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Effect of Different Composite Resin Types on the Repair Strength of Resin Matrix Ceramics: An in Vitro Study

Year 2025, Volume: 7 Issue: 1, 51 - 64, 28.04.2025
https://doi.org/10.51122/neudentj.2025.141

Abstract

Aim: This study investigates the effect of different composite resins and surface treatments on the repair strength of a resin matrix ceramic.
Material and Methods: Sixty resin matrix ceramic samples were divided into three main groups based on the surface treatments (Diamond bur roughening, hydrofluoric acid roughening, no surface treatment). Each main group was further divided into two subgroups depending on the type of composite resin (Nanoceramic and nanohybrid composite resins) bonded. Shear bond strength testing was performed for all groups at a 0.5 mm/min approach speed after thermal ageing. For all statistical comparisons in the study, p<0.05 was the level of statistical significance.
Results: The results showed that the highest shear bond strength was obtained in the group that underwent hydrofluoric acid surface treatment and was bonded with nanoceramic composite (18.17±4.48 MPa). On the other hand, the lowest shear bond strength was observed in the nanohybrid group (3.64±0.9 MPa), which did not undergo any surface treatment. The group that underwent hydrofluoric acid roughening showed significantly higher shear bond strength than those without surface treatment and those roughened with a diamond bur. Additionally, the nanoceramic-bonded groups had significantly higher shear bond strength than the nanohybrid-bonded groups.
Conclusions: Based on these findings, it can be concluded that resin matrix ceramics that are treated with hydrofluoric acid and bonded with nanoceramic provide better repair strength.

Supporting Institution

Afyonkarahisar Health Sciences University Scientific Research Projects Unit

Project Number

21.KARİYER.006.

