G Pippin, D Tantbirojn, M Wolfgang, J S Nordin, A Versluis
{"title":"Effect of Instrument Lubricant on Mechanical Properties of Restorative Composite.","authors":"G Pippin, D Tantbirojn, M Wolfgang, J S Nordin, A Versluis","doi":"10.2341/23-136-L","DOIUrl":"10.2341/23-136-L","url":null,"abstract":"<p><strong>Objectives: </strong>Using a wetting resin or adhesive system as an instrument lubricant when placing composite layers is commonly practiced to improve handling. This study investigated whether instrument lubricants affected strength, stiffness, or hardness.</p><p><strong>Methods: </strong>Composite beams (TPH Spectra) were fabricated using a stainless steel mold (25×2.5×2 mm) in two steps, where the second half (12.5 mm) was added and cured against a cured first half (n=15). The composite surface at the open end of the first half was smoothed using an instrument lubricated with wetting resin (Ultradent) or universal adhesive (ScotchBond Universal), enough to prevent sticking, or without lubrication. An additional beam of each group was characterized using scanning electron microscopy. Monolithic specimens were also fabricated. After 24 hour storage (37°C, 100% humidity), the beams' flexural strength and stiffness were determined by four-point bending. Vickers surface hardness was measured on 24-hour composite samples in 2 mm deep acrylic cavities, cured after the surface was smoothed with the two instrument lubricants or no lubricant (n=10). Hardness was remeasured after finishing with a series of contouring and polishing discs. Data were statistically analyzed using ANOVA followed by Student-Newman-Keuls post hoc test at 0.05 significance level.</p><p><strong>Results: </strong>There were significant differences (p<0.001) in flexural strength and stiffness among groups. While strength and stiffness were not affected by using a wetting resin as instrument lubricant, use of a universal adhesive increased strength and stiffness significantly, achieving monolithic values. Scanning electron micrographs showed less porosities at the interface when using instrument lubricants. Surface hardness was significantly reduced in groups in which instrument lubricants were used, but finishing/polishing restored original hardness (p<0.001).</p><p><strong>Conclusions: </strong>Lubricating an instrument with a wetting agent did not adversely affect physical or surface properties, provided the surface was finished and polished. If a universal adhesive was used as lubricant, the strength and stiffness of a layered composite could be increased, reaching monolithic values.</p>","PeriodicalId":19502,"journal":{"name":"Operative dentistry","volume":" ","pages":"475-483"},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141580414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Effect of Resin Infiltration Technique on the Calculated Color Change of Demineralized Lesions of Different Severities.","authors":"D G Kabeel, K A Nour, R A Sedky","doi":"10.2341/23-126-L","DOIUrl":"10.2341/23-126-L","url":null,"abstract":"<p><strong>Objective: </strong>To assess the color change of demineralized enamel lesions of different severities after resin infiltration using both clinical spectrophotometry and digital photography.</p><p><strong>Methods and materials: </strong>Sixty sound human premolars were randomly divided into 3 groups according to the demineralization level. All the teeth were immersed in a demineralizing solution of a pH adjusted to 4.4 at 37°C. Three levels of demineralization were obtained (D1 shallow, D2 moderate, D3 deep) according to the demineralization time. The demineralized area was then infiltrated by low-viscosity resin (ICON, DMG, Germany). Two instrumental methods were utilized to assess the color difference, a clinical spectrophotometer and digital photography at three time points (sound, demineralized, and infiltrated enamel) to calculate the color difference between sound and demineralized enamel (ΔE1) and between sound and infiltrated enamel (ΔE2). Statistical analysis was performed by ANOVA, followed by Tukey's post hoc test. The correlation was analyzed using linear regression.