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19 protocols using tetric evoceram

1

Shear Bond Strength of Dental Adhesives

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All the specimen surfaces were covered by an adhesive tape of 100 μm thickness with a hole of a 3 mm in diameter, located at the center of each specimen. For each adhesive, 10 specimens were randomly selected and subjected to the priming treatments according to the manufacturers’ information. The adhesives were light-cured for 15 s with a LED curing unit (Radii Plus, SDI, Bainswater, Victoria, Australia, 1.5 W/cm2 intensity at standard high intensity mode). Acetal molds of 3.5 mm internal diameter and 2 mm height were placed over the treated areas, filled with a resin composite (Tetric Evoceram, Ivoclar-Vivadent, Schaan, Liectenstein) in two 1 mm increments and light-cured for 20 s each. All the specimens were stored in water for 1 week at 37 °C and then subjected to shear loading at the substrate-composite interface with the notched-edge blade method [18 ] in a universal testing machine (Tensometer 10, Monsanto, Swidon, UK) operated at a crosshead speed of 0.5 mm/min. The debonded surfaces both for the alloy and zirconia specimens were examined at 10× magnification under a stereomicroscope (M80, Leica, Wetzlar, Germany) to characterize the failure mode (Type I: Adhesive failure, Type II: Cohesive resin failure and Type III: Mixed type I and II failure).
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2

Analysis of Dental Composite Shades

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In the present study a total of 244 different shades of 16 widely used and available brands of RBCs were analyzed. Materials included some of the most commonly used brand names for composites employed by dentists worldwide in the past 10 years: Miris ® 2 (Coltène-Whaledent, Altstätten, Switzerland), Esthet-X ® HD, Ceram-X ® Duo, Spectrum ® TPH3 (Dentsply DeTrey, Konstanz, Germany), EcuSphere ® (DMG Chemisch-Pharmazeutische Fabrik, Hamburg, Germany), ENAMEL Plus HFO/HRi ® (GDF, Rosbach, Germany), Venus ® , Venus ® Diamond, Charisma ® (Heraeus Kulzer, Hanau, Germany), Tetric EvoCeram ® , IPS Empress ® Direct (Ivoclar-Vivadent, Schaan, Lichtenstein), Filtek TM Supreme XT , Filtek TM Z250 (3M-Espe Dental Products, St. Paul, MN, USA), Amaris ® and Grandio ® (VOCO, Cuxhaven, Germany).
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3

Acid-Etching and Adhesive Application for Nanohybrid Composite Restoration

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All cavities were acid-etched using phosphoric acid (Top Dent Etch gel 38%, DAB Dental, Sweden) using all etch techniques for 15 seconds and thoroughly washed by water spray for 10 seconds blot excess water via cotton pell. Then, two conclusive layers of single-bottle adhesive (Clearfil SE bond, Kuraray Dental, New York, USA) were applied, gently air sprayed for 5 seconds, and light-cured for 20 seconds through the use of a visible-light curing device (400-1000 mW/cm2) continuous mode. Handling of all materials was carried out based on the manufacturer's instructions. Then, all the prepared cavities were filled in one layer with a shade A1 nanohybrid composite resin (Tetric Evoceram, Ivoclar Vivadent, New York, USA) using a nonstick titanium-coated applicator and light-cured with LED light cure device (LED Flash max P3 Hexagon, Denmark) with an output power of 400-1000 mW/cm2 for 20 sec. All the restored teeth were stored for one week in 37°C distilled water inside an incubator. After that, the samples were exposed to thermocycling and subjected to 500 cycles in between 5°C and 55°C, with 30 sec dwell time [13 (link)].
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4

Evaluation of Dental Restorative Composites

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Six resin composites were used in this study: 1) SFRC: everX Posterior (Shade: Transparent, EP, GC, Tokyo, Japan); and BFRCs: 2) TetricEvoCeram Bulk Fill (Shade: IVA, TB, Ivoclar Vivadent, Schaan, Liechtenstein) and 3) SureFil SDR Flow (Shade: A2, SD, DENTSPLY Caulk, Milford, DE, USA); and CGRCs: 4) Z100 Restorative (Shade: A2, Z1, 3M ESPE, St. Paul, MN, USA), 5) Tetric EvoCeram (Shade: A2, TC, Ivoclar Vivadent) and 6) Clearfil AP-X (Shade: A2, AP, Kuraray Noritake Dental, Tokyo, Japan).
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5

Comparative Evaluation of Universal CPR

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Forty CPR compules were used, representing four different commercial products. Three products are marketed as a universal CPR: Herculite XRV Ultra (LOT # 5469627, Kerr, Bioggio, Switzerland), Ceram.X Universal (LOT # 1702000550, Dentsply Sirona, York, PA, USA), Tetric Evo Ceram (LOT# V47223, Ivoclar Vivadent, Schaan, Liechtenstein). One product is marketed as a flowable bulk-fill composite, SDR (LOT# 1701000793, Dentsply Sirona, York, PA, USA). All products were purchased from a commercial dental supplier in Norway (Dental Spar AS, Drammen, Norway).
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6

