Effect of Immediate Dentin Sealing on the Fracture Strength of Indirect Overlay Restorations Using Different Types of Luting Agents (A Comparative Study)

Overview

Journal J Conserv Dent Endod

Date 2023 Sep 14

PMID 37705547

Authors

Yousif Hussam Abdulsattar

Alaa Jawad Kadhim

Affiliations

Soon will be listed here.

Abstract

Objective: This study evaluates the effects of immediate dentin sealing (IDS) on the fracture resistance of lithium disilicate overlays using three different types of resin-luting agents (preheated composite, dual-cure adhesive resin, and flowable composite).

Materials And Methods: Forty-eight maxillary first premolars of equal size were prepared using a butt joint preparation design. The teeth were separated into two primary groups, each with 24 teeth: Group DDS - delay dentin sealing (DDS) (non-IDS) teeth were not treated. Group IDS - dentin sealing was applied immediately after teeth preparations. Each group was subsequently separated into three separate subgroups of eight teeth. Subgroups DDS+Phc and IDS+Phc - cemented with preheated composite (Enamel plus HRi, Micerium, Italy), subgroups DDS+Dcrs and IDS+Dcrs - cemented with dual-cured resin cement (RelyX Ultimate, 3M ESPE, Germany), and subgroups DDS+Fc and IDS+Fc - cemented with flowable composite (Filtek Supreme Flowable, 3M ESPE, USA). The fracture resistance of each sample was evaluated using a test of a single load till failure, which was automatically recorded in Newton by a computer-controlled universal testing system.

Results: The fracture resistance of the subgroup IDS+Phc was the highest mean value, in which the overlay was cemented with preheated composite (1954 N), and the lowest mean was noted in the subgroup DDS+Fc, by which the overlay cemented with flowable composite without IDS (887 N). All IDS subgroups had a high mean fracture load. Both the Bonferroni test and the one-way ANOVA test identified a significant difference between all groups of 0.05.

Conclusion: In general, teeth with IDS were stronger than teeth without IDS. When the preheated composite is used as a luting agent improves overall fracture resistance, followed by resin cement and flowable composite, respectively. However, the result showed that the ceramic overlays with and without IDS are strong enough to withstand the normal mastication force. Overlays was failed in a more catastrophic, irreparable mode of fracture than the clinical situation.

Citing Articles

Influence of Immediate Dentin Sealing on Bond Strength of Resin-Based CAD/CAM Restoratives to Dentin: A Systematic Review of In Vitro Studies.

Antoniou I, Mourouzis P, Dionysopoulos D, Pandoleon P, Tolidis K Biomimetics (Basel). 2024; 9(5).

PMID: 38786477 PMC: 11118030. DOI: 10.3390/biomimetics9050267.

References

Qanungo A, Aras M, Chitre V, Mysore A, Amin B, Daswani S . Immediate dentin sealing for indirect bonded restorations. J Prosthodont Res. 2016; 60(4):240-249. DOI: 10.1016/j.jpor.2016.04.001. View

Spohr A, Borges G, Platt J . Thickness of immediate dentin sealing materials and its effect on the fracture load of a reinforced all-ceramic crown. Eur J Dent. 2014; 7(4):474-483. PMC: 4053674. DOI: 10.4103/1305-7456.120682. View

Sirisha K, Rambabu T, Ravishankar Y, Ravikumar P . Validity of bond strength tests: A critical review-Part II. J Conserv Dent. 2014; 17(5):420-6. PMC: 4174699. DOI: 10.4103/0972-0707.139823. View

Lafuente J, Chaves A, Carmiol R . Bond strength of dual-cured resin cements to human teeth. J Esthet Dent. 2001; 12(2):105-10. DOI: 10.1111/j.1708-8240.2000.tb00207.x. View

Morimoto S, Rebello de Sampaio F, Braga M, Sesma N, Ozcan M . Survival Rate of Resin and Ceramic Inlays, Onlays, and Overlays: A Systematic Review and Meta-analysis. J Dent Res. 2016; 95(9):985-94. DOI: 10.1177/0022034516652848. View