</p><p><strong>Results: </strong>Two-way ANOVA showed statistically significant differences for both levels of the study (p≤0.05). The color change (ΔE1) and (ΔE2) for different demineralization levels showed statistically significant differences between all groups. For both clinical spectrophotometry and digital photography, D3 showed the highest difference followed by D2 and then D1. As for (ΔE1) calculations, digital photography had a significantly higher difference than spectrophotometry for the D1 group (5.47±0.93 vs 2.78±0.58). As for (ΔE2) digital photography had a statistically significantly lower difference than spectrophotometry (5.55±1.05 vs 6.48±0.76) for the D3 group.</p><p><strong>Conclusions: </strong>Color correction after resin infiltration is affected by the demineralization level of enamel. Clinical spectrophotometry and digital photography can detect similarly the color change of demineralized enamel after resin infiltration in shallow and moderate demineralization. However, in deep demineralization clinical spectrophotometry tends to exaggerate the color change compared to digital photography.</p>","PeriodicalId":19502,"journal":{"name":"Operative dentistry","volume":" ","pages":"443-454"},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141559422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L F Canobra, E Parra-Gatica, V Sanhueza, C Medina, M Wendler
{"title":"Fracture Resistance and Failure Mode of Polyethylene Fiber-reinforced Resin-based Restorations in Structurally Compromised Premolars: an in Vitro Study.","authors":"L F Canobra, E Parra-Gatica, V Sanhueza, C Medina, M Wendler","doi":"10.2341/23-138-L","DOIUrl":"10.2341/23-138-L","url":null,"abstract":"<p><strong>Objective: </strong>To evaluate the effect of polyethylene fiber-reinforcement on the fracture resistance and fracture mode of extensive resin-based composite (RBC) restorations in structurally compromised maxillary premolars.</p><p><strong>Methods and materials: </strong>Maxillary premolars (54) with specific dimensions and extracted for orthodontic reasons were used. Following mesio-occluso-distal (MOD) cavity preparation and endodontic access, teeth were randomly assigned to one of three restorative protocols (n=18): RBC applied incrementally (I) or reinforced with woven polyethylene fibers (Ribbond) placed horizontally (H) or U-shaped (U). Restored teeth were stored for 45 days in distilled water at 37°C and then loaded monotonically until fracture. Half of the specimens in each group received axial loading (A) and the other half was loaded paraxially (PA). Fracture load data was assessed using two-way analysis of variance and Tukey's post hoc test for multiple comparisons (α=0.05). The fracture initiation and propagation path were analyzed using stereomicroscopy and scanning-electron microscopy.</p><p><strong>Results: </strong>No significant differences were observed for the fracture strength among loading configurations, except for groups IA (825 N) and HA (553 N). Fracture initiated and propagated mainly at and through the RBC restoration in the I group, whereas a shift to the interface was observed in both polyethylene fiber-reinforced groups. Blocking and bridging of cracks were identified around the fibers, especially in specimens of group U.</p><p><strong>Conclusions: </strong>Incorporation of woven polyethylene fibers to reinforce extensive MOD resin-based composite restorations on endodontically treated premolars reduced the occurrence of cohesive fractures in the restorative material but was unable to increase the fracture resistance of the affected teeth.</p>","PeriodicalId":19502,"journal":{"name":"Operative dentistry","volume":" ","pages":"455-464"},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141559419","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Effect of a 3-second Off-label Exposure on the Depth of Cure of Eight Resin-based Composites.","authors":"Mth Ribeiro, C Maucoski, R B Price, C J Soares","doi":"10.2341/23-155-L","DOIUrl":"10.2341/23-155-L","url":null,"abstract":"<p><strong>Objectives: </strong>This study evaluated the depth of cure (DoC) of eight resin-based composites (RBCs) photocured using one multipeak light-curing unit (LCU) on the standard output setting for the manufacturer's RBC recommended exposure time and at a higher irradiance for 3 seconds.</p><p><strong>Methods: </strong>Three conventional RBCs: Tetric EvoCeram (Evo), Tetric N-Ceram (Cer), Tetric Prime (Pri); and five bulk-fill: Tetric N-Ceram Bulk Fill (CerBF), Opus Bulk Fill APS (OpusBF), Opus Bulk Fill Flow APS (OpusF), Tetric PowerFill (PFill) and Tetric PowerFlow (PFlow) were examined. Only PFill and PFlow are formulated to be photocured in 3 seconds. The RBCs were packed into a metal mold and photocured using a Bluephase PowerCure LCU for the RBC manufacturer's recommended exposure time on the standard mode and using the 3-second high irradiance mode. After photocuring, the specimens were immersed in a solvent for 1 hour. The length of the remaining RBC was measured and divided by 2. Data were analyzed using two-way analysis of variance (ANOVA) followed by the Tukey post hoc multiple comparison test (α=0.05).