Osman Tolga Harorli

Repair bond strength of composite resin to sandblasted and laser irradiated Y‐TZP ceramic surfaces

This study investigated the effects of different surface treatments on the repair bond strength of yttrium-stabilized tetragonal zirconia polycrystalline ceramic (Y-TZP) zirconia to a composite resin. Sixty Y-TZP zirconia specimens were prepared and randomly divided into six groups (n = 10) as follows: Group 1, surface grinding with Cimara grinding bur (control); Group 2, sandblasted with 30 µm silica-coated alumina particles; Group 3, Nd:YAG laser irradiation; Group 4, Er,Cr:YSGG laser irradiation; Group 5, sandblasted + Nd:YAG laser irradiation; and Group 6, sandblasted + Er,Cr:YSGG laser irradiation. After surface treatments, the Cimara(®) System was selected for the repair method and applied to all specimens. A composite resin was built-up on each zirconia surface using a cylindrical mold (5 × 3 mm) and incrementally filled. The repair bond strength was measured with a universal test machine. Data were analyzed using a one-way ANOVA and a Tukey HSD test (p = 0.05). Surface topography after treatments were evaluated by a scanning electron microscope (SEM). Shear bond strength mean values ranged from 15.896 to 18.875 MPa. There was a statistically significant difference between group 3 and the control group (p < 0.05). Also, a significant increase in bond strength values was noted in group 6 (p < 0.05). All surface treatment methods enhanced the repair bond strength of the composite to zirconia; however, there were no significant differences between treatment methods. The results revealed that Nd:YAG laser irradiation along with the combination of sandblasting and Er,Cr:YSGG laser irradiation provided a significant increase in bond strength between the zirconia and composite resin.

Resin cement to indirect composite resin bonding: Effect of various surface treatments

Debonding at the composite-adhesive interface is a major problem for indirect composite restorations. The aim of this study was to evaluate the bond strength (BS) of an indirect composite resin after various surface treatments (air-abrasion with Al2O3, phosphoric acid-etchig and different applications of NdYAG laser irradiations). Fifty composite disks were subjected to secondary curing to complete polymerization and randomly divided into five experimental groups (n = 10) including Group 1, untreated (control); Group 2, phosphoric acid-etched; Group 3, air-abrasion with Al2 O3 ; Group 4, Nd:YAG laser irradiated with non-contact and Group 5, Nd:YAG laser irradiated with contact. They were then bonded to resin cement and shear BS was determined in a universal testing device at a crosshead speed of 1 mm/min. One way analysis of variance (ANOVA) and Tukey post-hoc tests were used to analyze the BS values. The highest BS value was observed in Group 4 and followed by Group 3. Tukey test showed that there was no statistical difference between Group1, 2 and 5. Furthermore, differences in BSs between Group 4 and the other groups except Group 3 were significant (p < 0.05) and also there were significant differences in BSs between Group 3 to 1 and Group 3 to 2 (p < 0.05). This study reveals that air-abrasion with Al2 O3 and Nd:YAG laser irradiation with non-contact provided a significant increase in BS between indirect composite and resin cement.

Micro-tensile bond strength of adhesives to pulp chamber dentin after irrigation with Ethylenediaminetetraacetic acid.

Aim: The aim of this study was to evaluate the influence of different concentrations of Ethylenediaminetetraacetic acid (EDTA) solution on adhesion, that is, the bond strength of the different adhesive systems, to the pulp chamber dentin. Materials and Methods: Recently extracted, sound, human, third molars were cut horizontally to expose the pulp horn. The roof of the pulp chamber and pulp tissue was removed. The teeth were then divided into five main groups. The teeth in each group were treated as follows: group 1, irrigated with saline; group 2, with 5% EDTA for 5 minutes; group 3, with 15% EDTA for 5 minutes; group 4, with 17% EDTA for 5 minutes and group 5, with 19% EDTA for 5 minutes. Treated specimens were dried and divided into 2 subgroups for adhesives; bonded with a total-etching adhesive (Adper Scotchbond Multi-purpose - ASB) or a one bottle of self-etch adhesive system (Clearfil S3 Bond – CS3). After the bonding procedure and composite restoration, teeth were sectioned and dentin sticks were obtained from each group for micro tensile testing (n = 10). Micro tensile testing was performed and scanning electron microscope (SEM) photographs were taken for each irrigated group. Results: In the ASB group, saline showed statistically higher bond strength values at the different concentrations of EDTA, while the micro-tensile bond strengths of the different concentrations of EDTA were not statistically different. In the CS3 group, saline and 5% EDTA showed statistically higher bond strength values than 17% and 19% EDTA, while the micro-tensile bond strengths of 15% EDTA compared to saline and 5% EDTA and 15% EDTA compared to 17% EDTA and 19% EDTA, were not statistically different. Conclusion: This study showed that EDTA irrigation can affect the bond strength of adhesive systems on pulp chamber lateral walls. Clinically, low EDTA concentrations can be recommended if self-etch adhesives have been selected.

