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Dental Materials Journal 2011; 30(3): 392–397

Influence of silane heat treatment on bond strength of resin cement to a


feldspathic ceramic
Rodrigo Furtado de CARVALHO1, Maria Elizabeth Marques Nogueira MARTINS2,
José Renato Cavalcanti de QUEIROZ2, Fabíola Pessoa Pereira LEITE2 and Mutlu ÖZCAN3
1
Federal University of Juiz de Fora, Faculty of Dentistry, Rua Jose Lourenco Kelme, Campus University, Bairro São Pedro 36036-900, Juiz de Fora,
MG, Brazil
2
Federal University of Juiz de Fora, Faculty of Dentistry, Department of Restorative Dentistry, Rua Jose Lourenco Kelme, Campus University, Bairro
São Pedro 36036-900, Juiz de Fora, MG, Brazil
3
University of Zürich, Dental Materials Unit, Center for Dental and Oral Medicine, Clinic for Fixed and Removable Prosthodontics and Dental Materials
Science, Plattenstrasse 11, CH-8032 Zürich, Switzerland
Corresponding author,  Rodrigo Furtado de CARVALHO;  E-mail:  rf-carvalho@hotmail.com


This study evaluated the influence of heat treatment (HT) of the silane on the microtensile bond strength of resin cement to a
feldspathic ceramic. Ceramic (VITA VM7) and composite blocks (N=32) were divided into four groups (n=6 for bond test, n=2 for SEM)
at random and subject to following sequence of conditioning: G1: HF 9.6%+Silane+Panavia F2.0, G2: HF 9.6%+Silane+HT+Panavia
F2.0, G3: Silane+HT+Panavia F2.0, and G4: Silane+Panavia F2.0. HT was performed in an oven (100°C, 2 minutes). G1 (17.6±2.3
MPa) and G2 (19±3.2 MPa) showed significantly higher mean bond strength than those of G3 (9.1±2.8 MPa) and G4 (10.9±1.8 MPa).
SEM analysis showed exclusively mixed failures. Silane HT did not increase the bond strength.

Keywords: Adhesion, Cementation, Ceramics, Microtensile strength, Thermal treatment




Silane coupling agents promote bonding between


INTRODUCTION
inorganic phase of ceramic and organic phase of bonding
Ceramics are often the materials of choice for aesthetic agent applied on the ceramic surface by siloxane
restorations in dentistry due to their high resistance bond12,13). In addition, silane increases the surface energy
to abrasion, compression, chemical stability, of ceramic substrates and improves cement damping.
biocompatibility, favorable aesthetic features, These events consequently promote microscopic
translucence and fluorescence1). interactions between both parts.
Among several types of ceramics, feldspathic ceramic Silane performance could be improved by heat
is commonly used in the fabrication of indirect treatment procedure. Heat treatment of silane results in
restorations such as laminates, inlays, onlays or overlays. the elimination of alcohol, water and other by-products
Feldspathic ceramics are composed of two minerals: of the ceramic surface14-16). In addition, heat treatment
quartz and feldspath. The feldspath is linked to some helps to complete the condensation reaction between
metallic oxides forming the glass phase while the quartz silicate and silane providing formation of covalent bonds
comprises a crystalline phase1). between the silane-ceramic interface, which in turn
The effectiveness of partial ceramic restorations is becomes more effective and stable14-16). Therefore, it could
linked to adequate cementation procedures that are be anticipated that this stable silane reaction may
dependent on some factors such as composition of eliminate the use of hazardous HF acid gel during the
ceramic materials, surface conditioning methods and cementation phase.
cement agents2,3). The surface conditioning of ceramics Resin cements exhibit low solubility in the oral
vary between ceramic types depending on their chemical environment, and adhere effectively to different
composition4). The feldspathic ceramics are classified as substrates when compared to other luting agents17).
acid sensitive materials that suffer from surface Resin cements that are suitable for glass ceramics are
degradation by hydrofluoric acid gel (HF). HF application usually composed of bis-phenol glycidyl methacrylate
creates a topography favoring micro-mechanical (bis-GMA) or urethane dimethacrylate (UEDMA) matrix
retention5-8) due to selective dissolution of glass matrix in combination with other monomers with lower
that is identified as retentive micro-pores, fissures and molecular weight such as triethyleneglycol
grooves on the conditioned ceramic surface4,8-11). dimethacrylate (TEGDMA). An annexation of hydrophilic
The cementation process of a prosthetic restoration functional groups, HEMA and 4-META, changes the
is the final step of operative treatment after a series of organic composition of resin cements enabling adhesion
procedures. For adhesive cementation of glassy matrix to dental tissues. Such materials are basically composites
ceramics, after etching with HF, it is recommended to with adequate viscosity for cementation that may be
use silane coupling agent, a monomer with reactive chemically, photo or dual polymerized. The resin cement
organic radicals and hydro-soluble monovalent group12,13). Panavia F2.0 (Kuraray, Japan) contains phosphate