Characterizing Nanohybrid Dental Composites

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Two nanohybrid composite materials were included in the study: Tetric N Ceram (Ivoclar Vivadent, Mississauga, ON, Canada) and Tetric Evo Ceram (Ivoclar Vivadent, Mississauga, ON, Canada). Tetric Evo Ceram was added as a fluoride-releasing material.
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7

Comparative Analysis of Dental Composites

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The two resin-composite materials tested in this study were Tetric EvoCeram (Ivoclar Vivadent, Schaan, Liechtenstein), a direct nanohybrid material, and Sinfony (3M ESPE AG, Seefeld, Germany), a microhybrid indirect laboratory veneering composite. The zirconia ceramic was Lava Plus high translucency all-zirconia ceramic (3M ESPE, St Paul, MN, USA). The materials' type, composition, and manufacturer details are listed in Table 1. Sample size was calculated based on a standard deviation value of 0.04 μm (as was shown in the data of a previous similar study) [9 (link)] with 80% power at a 5% significance level. Ten resin-composite specimens in each group were deemed appropriate.
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8

Simulating Clinical Dental Restoration Durability

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The specimens (n=12 for each group) of the study groups were subjected to 45-N load for 1.2 million chewing cycles in the computer-controlled dual-axis chewing simulator (Universal Testing Machine (Zwick ROELL, Ulm, Germany). At the same time, the specimens were exposed to a computercontrolled thermal load using thermocycling (6,000 cycles, 5°C and 55°C for 120 seconds each, with a small pause between cold and warm water cycles). This procedure can mimic the performance of all ceramic crowns up to 5 years in the setting of clinical functional use. For recording any events including cracking of the ceramic materials, fractures of the crowns, all specimens were examined daily and after completion of artificial aging in the chewing simulator under a stereomicroscope. Flat, polished antagonists were used according to the loading jig of the static Voss test. The flat antagonists were made of a composite material (Tetric EvoCeram, IvoclarVivadent, Schaan, Liechtenstein) with an elastic modulus similar to that of dentine [9, [17] [18] [19] [20] [21] .
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9

Lithium Disilicate Crown Cementation

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Lithium disilicate crowns were etched with 5% hydrofluoric acid (IPS Ceramic Etching Gel, Ivoclar Vivadent AG, Schaan, Liechtenstein) for 20 s. Subsequently, the crowns were cleaned in an ultrasonic bath with alcohol (Micro 10+, Unident SA, Geneva, Switzerland) for 4 min and dried with oil-free air. Adhesive cementation was performed according to the manufacturer’s recommendation using a primer which was left for 60 s on the surface (Monobond Plus, Ivoclar Vivadent, Schaan, Liechtenstein), followed by the use of an auto-polymerization composite (Multilink Hybrid Abutment HO0, Ivoclar Vivadent, Schaan, Liechtenstein). A slight excess of cement at the external margin was left to polymerization and covered with glycerin gel (Liquid Strip Glycerine Gel, Ivoclar Vivadent, Schaan, Liechtenstein). After complete polymerization, excess cement removal and the polishing of the margin were performed.
The restorations were fixed on the implants with a torque of 20 N cm using a torque wrench (Camlog Biotechnologies AG, Basel, Switzerland). The abutment screw access channels were closed with a polytetrafluoroethylene tape (Teflon, Chemours Co., Wilmington, NC, USA) and a light-polymerized composite resin (Tetric EvoCeram, Ivoclar Vivadent, Schaan, Liechtenstein).
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10

Comparative Evaluation of Nanocomposite Finishing

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This study used 5 A2-shade nanocomposites (Table 1): Tetric Evoceram and Tetric Evoceram Bulk Fill (Ivoclar-Vivadent, Schaan, Liechtenstein), Filtek Z500 (3M ESPE, St. Paul, MN, USA), Ceram X Mono, and Ceram X Duo Email (Dentsply/De Trey, Konstanz, Germany). All finishing and polishing burs used with contra-angles were from Komet Dental (Lemgo, Germany), including blue-and-yellow-ring Q crosscut tungsten carbide burs (H48LQ), white-ring multiblade tungsten carbide burs (H48LUF), and the EVO-Light polisher (9523UF204 030) (Table 2).
The resin composites were light-cured under a Bluephase 20i curing light (Ivoclar Vivadent, Schaan, Liechtenstein) using high-mode light intensity at 1,100 mW/cm2. A Bluephase radiometer (Ivoclar Vivadent) was used to measure and control the light intensity of the curing light source before each photopolymerisation.
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