Tuncer Berkcan, Aktas Guliz, Baris Guncu Mustafa, Deniz Diler, Muhtarogullari Mehmet, Al-Haj Husain Nadin, Özcan Mutlu
Private Practitioner, Ankara 06100, Turkey.
Department of Prosthodontics, Faculty of Dentistry, Hacettepe University, Ankara 06100, Turkey.
Materials (Basel). 2023 Sep 15;16(18):6240. doi: 10.3390/ma16186240.
This study aimed to evaluate the effects of surface treatments and resin cement on the adhesion of ceramic and ceramic-like materials to titanium. A total of 40 specimens (5 mm diameter) of each material (lithium disilicate glass ceramic (LDGC-IPS e.maxCAD), lithium silicate glass ceramic (LSGC-VITA Suprinity) and a polymer-infiltrated ceramic network (PICN-Vita Enamic)) were fabricated using CAD/CAM technologies. In total, 120 titanium (Ti) specimens were divided into 12 groups, and half of the titanium specimens were tribochemically coated using CoJet. The titanium and all-ceramic specimens were cemented using either Self-curing adhesive cement (SCAC-Panavia 21) or a Self-curing luting composite (SCLC-Multilink Hybrid Abutment). After 5000 cycles of thermal aging, the shear bond strength (SBS) test was conducted using a universal testing machine. The failure modes of the specimens were analyzed using stereomicroscopy, and additionally, the representative specimens were observed using Scanning Electron Microscopy. ANOVA was used for the statistical analysis ( < 0.05). The post-hoc Duncan test was used to determine significant differences between the groups. The mean SBS values (mean ± STD) ranged from 15 ± 2 MPa to 29 ± 6 MPa. Significantly higher SBS values were acquired when the titanium surface was tribochemically coated ( < 0.05). The SCLC showed higher SBS values compared to the SCAC. While the LDGC showed the highest SBS values, the PICN presented the lowest. The tribochemical coating on the cementation surfaces of the titanium increased the SBS values. The specimens cemented with the SCLC showed higher SBS values than those with the SCAC. Additionally, the SCLC cement revealed a more significant increase in SBS values when used with the LDGC. The material used for restoration has a high impact on SBS than those of the cement and surface conditioning.
本研究旨在评估表面处理和树脂水门汀对陶瓷及类陶瓷材料与钛之间黏附力的影响。使用CAD/CAM技术制备了每种材料（二硅酸锂玻璃陶瓷（LDGC-IPS e.maxCAD）、硅酸锂玻璃陶瓷（LSGC-VITA Suprinity）和聚合物渗透陶瓷网络（PICN-Vita Enamic））的40个试样（直径5毫米）。总共120个钛（Ti）试样被分为12组，其中一半的钛试样采用CoJet进行摩擦化学涂层处理。钛试样和全陶瓷试样分别使用自固化粘结水门汀（SCAC-Panavia 21）或自固化粘结复合树脂（SCLC-Multilink Hybrid Abutment）进行粘结。经过5000次热老化循环后，使用万能试验机进行剪切粘结强度（SBS）测试。使用体视显微镜分析试样的失效模式，此外，使用扫描电子显微镜观察代表性试样。采用方差分析进行统计分析（<0.05）。使用事后邓肯检验确定各组之间的显著差异。平均SBS值（平均值±标准差）范围为15±2 MPa至29±6 MPa。当钛表面进行摩擦化学涂层处理时，获得了显著更高的SBS值（<0.05）。与SCAC相比，SCLC显示出更高的SBS值。虽然LDGC显示出最高的SBS值，但PICN的SBS值最低。钛粘结表面的摩擦化学涂层提高了SBS值。用SCLC粘结的试样显示出比用SCAC粘结的试样更高的SBS值。此外，当与LDGC一起使用时，SCLC水门汀显示出SBS值更显著的增加。用于修复的材料对SBS的影响比水门汀和表面处理的影响更大。
