The leucite-reinforced glass ceramic inlay restorations fabricated by CEREC inLab (CAD/CAM) and the hot-pressed technique provided clinically acceptable marginal and internal fit with comparable fracture loads after luting.
The literature directly and indirectly related to centric relation (CR) has been reviewed chronologically. More than 300 papers and quoted sections of books have been divided into three sections. The first two parts are related to CR. Studies in this group mainly compared, either the position of the mandibular condyle or the mandible itself in different CR recordings. Various tools were discussed for this purpose. The third part of the paper is about CR-centric occlusion (CO) discrepancy. CR still remains one of the controversial issues in prosthodontics and orthodontics. Debates such as mounting casts on the articulator by reproducible records for orthodontic treatment planning and end results, and whether or not orthodontic treatment based on CO causes TMJ dysfunction, remain unsolved. The references are listed at the end of Part III.
From the results, it was concluded that surface HF acid etching could have a weakening effect on hot-pressed leucite or lithia disilicate-based glass ceramic systems.
The results of this study showed that of the 3 centric relation methods evaluated, the bimanual manipulation method positioned the condyles in the temporomandibular joint with a more consistent repeatability than the other 2 methods, whereas the Gothic arch was the least consistent method.
Recently introduced self-adhesive resin cements showed an improved sealing ability for noble alloy full cast crowns compared with a resin-modified glass ionomer or dual-cured resin cement.
SUMMARYVery limited comparative information about the microleakage in noble alloy full cast crowns luted with different types of adhesive resin cements is available. The purpose of this study was to evaluate the microleakage and marginal gap of two self-adhesive resin cements with that of other types of adhesive luting cements for noble alloy full cast crowns. Fifty noncarious human premolars and molars were prepared in a standardized manner for full cast crown restorations. Crowns were made from a noble alloy using a standardized technique and randomly cemented with five cementing agents as follows: 1) GC Fuji Plus resin-modified glass ionomer cement, 2) Panavia F 2.0 resin cement, 3) Multilink Sprint selfadhesive resin cement, 4), Rely X Unicem selfadhesive resin cement with pretreatment, and 5) Rely X Unicem with no pretreatment. The specimens were stored in distilled water at 378C for two weeks and then subjected to thermocycling. They were then placed in a silver nitrate solution, vertically cut in a mesiodistal direction and evaluated for microleakage and marginal gap using a stereomicroscope. Data were analyzed using a nonparametric Kruskal-Wallis test followed by Dunn multiple range test at a p,0.05 level of significance. The Rely X Unicem (with or with no pretreatment) exhibited the smallest
Purpose: To evaluate the effects of different surface treatments on the microtensile bond strength (μTBS) of bonding between resin cement and lithia or zirconia-based ceramics using an in vitro study. Materials and Methods: Three zirconia ceramic blocks (IPS e.max ZirCAD) and three lithium disilicate ceramic blocks (IPS e.max CAD) were sintered and duplicated in resin composite. The zirconia specimens underwent various treatments (n = 1): (i) Sandblast + primer (ZiSa); (ii) sandblast + laser irradiation + primer (ZiSaLa); or (iii) laser irradiation + primer (ZiLa). The lithium disilicate specimens also underwent various treatments: (i) sandblast + HF + silane (LiSaE); (ii) sandblast + silane (LiSa); or (iii) sandblast + laser irradiation + silane (LiSaLa). The ceramic-composite blocks were cemented with resin cement and cut to produce bars with approx. 1 mm 2 bonding areas. The specimens were thermocycled, and bond strength tests were performed in a universal testing machine. The fracture type was determined by observing the fractured surface under a stereomicroscope. The mean bond strengths of the specimens were statistically analyzed using one-way ANOVA and Duncan's tests (α = 0.05). Results: Mean comparison of the μTBS showed no significant difference between LiSaE and LiSa (p > 0.05), but significant differences between LiSaE and other groups (p ࣘ 0.01). No significant differences were found between the ZiSaLa and ZiSa groups (p > 0.05). The modes of failure in all groups were mostly adhesive (57% to 80%). The mean bond strengths in laser-irradiated ceramics were significantly lower than those from other surface treatments. All ZiLa specimens debonded before testing (pretest failure). Conclusions: Lithium disilicate ceramic surface treated with a combination of sandblasting and silane application provided a bond strength comparable to that provided by sandblasting in combination with acid etching and applying silane. Groups treated with laser irradiation had significantly lower bond strengths than other groups.Increasing esthetic demands have resulted in full ceramic restorations receiving considerable attention in contemporary cosmetic dentistry. The popularity of these restorations is increasing, due to their desirable esthetics and metal-free nature.
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