Search Results (114)

Cementation of indirect restorations has undergone a profound change over the past century, evolving from a philosophy of purely mechanical cementation to sophisticated biomaterials science based on adhesion. The aim of this narrative review is to provide essential context for understanding contemporary clinical decision-making. A key aspect is the structural and compositional characteristics of enamel and dentin as bonding substrates, underlining why enamel remains the gold standard, while dentin continues to present significant challenges. The synthesis is based on evidence of adhesive strategies for the four main classes of contemporary restorative materials, such as glass-ceramics (lithium disilicate and leucite), polycrystalline zirconia, resin-matrix ceramics (hybrid ceramics), and indirect composites. Each material was detailed in terms of surface penetration (e.g., hydrofluoric acid etching and air abrasion), chemical coupling (e.g., silanization and MDP-based primers), and appropriate resin cement selection (light-cured, dual-cured, or self-adhesive). A step-by-step clinical protocol is synthesized based on current evidence, integrating critical techniques such as immediate dentin sealing and optimized polymerization. This review concludes that while adhesive resin cements provide predictable long-term results, significant challenges remain, guiding future clinical research and innovation. Full article

Adequate polymerization of resin cements in fiber post restorations depends on effective light transmission, which is influenced by post type, design, and length; however, variations in transmitted light radiant energy (TLRE) among systems may compromise bonding and long-term outcomes, and comparative evidence remains limited. This study evaluated radiant exposure and TLRE transmitted by different fiber post systems across varying post lengths. Four fiber post systems (Easy Post, RelyX Fiber Post, iLumi Super Fiber Post, and EZ-Fit Translucent Post) and a glass rod as a control group were tested (n = 40). TLRE was measured through standardized side openings at 1 mm increments after 40 s of light curing and recorded with a radiometer, while the post-microstructure was analyzed using scanning electron microscopy. Hierarchical multiple linear regression was used to assess the effects of post system and length on TLRE. TLRE differed significantly among systems (p < 0.001), with post type and length explaining a substantial proportion of variance; length was a significant negative predictor across all systems. Only 1.20–7.19% of coronal TLRE reached post surfaces. The iLumi post maintained TLRE > 200 mJ/cm² along its length, and microstructural differences were observed between smooth and serrated designs. Fiber post type, configuration, and length significantly influence TLRE, which decreases with increasing length, highlighting the importance of appropriate post selection to optimize resin cement polymerization and clinical performance. Full article

The purpose of this in vitro study was to evaluate the mechanical performance, dimensional accuracy, and bonding behavior of fused filament fabrication (FFF)-printed provisional restorations made from polymethyl methacrylate (PMMA) and polyethylene terephthalate (PET), and compare them with digital light processing (DLP)-printed and computer-aided numerical control (CNC)-milled ones. Occlusal veneers (OV), posterior crowns (PC), and anterior crowns (AC) (n = 30) were fabricated using FFF (PMMA, PET), DLP (acrylate), and CNC (PMMA) to assess initial fracture load (IFL). To determine reproducibility three restorations of each group were scanned and compared with each other; to determine printing accuracy the scanned restorations were compared with the STL generated for manufacturing. For shear bond strength (SBS) testing, 72 PMMA (FFF) specimens were conditioned with either Monobond Plus (MP) or Visiolink (VL) and bonded with acrylic cylinders using a dual-cure luting composite (Variolink Esthetic DC). Half of each group underwent thermocycling (10,000 cycles, 5 °C/55 °C, 30 s dwell time); the remainder was tested initially. Additionally, 48 FFF-printed PC were fabricated from PET and PMMA to investigate the fracture load in relation to the adhesive material (FL). PMMA crowns were conditioned with MP (n = 16) or VL (n = 16) and bonded with Variolink Esthetic DC. PET crowns were cemented with either Meron (ME) or Ketac Cem Plus (KE). Half of the PMMA and all PET crowns were subjected to masticatory simulation (1,200,000 cycles, 5 N, 5 °C/55 °C, 60 s dwell). Data were analyzed using Kolmogorov–Smirnov, Kruskal–Wallis, and Mann–Whitney U tests, including IFL, SBS and FL parametric tests, and comparisons were carried out using an independent t-test ($\alpha$ = 0.05). FFF-fabricated restorations showed the lowest fracture load values and CNC-fabricated the highest (p < 0.001). OV fabricated via DLP and CNC exhibited the highest fracture load (p < 0.001). For FFF, PC demonstrated the highest values (p < 0.028), whereas AC showed the lowest fracture load values (p < 0.001). VL showed higher initial SBS than MP (p < 0.001) and no impact on aging (p < 0.608). All MP samples showed debonding after thermocycling. Within PET and PMMA, no impact of luting/cement material on fracture load was observed (p = 0.116–0.282). The fracture load decreased after masticatory simulation (MP-PMMA: p < 0.001, VL-PMMA: p = 0.27). DLP-fabricated restorations showed the highest reproducibility and printing accuracy. CNC and FFF-PET showed comparable values. FFF-PMMA showed the greatest deviations. CNC-fabricated provisional restorations exhibited the highest fracture load. AC presented the lowest fracture load values. DLP provided the highest reproducibility and accuracy. VL achieved superior bonding to PMMA surfaces. Thermomechanical aging significantly reduced fracture load in both PET and PMMA restorations, regardless of luting material. Full article