Received Aug 25, 2010: Accepted Feb 23, 2011


doi:10.4012/dmj.2010-137 JOI JST.JSTAGE/dmj/2010-137
Dent Mater J 2011; 30(3): 392–397 393

monomer in its composition being capable of adhering to instructions. The ceramic slurry was placed in small
oxides and at the same time providing adequate adhesion portions using a spatula, condensed inside the silicon
between the cement and the restorative material. impression and vibrated manually until completing the
The choice of standardized tests focusing on adhesive entire space of this impression. The excess fluid was
joint strength is essential to evaluate the bond strength removed with soft absorbent paper. Then, the ceramic
of different materials18). Among different testing block was removed from the tray. Finally, 32 blocks of
methods, the conventional tensile test yields to ceramic were obtained from a single impression. The
non-uniform force distribution at the adhesive area. blocks were sintered on the refractory base in the furnace
Also, in tensile bond tests the exact parallel alignment of (Vacumat, VITA Zahnfabrik) following the firing cycles
the test specimens is difficult19). While the pull-out test recommended by the manufacturer. Considering that
creates the concentration of tension in the substrate the contraction after sintering of ceramics is around
having no effect in the adhesive area13,20), microtensile 20%, post-sintering blocks had approximate dimensions
test allows the distribution of tension in the adhesive of 4.8 mm×6.4 mm×6.4 mm. The internal surfaces of
area18,21-25). each block have undergone a radiographic evaluation in
The aim of this present study was to evaluate the order to observe possible faults within the body. In case
influence of heat treatment of silane coupling agent on of such defects, the specimens were excluded from the
the microtensile bond strength of phosphate monomer study and new ones were made. Subsequently, the
based resin cement to feldspathic ceramic. ceramic excess was removed with diamond discs at low
speed. The bond surface was ground finished using
silicone carbide abrasives of 600, 800, 1000, 1200 grit in
MATERIALS AND METHODS
sequence under water. Then the specimens were
Ceramic specimen preparation ultrasonically cleaned in distilled water for 5 minutes.
The brands, manufacturers, chemical compositions and Impressions were made from each ceramic block.
batch numbers of the materials used in this study are After the impression material (Elite HD) was set, ceramic
listed in Table 1. blocks were removed from the mold. Microhybrid resin
Initially, a standard acrylic resin with dimensions of composite (W3D MASTER, Wilcos of Brazil Ind., RJ,
6 mm×8 mm×8 mm was made. From this acrylic, ceramic Brazil) was placed in increments of 2 mm. Each increment
blocks were obtained measuring the same size for all was photo polymerized for 40 seconds (Ultraled,
groups. The pattern of acrylic resin was molded with a Ultradent®, UT, USA) until the mold was filled, resulting
dense mass of the heavy part of polysiloxane (Elite HD, in a block of composite (4.8 mm×6.4 mm×6.4 mm) for
Zhermach, Badia Polesine, Italy). The powder (VITA each ceramic block. As a result, the bonding surface of
VM7 Dentin 5M2) and modeling liquid (Modeling for the composite resin blocks had the same area as the
Liquid Vita VM7, VITA Zahnfabrik, Bad Säckingen, surfaces of ceramic blocks. The ceramic blocks were
Germany) were mixed according to the manufacturer’s again ultrasonically cleaned as described above.

Table 1 The brands, manufacturers, chemical compositions and batch numbers of the materials used in this study.
Brands Manufacturer Chemical composition Batch number
W3D MASTER Wilcos of Brazil, Rio Methacrylate-based monomers 23.7 w%, silica, 002051
de Jeneiro, Brazil silicate glass and fluoride containing fillers 75.6 w%,
polymerization catalysts 0.6 w%, inorganic pigments
0.1 w%

Vita VM7 Vita Zahnfabrik, Bad Silicaoxide, aluminiumoxide, lanthanumoxide, 11040


Säckingen, Germany magnesium oxide, zincoxide, potassiumoxide,
inorganic pigments

Porcelain Dentsply, Petrópolis, 9.6% Hydrofluoric acid 11040


Conditioner RJ, Brazil

Clearfil Ceramic Kuraray Medical Inc., 3-Methacryloxypropyl trimethoxy silane, MDP, 61182
Primer Tokyo, Japan ethanol

