Objective:The purpose of this study was to evaluate the effects of blood contamination and haemostatic agents such as Ankaferd Blood Stopper (ABS) and hydrogen peroxide (H2O2) on the microtensile bond strength between dual cured resin cement-dentin interface.Material and Methods:Twelve pressed lithium disilicate glass ceramics were luted to flat occlusal dentin surfaces with Panavia F under the following conditions: Control Group: no contamination, Group Blood: blood contamination, Group ABS: ABS contamination Group H2O2: H2O2 contamination. The specimens were sectioned to the beams and microtensile testing was carried out. Failure modes were classified under stereomicroscope. Two specimens were randomly selected from each group, and SEM analyses were performed.Results:There were significant differences in microtensile bond strengths (µTBS) between the control and blood-contaminated groups (p<0.05), whereas there were no significant differences found between the control and the other groups (p>0.05).Conclusions:Contamination by blood of dentin surface prior to bonding reduced the bond strength between resin cement and the dentin. Ankaferd Blood Stoper and H2O2 could be used safely as blood stopping agents during cementation of all-ceramics to dentin to prevent bond failure due to blood contamination.
Purpose
To assess the fracture resistance of monolithic zirconia crowns cemented with different types of cement on cement‐retained implant abutments.
Materials and methods
Forty implant analogs were positioned in acrylic resin blocks, and cement‐retained straight implant abutments were fastened to the analogs. Crowns were designed with/without occlusal vent holes and produced from monolithic zirconia blocks by the CAD‐CAM technique. The two crown types were divided into two groups and cemented with resin and zinc‐polycarboxylate cement under 5 kg weight. A universal testing machine applied compressive forces to the crowns until fracture. Fracture resistance values were analyzed using two‐way ANOVA and the independent samples t‐test with statistical significance set at p < 0.05.
Results
According to the two‐way ANOVA results, although the crown design did not have a significant effect on fracture resistance (1417.65 ± 337.39 N, 1565.16 ± 517.12 N; crowns with and without vent holes, respectively), the main effect of the cement variable on the fracture resistance was significant. Zinc‐polycarboxylate cement (1680.1 ± 375.23 N) showed higher fracture resistance than resin cement (1302.71 ± 420.64 N) in the crowns designed with vent holes (p < 0.005).
Conclusion
The use of cement‐retained implant‐supported monolithic zirconia crowns with an occlusal vent hole is safe, and zinc‐polycarboxylate cement use may be an appropriate choice for cementation of these crowns.
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