This study investigated the effect of CAD-CAM resin composite thickness on the polymerization behavior of dual-cure resin cements used for endocrown restorations. Three commercially available dual-cure resin cements and one light-cure resin cement (for comparison) were polymerized by light irradiation through CAD-CAM resin composite plates of varying thicknesses (1.5, 3.5, 5.5, 7.5, and 9.5 mm). Transmitted light intensity was measured using an optical spectrometer. Polymerization behavior was evaluated immediately after irradiation and after 24 h of aging using Fourier transform infrared spectroscopy to determine the degree of conversion (DC) and Vickers hardness (VH) testing. Transmitted light intensity decreased logarithmically with increasing composite thickness, with less than 1% of incident light reaching the resin cement at thicknesses ≥ 5.5 mm. For the dual-cure resin cements, DC and VH values significantly decreased when the composite thickness exceeded 5.5 mm. Although DC and VH increased after 24 h due to self-curing, values beneath thicker composites remained lower than those beneath 1.5 mm thick composites. The light-cure resin cement failed to polymerize when the composite thickness exceeded 7.5 mm. These results indicate that CAD-CAM resin composite thickness critically influences resin cement polymerization, highlighting the importance of thickness control in endocrown restorations. Full article

Flexible concrete blankets (FCBs) are emerging as a promising material for slope protection and surface stabilization, offering advantages of light weight, ease of installation, and environmental adaptability. This study investigates the mechanical properties, freeze–thaw resistance, and microstructural evolution of FCBs fabricated with varying cement–sand ratios and high alumina cement dosages. A series of mechanical tests, including compressive, flexural, and tensile strength evaluations, were conducted alongside freeze–thaw cycling tests (up to 125 cycles) to assess mass loss and strength retention. X-ray diffraction (XRD) and scanning electron microscopy (SEM) analyses were employed to elucidate the hydration mechanisms and damage evolution at the microstructural level. The results demonstrate that FCBs exhibit ductile failure behavior, with peak tensile strengths ranging from 3.1 to 4.5 MPa and tensile strain capacities ranging from 5 to 16%. The optimal mix achieved a compressive strength of 51.2 MPa after 28 days of curing. Freeze–thaw cycling induced a two-stage degradation pattern, with damage initiation occurring at approximately 50 cycles and significant deterioration beyond 75 cycles. After 125 cycles, mass loss ranged from 4.39% to 4.99%, and compressive strength retention varied between 78% and 83%, depending on the mix composition. Mixtures with balanced cement–sand ratios (1:1) and moderate Portland cement content demonstrated superior frost resistance, whereas high alumina cement-rich mixtures exhibited pronounced structural loosening due to phase transformations of unstable hydration products. These findings provide a theoretical and experimental basis for optimizing the composition of FCBs to achieve enhanced mechanical performance and durability in cold-region engineering applications. Full article

