Research Article
Effects of Two Different Acid Etching and Surface Washing
Methods on Bond Strength on Different CAD-CAM Blocks under
Aging Protocols
Şevki Çınar ,
1
Mehmet Ali Fildişi ,
2
Bike Altan ,
1
and Davut Ozkan
1
1
Department of Prosthodontics, Faculty of Dentistry, University of Health Sciences, Uskudar, Istanbul, Turkey
2
Department of Restorative Dentistry, Faculty of Dentistry, Medipol University, Istanbul, Turkey
Correspondence should be addressed to Şevki Çınar; drsevkicinar@gmail.com
Received 29 September 2022; Revised 9 January 2023; Accepted 13 January 2023; Published 20 January 2023
Academic Editor: Konstantinos Michalakis
Copyright © 2023 Şevki Çınar et al. This is an open access article distributed under the Creative Commons Attribution License,
which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Aim. The purpose of this study is to investigate the effects of hydrofluoric acid and one-component ceramic primer and silane
(Monobond Etch and Prime (MEP)) applications on lithium disilicate glass ceramics and zirconium-infiltrated lithium silicate
glass ceramics, as well as the effect of ultrasonic and phosphoric acid surface washing methods on bond strength. Materials
and Method. A total of 240 ceramic samples were prepared using two different CAD-CAM material blocks with a thickness of
2 mm made of lithium disilicate glass-ceramic (IPS e.max CAD) and zirconium-infiltrated lithium silicate glass ceramic blocks
(Celtra Duo). The samples were cemented to the composite discs (Tetric N-Ceram) after two different acid treatments, and
surface washing processes were applied to them. As such, 24 groups were formed, each with two different acid applications,
three different washing processes, two different CAD-CAM blocks, and two different aging procedures (n = 10). Following the
application of the acid, different washing processes are used. These were HF acid and washing only (HF + W), HF acid and
ultrasonic washing (HF + US), HF acid and phosphoric acid (HF + PA), MEP with washing only (MEP + W), MEP and
ultrasonic washing (MEP + US), and MEP and phosphoric acid (MEP + PA). The composite discs were cemented with dual
cure adhesive cement (Multilink Automix) after the determined surface treatments were applied to the blocks. After surface
applications, SEM analysis was conducted. Following exposure to two different thermal procedures, long-term (TL) and short-
term (TS), bond strengths were measured using an Instron universal test device. SPSS version 23.0 software was used to
perform the statistical analyses. Histogram graphs and the Kolmogorov-Smirnov/Shapiro-Wilk test were used to assess the
variables’ conformity to the normal distribution. Results. The bond strength values of TS and TL in the Celtra Duo block were
significantly higher than those in the e.max CAD block (p <0:05). The TS-TL bonding strength value difference in the e.max
CAD block was significantly higher than the surface measurements in the Celtra Duo block. While the highest bond strength
value HF + US for TS in e.max CAD was 20:07 ± :31, the values of HF + US in Celtra Duo were significantly higher in terms of
TL values when compared to other groups. Conclusion. Celtra Duo material demonstrated higher bond strength values after a
short and long thermal cycle than e.max CAD material. In general, groups bonded with HF were less affected by the thermal
cycle than groups treated with MEP.
1. Introduction
Due to their featured properties such as aesthetic success, sur-
face smoothness, durability, and biocompatibility, dental
ceramics are widely used to replace missing teeth or teeth with
substance loss. Advanced ceramic systems with improved
mechanical properties have begun to be produced in response
to the growing demand for more successful aesthetic restora-
tions [1]. The advancement of CAD-CAM (computer-aided
design/computer-aided manufacturing) technologies benefits
the treatment process by standardizing more compatible
restorations [2].
Because of their biocompatibility, aesthetic appearance,
and mechanical properties, lithium disilicate glass ceramics
are among the most preferred restorative materials for
indirect restorations in both aesthetic and functional
Hindawi
BioMed Research International
Volume 2023, Article ID 7982813, 8 pages
https://doi.org/10.1155/2023/7982813