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Effect of different surface treatment protocols on the bond strength between lithium disilicate and resin cements

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Abstract

Because the use of hydrofluoric acid (HF) poses health risks if handled improperly, many clinicians prefer to have the ceramic restorations pre-etched in dental laboratories. However, during the try-in procedure, the pre-etched glass–ceramic restorations may be contaminated with saliva resulting in reduced bond strength. This in-vitro study aimed to investigate the effect of different surface treatments on the bond strength of lithium disilicate (LD) glass–ceramic restorations (IPS e.max Press, Ivoclar Vivadent) to two resin cements. One-hundred eighty blocks (4X4X3mm) of LD glass–ceramic were divided into twelve groups (n = 15), of which six received Variolink Esthetic DC (VE) cement and six received RelyX Ultimate (RU) cement, following the surface treatments: G1) Control: Hydrofluoric Acid + Silane (HF + Sil); G2) Hydrofluoric Acid + Saliva + Silane (HF + S + Sil); G3) Hydrofluoric Acid + Saliva + Ivoclean + Silane (HF + S + IC + Sil); G4) Hydrofluoric Acid + Saliva + Phosphoric Acid + Silane (HF + S + P + Sil); G5) Hydrofluoric Acid + Saliva + Monobond Etch & Prime (HF + S + EP); G6) Monobond Etch & Prime (EP). Following treatment, a resin-cement cylinder (2.3 mm diameter) was built on the glass–ceramic surface, photocured (20 s), stored in distilled water (37 °C, 24 h) and submitted to the shear bond strength test. Bond strength data (MPa) were subjected to two-way ANOVA and Tukey (α = 0.01). Cement type and surface treatment had a significant effect on the bond strength (p < 0.001) (Table 4). Single-step Monobond Etch & Prime (EP) significantly improved the bond strength of resin-cements to glass–ceramic with and without saliva contamination.

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Data availability

The datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request.

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Acknowledgements

The authors thank the laboratory technician Hirofumi Shirakawa for his excellent work during the fabrication of the ceramic specimens. The authors thank the group from the Departments of Biology and Statistical and Actuarial Sciences at Western University who performed the statistical analysis. The Schulich Dental Research Opportunity Program supported the student’s stipend.

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Authors and Affiliations

  1. Schulich Medicine and Dentistry, Western University, London, ON, Canada

    Bilal Maqbool

  2. Department of Restorative Dentistry, Schulich Medicine and Dentistry, Western University, DSB, London, ON, N6A 5C1, Canada

    Heleine Maria Chagas Rego, Gildo Coelho Santos Jr. & Maria Jacinta Moraes Coelho Santos

  3. Department of Restorative Dentistry, Schulich Medicine and Dentistry, Western University, London, ON, Canada

    Nilgun Ari

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  1. Bilal Maqbool
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  2. Heleine Maria Chagas Rego
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  5. Maria Jacinta Moraes Coelho Santos
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Correspondence to Maria Jacinta Moraes Coelho Santos.

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Maqbool, B., Rego, H.M.C., Santos, G.C. et al. Effect of different surface treatment protocols on the bond strength between lithium disilicate and resin cements. Odontology 112, 74–82 (2024). https://doi.org/10.1007/s10266-023-00809-w

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