</p><p><strong>Results: </strong>There was no significant difference in the DoC values for PFill and PFlow when photocured using the 3-second high irradiance protocol compared to the lower irradiance standard mode protocol. All other RBCs had significantly lower DoC values (p<0.001) when photocured off-label using the 3-second high irradiance mode.</p><p><strong>Conclusion: </strong>Of the eight RBCs tested, only PFill and PFlow achieved the same DoC when the high irradiance 3-second curing method was used compared to when their longer lower irradiance protocol was used.</p>","PeriodicalId":19502,"journal":{"name":"Operative dentistry","volume":" ","pages":"421-431"},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141559407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Performance of Bonded Lithium Disilicate Partial-coverage Crowns in the Restoration of Endodontically Treated Posterior Teeth: An Up to Seven-Year Retrospective Study.","authors":"Q Jiang, Z Wang, S Zhang, X Liu, B Fu","doi":"10.2341/23-107-C","DOIUrl":"10.2341/23-107-C","url":null,"abstract":"<p><strong>Objectives: </strong>To evaluate the clinical performance of adhesively bonded lithium disilicate glass-ceramic (LDG) partial-coverage crowns in restoring posterior endodontically treated teeth (ETT).</p><p><strong>Methods and materials: </strong>A total of 121 morphologically compromised posterior ETT were restored with LDG partial-coverage crowns between October 2015 and January 2018. The restorations were fabricated in the laboratory or at the chairside. Two adhesive systems and resin cements were used to cement the restorations. Tooth and restoration survival rates were calculated. The restorations were evaluated clinically using the modified United States Public Health Service (USPHS) criteria for an observation period of 5-7 years. The Cox proportional hazards model was used to estimate relative failure risks such as tooth type, resin cements, gender, and sleep bruxism. The standard chi-squared test was used to compare the survival of different tooth types for significant differences (α=0.05). In addition, survival probability was calculated using the Kaplan-Meier algorithm.</p><p><strong>Results: </strong>Among seven failed cases, one was a tooth fracture, and six were restoration fractures. According to the Kaplan-Meier analysis, the estimated survival rate of the teeth was 99% for seven years, while the estimated survival rate of the restorations was 94.8% for 5 years and 92.8% for 7 years. Tooth type and resin cements did not influence restoration survival rates (p>0.05), while sleep bruxism and male patients might increase the risk of failure (p<0.05).</p><p><strong>Conclusions: </strong>The indirect adhesively bonded LDG partial-coverage crowns of posterior ETT exhibited favorable clinical outcomes. Ceramic fracture was the most common failure pattern.</p>","PeriodicalId":19502,"journal":{"name":"Operative dentistry","volume":" ","pages":"365-375"},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141559421","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Y X Chia, K C Li, J Zwirner, P Cooper, M L Mei, M Ekambaram
{"title":"Effect of Blood Decontamination Procedures on the Microshear Bond Strength of Resin-modified Glass Ionomer Cement to Resin Composite.","authors":"Y X Chia, K C Li, J Zwirner, P Cooper, M L Mei, M Ekambaram","doi":"10.2341/23-104-L","DOIUrl":"10.2341/23-104-L","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effect of decontamination procedures on the microshear bond strength (μSBS) of blood-contaminated resin-modified glass ionomer cement (RMGIC) bonded to resin composite (RC).</p><p><strong>Methods: </strong>Eighty RMGIC disc specimens were allocated into 5 groups (n=16). All groups except Group 2 were contaminated with blood. Group 1 had no decontamination procedure, Group 3 was decontaminated by rinsing, Group 4 was decontaminated by 34% phosphoric acid etching, and Group 5 was decontaminated by 5% sodium hypochlorite application. RMGIC specimens were subsequently bonded with RC using a universal adhesive in self-etch mode. μSBS tests were conducted using a universal testing machine at a crosshead speed of 1 mm/min. Failure mode analysis was conducted on RMGIC fracture surfaces under a scanning electron microscope.