Thanks

Afyonkarahisar Health Sciences University Scientific Research Projects Unit

References

  • Alrabeah G, Shabib S, Almomen R, Alhedeithi N, Alotaibi S, Habib SR. Effect of home bleaching on the optical properties and surface roughness of novel aesthetic dental ceramics. Coatings. 2023;13:330.
  • Gracis S, Thompson VP, Ferencz JL, Silva NR, Bonfante EA. A new classification system for all-ceramic and ceramic-like restorative materials. Int J Prosthodont. 2015;28:227-35.
  • Benalcázar-Jalkh EB, Bergamo ETP, Campos TMB, et al. A narrative review on polycrystalline ceramics for dental applications and proposed update of a classification system. Materials (Basel). 2023;16:7541.
  • Arkoy S, Ulusoy M. Effect of Different Surface Treatments on Repair Bond Strength of CAD/CAM Resin-Matrix Ceramics. Materials (Basel, Switzerland). 2022;15:6314.
  • Zhu H, Jiang J, Wang Y, Wang S, He Y, He F. Additive manufacturing of dental ceramics in prosthodontics: The status quo and the future. J Prosthodont Res. 2024;68(3):380-399. doi:10.2186/jpr.JPR_D_23_00119
  • Gali S, Gururaja S, Karuveettil V, Janakiram C. Methodological approaches in graded dental ceramics: a scoping review protocol. JBI Evid Synth. 2024;22(7):1387-1392. Published 2024 Jul 1. doi:10.11124/JBIES-23-00143
  • Randolph LD, Palin WM, Leprince JG. Developing a More Appropriate Classification System for Modern Resin-Based Composite Technologies. In: Miletic V editor. Dental composite materials for direct restorations [Internet]. Switzerland: Springer International Publishing; 2018 [cited 2023 Sep 29]. Chapter 6. Available from: https://link.springer.com/book/10.1007/978-3-319-60961-4
  • Jaramillo-Cartagena R, López-Galeano EJ, Latorre-Correa F, Agudelo-Suárez AA. Effect of Polishing Systems on the Surface Roughness of Nano-Hybrid and Nano-Filling Composite Resins: A Systematic Review. Dent J (Basel). 2021;9:95.
  • Rastelli AN, Jacomassi DP, Faloni AP, Queiroz TP, Rojas SS, Bernardi MI, Bagnato VS, Hernandes AC. The filler content of the dental composite resins and their influence on different properties. Microsc Res Tech. 2012; 75:758-65.
  • Badr C, Spagnuolo G, Amenta F, Khairallah C, Mahdi SS, Daher E, Battineni G, Baba NZ, Zogheib T, Qasim SSB, Daher T, Chintalapudi N, Zogheib CM. A two-year comparative evaluation of clinical performance of a nanohybrid composite resin to a flowable composite resin. J Funct Biomater. 2021;12:51.
  • Karakaya İ , Cengiz E. Effect of 2 bleaching agents with a content of high concentrated hydrogen peroxide on stained 2 CAD/CAM blocks and a nanohybrid composite resin: An AFM evaluation. Biomed Res Int. 2017, 6347145.
  • Elsaka SE. Repair bond strength of resin composite to a novel CAD/CAM hybrid ceramic using different repair systems. Dent Mater J. 2015;34:161-7.
  • Güngör MB, Nemli SK, Bal BT, Ünver S, Doğan A. Effect of surface treatments on shear bond strength of resin composite bonded to CAD/CAM resin-ceramic hybrid materials. J Adv Prosthodont. 2016;8:259-66.
  • Emsermann I, Eggmann F, Krastl G, Weiger R, Amato J. Influence of Pretreatment Methods on the Adhesion of Composite and Polymer Infiltrated Ceramic CAD-CAM Blocks. J Adhes Dent. 2019;21:433-43.
  • Bayazıt EÖ. Repair of aged polymer-based CAD/CAM ceramics treated with different bonding protocols. Int J Prosthodont. 2021;34:357-64.
  • Turkkal F, Culhaoglu AK, Sahin V. Composite-veneering of polyether-ether-ketone (PEEK): evaluating the effects of different surface modification methods on surface roughness, wettability, and bond strength. Lasers Med Sci. 2023;38:95.
  • Sattabanasuk V, Charnchairerk P, Punsukumtana L, Burrow MF. Effects of mechanical and chemical surface treatments on the resin-glass ceramic adhesion properties. Investig Clin Dent. 2017; 8: 10.1111/jicd.12220.
  • Leibrock A, Degenhart M, Rosentritt M, Handel G. In vitro study of the effect of thermo- and loading-cycling on the bond strenght of porcelain repair systems. J Oral Rehab. 1999;26:130-7.
  • Bello YD, Di Domenico MB, Magro LD, Lise MW, Corazza PH. Bond strength between composite repair and polymer-infiltrated ceramic-network material: Effect of different surface treatments. J Esthet Restor Dent. 2019;31:275-9.
  • Campos F, Almeida CS, Rippe MP, de Melo RM, Valandro LF, Bottino MA. Resin Bonding to a Hybrid Ceramic: Effects of Surface Treatments and Aging. Oper Dent. 2016;41:171-8.
  • Wolf DM, Powers JM, O'Keefe KL. Bond strength of composite to porcelain treated with new porcelain repair agents. Dent Mater. 1992;8:158-61.
  • Chen JH, Matsumura H, Atsuta M. Effect of different etching periods on the bond strength of a composite resin to a machinable porcelain. J Dent. 1998;26:53-8.
  • Schmage P, Nergiz I, Herrmann W, Ozcan M. Influence of various surface-conditioning methods on the bond strength of metal brackets to ceramic surfaces. Am J Orthod Dentofacial Orthop. 2003;123:540-6.
  • Neis CA, Albuquerque NL, Albuquerque Ide S, et al. Surface treatments for repair of feldspathic, leucite - and lithium disilicate-reinforced glass ceramics using composite resin. Braz Dent J. 2015;26:152-5.
  • Duarte S, Sartori N, Phark JH. Ceramic-reinforced polymers: CAD/CAM hybrid restorative materials. Curr Oral Health Rep. 2016;37:32-48.
  • Vita Enamic Concept Brochure [Internet] [cited 2023 Sep 29] Available from: https://www.vita-zahnfabrik.com/en/VITA-ENAMIC-24970.html
  • Porto TS, Medeiros da Silva IG, de Freitas Vallerini B, Fernando de Goes M. Different surface treatment strategies on etchable CAD-CAM materials: Part II-Effect on the bond strength. J Prosthet Dent. 2022 Jan 28:S0022-3913(21)00580-1. Epub ahead of print. PMID: 35101273.
  • Jain S, Parkash H, Gupta S, Bhargava A. To evaluate the effect of various surface treatments on the shear bond strength of three different intraoral ceramic repair systems: an in vitro study. J Indian Prosthodont Soc. 2013;13(3):315-20. Epub 2013 Mar 14. PMID: 24431753; PMCID: PMC3732709.
  • Nexcomp Composite Material Safety Data Sheet. [Internet] [cited 2023 Sep 29] Available from:https://www.meta-biomed.com/download/dental/Nexcomp_(MSDS)_R1(20161109).pdf
  • Kleinvogel L, Wemken G, Reidelbach C, Garcia-Käufer M, Vach K, Hellwig E, Spies BC, Polydorou, O. (2023). Method development for the intraoral release of nanoparticles from dental restorative materials. Dent Mater. 2023;39:693.
  • Spectra ST Scientific Manual. [Internet] [cited 2023 Sep 29] Available from: https://assets.dentsplysirona.com/flagship/en/explore/restorative/ceramx_spectra_st_hv_only/RES-SpectraST-Scientific%20Manual.pdf.
  • Özdemir H, Yanikoglu ND. The bond strength of nanohybrid and nanoceramic composites to feldspathic porcelain. Contemp Clin Dent. 2017;8:558-64.
  • Zhang LX, Hong DW, Zheng M, Yu H. Is the bond strength of zirconia-reinforced lithium silicate lower than that of lithium disilicate? - A systematic review and metaanalysis. J Prosthodont Res. 2022;66:530-7.
  • Al-Dohan HM, Yaman P, Dennison JB, Razzoog ME, Lang BR. Shear strength of core-veneer interface in bi-layered ceramics. J Prosthet Dent. 2004;91:349-55.
  • Saito A, Komine F, Blatz MB, Matsumura H. A comparison of bond strength of layered veneering porcelains to zirconia and metal. J Prosthet Dent. 2010;104:247-57.
  • Lüthy H, Loeffel O, Hammerle CH. Effect of thermocycling on bond strength of luting cements to zirconia ceramic. Dent Mater. 2006;22:195-200.