Dual-cure composite cements are an important element of modern dental prosthetics, enabling a stable and long-lasting bond between prosthetic restorations and tooth tissues. Thanks to the combined mechanism of chemical- and light-curing polymerization, they are characterized by high clinical versatility. Despite their wide application, the impact of storage/pre-conditioning temperature on the mechanical properties of dual-cure composite cements remains unclear. The study evaluated the shear bond strength (SBS) of the bond between four dual cements—Bifix Hybrid Abutment (VOCO GmbH, Cuxhaven, Germany), MaxCem Elite (Kerr Corporation, Orange, CA, USA), EnaCem HF (Micerium, Avegno, Italy), and Multilink Automix (Ivoclar Vivadent, Schaan, Lichtenstein)—and dentin depending on their storage temperature (25 °C or 50 °C) and curing method. The tests were carried out on extracted human permanent teeth. The cements were divided into two temperature groups—stored for 7 days at 25 °C or stored for 7 days at 50 °C—and then each of these two temperature groups was divided into two groups—light- and chemically cured (dual-cured, LC) and chemically cured only (CC). Dual-cured cements showed higher shear bond strength at 25 °C. Storage at 50 °C lowered the SBS values, especially for the purely chemically bound cements. LC Bifix Hybrid Abutment achieved the highest SBS at 25 °C, but at 50 °C its properties deteriorated. EnaCem HF showed higher strength at a lower temperature; MaxCem Elite was stable at both temperatures, whereas Multilink Automix showed lower SBS at 50 °C. The study showed that the chemical composition of cements, especially the presence of a benzoyl peroxide (BPO) initiating system, can play a key role in their SBS when bonded to teeth tissue and stability at different storage temperatures. MaxCem Elite showed the best resistance to temperature changes—it achieved the highest temperature stability in both temperature groups. Full article

Biochar, a carbon-rich material produced through the pyrolysis of wood residues and agricultural byproducts, has carbon storage capacity and potential as a low-carbon construction material. This study predicts the compressive strength of cementitious composites in which cement is partially replaced with biochar using machine learning models. A total of 716 data samples were analyzed, including 480 experimental measurements and 236 literature-derived values. Input variables included the water-to-cement ratio (W/C), biochar content, cement, sand, aggregate, silica fume, blast furnace slag, superplasticizer, and curing conditions. Predictive performance was evaluated using Multiple Linear Regression (MLR), Elastic Net Regression (ENR), Support Vector Regression (SVR), and Gradient Boosting Machine (GBM), with GBM showing the highest accuracy. Further optimization was conducted using XGBoost, Light Gradient-Boosting Machine (LightGBM), CatBoost, and NGBoost with GridSearchCV and Optuna. LightGBM achieved the best predictive performance (mean absolute error (MAE) = 3.3258, root mean squared error (RMSE) = 4.6673, mean absolute percentage error (MAPE) = 11.19%, and R² = 0.8271). SHAP analysis identified the W/C and cement content as dominant predictors, with fresh water curing and blast furnace slag also exerting strong influence. These results support the potential of biochar as a partial cement replacement in low-carbon construction material. Full article

Vital pulp therapy (VPT) is increasingly recognised as a biologically driven alternative to root canal treatment in teeth with deep caries and a vital pulp diagnosis. Resin-modified calcium silicate-based materials (RM-CSMs) were introduced to combine the bioactivity of traditional cements with improved handling and immediate light-curing, but their biological performance remains debated. Objectives: This systematic review and meta-analysis aimed to evaluate the clinical and radiographic outcomes of VPT performed with RM-CSMs compared with conventional non-resin-modified calcium silicate-based materials (NRM-CSMs) Methods: PRISMA Guidelines were followed to carry out this systematic review. Electronic databases (Medline, Embase, Scopus, and Web of Science) were searched up to October 2025 for randomised clinical trials evaluating indirect pulp capping, direct pulp capping, or pulpotomy. Nine trials met the inclusion criteria. Meta-analyses were performed for TheraCal LC, the only RM-CSM with sufficient clinical evidence. The risk of bias was assessed using the RoB 2 Tool. The certainty of evidence was assessed using GRADE. Results: Pooled results showed no significant differences in overall clinical–radiographic success between RM-CSMs and NRM-CSMs at 90 or 180 days. At 360 days, a trend favouring NRM-CSMs emerged, though not statistically significant. Dentine bridge formation at 360 days was significantly lower with TheraCal LC. Conclusions: Current RM-CSMs demonstrate comparable short-term success to conventional materials but still present biological limitations, particularly regarding long-term reparative outcomes. NRM-CSMs remain the preferred option when maximal bioactivity and predictable dentinogenesis are required Full article

Excessive carbonation curing can impair later-age properties; therefore, determining an appropriate carbonation duration is critical for practical low-CO₂ utilization. In this study, cement paste and mortar specimens were subjected to accelerated carbonation curing under a diluted CO₂ atmosphere (3%) using a concentration-controlled scheme (2.5–3.0%), followed by standard hydration curing for up to 28 d. Carbonation durations of 500, 1000, 2000, and 6000 min were examined. The results show that an early carbonation duration of 1000 to 2000 min achieves an optimal balance between performance enhancement and subsequent hydration development. Compared with the reference specimens, compressive and flexural strengths, as well as durability-related indicators (including electrical flux and EIS parameters), are improved. In addition, the surface microstructure is refined, with a higher proportion of highly crystalline CaCO₃ (>70%). In contrast, prolonged carbonation (>2000 min) induces unfavorable microstructural evolution during subsequent hydration, leading to reductions in mechanical performance and durability. These findings provide a practical duration-control strategy for accelerated carbonation curing using low-concentration CO₂ streams (3–10%), which are typical of light-industry flue gases. Full article