</p><p><strong>Results: </strong>μSBS results indicated that Group 4 had the highest mean μSBS value of 6.22 ± 2.14 MPa, while Group 1 had the lowest mean μSBS value of 3.53 ±1.67 MPa. Significant differences were observed in the μSBS of Group 2 with no contamination (p=0.023) and Group 4 with decontamination by phosphoric acid-etching (p=0.003) when compared to Group 1 with blood contamination. No statistically significant differences (p>0.05) were observed between all other groups' μSBS. For all groups, the predominant mode of failure was adhesive failure between the RMGIC-RC interface, with a few mixed failures in RMGIC for Groups 2-5.</p><p><strong>Conclusions: </strong>Blood contamination before adhesive application significantly reduced the μSBS between RMGIC and RC. Phosphoric acid etching was the most effective blood decontamination procedure to improve the μSBS.</p>","PeriodicalId":19502,"journal":{"name":"Operative dentistry","volume":" ","pages":"412-420"},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141559408","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
S Srirama, S Jain, B Arul, K Prabakar, V Natanasabapathy
{"title":"Effect of Deep Margin Elevation on the Pulpal and Periodontal Health of Teeth: A Systematic Review.","authors":"S Srirama, S Jain, B Arul, K Prabakar, V Natanasabapathy","doi":"10.2341/23-143-LIT","DOIUrl":"10.2341/23-143-LIT","url":null,"abstract":"<p><strong>Objective: </strong>To systematically evaluate the clinical performance of deep margin elevation (DME) technique in terms of pulpal and periodontal health of teeth.</p><p><strong>Methods and materials: </strong>An exploratory search was performed in PubMed, Scopus, Embase, Web of Science, and Google Scholar up to September 2023 by two authors independently. This systematic review was performed in accordance with Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Systematic Reviews (PRISMA-SR) and registered with PROSPERO-CRD42022382082. A custom-designed spreadsheet was used to extract the data. The quality of each study was evaluated by means of the Joanna Briggs Institute (JBI) risk of bias (ROB) tool specific for each study design.</p><p><strong>Results: </strong>A total of 5363 articles was obtained through an electronic database search, the grey literature, and a hand search. 2814 duplicates were removed, and an additional 2535 articles were also removed, as they did not meet the eligibility criteria. Following the screening of titles and abstracts, 16 articles were selected for full text reading, from which 10 articles were included for final qualitative analysis. DME was predominantly done with resin-based composite or glass ionomer cement (GIC). Parameters like periodontal pocket depth and bleeding on probing were within normal limits in all teeth with DME. Only one study checked the histological outcome and concluded that DME had no negative effect on the periodontium. Most of the studies used indirect restoration (composite/lithium disilicate/Emax) over the DME layer. The follow-up period ranged between 6 months and 12 years.</p><p><strong>Conclusion: </strong>The level of evidence of this review is low, but DME was successful in all teeth, without any deleterious effect on pulp and periodontium.</p>","PeriodicalId":19502,"journal":{"name":"Operative dentistry","volume":" ","pages":"388-402"},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141559418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
K G Garcia, G P Nunes, Acb Delbem, P H Dos Santos, Glp Fernandes, H F Robles, Pbb Lemos, M Danelon
{"title":"Inorganic Phosphate Effect in a Hydrogen Peroxide-based Bleaching Agent: Physicochemical, Mechanical, and Morphological Properties of Dental Enamel.","authors":"K G Garcia, G P Nunes, Acb Delbem, P H Dos Santos, Glp Fernandes, H F Robles, Pbb Lemos, M Danelon","doi":"10.2341/24-002-L","DOIUrl":"10.2341/24-002-L","url":null,"abstract":"<p><strong>Objectives: </strong>This in vitro study aimed to assess the impact of incorporating calcium glycerophosphate (CaGP) and sodium fluoride (NaF) in addition to 35% hydrogen peroxide concerning the enamel mechanical and morphological properties.