An In Vitro Evaluation of the Effect of Ceramic Material, Surface Treatment, and Adhesive Cement on Shear Bond Strength in Prosthodontics

<i>Background and Objectives</i>: Ensuring the optimal shear bond strength (SBS) is essential for the long-term success of prosthodontic restorations. Our in vitro study aimed to evaluate the SBS of three types of ceramics (feldspathic, alumina, and lithium disilicates) using three adhes...

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Main Authors: Izabella Éva Mureșan, Diana Cerghizan, Attila Gergely, Rudolf-László Farmos, László Jakab-Farkas, John-Jason Șimon, Bernadette Kerekes-Máthé, Dóra-Anna Giliga, Esztella Éva Kis, Kinga Mária Jánosi, Krisztina Mártha
Format: Article
Language:English
Published: MDPI AG 2025-06-01
Series:Medicina
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Online Access:https://www.mdpi.com/1648-9144/61/7/1118
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author Izabella Éva Mureșan
Diana Cerghizan
Attila Gergely
Rudolf-László Farmos
László Jakab-Farkas
John-Jason Șimon
Bernadette Kerekes-Máthé
Dóra-Anna Giliga
Esztella Éva Kis
Kinga Mária Jánosi
Krisztina Mártha
author_facet Izabella Éva Mureșan
Diana Cerghizan
Attila Gergely
Rudolf-László Farmos
László Jakab-Farkas
John-Jason Șimon
Bernadette Kerekes-Máthé
Dóra-Anna Giliga
Esztella Éva Kis
Kinga Mária Jánosi
Krisztina Mártha
author_sort Izabella Éva Mureșan
collection DOAJ
description <i>Background and Objectives</i>: Ensuring the optimal shear bond strength (SBS) is essential for the long-term success of prosthodontic restorations. Our in vitro study aimed to evaluate the SBS of three types of ceramics (feldspathic, alumina, and lithium disilicates) using three adhesive cements (Variolink Esthetic LC, Variolink Esthetic DC, and Maxcem Elite). <i>Materials and Methods</i>: Healthy molars were prepared, and ceramic blocks were cemented following universally accepted luting protocols. SBS tests were performed using a custom-made testing machine. A multiple linear regression model assessed the effects of ceramic type, surface treatment, and luting agent on SBS. <i>Results</i>: The regression model explained 61.3% of the variation in SBS values (R<sup>2</sup> = 0.613); the adjusted R<sup>2</sup> = 0.605 confirmed the model’s robustness. The global F-test was statistically significant (F = 78.96, <i>p</i> < 0.001). The total-etch technique (+4.47), the use of feldspathic ceramic, and 5% hydrofluoric acid treatment (+3.28) significantly affected SBS. Feldspathic ceramic and lithium disilicate showed superior performance against alumina. Light-cured and self-cured cement showed negative effects. <i>Conclusions</i>: Ceramic material and cement type have combined effects on SBS. Optimal results were obtained with the total-etch technique, feldspathic ceramic, 5% hydrofluoric acid treatment, and dual-cured cement.
