Repair of monolithic zirconia restorations with different direct resin composites: effect on the fatigue bonding and mechanical performance

Pablo Machado Soares; Lucas Saldanha da Rosa; Rafaela Oliveira Pilecco; Amanda Maria de Oliveira Dal Piva; João Paulo Mendes Tribst; Arie Werner; Luiz Felipe Valandro; Gabriel Kalil Rocha Pereira; Cornelis Johannes Kleverlaan; Marilia Pivetta Rippe

doi:10.1007/s00784-024-05542-4

Repair of monolithic zirconia restorations with different direct resin composites: effect on the fatigue bonding and mechanical performance

Pablo Machado Soares, Lucas Saldanha da Rosa, Rafaela Oliveira Pilecco, Amanda Maria de Oliveira Dal Piva, João Paulo Mendes Tribst^*, Arie Werner, Luiz Felipe Valandro, Gabriel Kalil Rocha Pereira, Cornelis Johannes Kleverlaan, Marilia Pivetta Rippe

^*Corresponding author for this work

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

Objective: The study aims to evaluate the shear bond and flexural strength fatigue behavior of yttrium-stabilized zirconia (4YSZ) repaired using different resin composites. Materials and methods: Cylindric specimens of 4YSZ were obtained for the bond strength (Ø = 6 mm, 1.5 mm of thickness) and biaxial flexural strength (Ø = 15 mm, 1 mm of thickness) fatigue tests and divided into 3 groups according to the repair resin composite: EVO (nanohybrid), BULK (bulk-fill), and FLOW (flowable). The zirconia surface was air-abraded with alumina particles, a 10-methacryloyloxydecyl dihydrogen phosphate (10-MDP) primer was applied, and the resin composite was build-up over the zirconia. Fatigue shear bond strength and flexural fatigue strength tests were performed (n = 15). One-way ANOVA and Tukey post hoc tests were carried out for both outcomes, besides scanning electron microscopy and finite element analysis. Results: The repair material affected the fatigue shear bond strength of zirconia ceramic. The BULK group (18.9 MPa) depicted higher bond strength values than FLOW (14.8 MPa) (p = 0.04), while EVO (18.0 MPa) showed similar results to both groups. No effect was observed for the mechanical behavior (p = 0.53). The stress distribution was similar for all groups. Conclusion: The repair of yttrium-stabilized zirconia (4YSZ) ceramics with bulk-fill resin composites was the best option for high fatigue bond strength. However, the fatigue mechanical performance was similar regardless of the applied repair material. Clinical relevance: The repair of yttrium-stabilized zirconia (4YSZ) monolithic restorations may be performed with nanohybrid and bulk-fill resin composites in order to promote longevity in the treatment.

Original language	English
Article number	149
Pages (from-to)	1-12
Number of pages	12
Journal	Clinical Oral Investigations
Volume	28
Issue number	2
Early online date	14 Feb 2024
DOIs	https://doi.org/10.1007/s00784-024-05542-4
Publication status	Published - Feb 2024

Bibliographical note

Publisher Copyright:
© The Author(s) 2024.

Funding

This study was partially financed by the Brazilian Federal Agency for Coordination of Improvement of Higher Education Personnel – CAPES (process number 888877.17140/2022–00, P.S.M. doctorate sandwich scholarship at CAPES/PrInt Program, Smart Materials Project, and Finance code 001, P.S.M, and L.S.R Doctorate’s scholarships) and by the Brazilian National Council for Scientific and Technological Development – CNPq (R.O.P. doctorate scholarship and doctorate sandwich scholarship, Grant #140118/2022–5 and #140118/2022–5; L.S.R. doctorate sandwich scholarship, Grant #201081/2022–9; G.K.R.P and L.F.V. Grant #304665/2022–3 and #308427/2021–1, respectively). We emphasize that the aforementioned institutions did not have any role in the study design, data collection or analysis, the decision to publish, or in preparing the manuscript.

