J Adv Prosthodont.  2020 Jun;12(3):140-149. 10.4047/jap.2020.12.3.140.

Evaluation of the repair capacities and color stabilities of a resin nanoceramic and hybrid CAD/CAM blocks

• Bahadır HS
• Bayraktar Y

• KMID: 2504122
• DOI: http://doi.org/10.4047/jap.2020.12.3.140

Abstract

PURPOSE
. This study evaluated the color stabilities of two computer-aided design and computer-aided manufacturing (CAD/CAM) blocks and a nanofill composite resin and the microtensile bond strength (μTBS) between the materials.
MATERIALS AND METHODS
. Twelve specimens of 4 mm height were prepared for both Lava Ultimate (L) and Vita Enamic (E) CAD/CAM blocks. Half of the specimens were thermocycled (10,000 cycle, 5° to 55°C) for each material. Both thermocycled and non-thermocycled specimens were surface treated with one of the three different methods (Er,Cr:YSGG laser, bur, or control). For each surface treatment group, one of the thermocycled and one of non-thermocycled specimens were restored using silane (Ceramic Primer II), universal adhesive (Single Bond Universal), and nanofill composite resin of 4-mm height (Filtek Ultimate). The other specimens were restored with the same procedure without using silane. For each group, 1 × 1 × 8 mm bar specimens were prepared using a microcutting device. Bar specimens were thermocycled (10,000 cycle, 5° to 55°C) and microtensile tests were performed. Staining of the materials in coffee solution was also compared using a spectrophotometer. Data were analyzed using one-way ANOVA, t-test and post-hoc Scheffe tests.
RESULTS
. μTBS were found similar between the thermocycled and non-thermocycled groups (P>.05). The highest μTBS (20.818 MPa) was found in the non-thermocycled, bur-ground, silane-applied E group. Silane increased μTBS at some E groups (P<.05). Composite resin specimens showed more staining than CAD/CAM blocks (P<.05).
CONCLUSION
. CAD/CAM blocks can be repaired with composite resins after proper surface treatments. Using silane is recommended in repair process. Color differences may be shown between CAD/CAM blocks and the nanofill composite after a certain time period.

Keyword

Computer-aided design and computer-aided manufacturing (CAD/CAM); Color stability; Er,Cr:YSGG laser; Microtensile bond strength; Thermal cycle