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Bond strength to different CAD/CAM lithium disilicate reinforced ceramics
Mona Alhomuod1, Jin-Ho Phark1, Sillas Duarte1
1Advanced Operative and Adhesive Dentistry, Department of Operative Dentistry, Herman Ostrow School of Dentistry, University of Southern California, Los Angeles, California, USA.
For durable dental restorations, applying silane coupling agent after etching and before universal adhesive is crucial for strong, long-lasting bonds to lithium disilicate ceramics. Omitting silane significantly weakens bond strength over time.
Area of Science:
- Dental Materials Science
- Biomaterials Engineering
- Adhesive Dentistry
Background:
- Lithium disilicate ceramics (LDC) are widely used in CAD/CAM dental restorations.
- Achieving durable adhesive bonds between LDC and resin cements is critical for restoration longevity.
- The role of silane coupling agents in conjunction with universal adhesives requires further investigation for novel LDC materials.
Purpose of the Study:
- To evaluate the impact of universal adhesive alone versus universal adhesive with additional silane on the shear bond strength (SBS) to four different LDC materials.
- To analyze the microstructure and failure modes of LDC-resin bonds under different adhesive strategies and aging conditions.
Main Methods:
- Four CAD/CAM LDC materials were etched with hydrofluoric acid.
- Specimens were bonded using either a universal adhesive alone or silane followed by a universal adhesive.
- Shear bond strength was tested after 24 hours and after 20,000 cycles of thermocycling plus 2 months of water storage.
Main Results:
- Shear bond strength values ranged from 29.08 to 17.87 MPa (non-aged) and 22.24 to 3.01 MPa (aged).
- Omitting silane application significantly reduced bond strength after aging (p < 0.001).
- Failure modes were predominantly mixed, with some cohesive failures observed within the LDC.
Conclusions:
- Bond strength to CAD/CAM LDC is significantly influenced by the ceramic's microstructure.
- The additional application of silane after hydrofluoric acid etching remains essential for achieving long-term bonding to LDC, even when universal adhesives contain silane.
- Water degradation substantially compromises long-term bonding efficacy to novel LDC materials.
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