mater 2009; 25(8): 989-993.
Rosentritt M, Behr M, Thaller C, Rudolph H, Feilzer A. Fracture performance of computer-aided manufactured zirconia and alloys crowns. Quintessence Int 2009; 40(8): 655-662.
Blatz MB, Sadan A, Kern M. Resin-ceramic bonding: a review of the literature. J Prosthet Dent 2003; 89(3): 268-274.
Huheey JE, Keiter EA. Inorganic chemistry-principles of structure and reactivity. New York: Harper & Row. Harper Collins; 1993.
Matinlinna JP, Heikkinen T, Ozcan M, Lassila LV, Vallittu PK. Evaluation of resin adhesion to zirconia ceramic using some organosilanes. Dent Mater 2006; 22(9): 824-831.
Wegner SM, Kern M. Long-term resin bond strength to the zirconia ceramic. J Adhes Dent 2000; 2(2): 139-147.
Atsu SS, Kilicarslan MA, Kucukesmen HC, Aka PS. Effect of zirconium-oxide ceramic surface treatments on the bond strength to adhesive resin. J Prosthet Den 2006; 95(6): 430-436.
Palacios RP, Johnson GH, Phillips KM, Raigrodski AJ. Retention of zirconium oxide ceramic crowns with three types of cement. J Prosthetic Dent 2006; 96(2): 104-114.
Ernst CP, Cohnen U, Stender E, Willershausen B. In vitro retentive strength of zirconium oxide ceramic crowns using different luting agents. J Prosthet Dent 2005; 93(6): 551-558.
Shahin R, Kern M. Effect of air-abrasion on the retention of zirconia ceramic crowns luted with different cements before and after artificial aging. Dent Mater 2010; 26(9): 922-928.
Ernst CP. Influence of different luting concepts on long term retentive strength of zirconia crowns. Am J Dent 2009; 22(2): 122-128.
Piwowarczyk A, Lauer HC. Mechanical properties of luting cements after water storage. Oper Dent 2003; 28(5): 535-542.
Oyagüe RC, Monticelli F, Toledano M, Osorio E, Ferrari M, Osorio R. Effect of water aging on microtensile bond strength of dual-cured resin cements to pre-treated sintered zirconium-oxide ceramics. Dent Mater 2009; 25(3): 392-399.
Yang B, Barloi A, Kern M. Influence of air-abrasion on zirconia ceramic bonding using an adhesive composite resin. Dent Mater 2010; 26(1): 40-50.
Thompson JY, Stoner BR, Piascik JR, Smith R. Adhesion/cementation to zirconia and other non-silicate ceramics: where are we now? Dent Mater 2011; 27(1): 71-82.
Viotti R, Kasaz A, Pena CE, Alexandre RS, Arrais CA, Reis AF. Microtensile bond strength of new self-adhesive luting agents and conventional multistep systems. J Prosthet Den 2009; 102(5): 306-312.
Attia A, Lehmann F, Kern M. Influence of surface conditioning and cleaning methods on resin bonding to zirconia ceramic. Dent Mater 2011; 27(3): 207-213.
Moustafa N, Kleverlaan CJ, Feilzer AJ. Selective infiltration-etching technique for a strong and durable bond of resin cements to zirconia-based materials. J. Prosthet Dent 2007; 98(5): 379-388.
Phark H, Duarte S Jr, Blatz M, Sadan A. An in vitro evaluation of the long-term resin bond to a new densely sintered high-purity zirconium-oxide ceramic surface J Prosthet Dent 2009; 101(1): 29-38.
How to Cite
Copyright (c) 2014 Revista Facultad de Odontología Universidad de Antioquia
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Copyright comprises moral and patrimonial rights.
1. Moral rights: are born at the moment of the creation of the work, without the need to register it. They belong to the author in a personal and unrelinquishable manner; also, they are imprescriptible, unalienable and non negotiable. Moral rights are the right to paternity of the work, the right to integrity of the work, the right to maintain the work unedited or to publish it under a pseudonym or anonymously, the right to modify the work, the right to repent and, the right to be mentioned, in accordance with the definitions established in article 40 of Intellectual property bylaws of the Universidad (RECTORAL RESOLUTION 21231 of 2005).
2. Patrimonial rights: they consist of the capacity of financially dispose and benefit from the work trough any mean. Also, the patrimonial rights are relinquishable, attachable, prescriptive, temporary and transmissible, and they are caused with the publication or divulgation of the work. To the effect of publication of articles in the journal Revista de la Facultad de Odontología, it is understood that Universidad de Antioquia is the owner of the patrimonial rights of the contents of the publication.
The content of the publications is the exclusive responsibility of the authors. Neither the printing press, nor the editors, nor the Editorial Board will be responsible for the use of the information contained in the articles.
I, we, the author(s), and through me (us), the Entity for which I, am (are) working, hereby transfer in a total and definitive manner and without any limitation, to the Revista Facultad de Odontología Universidad de Antioquia, the patrimonial rights corresponding to the article presented for physical and digital publication. I also declare that neither this article, nor part of it has been published in another journal.
Open Access Policy
The articles published in our Journal are fully open access, as we consider that providing the public with free access to research contributes to a greater global exchange of knowledge.
Creative Commons License
The Journal offers its content to third parties without any kind of economic compensation or embargo on the articles. Articles are published under the terms of a Creative Commons license, known as Attribution – NonCommercial – Share Alike (BY-NC-SA), which permits use, distribution and reproduction in any medium, provided that the original work is properly cited and that the new productions are licensed under the same conditions.
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.