Objective The aim of this study was to evaluate, by means of a fatigue life test, different ceramic materials used in palatal veneers to restore the canine guidance. Materials and Methods Forty-five standardized anatomical preparations were made in extracted healthy human canines with 1.2 uniform thickness. Samples were scanned, restorations were designed and milled in polymer-infiltrated ceramic network (PICN, Vita Enamic), zirconia-reinforced lithium silicate (ZLS, Vita Suprinity), and high translucent yttrium oxide-stabilized tetragonal zirconia (YZHT, Vita YZHT). Dental preparations were etched, restorations were processed according to the manufacturers' recommendations, and adhesively cemented. Then, three samples of each group were tested with load-to-fracture to determine the fatigue parameters. In addition, the palatal veneers stresses were evaluated using numerical models through finite element analysis. Results The mean of the monotonic test for PICN, ZLS, and YZHT was 674.18 N, 560.5 N, and 918.98 N, respectively. The StepWise test was performed until specimen fracture or until suspension of the test after 1.2 × 106 cycles. Regarding survival, using the Kaplan–Meier method, PICN presented results for the mean and median of 245.21 N and 225 N, respectively; ZLS had an average of 175.76 N and a median of 168 N, and YZHT with an average of 383.30 N and a median of 366 N. Regarding the Weibull method, PICN showed results of 5.43 β and 264 η for form and scale, respectively; ZLS had 36.14 β for form and 380.67 η for scale; and YZHT presented 4.95 β for form and 417.38 η for scale. The highest stress value was calculated for YZHT, ZLS, and PICN, respectively. Conclusions It was possible to conclude that all tested materials have the possibility of being used for rehabilitation of upper canines' palatal surface.

Background The objective of this in vitro study was to evaluate the effect of the active application of self-etching ceramic primer (ME&P) on the bond strength of different dental CAD/CAM materials (Lithium Disilicate ceramic (LD), Leucite ceramic (LE), Zirconia reinforced lithium silicate ceramic (ZLS), and Hybrid ceramic (HC)) with thermocycling aging. Material and Methods The samples were randomly divided into 16 groups (n = 20). Dual resin cement cylinders were made and light cured for 10 s (1.200 mW/cm2) for the shear bond strength test. 3-way ANOVA revealed that the factors were statistically significant ( P < 0.05). Results The aging process had a negative impact on the bond strength for all groups except for Lithium Disilicate, with active application. ZLS and LE showed promising results with high bond strength values for the ME&P active application; however, after aging the bond strength value was significantly reduced. HC showed reduced bond strength values regardless the ME&P application. Conclusions In order to obtain a durable bond strength, the recommended protocol of 20 s of active application followed by 40 s of sitting time in the self-etching ceramic primer should be followed when using reinforced-glass ceramics as restorative materials. Key words: Dentistry, dental materials, silane, shear strength, computer-aided design

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SUMMARY Purpose This study investigated the microshear bond strength between a resin cement and a translucent zirconia subjected to multiple characterization firings. Methods and Materials 5Y-PSZ zirconia blocks (Katana UTML) were sliced, sintered (1550°C, 2 h), and randomly divided into six groups (n=10) according to the number of characterization firings (0, 1, 2, 3, 5, or 10) and aging (baseline or after thermocycling). Each characterization firing was performed at 750°C for 1 minute. The ceramic surfaces were all sandblasted with 50 μm Al2O3 and silanized. Then, cylinders of resin cement (0.96 mm diameter × 2 mm height) were bonded onto their surfaces. The baseline samples were immersed in distilled water for 24 hours before the microshear bond strength (μSBS) tests. The aged samples were tested after 5000 thermocycles in water (5°C–55°C). The failure modes were classified as adhesive, predominantly adhesive, or cohesive. Scanning electron microscope images of the failure modes and the ceramic surfaces after the firings were taken. The μSBS data were analyzed by twoway ANOVA and Tukey’s test. Results The number of characterization firings and aging affected the bond strength. The highest bond strength values were observed from the 2-firing group at baseline. The μSBS results after 1, 2, or 3 characterization firings were similar at baseline and after aging. On the other hand, 0, 5, and 10 firings revealed the lowest bond strengths. The most frequent failures were adhesive and predominantly adhesive. Zirconia grains were not affected by the multiple firings. Conclusion One to three characterization firings after sintering improve the bond strength of 5Y-PSZ to the resin cement when compared to none or several (five or ten) firing cycles.