Search Results (91)

Background/Objectives: This in vitro study investigated the retention of three different geometrical designs of short titanium base (Ti-base) abutments used in implant-supported zirconia crowns. The advent of digital technology has facilitated the integration of Ti-base abutments into implant dentistry by improving time efficiency, precision, and patient comfort. Methods: Three types of short Ti-base abutments were evaluated: Geo SRN multibase^® (Group A), Herilink^® (Group B), and TS Link^® (Group C), each with a height of 4 mm and gingival height of 1 mm (n = 20 per group). Zirconia crowns (LUXEN^® Smile S2, DentalMax, Republic of Korea) were modified for the testing setup and fabricated using CAD/CAM technology, then bonded to the abutments with RelyX^® Luting 2 resin-modified glass ionomer cement. Pull-out tests were conducted at a crosshead speed of 1 mm/min to assess retention. Results: One-way ANOVA and post hoc Tukey tests revealed significant differences in retention values among the different abutment shapes (p < 0.05). The mean retention forces were 194.65 N for Group A, 241.33 N for Group C, and 360.20 N for Group B. Conclusions: The geometrical design of Ti-base short abutments significantly affects the retention of CAD/CAM zirconia crowns, with hexagonal shapes (Group B) demonstrating superior retention. Clinically, selecting an abutment design with enhanced mechanical retention may improve the long-term success of implant-supported restorations. Full article

All-ceramic restorations are the foundation of modern restorative aesthetic dentistry. The industry for dental materials now provides a large selection of biomaterials with a range of constantly improving qualities. Although this is undoubtedly advantageous, the vast array of materials may confuse even experienced dentists. Even if recently the demand of digital dentistry in daily dental practice has significantly increased, due to a lack of understanding concerning cementation techniques, which are different for each type of ceramic used, dentists are continuing to be hesitant to utilise these various CAD/CAM materials. This study analysed 58 articles from 2008 to 2025, focusing on narrative, comprehensive, and systematic reviews and in vitro studies on dental dentistry materials. English articles were included, but non-English articles and case reports were excluded. The analysis included articles from all journal categories, ensuring adherence to inclusion and exclusion criteria. The aim of the research is to assess material classifications and properties that guide practices concerning the adhesive cementation of all-ceramic restorations. In order to provide a clear overview of the composition, characteristics, clinical considerations, and current trends of contemporary dental materials, as well as some recommendations for future research in this area that would be relevant to dentists and the scientific community, the authors of the paper were guided by this structure when writing the article content. The key is to ensure the aesthetics, resistance, and long-term clinical success of the treatment plan by providing dental professionals with clear, accurate information and instructions about resin-luting materials and indirect restoration materials. Full article

Objective: Selecting suitable materials and luting agents for single crowns is critical yet challenging, as dentists must consider different factors. This study aimed to assess dentists’ preferences for materials and luting agents under different clinical conditions and evaluate the nonclinical factors influencing their preferences. Methods: A paper-based survey supplemented with photographs illustrating anterior and posterior single-crown preparation designs was used, incorporating three clinical scenarios for each as examples. Participants provided demographic data and were asked to select their preferred material and luting agent for each scenario. Comparisons between the crown material/luting agent choices and dentist/practice characteristics were performed. Significant differences were determined using the chi-square test. Results: Overall, 262 (87.3%) dentists participated in this survey. The top-selected material for anterior preparation designs was lithium disilicate; monolithic zirconia was the most selected for posterior preparation designs. Dual-cure resin was the most selected luting agent for all anterior and posterior clinical scenarios, except for posterior subgingival preparation design. There was a significant association between the dentist’s age and the selection of material and luting agent (p < 0.05) in all clinical scenarios, except for the luting agent selection in the posterior subgingival preparation designs (p < 0.05). Other nonclinical factors yielded mixed results; some preparation designs showed significant differences, while others did not, depending on the clinical scenario. Conclusions: Reliance on new materials and luting agents that require minimally invasive treatment with dental ceramics and resin cement is increasing. However, the choice of materials and luting agents is influenced by clinical presentation and nonclinical factors, making it crucial for dentists to be aware of these factors when selecting materials for single-crown restorations. Clinical Implications: An overall trend was observed for the use of strong monolithic ceramics with adhesive resin cements. These findings could assist dentists in reviewing and re-evaluating material choices in their clinical practices, both at a national and regional level. Additionally, the findings could be useful for dental policy makers, wholesale suppliers, and retail distributors in making future decisions. Full article