Panavia F2.0 Kuraray Medical Inc., Silanated barium glass, silanated silica, surface 61187
Tokyo, Japan treated sodium fluoride, bis-phenol polyethoxy
dimetacrylate, MDP, hydrophobic dimethacrylate,
hydrophilic dimethacrylate, benzoyl peroxide,
sodium aromatic sulfinate, N,N-diethanol
p-toluidine, photo-initiator
394 Dent Mater J 2011; 30(3): 392–397

Adhesion protocol before the tests using a digital caliper (Starret Industry
The ceramic blocks were then randomly divided into four Commerce Ltd., Sao Paulo, Brazil) with an accuracy of
groups (n=6) and conditioned as follows: 100 µm. The bar specimens were fixed to the alignment
In Groups 1 and 2, the ceramic blocks were device with one drop of cyanoacrylate glue (Super Bonder
conditioned with HF acid gel (Porcelain Conditioner, Gel) on the composite and one on the ceramic part of the
Dentsply, Rio de Jeneiro, Brazil) for 20 seconds, rinsed bar specimen. It was made sure that the adhesive
with water spray for 60 seconds, and ultrasonically interface was free of the glue. The tensile forces were
cleaned in distilled water for 4 minutes. They were then applied at a cross-head speed of 1 mm/min until
dried with air spray for 30 seconds. In Group 1, silane debonding in the Universal Testing Machine (Model DL
was applied on the bonding surface of each ceramic block 1000, EMIC, Systems and Equipments Ltd., São José
(Clearfil Ceramic Primer, Kuraray Medical Inc., dos Pinhais, Brazil).
Okayama, Japan) and dried completely with air spray. After the tests, failure types were analyzed using an
In Group 2, after silane application, heat treatment optical microscope (Zeiss MC 80 DX, Jena, Germany) at
was achieved in a furnace (EDG, Sao Paulo, Brazil) at ×50 magnification. Failure classification was as follows:
100°C for 2 minutes. adhesive between the cement and ceramic (adhesive
In Group 3 and 4, on the ceramic surfaces no HF zone), cohesive in the ceramic or cohesive in the resin
etching but only silanization was performed. In Group 3 block. Specimens were further evaluated under Scanning
silane layer was heat-treated but in Group 4 no heat Electron Microscopy (SEM) (Jeol-JSM-T330A, Tokyo,
treatment was applied. Japan).
Subsequently, resin cement (Panavia F2.0, Kuraray Furthermore, on additional eight ceramic blocks
Medical Inc., Tokyo, Japan) was adhered onto the chemical analysis was performed using X-ray Energy
conditioned ceramic surface, according to the Dispersive Spectrometry (EDS) (Jeol-JSM-T330A) at low
manufacturers instructions. The ceramic and the vacuum level of 40 Pa pressure using the secondary
composite block were aligned perpendicular. After the electron mode (20 KV of acceleration, working distance:
cement was placed on the conditioned surface, vertical 15 mm).
load of 750 g was applied for 10 minutes. The excess of
cement was removed, margins of the blocks were photo- Statistical analysis
polymerized for 40 seconds at each site (Ultra LED, Statistical analysis was performed using SPSS 11.0
Ultradent, UT) and an oxygen inhibiting gel was applied software for Windows (SPSS Inc., Chicago, IL, USA).
at the margins. The ceramic-cement-resin assembly was Bond strength data (MPa) were submitted to two-way
then washed with air-water spray and kept in distilled analysis of variance (2-way ANOVA) with the bond
water at 37°C for seven days prior to specimen strength as the dependent variable and the heat
preparation for microtensile bond strength test. treatment and etching as independent variables. Due to
significant differences between groups, multiple
Microtensile bond strength test comparisons were made using Tukey’s tests. P values
Initially, the ceramic-cement-composite resin assembly less than 0.05 were considered to be statistically
was fixed with cyanoacrylate adhesive (Super Bonder significant in all tests.
Gel, Loctite Ltd., São Paulo, Brazil) on cylindrical
metallic base of the cutting machine. The calibration of
RESULTS
the machine was repeated for each new specimen. Bar
specimens were obtained by cutting the assembly using During cutting procedures, 0, 0, 5, 3 pre-test failures
steel diamond discs (Microdont, São Paulo, Brazil) at low were experienced for Groups 1, 2, 3 and 4. These were
speed under water-cooling. The external sections of 1 considered as 0 MPa.
mm were eliminated due to possible excess cement. The Groups 1 and 2, where the ceramic surfaces were
blocks were turned 90° and fixed again on the metallic etched with HF gel, showed significantly higher mean
base. From each block, 9 transversal sections were bond strength (17.6±2.3 and 19±3.2, respectively) than
obtained and from those sections bar specimens with a those of Groups 3 and 4 where the ceramics were only
length of ±8 mm and adhesive area of ±1 mm² were silanized (9.1±2.8, 10.9±1.8, respectively) (p<0.05) (Table
obtained. 2). Heat treatment of silane did not increase the results
Bonding area of each bar specimen was measured neither in the HF etched nor in the non-etched groups