Stavridakis M, Krejci I, Magne P . Immediate dentin sealing of onlay preparations: thickness of pre-cured Dentin Bonding Agent and effect of surface cleaning. Oper Dent. 2005; 30(6):747-57. View

Skapska A, Komorek Z, Cierech M, Mierzwinska-Nastalska E . Comparison of Mechanical Properties of a Self-Adhesive Composite Cement and a Heated Composite Material. Polymers (Basel). 2022; 14(13). PMC: 9269425. DOI: 10.3390/polym14132686. View

Nandini S . Indirect resin composites. J Conserv Dent. 2011; 13(4):184-94. PMC: 3010022. DOI: 10.4103/0972-0707.73377. View

Weng J, Chen H, Chen G, Cheng C, Liu J . Compressive strength of lithium disilicate inlay cementation on three different composite resins. J Dent Sci. 2021; 16(3):994-1000. PMC: 8189877. DOI: 10.1016/j.jds.2021.01.008. View

10.

van den Breemer C, Buijs G, Cune M, Ozcan M, Kerdijk W, Van der Made S . Prospective clinical evaluation of 765 partial glass-ceramic posterior restorations luted using photo-polymerized resin composite in conjunction with immediate dentin sealing. Clin Oral Investig. 2020; 25(3):1463-1473. PMC: 7878261. DOI: 10.1007/s00784-020-03454-7. View

11.

Saadeddin N, Al-Khalil M, Al-Adel O . Effect of immediate dentin sealing on the fracture strength of lithium disilicate ceramic onlays. Swiss Dent J. 2022; 132(7-8):482-489. DOI: 10.61872/sdj-2022-07-08-01. View

12.

Choi K, Condon J, Ferracane J . The effects of adhesive thickness on polymerization contraction stress of composite. J Dent Res. 2000; 79(3):812-7. DOI: 10.1177/00220345000790030501. View

13.

Ito S, Hashimoto M, Wadgaonkar B, Svizero N, Carvalho R, Yiu C . Effects of resin hydrophilicity on water sorption and changes in modulus of elasticity. Biomaterials. 2005; 26(33):6449-59. DOI: 10.1016/j.biomaterials.2005.04.052. View

14.

Sornsuwan T, Swain M . Influence of occlusal geometry on ceramic crown fracture; role of cusp angle and fissure radius. J Mech Behav Biomed Mater. 2011; 4(7):1057-66. DOI: 10.1016/j.jmbbm.2011.03.014. View

15.

Abdulazeez M, Majeed M . Fracture Strength of Monolithic Zirconia Crowns with Modified Vertical Preparation: A Comparative In Vitro Study. Eur J Dent. 2021; 16(1):209-214. PMC: 8890931. DOI: 10.1055/s-0041-1735427. View

16.

Peumans M, Van Meerbeek B, Lambrechts P, Vanherle G . Porcelain veneers: a review of the literature. J Dent. 2000; 28(3):163-77. DOI: 10.1016/s0300-5712(99)00066-4. View

17.

Shenoy A, Shenoy N . Dental ceramics: An update. J Conserv Dent. 2011; 13(4):195-203. PMC: 3010023. DOI: 10.4103/0972-0707.73379. View

18.

Magne P, Razaghy M, Carvalho M, Soares L . Luting of inlays, onlays, and overlays with preheated restorative composite resin does not prevent seating accuracy. Int J Esthet Dent. 2018; 13(3):318-332. View

19.

Hopp C, Land M . Considerations for ceramic inlays in posterior teeth: a review. Clin Cosmet Investig Dent. 2013; 5:21-32. PMC: 3666490. DOI: 10.2147/CCIDE.S42016. View

20.

Acquaviva P, Cerutti F, Adami G, Gagliani M, Ferrari M, Gherlone E . Degree of conversion of three composite materials employed in the adhesive cementation of indirect restorations: a micro-Raman analysis. J Dent. 2009; 37(8):610-5. DOI: 10.1016/j.jdent.2009.04.001. View