Farklı Kompozit Rezin Türlerinin Rezin Matriks Seramiklerin Tamir Dayanımı Üzerine Etkisinin Değerlendirilmesi

Year 2025, Volume: 7 Issue: 1, 51 - 64, 28.04.2025
https://doi.org/10.51122/neudentj.2025.141

Abstract

Amaç: Bu çalışma, farklı kompozit rezinlerin ve yüzey işlemlerinin rezin matriks seramiğin tamir dayanımı üzerindeki etkisini değerlendirmektir.
Gereç ve Yöntemler: Altmış rezin matriks seramik örneği yüzey işlemlerine göre üç ana gruba ayrıldı (Elmas frezle pürüzlendirme, hidroflorik asitle pürüzlendirme, yüzey işlemi yok). Her ana grup bağlanan kompozit rezin tipine (Nanoseramik ve nanohibrit kompozit rezinler) bağlı olarak iki alt gruba ayrılmıştır. Termal yaşlandırma sonrasında tüm gruplara için 0,5 mm/dk yaklaşım hızında makaslama bağlanma dayanımı testi gerçekleştirilmiştir. Çalışmadaki tüm istatistiksel karşılaştırmalar için istatistiksel anlamlılık düzeyi p<0.05 olarak belirlenmiştir.
Bulgular: En yüksek makaslama bağlanma dayanımının hidroflorik asit yüzey işlemi uygulanan ve nanoseramik kompozit ile bağlanan grupta elde edilmiştir (18.17±4.48 MPa). Öte yandan, en düşük makaslama bağlanma dayanımı ise herhangi bir yüzey işlemi uygulanmayan nanohibrit grubunda (3,64±0,9 MPa) gözlenmiştir. Hidroflorik asitle pürüzlendirme yapılan grup, yüzey işlemi yapılmayanlara ve elmas frezle pürüzlendirilenlere göre istatistiksel olarak anlamlı dercede daha yüksek makaslama bağlanma mukavemeti göstermiştir. Ek olarak, nanoseramik bağlı gruplar nanohibrit bağlı gruplara göre istatistiksel olarak anlamlı ölçüde daha yüksek kesme bağlanma dayanımına sahiptir.
Sonuçlar: Bu bulgulara dayanarak, hidroflorik asit ile yüzey işlemi uygulanan ve nanoseramik kompozit rezin bağlanan rezin matriks seramiklerin daha iyi onarım gücü sağladığı sonucuna varılabilir.

Project Number

21.KARİYER.006.