This study investigated the effectiveness of Tooth Primer and cleaning agents in removing saliva contamination from zirconia as assessed using shear bond strength (SBS). A total of 175 rectangular specimens, 10 mm in diameter and 6 mm in thickness, were randomly divided into seven groups (n = 25 each): group 1, no saliva contamination (control); group 2, saliva-contaminated and not rinsed; group 3, saliva-contaminated and rinsed; group 4, saliva-contaminated, Ivoclean-treated, and rinsed; group 5, saliva-contaminated, Katana Cleaner-treated, and rinsed; group 6, saliva-contaminated, Tooth Primer-treated, and rinsed; and group 7, saliva-contaminated, Tooth Primer-treated, and not rinsed. All zirconia specimens from groups 1–7 were bonded to composite rods with Panavia SA Luting Multi cement. The bonded specimens were subjected to the SBS test using a universal testing machine. To assess the type of failure, the debonded surface was evaluated using a stereomicroscope. The SBS data were analyzed using one-way ANOVA with Tukey’s post-test. The SBS values of groups 2 (0.90 ± 0.20 MPa) and 3 (1.35 ± 0.43 MPa) were significantly lower compared with the other groups (p = 0.00). The SBS value of zirconia decontamination using Ivoclean in group 4 (18.51 ± 3.01 MPa) was significantly lower than that of the control group (22.24 ± 2.37 MPa) (p = 0.00). However, the SBS values of groups 5 (20.92 ± 2.63 MPa), 6 (21.43 ± 2.81 MPa), and 7 (20.87 ± 2.35 MPa) did not significantly differ compared with the control group (22.24 ± 2.37 MPa) (p = 0.369, p = 0.861, p = 0.327, respectively). Moreover, SBS values did not significantly differ among groups 5 to 7 (p = 0.984, p = 1.00, p = 0.976, respectively). Regarding failure mode, groups 2 and 3 exclusively experienced adhesive failures. Groups 1, 4, 5, 6, and 7 exhibited adhesive and mixed failures. In conclusion, Ivoclean, Katana Cleaner, and Tooth Primer effectively mitigated the adverse effects of saliva contamination on the resin cement–zirconia interface. Furthermore, Tooth Primer can be used as a cleaner for saliva-contaminated zirconia surfaces, with or without rinsing. Full article

The classical approach for the preparation of an endodontically treated molar with a post and core involves widening the anatomically complex system of canals, which may be narrow or curved with variable angulation. The aforementioned along with the fact that restorative dentistry stands against the wastage of tooth tissue make endocrowns an appealing alternative. Bindl and Mörmann first described an all-ceramic crown anchored to the internal portion of the pulp chamber and on the cavity margins, thus obtaining macromechanical retention provided by the axial opposing pulpal walls and microretention attained with the use of adhesive cementation. The purpose of this report is to describe the protocol for the treatment plan selection, preparation, impression, and adhesive cementation of an endocrown with a follow-up of 5 years. A 56-year-old male patient presented to the Postgraduate Clinic of Prosthodontics seeking rehabilitation for tooth No. #36. A clinical examination revealed multiple immediate composite resin restorations with unacceptable morphology and adaptation to the remaining tooth as well as a lack of a contact point but, rather, a large, concave contact area facilitating food entrapment. Since the tooth was endodontically treated, the proposed treatment plan included the fabrication of an all-ceramic endocrown. The steps of preparation, attribution of the correct shape, impression, and adhesive luting under rubber dam isolation are thoroughly described. The final functional and aesthetic result, patient’s satisfaction, and the 5-year follow-up render restorations such as endocrowns, which draw their retention from adhesive luting, a viable alternative to conventional approaches. Full article

The number of resin cements marketed for fiber post cementation has increased significantly. This study compared the push-out bond strength (PBS) of self-adhesive and universal resin cements used to lute fiber posts at 24 h and after 6 months of aging in artificial saliva. Fiber posts were luted to eighty human roots endodontically treated with four self-adhesive/one-step resin cements, with one of them also used in combination with its appropriate tooth primer; one universal resin cement, applied as one-step or together with its corresponding universal adhesive (multi-step); and one adhesive/multi-step resin cement, as a control. After storage (24 h or 6 months), the interfaces were subjected to PBS tests and the data were analyzed by two-way ANOVA and Tukey and Student’s t-tests (p < 0.05 defined as statistical significance). The results showed that Scotchbond Universal Plus + RelyX Universal attained statistically higher values at 24 h and 6 months. At 24 h, all resin cements yielded similar PBS to root dentin, while at 6 months, NormoCem obtained the lowest PBS. Storage for 6 months significantly decreased PBS for NormoCem and Multilink Automix. Root section did not influence PBS regardless of storage time. It was concluded that PBS is resin cement dependent. The universal resin cement, RelyX Universal, applied in combination with Scotchbond Universal Plus adhesive, obtained a higher and more stable PBS than the other resin cements tested. Full article