Efficacy of ceramic repair material on the bond strength of composite resin to zirconia ceramic

Abstract Objective. The aim of this study was to evaluate the shear bond strength of composite resin in five different repair systems. Materials and methods. Sixty specimens (7 mm in diameter and 3 mm in height) of zirconia ceramic were fabricated. All specimen surfaces were prepared with a 30 µm fine diamond rotary cutting instrument with water irrigation for 10 s and dried with oil-free air. Specimens were then randomly divided into six groups for the following different intra-oral repair systems (n = 10): Group 1, control group; Group 2, Cojet system (3M ESPE, Seefeld, Germany); Group 3, Cimara® System (Voco, Cuxhaven, Germany); Group 4, Z-Prime Plus System (Bisco Inc., Schaumburg, IL); Group 5, Clearfil™ System (Kuraray, Osaka, Japan); and Group 6, Z-Bond System (Danville, CA). After surface conditioning, a composite resin Grandio (Voco, Cuxhaven, Germany) was applied to the zirconia surface using a cylindrical mold (5 mm in diameter and 3 mm in length) and incrementally filled up, according to the manufacturer’s instructions of each intra-oral system. Each specimen was subjected to a shear load at a crosshead speed of 1 mm/min until fracture. One-way analysis of variance (ANOVA) and Tukey post-hoc tests were used to analyze the bond strength values. Results. There were significant differences between Groups 2–6 and Group 1. The highest bond strength values were obtained with Group 2 (17.26 ± 3.22) and Group 3 (17.31 ± 3.62), while the lowest values were observed with Group 1 (8.96 ± 1.62) and Group 6 (12.85 ± 3.95). Conclusion. All repair systems tested increased the bond strength values between zirconia and composite resin that used surface grinding with a diamond bur.

Effect of the lasers used in periodontal therapy on the surfaces of restorative materials.

The present study aimed to reveal potential damage of the lasers, which are used as an alternative to manual instruments in periodontal therapy, might cause to the surface of restorative materials. Four different restorative materials were used: a glass-ionomer cement (GIC), a flowable composite (FC), a universal composite (UC) and an amalgam. Ten cylindrical samples (8 mm × 2 mm) were prepared for each restorative material. Two laser systems were used in subgingival curettage mode; an 940 nm diode laser (Epic Biolase, Irvine, CA) and an Er,Cr:YSGG laser (Waterlase iPlus, Biolase, Irvine, CA). After laser irradiation, roughness of the sample surfaces was measured using a profilometer. Additionally, atomic force microscopy (AFM) and scanning electron microscopy (SEM) analyses were performed to evaluate the morphology and surface deformations of the restorative materials and surfaces. The laser irradiation did not affect the surface roughness of any restorative materials relative to that of the control group (p > 0.05) except for the Er,Cr:YSGG treatment on GIC (p < 0.05). SEM and AFM images verified the results of the surface roughness tests. Within the limitations of the present study, it was demonstrated that Er,Cr:YSGG and diode lasers, aside from the Er;Cr:YSGG treatment on GIC, caused no harmful surface effects on adjacent restorative materials. SCANNING 38:227-233, 2016.

Shear bond strength of a self-etched resin cement to an indirect composite: Effect of different surface treatments

OBJECTIVES The aim of this study was to compare the shear bond strength of resin cement (Rely X-U200) bonded to differently conditioned indirect composite samples. MATERIALS AND METHODS Sixty-six composite resin specimens (5 mm in diameter and 3 mm in thickness) were prepared with an indirect composite resin (Grandia) and randomly divided into six groups. Surfaces of the samples were treated with one of the following treatments; %37 phosphoric acid etching, sandblasting, 1,5 W, 2 W and 3 W erbium, chromium: Yttrium-scandium-gallium-garnet laser application. An untreated group was used as a control. In each group surface of the sample was analyzed with scanning electron microscopy. The remaining samples (n = 60) were built up with a self-adhesive resin cement (Rely X-U200) 3 mm in diameter and 2 mm height. After 24 h water storage at 37°C, the prepared specimens were submitted to shear bond strength test. One-way analysis of variance was used to analyze the bond strength values of different groups. RESULTS Highest shear bond strength values were observed in sandblasting group however there were not statistical difference among the tested surface treatment methods. CONCLUSION In Shear bond strength of resin, cement was independent of the surface conditioning methods applied on tested indirect resin composite.