References

  • Alrabeah G, Shabib S, Almomen R, Alhedeithi N, Alotaibi S, Habib SR. Effect of home bleaching on the optical properties and surface roughness of novel aesthetic dental ceramics. Coatings. 2023;13:330.
  • Gracis S, Thompson VP, Ferencz JL, Silva NR, Bonfante EA. A new classification system for all-ceramic and ceramic-like restorative materials. Int J Prosthodont. 2015;28:227-35.
  • Benalcázar-Jalkh EB, Bergamo ETP, Campos TMB, et al. A narrative review on polycrystalline ceramics for dental applications and proposed update of a classification system. Materials (Basel). 2023;16:7541.
  • Arkoy S, Ulusoy M. Effect of Different Surface Treatments on Repair Bond Strength of CAD/CAM Resin-Matrix Ceramics. Materials (Basel, Switzerland). 2022;15:6314.
  • Zhu H, Jiang J, Wang Y, Wang S, He Y, He F. Additive manufacturing of dental ceramics in prosthodontics: The status quo and the future. J Prosthodont Res. 2024;68(3):380-399. doi:10.2186/jpr.JPR_D_23_00119
  • Gali S, Gururaja S, Karuveettil V, Janakiram C. Methodological approaches in graded dental ceramics: a scoping review protocol. JBI Evid Synth. 2024;22(7):1387-1392. Published 2024 Jul 1. doi:10.11124/JBIES-23-00143
  • Randolph LD, Palin WM, Leprince JG. Developing a More Appropriate Classification System for Modern Resin-Based Composite Technologies. In: Miletic V editor. Dental composite materials for direct restorations [Internet]. Switzerland: Springer International Publishing; 2018 [cited 2023 Sep 29]. Chapter 6. Available from: https://link.springer.com/book/10.1007/978-3-319-60961-4
  • Jaramillo-Cartagena R, López-Galeano EJ, Latorre-Correa F, Agudelo-Suárez AA. Effect of Polishing Systems on the Surface Roughness of Nano-Hybrid and Nano-Filling Composite Resins: A Systematic Review. Dent J (Basel). 2021;9:95.
  • Rastelli AN, Jacomassi DP, Faloni AP, Queiroz TP, Rojas SS, Bernardi MI, Bagnato VS, Hernandes AC. The filler content of the dental composite resins and their influence on different properties. Microsc Res Tech. 2012; 75:758-65.
  • Badr C, Spagnuolo G, Amenta F, Khairallah C, Mahdi SS, Daher E, Battineni G, Baba NZ, Zogheib T, Qasim SSB, Daher T, Chintalapudi N, Zogheib CM. A two-year comparative evaluation of clinical performance of a nanohybrid composite resin to a flowable composite resin. J Funct Biomater. 2021;12:51.
  • Karakaya İ , Cengiz E. Effect of 2 bleaching agents with a content of high concentrated hydrogen peroxide on stained 2 CAD/CAM blocks and a nanohybrid composite resin: An AFM evaluation. Biomed Res Int. 2017, 6347145.
  • Elsaka SE. Repair bond strength of resin composite to a novel CAD/CAM hybrid ceramic using different repair systems. Dent Mater J. 2015;34:161-7.
  • Güngör MB, Nemli SK, Bal BT, Ünver S, Doğan A. Effect of surface treatments on shear bond strength of resin composite bonded to CAD/CAM resin-ceramic hybrid materials. J Adv Prosthodont. 2016;8:259-66.
  • Emsermann I, Eggmann F, Krastl G, Weiger R, Amato J. Influence of Pretreatment Methods on the Adhesion of Composite and Polymer Infiltrated Ceramic CAD-CAM Blocks. J Adhes Dent. 2019;21:433-43.
  • Bayazıt EÖ. Repair of aged polymer-based CAD/CAM ceramics treated with different bonding protocols. Int J Prosthodont. 2021;34:357-64.
  • Turkkal F, Culhaoglu AK, Sahin V. Composite-veneering of polyether-ether-ketone (PEEK): evaluating the effects of different surface modification methods on surface roughness, wettability, and bond strength. Lasers Med Sci. 2023;38:95.
  • Sattabanasuk V, Charnchairerk P, Punsukumtana L, Burrow MF. Effects of mechanical and chemical surface treatments on the resin-glass ceramic adhesion properties. Investig Clin Dent. 2017; 8: 10.1111/jicd.12220.
  • Leibrock A, Degenhart M, Rosentritt M, Handel G. In vitro study of the effect of thermo- and loading-cycling on the bond strenght of porcelain repair systems. J Oral Rehab. 1999;26:130-7.
