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THE JOURNAL OF - Dentsply

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XP BOND in Self-curing Mode used for Luting Porcelain<br />

Restorations. Part A: Microtensile Test<br />

Ornella Raffaelli a /Maria Crysanti Cagidiaco b /Cecilia Goracci c /Marco Ferrari d<br />

Purpose: To assess the bond strength to dentin of an experimental adhesive and the proprietary resin cement used<br />

in different curing modes to lute ceramic disks of different thicknesses.<br />

Materials and Methods: Empress II disks (Ivoclar-Vivadent) were luted to dentin using XP BOND (<strong>Dentsply</strong> [XP]) in<br />

combination with the proprietary self-curing activator (SCA) and cement Calibra (<strong>Dentsply</strong> [C]). Curing of the adhesive<br />

was induced either by mixing with the activator (activator, groups 3 to 6) or by light irradiation for 20 s (group 2). The<br />

cement was either light cured for 40 s through the ceramic onlay (groups 1 to 5) or cured chemically (groups 6 and 7).<br />

Groups 2 and 4 were compared with group 1, in which Prime & Bond NT (<strong>Dentsply</strong> DeTrey) was tested as control. In<br />

groups 3 and 6, 2-mm-thick onlays were luted with XP+SCA, and the cement was light cured for 40 s or let autocure for<br />

5 min, respectively. These groups were compared with group 7, in which Syntac (Ivoclar Vivadent) was applied with C<br />

and, in order to reproduce the handling procedures of group 6 (although contrary to manufacturer’s instructions), no<br />

light irradiation was provided for the adhesive or the cement. The influence of onlay thickness (2, 3, 4 mm) on the<br />

bond strength developed by XP+SCA/C was assessed by comparing groups 3, 4, 5. In these groups, C was light cured<br />

for 40 s through the onlay. Microtensile beams were obtained from the luted teeth.<br />

Results: Bond strengths not including pretest failures (in parentheses: value including pretest failures as 0 MPa) were<br />

21.0 (17.5) MPa in group 1, 24.9 (21.2) MPa in group 2, 23.7 (21.3) MPa in group 3, 29.9 (26.7) MPa in group 4, 30.3<br />

(24.6) MPa in group 5, 28.6 (24.6) MPa in group 6, and 17.1 (9.2) MPa in group 7. Statistically significant differences<br />

were found between groups 1 and 4, groups 3 and 5, and groups 6 and 7.<br />

Conclusion: The bonding potential of XP BOND used with the activator or light cured in combination with Calibra in<br />

self- or dual-curing mode outperformed that of a control adhesive-cement system. The bond strength of XP+ SCA + Calibra<br />

was not negatively affected by the onlay thickness.<br />

J Adhes Dent 2007; 9: 275-278. Submitted for publication: 15.12.06; accepted for publication: 5.1.07.<br />

a PhD Student, Department of Dental Materials and Prosthodontics, University of<br />

Siena, Siena, Italy.<br />

b Clinical Professor of Dentistry, Department of Dental Materials and Prosthodontics,<br />

University of Siena, Siena, Italy.<br />

c Assistant Professor and Chair, Department of Endodontics, University of Siena,<br />

Siena, Italy.<br />

d Professor and Chair, Department of Dental Materials and Prosthodontics, University<br />

of Siena, Siena, Italy.<br />

Paper presented at Satellite Symposium on Dental Adhesives, Dublin,<br />

September 13th, 2006.<br />

Reprint requests: Prof. Marco Ferrari, Research Center for Dental Health, 19 Piazza<br />

Attias, 57120 Livorno, Italy. Tel: +39-586-892-283, Fax: +39-586-898-305.<br />

e-mail: ferrarimar@unisi.it<br />

Many new bonding systems are introduced every year on<br />

the market. Some of them are primer-adhesive solutions<br />

in combination with a prior phosphoric acid treatment,<br />

others avoid the total-etch step and offer self-etching or selfadhesive<br />

bonding solutions. 3,5,7-10<br />

However, practitioners would like to use the same bonding<br />

systems for all clinical applications, although most simplified<br />

bonding solutions are not necessarily indicated for<br />

luting indirect restorations, limiting their clinical indications<br />

to direct restorations.<br />

Recently, XP BOND (<strong>Dentsply</strong> DeTrey; Konstanz, Germany),<br />

using tert-butanol for the first time as solvent in dentistry,<br />

was proposed as a one-bottle universal adhesive, also<br />

in combination with a new self-curing activator (SCA).<br />

When luting a porcelain restoration, differences in thickness<br />

may reduce the light penetration, resulting in a reduced<br />

polymerization rate of the luting material. 1,2,4 To avoid<br />

an incomplete cure of the resin cement adhesive interface,<br />

the self-curing activator can be used.<br />

Consequently, the aims of this study were to evaluate (1)<br />

the procedure for adhesively luting ceramic to dentin and,<br />

specifically, when light is applied, to cure either the adhesive<br />

before or after applying the cement, (2) the influence of ceramic<br />

thickness when the adhesive is not separately light<br />

cured but mixed with a self-curing activator (SCA), (3) the influence<br />

of SCA on the bonding efficacy when no light is<br />

used. The null hypothesis tested is that differences in porcelain<br />

thickness and curing mode do not affect the bond<br />

strength values.<br />

Vol 9, Supplement 2, 2007 275

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