Adhesion of veneering resins to polymethylmethacrylate-based CAD/CAM polymers after various surface conditioning methods.
OBJECTIVE
The aims of this study were to test whether the bond strength of a hybrid composite and a PMMA-based veneer to CAD/CAM polymers would improve after pre-treatment and to evaluate the failure types after debonding.


METHODS
Three types of PMMA-based (CAD-Temp, artBloc Temp and TelioCAD) CAD/CAM blocks were obtained (N = 360, n = 15 per test group). They were divided into four groups to be conditioned with the following methods: (a) no-treatment, (b) air-abrasion (50 μm Al2O3), (c) air-abrasion (50 μm Al2O3) + MPS-Silane (Monobond S) + Adhesive resin (StickResin) (for Gradia)/MMA (for Integral Esthetic Press) application, (d) Silica coating and silanization (CoJet-System). The conditioned surfaces were veneered with a hybrid composite (Gradia) or a PMMA-based resin (Integral esthetic press). After water storage (1 week, 37°C), the bond strength was measured. Data were analyzed using 3-way ANOVA and post-hoc Scheffé test (α = 0.05).


RESULTS
Surface-conditioning method, veneer type and CAD/CAM polymers significantly affected the results. Hybrid composite did not bond to non-conditioned CAD/CAM polymers. Regardless of the conditioning method, PMMA-based resin showed significantly higher bond strength to all CAD/CAM polymers compared to hybrid composite. Air-abrasion increased the bond strength in all tested groups. Additional silane application after air-abrasion did not significantly increase the bond strength of hybrid composite. While exclusively adhesive failures were observed between the hybrid composite and the CAD/CAM polymers, PMMA veneer demonstrated cohesive failures in the CAD/CAM polymers.


CONCLUSIONS
CAD/CAM polymers could be veneered with only a PMMA-based veneer with and without air-abrasion.
Dental School, Department of Prosthodontics, University of Munich, Munich, Germany. bogna.stawarczyk@med.uni-muenchen.de
B
B
Stawarczyk
A
A
Trottmann
C H F
CH
Hämmerle
M
M
Özcan
D003801:Dental Veneers; D019904:Polymethyl Methacrylate / Q000737:chemistry*; D012117:Resins, Synthetic / Q000737:chemistry*; D013499:Surface Properties
D012117:Resins, Synthetic; D019904:Polymethyl Methacrylate