BioFlx crowns (BFCs) have been introduced in the dental market, combining the flexibility of stainless steel crowns (SSCs) with the esthetic appeal of preformed zirconia crowns. However, the existing literature does not provide adequate insights regarding the retentive strength of various types of luting cement with these newly developed BFCs. Therefore, this study aimed to evaluate and compare the retentive strength of BFCs and SSCs with different types of luting cement (glass ionomer cement [GIC], resin-modified glass ionomer cement [RMGIC], self-adhesive resin cement [SARC], and polycarboxylate cement [PXC]). A total of 160 standardized resin dies were fabricated and divided into two groups based on the type of crown (BFCs or SSCs). Each group was further subdivided into four subgroups (20/group) based on the luting cement used for cementing the crown on the die. A pullout test was performed using a universal testing machine to measure the retentive strength required for crown dislodgement. The residual cement in the crown was scored to determine the cement failure pattern. Data were analyzed using two-way analyses of variance (ANOVAs) to evaluate the interaction between the cement and the type of crown on retentive strength, followed by an independent t-test. Furthermore, Welch’s ANOVA and Dunnett’s T3 test were used to assess the impact of various types of luting cement on the retentive strength of each crown. The CFP was assessed by comparing the scores using descriptive statistics. Statistical significance was set at p < 0.05. The mean retentive strength of SSCs and BFCs was the highest with SARC (560.29 ± 8.74 N; 657.72 ± 20.60 N), followed by RMGIC (534.20 ± 22.84 N; 454.90 ± 7.95 N) and GIC (435.14 ± 8.66 N; 237.68 ± 9.37 N), while the lowest was with PXC (365.67 ± 19.11 N; 131.26 ± 5.37 N). A significant difference in retention was observed between the crowns (p < 0.05). Cement failure primarily manifested as adhesive failures in the SARC and RMGIC groups; however, both adhesive and cohesive failures occurred in the GIC and PXC groups. Thus, SSCs demonstrate significantly higher retention than BFCs across all types of luting cements, except when using SARC. Within the limitations of this in vitro study, SSCs emerge as the preferred choice for full-coverage restorations that require optimal retention and durability. Nevertheless, BFCs with SARC provide a viable alternative when esthetic considerations are prioritized. Full article

With the vast possibilities of restorative dentistry nowadays and the constant development and release of restorative materials with improved mechanical and esthetical properties, there is a growing body of research on adhesive systems and cementation materials, as well as the adequate choices thereof in everyday clinical practice. There are high demands from the dental cements with regard to their adhesion to various substrates and restorative materials, their mechanical properties, resistance to dissolution in the oral environment, esthetic considerations, etc. A material that meets all these requirements is not yet available, and each available material presents certain shortcomings. However, thanks to the advancements in dental material research, polymers-based cements have gained admirable mechanical and esthetic properties, as well as versatility. With the plethora of products available on the market, clinicians are often faced with difficulties in the choice of a material adequate for certain clinical situations. Indeed, important factors to consider are the substrate for cementation and the restoration material. The aim of this review was to provide clear and literature-based clinical recommendations for the adequate cementation of prosthodontic restorations with regard to the cementation substrate. Considering that there is no gold standard protocol applicable in all clinical cases, since the properties of the cementation abutment could substantially differ, important individual considerations must be made for each situation. Full article