Reliable bonding between zirconia and PEEK surfaces is crucial for ensuring the long-term success of hybrid prosthetic restorations. This study aimed to evaluate the tensile bond strength of zirconia–PEEK specimens prepared using different primer strategies to determine the most effective adhesive protocol. One hundred bonded specimens were divided into four groups (n = 25): control (no primer), zirconia primer (MKZ Primer), PEEK primer (Visio.link), and dual primer application. Specimens underwent sandblasting with 110 µm Al₂O₃ particles at 2 bar pressure for 15 s, and the PEEK primer was light-cured using a Valo Grand LED curing unit (1000 mW/cm², 90 s). All samples were bonded using the same universal adhesive and resin cement, and tensile bond strength was measured with a micro-tensile testing device. Data were analyzed using one-way ANOVA and Tukey’s HSD test (α = 0.05). The mean bond strengths were 12.83 MPa (control), 15.05 MPa (zirconia primer), 90.50 MPa (PEEK primer), and 102.09 MPa (dual primer). Application of PEEK primer significantly enhanced adhesion compared to zirconia primer or control (p < 0.001), while dual primer use yielded the highest values, indicating a synergistic effect. These findings suggest that surface-specific priming of both zirconia and PEEK surfaces effectively improves polymer–ceramic bonding performance and may contribute to the clinical durability of hybrid prosthetic restorations. Full article

Annual oyster production in southern Korea reaches about 300,000 tons, generating an equivalent amount of waste oyster shells. Most are illegally dumped or stockpiled along coastlines, causing serious environmental issues. This study utilized machine learning to predict the compressive strength of oyster shell cementitious composites. A total of 336 datasets were used, including 189 experimental results and 147 from published literature. Input variables were water-to-cement ratio (W/C), silica fume, blast furnace slag, superplasticizer content, and curing conditions. Algorithm selection compared the performance of Ridge Regression, Support Vector Regression, Artificial Neural Network, and Random Forest (RF), with RF exhibiting the highest predictive performance (R² = 0.8411). Ensemble algorithms including XGBoost, AdaBoost, Extra Trees, and LightGBM were optimized using GridSearchCV. Among these, LightGBM showed the best predictive capability with a mean absolute error of 3.1671, mean squared error of 17.8054, root mean square error of 4.2196, and R² of 0.9042. SHAP analysis revealed that W/C and superplasticizer were the most influential variables. Oyster shells showed a negative correlation with sand, indicating the role of oyster shells as a substitute material. Thus, cementitious composites can maintain compressive strength and serve as sustainable construction materials when waste oyster shells are incorporated with appropriate admixtures. Full article

Removing orthodontic brackets often presents clinical challenges, as it may cause patient discomfort, bracket fracture, or enamel damage resulting from strong adhesive bonds. Various techniques have been proposed to facilitate safer and more efficient debonding. Among them, laser-assisted methods have gained attention for their potential to minimize mechanical stress and improve patient comfort. The main objective of this study was to evaluate the effect of an erbium-doped yttrium–aluminum–garnet (Er:YAG) laser as an alternative to traditional mechanical methods for removing metal and ceramic orthodontic brackets. Materials and Methods: Thirty-six extracted premolars were prepared for bonding metal or ceramic brackets using a light-cure adhesive system. The control group consisted of six ceramic and six metal brackets removed with conventional orthodontic pliers. In the experimental groups, brackets were debonded using the Er:YAG laser (2940 nm, 0.6 mm spot size, 150 mJ; 15 Hz; (2.25 W) with an H14 handpiece. Irradiation time was recorded for each method, and teeth were rescanned to measure the surface area and volume of the crowns before and after bracket removal. Data were analyzed using one-way ANOVA and Tukey’s HSD test (p < 0.05). Scanning electron microscopy (SEM) was used for surface analysis. Results: A significant difference in debonding time (p = 0.001) was observed between the laser and traditional methods. The laser group took 52.5 s for metal and 56.25 s for ceramic brackets, compared to 1.05 s (metal) and 0.64 s (ceramic) in the traditional group. A significant difference in remaining cement volume was noted (p = 0.0002), but no differences were found between metal and ceramic brackets with laser removal. Conclusions: Er:YAG laser-assisted debonding is safe and minimally invasive but more time-consuming and costly than conventional methods, showing no improvement in clinical efficiency under current parameters. Full article