Funders	Funder number
Brazilian Federal Agency for Coordination of Improvement of Higher Education Personnel
PRINT
Coordenação de Aperfeiçoamento de Pessoal de Nível Superior	888877.17140/2022–00
Conselho Nacional de Desenvolvimento Científico e Tecnológico	201081/2022–9, 140118/2022–5, 308427/2021–1, 304665/2022–3

Keywords

Bond strength
Bulk-fill
Cyclic fatigue
Finite element analysis
Flowable resin
Resin composite

Access to Document

10.1007/s00784-024-05542-4

Persistent URL (handle)

Persistent link

Cite this

Soares, P. M., da Rosa, L. S., Pilecco, R. O., Dal Piva, A. M. D. O., Tribst, J. P. M., Werner, A., Valandro, L. F., Pereira, G. K. R., Kleverlaan, C. J., & Rippe, M. P. (2024). Repair of monolithic zirconia restorations with different direct resin composites: effect on the fatigue bonding and mechanical performance. Clinical Oral Investigations, 28(2), 1-12. Article 149. https://doi.org/10.1007/s00784-024-05542-4

@article{2abb68fd043a41248b55de207de54d31,

title = "Repair of monolithic zirconia restorations with different direct resin composites: effect on the fatigue bonding and mechanical performance",

abstract = "Objective: The study aims to evaluate the shear bond and flexural strength fatigue behavior of yttrium-stabilized zirconia (4YSZ) repaired using different resin composites. Materials and methods: Cylindric specimens of 4YSZ were obtained for the bond strength ({\O} = 6 mm, 1.5 mm of thickness) and biaxial flexural strength ({\O} = 15 mm, 1 mm of thickness) fatigue tests and divided into 3 groups according to the repair resin composite: EVO (nanohybrid), BULK (bulk-fill), and FLOW (flowable). The zirconia surface was air-abraded with alumina particles, a 10-methacryloyloxydecyl dihydrogen phosphate (10-MDP) primer was applied, and the resin composite was build-up over the zirconia. Fatigue shear bond strength and flexural fatigue strength tests were performed (n = 15). One-way ANOVA and Tukey post hoc tests were carried out for both outcomes, besides scanning electron microscopy and finite element analysis. Results: The repair material affected the fatigue shear bond strength of zirconia ceramic. The BULK group (18.9 MPa) depicted higher bond strength values than FLOW (14.8 MPa) (p = 0.04), while EVO (18.0 MPa) showed similar results to both groups. No effect was observed for the mechanical behavior (p = 0.53). The stress distribution was similar for all groups. Conclusion: The repair of yttrium-stabilized zirconia (4YSZ) ceramics with bulk-fill resin composites was the best option for high fatigue bond strength. However, the fatigue mechanical performance was similar regardless of the applied repair material. Clinical relevance: The repair of yttrium-stabilized zirconia (4YSZ) monolithic restorations may be performed with nanohybrid and bulk-fill resin composites in order to promote longevity in the treatment.",

keywords = "Bond strength, Bulk-fill, Cyclic fatigue, Finite element analysis, Flowable resin, Resin composite",

author = "Soares, {Pablo Machado} and {da Rosa}, {Lucas Saldanha} and Pilecco, {Rafaela Oliveira} and {Dal Piva}, {Amanda Maria de Oliveira} and Tribst, {Jo{\~a}o Paulo Mendes} and Arie Werner and Valandro, {Luiz Felipe} and Pereira, {Gabriel Kalil Rocha} and Kleverlaan, {Cornelis Johannes} and Rippe, {Marilia Pivetta}",

note = "Publisher Copyright: {\textcopyright} The Author(s) 2024.",

year = "2024",

month = feb,

doi = "10.1007/s00784-024-05542-4",

language = "English",

volume = "28",

pages = "1--12",

journal = "Clinical Oral Investigations",

issn = "1432-6981",

publisher = "Springer Verlag",

number = "2",

}

Soares, PM, da Rosa, LS, Pilecco, RO, Dal Piva, AMDO , Tribst, JPM , Werner, A, Valandro, LF, Pereira, GKR, Kleverlaan, CJ & Rippe, MP 2024, 'Repair of monolithic zirconia restorations with different direct resin composites: effect on the fatigue bonding and mechanical performance', Clinical Oral Investigations, vol. 28, no. 2, 149, pp. 1-12. https://doi.org/10.1007/s00784-024-05542-4

Repair of monolithic zirconia restorations with different direct resin composites: effect on the fatigue bonding and mechanical performance. / Soares, Pablo Machado; da Rosa, Lucas Saldanha; Pilecco, Rafaela Oliveira et al.
In: Clinical Oral Investigations, Vol. 28, No. 2, 149, 02.2024, p. 1-12.

Research output: Contribution to Journal › Article › Academic › peer-review

TY - JOUR

T1 - Repair of monolithic zirconia restorations with different direct resin composites

T2 - effect on the fatigue bonding and mechanical performance

AU - Soares, Pablo Machado

AU - da Rosa, Lucas Saldanha

AU - Pilecco, Rafaela Oliveira

AU - Dal Piva, Amanda Maria de Oliveira

AU - Tribst, João Paulo Mendes

AU - Werner, Arie

AU - Valandro, Luiz Felipe

AU - Pereira, Gabriel Kalil Rocha

AU - Kleverlaan, Cornelis Johannes

AU - Rippe, Marilia Pivetta

N1 - Publisher Copyright: © The Author(s) 2024.