The widespread implementation of new CAD/CAM materials has led to the necessity of establishing an adequate luting protocol. The aim of this study was to evaluate the microtensile bond strength (μTBS) and the film thickness of different luting methods on CAD/CAM resin blocks. Five Brilliant Crios CAD/CAM blocks (Coltene/Whaledent) were sequentially sectioned into two halves, air abraded with 50 µm aluminum oxide, and luted according to five different cementation protocols: Brilliant EverGlow (BEG), Brilliant EverGlow with ultrasound application (BEG-US), preheated Brilliant EverGlow (BEG-H), Brilliant EverGlow Flow (BEGF), and Duo Cem^® Trans (DC). Subsequently, the blocks were sectioned to obtain rods, which were then submitted to a microtensile bond strength test (n = 20). The surfaces were examined with optical microscopy to determine the failure mode and the bonding interface was assessed with scanning electron microscope (SEM) analysis. Bond strength values were analyzed using one-way ANOVA and Tukey’s post hoc tests (α = 0.05). The bond strength values varied with the different cementation protocols (p < 0.001): BEG (45.48 ± 18.14 MPa), BEG-US (42.15 ± 14.90 MPa), BEG-H (41.23 ± 15.15 MPa), BEGF (58.38 ± 15.65 MPa), and DC (81.07 ± 8.75 MPa). Regarding bond strength, DC presented significantly higher values than all other experimental groups (p < 0.050), whereas all luting methods using BEG presented similar values (p = 0.894). Adhesive failures were the predominant type. On SEM evaluation, all the luting materials presented a tight and homogeneous cement–block interface with variable film thicknesses. In conclusion, among the cementation protocols, the resin cement (DC) rendered the highest bond strength values. SEM analysis revealed that the lowest film thickness was associated with the flowable composite (BEGF). Full article

Background: The optimum bond strength of glass fiber posts can be compromised; it has not yet been established which final irrigant, when used in combination with luting cement, can improve this bond strength. Objectives: This study assessed the effectiveness of 2% chitosan as a final irrigant in combination with different types of luting cement used to improve the bond strength of glass fiber posts bonded to root canal-treated teeth. Methods: Thirty single-rooted anterior teeth were collected and sectioned 2 mm above the most incisal point of the cementoenamel junction. After root canal filling, post spaces were prepared and irrigated in Group I using 17% EDTA for 3 min and in Group II using 2% chitosan for 3 min. Each group was divided into three subgroups: Fiber posts were cemented in subgroup A with Fuji II Cement (resin-reinforced glass ionomer cement), in subgroup B with RelyX Unicem (self-adhesive resin cement), and in subgroup C with Metacem Refill (total-etch resin cement). Push-out bond strength (N) for each sample was measured using a universal testing machine, and the failure mode was assessed with a stereomicroscope at 30× magnification. The fiber post’s morphological structure was analyzed through scanning electron microscopy. Statistical analysis included one-way ANOVA followed by Tukey’s post hoc test in the case of significant differences between the groups. p-Values less than 0.05 were considered statistically significant. Results: This study found no statistically significant difference between using 17% EDTA and 2% chitosan as the final irrigant before post placement (p > 0.05). RelyX Unicem cement showed significant bonding strength when used with 2% chitosan in the coronal, middle, and apical thirds (p = 0.009, p = 0.02, p = 0.01, respectively). Conclusions: Chitosan at 2% can be considered a good alternative to 17% EDTA when used as a final irrigant for the post space. Full article

This study aimed to evaluate the shear bond strengths of six self-adhesive resin cements (SACs) on porcelain surfaces and to compare the effectiveness with and without silane application. One hundred and twenty feldspathic porcelain specimens were prepared, etched with 9.5% HF, and divided into two main groups: (i) without silane, and (ii) with silane application. Each main group was further divided into six subgroups, testing six various SACs. Shear bond strength was measured using a universal testing machine, and the de-bonded surfaces were examined with a stereomicroscope. The statistical analysis was tested with two-way ANOVA and post hoc with Tukey’s. The results showed that Panavia SA Luting Multi had the highest shear bond strength, especially with silane application, while G-Cem One exhibited the lowest in the absence of silane. The addition of silane application significantly improved the shear bond strengths of G-Cem One, Panavia SA Luting Multi, and RelyX Unicem compared to situations without silane application. The adhesive and mixed failure modes were found to depend on the brand of SACs. No cohesive failure was detected. The study concludes that Panavia SA Luting Multi achieves superior shear bond strength on feldspathic porcelain when used with a separate silane agent. The etched feldspathic porcelain surface primed with silane coupling agent is recommended for optimal bond strength when using with SACs such as G-Cem One, Panavia SA Luting Multi, or RelyX Unicem. Full article