Table 2 The mean (±standard deviations-SD) microtensile bond strength (MPa) values for the experimental groups.
Groups Mean (SD) Minimum Maximum
1 17.6 (2.3)a 13.72 20.39
2 19.0 (3.2) a
13.98 22.40
3   9.1 (2.8)b  6.31 12.59
4 10.9 (1.8) b
 7.37 13.63
*The same superscripted letters indicate no significant differences (Tukey’s test, =0.05).
Dent Mater J 2011; 30(3): 392–397 395

(p>0.05). ceramic based on silica (SiO2), potassium feldspath (K2O.


The failure analysis showed exclusively mixed Al2O3. 6SiO2) or sodium (Na2O.Al2O3.6SiO2).
failures (adhesive between ceramic and cement and
cohesive in the cement) in all groups (Figs. 1a-b).
DISCUSSION
SEM image of non-heat treated silanized surfaces
showed more agglomerates than the heat-treated ones During the adhesive cementation process of ceramic
(Figs. 2a-b). restorations, many factors may influence the bonding
EDS analysis presented Silica (Si), Sodium (Na), between the restorative material and the dental tissues.
Aluminum (Al), Potassium (K), Oxygen (O) and Carbon The bond strength could be measured using different
(C) which characterizes the microstructure of a glass- mechanical tests. Shear test is widely used, as it is an

(a) (b)

Fig. 1 Representative SEM micrographs (×500 magnification) of mixed failure types from (a) Group 1 and (b) Group 2.

(a) (b)

Fig. 2 Representative SEM micrographs (×2,000 magnification) of silanized ceramic surfaces (a) before and (b) after heat
treatment. Note that the non-heat treated silanized surfaces showed more agglomerates than the heat-treated
ones.
396 Dent Mater J 2011; 30(3): 392–397

easy method to perform. However, shear test is not In this study, the major gain in bond strength was due to
considered as an ideal mechanical test since it often the HF etching as observed in Groups 1 and 2. In the
yields to cohesive failures in the substrate19). The high groups where no HF etching was performed the mean
incidence of cohesive failures of the substrate is related bond strength was almost 50% less. These findings
to non-uniform stress distribution at the adhesive joint indicate the importance of etching prior to silane
that undergo shear stresses requiring more forces from application that was clearly more important than the
the substrate than the adhesive interface itself. On the silane heat treatment. On the other hand, the use of
other hand, conventional tensile tests have some silane has a great importance for the adhesive
limitations due to the difficulty of aligning the specimens cementation technique11,22). As it is considered an organic-
in the universal testing machine, which in turn functional molecule, it promotes chemical adhesion
distributes the stresses uneven at the adhesive between the inorganic substratum and organic polymers.
interface25). The choice of the microtensile test in this It should also be noted that in this study an MDP
study was because of its reliability in testing adhesion to containing resin cement was used. Silane reaction may
dental tissues or and ceramics as opposed to the other differ with other resin cements containing methacrylate
methods2,13). Alignment of the bar specimens are also of monomers.
importance in this test. Therefore, an alignment device Besides microtensile bond strength results, the SEM
was adapted for parallel placement of the specimens findings showed that heat treatment seemed to promote
during testing. better damping, absorption of the silane yielding to
The results of this study showed no additional effect greater contact and infiltration of the bonding agent into
of silane heat treatment on the mean bond strength. the porosities of the etched ceramic.
Thus, the hypothesis was rejected. These findings did The microtensile bond strength data must be coupled
not corroborate with the studies of Hooshmand et al.14) with the failure types. Failure analysis showed
and Moharamzadeh et al.26). This may be explained by exclusively mixed failures. No cohesive failures in the
the differences in the test method used. While Hooshmand ceramic substrate were observed. Previous studies also
et al.14) used the conventional tensile test, in the study of reported higher incidence of mixed or adhesive failures
Moharamzadeh et al.26) shear test was used. compared to other test methods where more cohesive
The heat treatment of silane in fact eliminates the failures of the substrate was observed5,26).
water, alcohol and other by-products from the ceramic According to results of this study, it may be possible
surface. In addition, it helps to complete the condensation to conclude that the heat treatment of silane does not
reaction between silica and silane promoting the improve the bond strength of the cement, Panavia F2.0,
formation of a covalent bond in the silane-ceramic tested in this study.
interface, making it more effective and resistant3). Silane
heat treatment could be achieved in different ways. In
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