PY - 2024/2

Y1 - 2024/2

N2 - Objective: The study aims to evaluate the shear bond and flexural strength fatigue behavior of yttrium-stabilized zirconia (4YSZ) repaired using different resin composites. Materials and methods: Cylindric specimens of 4YSZ were obtained for the bond strength (Ø = 6 mm, 1.5 mm of thickness) and biaxial flexural strength (Ø = 15 mm, 1 mm of thickness) fatigue tests and divided into 3 groups according to the repair resin composite: EVO (nanohybrid), BULK (bulk-fill), and FLOW (flowable). The zirconia surface was air-abraded with alumina particles, a 10-methacryloyloxydecyl dihydrogen phosphate (10-MDP) primer was applied, and the resin composite was build-up over the zirconia. Fatigue shear bond strength and flexural fatigue strength tests were performed (n = 15). One-way ANOVA and Tukey post hoc tests were carried out for both outcomes, besides scanning electron microscopy and finite element analysis. Results: The repair material affected the fatigue shear bond strength of zirconia ceramic. The BULK group (18.9 MPa) depicted higher bond strength values than FLOW (14.8 MPa) (p = 0.04), while EVO (18.0 MPa) showed similar results to both groups. No effect was observed for the mechanical behavior (p = 0.53). The stress distribution was similar for all groups. Conclusion: The repair of yttrium-stabilized zirconia (4YSZ) ceramics with bulk-fill resin composites was the best option for high fatigue bond strength. However, the fatigue mechanical performance was similar regardless of the applied repair material. Clinical relevance: The repair of yttrium-stabilized zirconia (4YSZ) monolithic restorations may be performed with nanohybrid and bulk-fill resin composites in order to promote longevity in the treatment.

AB - Objective: The study aims to evaluate the shear bond and flexural strength fatigue behavior of yttrium-stabilized zirconia (4YSZ) repaired using different resin composites. Materials and methods: Cylindric specimens of 4YSZ were obtained for the bond strength (Ø = 6 mm, 1.5 mm of thickness) and biaxial flexural strength (Ø = 15 mm, 1 mm of thickness) fatigue tests and divided into 3 groups according to the repair resin composite: EVO (nanohybrid), BULK (bulk-fill), and FLOW (flowable). The zirconia surface was air-abraded with alumina particles, a 10-methacryloyloxydecyl dihydrogen phosphate (10-MDP) primer was applied, and the resin composite was build-up over the zirconia. Fatigue shear bond strength and flexural fatigue strength tests were performed (n = 15). One-way ANOVA and Tukey post hoc tests were carried out for both outcomes, besides scanning electron microscopy and finite element analysis. Results: The repair material affected the fatigue shear bond strength of zirconia ceramic. The BULK group (18.9 MPa) depicted higher bond strength values than FLOW (14.8 MPa) (p = 0.04), while EVO (18.0 MPa) showed similar results to both groups. No effect was observed for the mechanical behavior (p = 0.53). The stress distribution was similar for all groups. Conclusion: The repair of yttrium-stabilized zirconia (4YSZ) ceramics with bulk-fill resin composites was the best option for high fatigue bond strength. However, the fatigue mechanical performance was similar regardless of the applied repair material. Clinical relevance: The repair of yttrium-stabilized zirconia (4YSZ) monolithic restorations may be performed with nanohybrid and bulk-fill resin composites in order to promote longevity in the treatment.

KW - Bond strength

KW - Bulk-fill

KW - Cyclic fatigue

KW - Finite element analysis

KW - Flowable resin

KW - Resin composite

UR - http://www.scopus.com/inward/record.url?scp=85185141212&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85185141212&partnerID=8YFLogxK

U2 - 10.1007/s00784-024-05542-4

DO - 10.1007/s00784-024-05542-4

M3 - Article

C2 - 38355823

AN - SCOPUS:85185141212

SN - 1432-6981

VL - 28

SP - 1

EP - 12

JO - Clinical Oral Investigations

JF - Clinical Oral Investigations

IS - 2

M1 - 149

ER -

Repair of monolithic zirconia restorations with different direct resin composites: effect on the fatigue bonding and mechanical performance

Abstract

Bibliographical note

Funding

Keywords

Access to Document

Persistent URL (handle)

Other files and links

Fingerprint

Cite this