Lightweight-foamed soils are mixed soils with foam and cement to enhance the solidity and lightness of soils. Marine wastes, especially waste fishing nets, can be additives to reinforce the engineering properties of lightweight-foamed soils. In this paper, lightweight-foamed soils reinforced with waste fishing nets were investigated. Dredged soil and waste fishing nets were collected and pre-processed for testing. For optimization, the water content, foam ratio, cement ratio, net ratio, net conditions, and curing days were evaluated with respect to workability, unit weight, and strength. The variables were narrowed down based on the performance criteria. The results found that a water content of around 100%, cement ratio of 20%, foam ratio of 5%, and net ratio of 4% with shredded nets provide the best engineering performance of lightweight-foamed soils. The use of nets presented a superior increase in critical strength rather than an obvious increase in peak strength. A normalized factor was used to predict the required strength of lightweight-foamed soils. Finally, this study proposes field implementation methods in terms of the initial conditions of soils and optimal conditions of soils, resulting in the depletion of waste fishing nets. Full article

Objective: To investigate the effect of various surface conditioning protocols on the shear bond strength between 3D-printed dental composite resin and feldspathic ceramic rods using Panavia V5 resin cement. Methods: 3D-printed composite resin discs were allocated into four groups based on surface treatment: (1) untreated control, (2) air abrasion, (3) hydrofluoric acid etching, and (4) combined air abrasion and hydrofluoric acid etching. All specimens were bonded to standardized Vita Mark II ceramic rods using Panavia V5 cement under a static load to ensure uniform cement thickness, followed by light curing using an LED unit at 1200 mW/cm² for 20 s. After 24 h of water storage at 37 °C, shear bond strength was evaluated using a universal testing machine. Statistical analysis was performed using one-way ANOVA and Tukey’s post-hoc test (α = 0.05). Results: The combined treatment group demonstrated the highest mean bond strength (40.7 ± 11.5 MPa), followed by the hydrofluoric acid group (37.8 ± 9.3 MPa). Both groups exhibited significantly higher bond strength compared to the untreated control (p = 0.002 and p = 0.011, respectively), with no statistically significant difference between them (p = 0.887). The air abrasion-only group did not differ significantly from the untreated control (p = 0.570). Conclusions: Hydrofluoric acid etching, either alone or in combination with air abrasion, significantly enhances the shear bond strength between 3D-printed composite resin and feldspathic ceramic substrates. Air abrasion alone did not result in a significant improvement compared to the untreated condition. Full article

This study aimed to evaluate the penetration and bonding performance of three restorative materials—high-viscosity glass ionomer cement (Riva Self Cure HV), resin-modified glass ionomer cement (Riva Light Cure) and a bioactive resin (Activa BioActive Restorative™)—in the healthy and carious dentine of permanent molars. Forty extracted human molars with sound or decayed dentine were restored following standardised protocols and subsequently divided into slices. So, twenty-four samples were used for each group (sound and carious dentine) for interface analysis using confocal laser scanning microscopy, field emission scanning electron microscopy and energy dispersive X-ray spectroscopy, and another eight simples were used for each group (sound and carious dentine) for Vickers microhardness testing. Results showed that both glass ionomer cements achieved consistent chemical bonding in healthy dentine and demonstrated better interfacial adaptation compared to carious dentine, where partially demineralised areas showed weaker bonding. The bioactive resin exhibited good adhesion in sound dentine due to the adhesive system but showed poorer interaction in decayed dentine with signs of interfacial separation. Elemental analysis revealed similar compositions among materials, with no significant differences in material concentrations among the ionomers, while there were significant differences with the other materials. On the other hand, some variations were observed in the sulphur, fluoride and strontium content depending on dentine condition. Microhardness values were higher in healthy dentine than in carious dentine for all materials (p < 0.001), except the high-viscosity glass ionomer, which maintained stable hardness in both substrates (36.33 ± 6.23 VHN vs. 34.56 ± 4.31 VHN; p = 0.605). These findings highlight the relevance of material selection and dentine condition in minimally invasive restorative dentistry. Full article