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spelling doaj-art-22ab3248997b4bd98e3684d47f5367312025-08-20T03:07:55ZengMDPI AGMedicina1010-660X1648-91442025-06-01617111810.3390/medicina61071118An In Vitro Evaluation of the Effect of Ceramic Material, Surface Treatment, and Adhesive Cement on Shear Bond Strength in ProsthodonticsIzabella Éva Mureșan0Diana Cerghizan1Attila Gergely2Rudolf-László Farmos3László Jakab-Farkas4John-Jason Șimon5Bernadette Kerekes-Máthé6Dóra-Anna Giliga7Esztella Éva Kis8Kinga Mária Jánosi9Krisztina Mártha10Faculty of Dental Medicine, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mureș, 38 Gh. Marinescu Str., 540139 Targu Mures, RomaniaFaculty of Dental Medicine, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mureș, 38 Gh. Marinescu Str., 540139 Targu Mures, RomaniaDepartment of Mechanical Engineering, Faculty of Technical and Human Sciences, Sapientia Hungarian University of Transylvania, 2 Calea Sighișoarei Str., 540485 Targu Mures, RomaniaDepartment of Mechanical Engineering, Faculty of Technical and Human Sciences, Sapientia Hungarian University of Transylvania, 2 Calea Sighișoarei Str., 540485 Targu Mures, RomaniaDepartment of Mechanical Engineering, Faculty of Technical and Human Sciences, Sapientia Hungarian University of Transylvania, 2 Calea Sighișoarei Str., 540485 Targu Mures, RomaniaIndependent Researcher, 410057 Oradea, RomaniaFaculty of Dental Medicine, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mureș, 38 Gh. Marinescu Str., 540139 Targu Mures, RomaniaCounty Emergency Clinical Hospital of Targu Mures, 540139 Targu Mures, RomaniaFaculty of Dental Medicine, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mureș, 38 Gh. Marinescu Str., 540139 Targu Mures, RomaniaFaculty of Dental Medicine, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mureș, 38 Gh. Marinescu Str., 540139 Targu Mures, RomaniaFaculty of Dental Medicine, George Emil Palade University of Medicine, Pharmacy, Science and Technology of Targu Mureș, 38 Gh. Marinescu Str., 540139 Targu Mures, Romania<i>Background and Objectives</i>: Ensuring the optimal shear bond strength (SBS) is essential for the long-term success of prosthodontic restorations. Our in vitro study aimed to evaluate the SBS of three types of ceramics (feldspathic, alumina, and lithium disilicates) using three adhesive cements (Variolink Esthetic LC, Variolink Esthetic DC, and Maxcem Elite). <i>Materials and Methods</i>: Healthy molars were prepared, and ceramic blocks were cemented following universally accepted luting protocols. SBS tests were performed using a custom-made testing machine. A multiple linear regression model assessed the effects of ceramic type, surface treatment, and luting agent on SBS. <i>Results</i>: The regression model explained 61.3% of the variation in SBS values (R<sup>2</sup> = 0.613); the adjusted R<sup>2</sup> = 0.605 confirmed the model’s robustness. The global F-test was statistically significant (F = 78.96, <i>p</i> < 0.001). The total-etch technique (+4.47), the use of feldspathic ceramic, and 5% hydrofluoric acid treatment (+3.28) significantly affected SBS. Feldspathic ceramic and lithium disilicate showed superior performance against alumina. Light-cured and self-cured cement showed negative effects. <i>Conclusions</i>: Ceramic material and cement type have combined effects on SBS. Optimal results were obtained with the total-etch technique, feldspathic ceramic, 5% hydrofluoric acid treatment, and dual-cured cement.https://www.mdpi.com/1648-9144/61/7/1118shear bond strengthceramicsadhesive cement
spellingShingle Izabella Éva Mureșan
Diana Cerghizan
Attila Gergely
Rudolf-László Farmos
László Jakab-Farkas
John-Jason Șimon
Bernadette Kerekes-Máthé
Dóra-Anna Giliga
Esztella Éva Kis
Kinga Mária Jánosi
Krisztina Mártha
An In Vitro Evaluation of the Effect of Ceramic Material, Surface Treatment, and Adhesive Cement on Shear Bond Strength in Prosthodontics
Medicina
shear bond strength
ceramics
adhesive cement
title An In Vitro Evaluation of the Effect of Ceramic Material, Surface Treatment, and Adhesive Cement on Shear Bond Strength in Prosthodontics
title_full An In Vitro Evaluation of the Effect of Ceramic Material, Surface Treatment, and Adhesive Cement on Shear Bond Strength in Prosthodontics
title_fullStr An In Vitro Evaluation of the Effect of Ceramic Material, Surface Treatment, and Adhesive Cement on Shear Bond Strength in Prosthodontics
title_full_unstemmed An In Vitro Evaluation of the Effect of Ceramic Material, Surface Treatment, and Adhesive Cement on Shear Bond Strength in Prosthodontics
title_short An In Vitro Evaluation of the Effect of Ceramic Material, Surface Treatment, and Adhesive Cement on Shear Bond Strength in Prosthodontics
title_sort in vitro evaluation of the effect of ceramic material surface treatment and adhesive cement on shear bond strength in prosthodontics
topic shear bond strength
ceramics
adhesive cement
url https://www.mdpi.com/1648-9144/61/7/1118
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