</p><p><strong>Methods: </strong>Specimens of bovine enamel were chosen based on their initial surface hardness (SHi) and subsequently divided into five gel groups (n=12): 1) 35% Hydrogen Peroxide (HP) Gel; 2) HP + 0.1% NaF Gel (HP/NaF); 3) HP + 0.25% CaGP Gel (HP/CaGP); 4) HP + 0.1% NaF + 0.25% CaGP Gel (HP/NaF/CaGP) and 5) HP Blue 35% Gel (HP Blue). The bleaching gels were applied thrice, for 40 min, at intervals of 7 days each. After 21 days, the final surface hardness (SHf), integrated hardness (IH), Polydispersity Index (PdI) and Zeta Potential (Zp), surface roughness (Ra, after and before), and surface/structural analysis by Scanning Electron Microscopy (SEM) were determined. The data were submitted to ANOVA (one-way and two-way) followed by the Student-Newman-Keuls test (α=0.05).</p><p><strong>Results: </strong>The addition of NaF to HP reduced demineralization by 11.5% in relation to HP (p<0.05). The NaF/CaGP association reduction is 22.8 and 20% higher in comparison to HP/NaF/CaGP and HP Blue, respectively. The IH when the PH/NaF/CaGP bleaching gel was applied, was 14% higher compared to HP and HP Blue groups.</p><p><strong>Conclusions: </strong>It can be concluded that the association of NaF and CaGP with the 35% hydrogen peroxide gel (HP/NaF/CaGP) significantly changed tooth enamel demineralization in terms of surface, depth, roughness, and enamel morphology.</p>","PeriodicalId":19502,"journal":{"name":"Operative dentistry","volume":" ","pages":"465-474"},"PeriodicalIF":1.4,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141580415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
E T Calixto, V F Kelmer, G H Komegae, R R Pacheco, Nip Pini, D Sundfeld
{"title":"Influence of Varied Silane Commercial Brands and Adhesive Application on Bond Strength and Stability to Lithium Disilicate Glass Ceramic.","authors":"E T Calixto, V F Kelmer, G H Komegae, R R Pacheco, Nip Pini, D Sundfeld","doi":"10.2341/23-124-L","DOIUrl":"10.2341/23-124-L","url":null,"abstract":"<p><strong>Objectives: </strong>This study aimed to evaluate the impact of various commercial silane brands with varied chemical compositions with or without the application of an adhesive layer on the microshear bond strength and durability of a resin luting agent to lithium disilicate glass ceramic.</p><p><strong>Methods and materials: </strong>Lithium disilicate glass ceramic discs (EMX, IPS e.max Press, Ivoclar Vivadent) measuring 10 mm in diameter and 3 mm in thickness were fabricated (n=240). Surfaces were etched using 5% hydrofluoric acid and randomly assigned to 10 groups based on the commercial brand of silane used (n=24): [RP] RelyX Ceramic Primer (3M ESPE); [PS] Prosil (FGM); [SA] Silano (Angelus); [SM] Silano (Maquira); [SU] Silane (Ultradent); [GL] GLUMA Ceramic Primer (Kulzer); [CB] Ceramic Bond (VOCO); [MB] Monobond N (Ivoclar Vivadent); [CP] Clearfil Ceramic Primer (Kuraray); and [DE] 2-step silane (Dentsply Sirona). Half of the EMXs (n=12) received a thin adhesive layer (+) after the silane and prior to resin luting agent, while the other half (n=12) did not receive an adhesive layer (-). For the microshear bond strength test (μSBS), four light-cured resin luting agent cylinders (1 mm in diameter) were created on each EMX surface. Half of these specimens were tested after 24 hours, while the other half were stored in deionized water for 6 months. The μSBS test was conducted using a universal testing machine (DL 500, EMIC) at a crosshead speed of 1 mm/min until failure. The obtained data underwent statistical analysis using analysis of variance (ANOVA) and the Tukey test (α=0.05).</p><p><strong>Results: </strong>There was significant influence of the silane commercial brand on bond strength. Notably, \"universal primers\" yielded lower bond strength results compared to \"pure\" silane solutions. Water storage had a detrimental effect on microshear bond strength for certain silane commercial brands. Additionally, the application of an adhesive layer negatively impacted bond strength results for all silanes.</p><p><strong>Conclusions: </strong>This study confirms the importance of both silane commercial brand and chemical composition in relation to bond strength of resin luting agents to lithium disilicate glass ceramic. Furthermore, the application of an adhesive layer may have an adverse effect on bond stability over time.</p>","PeriodicalId":19502,"journal":{"name":"Operative dentistry","volume":" ","pages":"325-335"},"PeriodicalIF":1.4,"publicationDate":"2024-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140852216","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}