Effect of Combined Application of Hydrofluoric and Phosphoric Acids and Active Irrigation With a Microbrush on Shear Bond Strength of Lithium Disilicate Ceramics to Enamel Publisher

Summary: New methods combining HF and PA significantly improve bond strength of ceramics to enamel. Active irrigation shows best results. How can this affect dental practices? #DentalResearch #BondStrength

Hatami M ; Massoumi F ; Safarian MS
Source: Advanced Biomedical Research Published:2024

Abstract

Background: This study assessed the effect of combined application of hydrofluoric (HF) acid and phosphoric acid (PA) and active irrigation (AI) with a microbrush on shear bond strength (SBS) of lithium disilicate (LDS) ceramics to enamel. Materials and Methods: This in vitro study was conducted on 40 extracted teeth that received enamel preparation with a #12 cylindrical bur. Forty IPS e.max LT rods (3mm diameter, 6mm height) were fabricated and randomly assigned to four groups (n = 10) for surface treatment with 5% HF (group 1), 5% HF and AI with a microbrush for 20 seconds (group 2), 5% HF and 32% PA (group 3), and 5% HF and 32% PA plus AI with a microbrush for 20 seconds (group 4). Silane and Choice 2 cement were used for bonding rods to enamel. The SBS was measured by a universal testing machine. Data were analyzed by two‑way analysis of variance (ANOVA), Bonferroni, and Chi‑square tests (alpha = 0.05). Results: Group 4 had the highest SBS, and group 1 had the lowest SBS (P < 0.05). Group 2 had a significantly higher SBS than group 1, and group 4 had a significantly higher SBS than group 3. AI with a microbrush significantly increased the SBS (P < 0.05), but the application of PA caused no significant change in SBS (P > 0.05). The interaction effect of PA and AI on SBS was not significant (P > 0.05). Conclusion: The application of PA in addition to 5% HF acid caused no significant change in the SBS of LDS ceramic to enamel. However, AI with a microbrush significantly increased the SBS. © 2024 Elsevier B.V., All rights reserved.