  • Bello YD, Di Domenico MB, Magro LD, Lise MW, Corazza PH. Bond strength between composite repair and polymer-infiltrated ceramic-network material: Effect of different surface treatments. J Esthet Restor Dent. 2019;31:275-9.
  • Campos F, Almeida CS, Rippe MP, de Melo RM, Valandro LF, Bottino MA. Resin Bonding to a Hybrid Ceramic: Effects of Surface Treatments and Aging. Oper Dent. 2016;41:171-8.
  • Wolf DM, Powers JM, O'Keefe KL. Bond strength of composite to porcelain treated with new porcelain repair agents. Dent Mater. 1992;8:158-61.
  • Chen JH, Matsumura H, Atsuta M. Effect of different etching periods on the bond strength of a composite resin to a machinable porcelain. J Dent. 1998;26:53-8.
  • Schmage P, Nergiz I, Herrmann W, Ozcan M. Influence of various surface-conditioning methods on the bond strength of metal brackets to ceramic surfaces. Am J Orthod Dentofacial Orthop. 2003;123:540-6.
  • Neis CA, Albuquerque NL, Albuquerque Ide S, et al. Surface treatments for repair of feldspathic, leucite - and lithium disilicate-reinforced glass ceramics using composite resin. Braz Dent J. 2015;26:152-5.
  • Duarte S, Sartori N, Phark JH. Ceramic-reinforced polymers: CAD/CAM hybrid restorative materials. Curr Oral Health Rep. 2016;37:32-48.
  • Vita Enamic Concept Brochure [Internet] [cited 2023 Sep 29] Available from: https://www.vita-zahnfabrik.com/en/VITA-ENAMIC-24970.html
  • Porto TS, Medeiros da Silva IG, de Freitas Vallerini B, Fernando de Goes M. Different surface treatment strategies on etchable CAD-CAM materials: Part II-Effect on the bond strength. J Prosthet Dent. 2022 Jan 28:S0022-3913(21)00580-1. Epub ahead of print. PMID: 35101273.
  • Jain S, Parkash H, Gupta S, Bhargava A. To evaluate the effect of various surface treatments on the shear bond strength of three different intraoral ceramic repair systems: an in vitro study. J Indian Prosthodont Soc. 2013;13(3):315-20. Epub 2013 Mar 14. PMID: 24431753; PMCID: PMC3732709.
  • Nexcomp Composite Material Safety Data Sheet. [Internet] [cited 2023 Sep 29] Available from:https://www.meta-biomed.com/download/dental/Nexcomp_(MSDS)_R1(20161109).pdf
  • Kleinvogel L, Wemken G, Reidelbach C, Garcia-Käufer M, Vach K, Hellwig E, Spies BC, Polydorou, O. (2023). Method development for the intraoral release of nanoparticles from dental restorative materials. Dent Mater. 2023;39:693.
  • Spectra ST Scientific Manual. [Internet] [cited 2023 Sep 29] Available from: https://assets.dentsplysirona.com/flagship/en/explore/restorative/ceramx_spectra_st_hv_only/RES-SpectraST-Scientific%20Manual.pdf.
  • Özdemir H, Yanikoglu ND. The bond strength of nanohybrid and nanoceramic composites to feldspathic porcelain. Contemp Clin Dent. 2017;8:558-64.
  • Zhang LX, Hong DW, Zheng M, Yu H. Is the bond strength of zirconia-reinforced lithium silicate lower than that of lithium disilicate? - A systematic review and metaanalysis. J Prosthodont Res. 2022;66:530-7.
  • Al-Dohan HM, Yaman P, Dennison JB, Razzoog ME, Lang BR. Shear strength of core-veneer interface in bi-layered ceramics. J Prosthet Dent. 2004;91:349-55.
  • Saito A, Komine F, Blatz MB, Matsumura H. A comparison of bond strength of layered veneering porcelains to zirconia and metal. J Prosthet Dent. 2010;104:247-57.
  • Lüthy H, Loeffel O, Hammerle CH. Effect of thermocycling on bond strength of luting cements to zirconia ceramic. Dent Mater. 2006;22:195-200.
There are 36 citations in total.

Details

Primary Language English
Subjects Dental Materials and Equipment, Prosthodontics, Restorative Dentistry
Journal Section RESEARCH ARTICLE
Authors

Özer İşisağ 0000-0002-2042-958X

Özgür Kanık 0000-0002-7667-9254

Project Number 21.KARİYER.006.
Publication Date April 28, 2025
Submission Date April 16, 2024
Acceptance Date November 15, 2024
Published in Issue Year 2025 Volume: 7 Issue: 1

Cite

Vancouver İşisağ Ö, Kanık Ö. Effect of Different Composite Resin Types on the Repair Strength of Resin Matrix Ceramics: An in Vitro Study. NEU Dent J. 2025;7(1):51-64.