Color Recovery Effect of Different Bleaching Systems on a Discolored Composite Resin

Background and Purpose: Discoloration of resin-based composites is a commonly encountered problem, and bleaching agents may be used for the therapy of the existing discoloration. The purpose of this study was to investigate in vitro color recovery effect of different bleaching systems on the heavily discolored composite resin. Materials and Methods: Fifty disk-shaped dental composite specimens were prepared using A2 shade nanohybrid universal composite resin (3M ESPE Filtek Z550, St. Paul, MN, USA). Composite samples were immersed in coffee and turnip juice for 1 week in each. One laser activated bleaching (LB) (Biolase Laserwhite*20) and three conventional bleaching systems (Ultradent Opalescence Boost 40% (OB), Ultradent Opalescence PF 15% home bleaching (HB), Crest 3D White [Whitening Mouthwash]) were tested in this study. Distilled water was used as control group. The color of the samples were measured using a spectrophotometer (VITA Easy shade Compact, VITA Zahnfabrik, Bad Säckingen, Germany). Color changes (ΔE00) were calculated using the CIEDE2000 formula. Statistical analyses were conducted using paired samples test, one-way analysis of variance, and Tukeys multiple comparison tests (α = 0.05). Results: The staining beverages caused perceptible discoloration (ΔE00 > 2.25). The color recovery effect of all bleaching systems was statistically determined to be more effective than the control group (P < 0.05). Although OB group was found as the most effective bleaching system, there was no statistically significant difference among HB, OB, and LB groups (P > 0.05). Conclusion: Within the limitation of this in vitro study, the highest recovery effect was determined in office bleaching system among all bleaching systems. However, home and laser bleaching systems were determined as effective as office bleaching system.

Effect of different bleaching applications on the surface properties and staining susceptibility of dental composites

The aim of this study was to investigate the effects of two bleaching systems on micro hardness, surface roughness and color stability of two novel dental composites. Ormocer based restorative Admira and nano-filled composite Clearfil Majesty Esthetic were bleached with 10% carbamide peroxide (Opalescence PF) or 35% hydrogen peroxide (Beyond Max 5) and subsequently immersed in four different staining solutions (coffee, tea, red wine, and cola). Distilled water was used as a control. Color measurements were performed with a spectrophotometer. Vickers micro hardness and roughness data were analyzed with two-way analysis of variance for repeated measures. The analysis of variance was used to compare the color change values. Duncan’s multiple comparison test was applied to compare the results (α = 5%). ΔEab* values over 3.3 were considered clinically unacceptable. Micro hardness and surface roughness values of the tested composites were decreased significantly after bleaching applications. Red wine and tea storage caused perceptible discolorations in the composite resin materials after 30 days of 3-hour immersion. Home or office bleaching applications can affect the surface properties of resin composites and accelerate the staining process.

Effects of Diode and Er,Cr: YSGG Laser Used in Periodontal Treatment on the Surface Roughness of Various Prosthetic Dental Materials

Objective: The aim of this study was to evaluate the effects of the er,Cr:YsGG laser and diode laser, used in periodontal surgery, on the surface roughness of various restorative materials. Material and Methods: Three different restorative materials were used in this study. resin Block, zirconium Block and Veneering Ceramic. Thirty cylindrical samples (8 mm diameter, 2 mm height) were prepared for each restorative material. The samples were assigned to 3 experimental groups (n=10). Group 1: no surface treatment (control group); Group 2: er, Cr: YsGG laser (Waterlase iplus, Biolase, ırvine, Ca) application at settings of 1.5 W with 35 hz laser irradiation for 20 sn; and Group 3: 810 nm diode laser (epici Biolase, ırvine, Ca) application at a setting of 1 W with continuous phase laser irradiation for 20 s. after laser irradiation, roughness of the sample surfaces was measured using a profilometer. Data were analyzed using 1-way anoVa and Tukey’s post hoc test. scanning electron microscopy (sem) analyses were performed to evaluate the surface deformations of the restorative materials. 1akdeniz Üniversitesi Diş hekimliği Fakültesi, protetik Diş Tedavisi, antalya, Türkiye 2akdeniz Üniversitesi Diş hekimliği Fakültesi, periodontoloji , antalya, Türkiye 3akdeniz Üniversitesi Diş hekimliği Fakültesi, restoratif Diş Tedavisi, antalya, Türkiye

BEYAZLATICI AĞIZ GARGARALARININ KOMPOZİT REZİNİN YÜZEY PÜRÜZLÜLÜĞÜ ÜZERİNE ETKİLERİNİN İNCELENMESİ

Objective: The aim of this in vitro study was to evaluate the effect of whitening mount rinses on superficial roughness a nanofilled resin composite. Methods: Sixty-three nanofilled composite resin specimens (8 mm x 2 mm) were prepared and randomly divided into seven groups, according to the mouthrinse solutions (n = 9): Oral-B 3D White, Crest 3D White, Colgate Optik Beyaz, Scope White, Signal White Now and Listerine Whitening Vibrant. The control group used in the study was distilled water. The initial surface roughness measurements (Ra) were measured with a profilometer and then the each sample was immersed in 2 mL of the mouthrinses for 14 days period. After immersion period, roughness readings were repeated and the data were analyzed with ANOVA and Scheffe test (p 0.05). Conclusion: We conclude that the influence of the whitening mouthrinses on the surface roughness of dental resin composite was negligible