To assess the effect of nano-modification of two CAD/CAM monolithic Zirconia systems (wet and dry-milled) on microstructural changes and fracture resistance upon aging. Twenty monolithic Zirconia discs (10mm x1.5mm) were divided into 2 groups (n=10) according to fabrication system;wet-milled (Incoris TZI) and dry-milled (CeramillZolid). Each group was subdivided into two subgroups (n=5), whether subjected to aging or not. Aging proceduresincluded accelerated hydrothermal aging and cyclic loading. Microstructural changes were assessed quantitatively and qualitatively using x-ray diffraction (XRD) and scanning electron microscope (SEM) respectively. Discs were subjected to fracture resistance test usinguniversal testing machine. Meansandstandard deviations were recorded for phase transformation (t-m)of Zirconia and repeated ANOVA was used to correlate phase transformation with fracture resistance results (p≤0.05). For aged subgroups, XRD analysis revealed significantly higher phase transformation of wet-milled than dry-milled (p≤0.05) and SEM analysis revealed wide zone phase transformation for wet-milled zirconia and minimal zone for dry-milled. For both systems, no significant difference between the mean flexural strength values ofnon-agedand aged zirconia (p≤0.05). Nanocrystalline microstructure of monolithic zirconia improved its resistance to aging. The fracture resistance of the two systems was not affected by aging.

Background Adhesive tooth-colored restorations are strongly dependent on the substrate surface cleanliness to allow intimate contact between resin cement and dentin surface, so several methods were adopted for the total cleaning of temporary cement residues. This study aimed to assess the effect of mechanical and chemo-mechanical cleaning methods of temporary cement on the immediate shear bond strength of self-adhesive resin cement to dentin surface. Methods Forty freshly extracted lower first premolars were cut to expose a flat dentin surface. Discs of temporary crown composite resin material were constructed and cemented to the flat dentin surface using resin-based and non-eugenol temporary cement then stored at room temperature in distilled water. Dividing of samples into two groups according to the method of temporary cement cleaning. Group I (n = 20) mechanical cleaning using the rotary instrument, and group II (n = 20) chemo-mechanical cleaning using chlorhexidine-containing scrub. CAD/CAM reinforced Composite discs were bonded to the dentin surface using self-adhesive composite resin cement, then measurement of shear bond strength was done using a universal testing machine. Further analysis of failure mode after debonding was performed by Scanning electron microscope. Results No statistically significant difference was found between the mean shear bond strength of the two cleaning methods (P-value = 0.636). Regardless of the cleaning method, the group cemented with resin-based temporary cement showed statistically significantly higher mean shear bond strength than non-eugenol temporary cement (P-value = 0.048). Conclusion Both cleaning methods (mechanical and chemo-mechanical) applied in this study were effective in cleaning temporary cement remnants from the dentin substrate surface with statistically significant differences between results of shear bond strength with significantly higher values recorded with resin-based temporary cement.

Objective: This study aimed to assess the fracture resistance of primary molars restored with endocrowns compared to prefabricated zirconia crowns. Methods: Twelve sound, defect-free primary second molars were selected and divided into two groups: group I included 6 molars restored with zirconia crowns, while group II included 6 teeth restored with endocrowns. For both groups access cavity was prepared for the teeth to open pulp chamber. Fracture resistance of both groups was tested using a universal testing machine. Results: Zirconia crown showed statistically significantly higher mean fracture resistance than Endocrown (P-value = 0.001, Effect size = 2.72). Conclusion: Pulpotomized primary molars restored with Zirconia crowns showed significantly higher mean fracture resistance compared to primary molars restored with endocrowns, meanwhile both restorations have shown higher mean fracture resistance than the maximum biting force in children. Keywords  Composite resins; Endocrown; Fracture strength; Zirconia crowns.

Aim: to evaluate the influence of immersion time in coffee staining solution on the color coordinates of two Zirconia-containing indirect aesthetic materials.Material and methods: 20 Discs were used in the current study; samples have been divided into two groups according to the material used (monolithic Zirconia restoration group (katana) and indirect Zirconia silicate filled composite restoration group [Ceramage]. The samples were prepared and then immersed in coffee [staining solution]. Spectrophotome tric analysis was made immediately after manufacturing of discs at (T0), at 7 days (T1), 14 days (T2) and at 21 days.Results: At T0-T1, T1-T2, T0-T2 and T0-T3, the mean ΔE of Zirconia showed statistically significantly lower value than Ceramage. At T2-T3; no statistically significant difference between mean ΔE of the two ceramic types was found (P-value = 0.155, Effect size = 0.235). Regardless of time; Zirconia showed a statistically significant lower mean ΔE than Ceramage after staining protocol. Conclusion:The ΔEs of tes ted CAD/CAM Zirconia ceramics is considered color stable in comparison to zirconia filled composite (Ceramage), and better resistant to external coffee staining.Color difference (ΔE) between different test specimens at different immersion or contact/time in coffee drinks showed clinically un acceptable range above 3.3 units). Thus, Zirconia filled lab composite is not aesthetically stable in color. Further studies are required to assess the color stability of different zirconia containing indirect restorative materials upon exposure to different oral conditions with aging inside the oral cavity.

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