Background/Objectives: This study aimed to investigate the microtensile bond strength (µTBS) of composite-based (Cerasmart), polymer-infiltrated (Vita Enamic), and feldspathic (Cerec) CAD/CAM blocks luted to dentin using a dual-cure resin cement (LinkForce), as well as micro-hybrid (G-aenial) and flowable composites (G-aenial Universal Flo), and evaluate the microhardness (HV) of luting materials through the CAD/CAM blocks. Methods: Cerasmart, Enamic, and Cerec were luted to dentin using three luting materials; LinkForce, G-aenial, and Universal Flo (n = 5). For HV, 117 disk-shaped specimens from LinkForce, G-aenial, and Universal Flo (n = 13) were polymerized through 3 mm thick CAD/CAM. Thirty-nine light-cured specimens without CAD/CAM were used as control. Following 24 h storage, the µTBS and HV were evaluated. Data were analyzed using the two-way ANOVA and post hoc Tukey tests (p < 0.05). Results: The µTBS to dentin and HV were significantly influenced by the type of luting material and CAD/CAM material. With all the CAD/CAM materials, LinkForce and Universal Flo exhibited a significantly similar µTBS to that of dentin (p > 0.05). Compared with the control group, all the HV values of the luting materials decreased significantly (p < 0.05). Conclusions: Heavily filled flowable composites exhibit a bonding effectiveness similar to that of dual-cure resin cements. All the luting materials showed similar HV when polymerized through the polymer-infiltrated CAD/CAM material. Full article

The purpose of this study was to compare the wear resistance of light-cure resin luting cements for veneers with that of other luting materials investigated in earlier studies. An Alabama wear-testing machine was used to measure the wear resistance of four recent light-cure resin luting cements for veneers (G-Cem Veneer; Panavia V5 LC; RelyX Veneer Cement; and Vario-link Esthetic LC). The volume loss ranged from 0.027 ± 0.003 to 0.119 ± 0.030 mm³, the mean facet depth from 56.053 ± 7.074 to 81.531 ± 7.712 µm, and the maximum facet depth from 100.439 ± 26.534 to 215.958 ± 27.320 µm. G-Cem Veneer showed significantly better (p < 0.05) wear resistance than the other materials tested. Representative SEM images were obtained which showed differences in form among the wear facets for the luting cements examined. Correlations were calculated between the three measurements for each material, and the pattern of correlations was also different for each material. Full article

Background: Dental restoration success relies on the physical properties of luting cements. Luting cements fill the space between teeth and the restoration, provide retention and protection from occlusal forces, and act as a barrier to microleakages in the oral environment. Objective: This review aims to evaluate and compare the solubility of the three most used dental luting cements: glass ionomer (GI), resin-modified glass ionomer (RMGI), and resin cement (RC). Methods: The studies selected for review compared the solubilities of combinations of GI, RMGI, and RC in solutions with different pH levels to replicate acidic oral pH. Results: A review of the studies concluded that resin cement had the overall lowest degree of solubility at all pH values and all storage periods, followed by RMGI and GI cement. Conclusions: The success of the restoration is dependent upon the choice of luting cement. The results of the studies reviewed show that all dental luting cements showed some degree of dissolution. Resin cement overall demonstrated the least amount of solubility, followed by RMGI and GI cement. Full article

Objective: The aim of the present study was to evaluate the long-term clinical survival and success of chairside-fabricated single-tooth monolithic zirconia restorations on posterior teeth using the speed sintering process. Materials and Methods: Between 2012 and 2022, 250 single-tooth crowns were fabricated for 193 patients using the CEREC^® chairside workflow. Restorations were fabricated from monolithic 3Y-TZP zirconia (InCoris TZI, Dentsply Sirona©, Bensheim, Germany) as full-contour crowns. The same clinician performed all procedures. Luting was performed using self-adhesive resin-based cements or glass ionomer cement. Retrospective analysis was conducted, defining survival as crowns still in function regardless of any interventions, and success as crowns that remained functional without the need for intervention. Statistical analysis was performed using Kaplan–Meier analysis, considering “refabrication” and “intervention” as endpoints. Results: Of the 250 crowns, a total of 162 (64.8%) crowns showed success. Over the whole observation period, 44 crowns (17.6%) required refabrication, and 88 (35.2%) required intervention. Mean survival without refabrication was 7.43 years, with a 5- and 7.5-year survival of 86.9% and 76.6%. The mean survival without intervention was 6.5 years, with a 5- and 7.5-year survival of 70.8% and 59.9%. Conclusions: Under appropriate technical conditions, chairside-fabricated 3Y-TZP zirconia single-tooth crowns represent a viable fabrication method. Neither the cementation mode nor the crown position—whether on premolars or molars—significantly impacted the survival rates. Full article