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16 protocols using ips ceramic etching gel

1

Ceramic Specimen Cementation Protocol

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Before cementation, the ceramic specimens were cleaned in an ultrasonic cleaning device (Ultrasonic Cleaner Suc-110, Shofu, Kyoto, Japan) in distilled water for 5 min and air-dried. The LDGC and LSGC specimens were chemically etched with 5% hydrofluoric acid (IPS Ceramic Etching Gel, Ivoclar Vivadent, Schaan, Liechtenstein) for 20 s or, in the case of the PICN, for 60 s. A universal primer (Monobond Plus, Ivoclar Vivadent, Schaan, Liechtenstein) was applied to the cementation surface of each ceramic and titanium specimen until the surface had dried. The resin cement was prepared according to the manufacturer’s instructions and applied to the titanium and ceramic surfaces simultaneously. The ceramic specimens were placed on the titanium surface, finger pressure was applied for 60 s, and then the specimens were cured for 10 s with a LED light device (3M ESPE Elipar S10, St. Paul, MN, USA) at the center of the ceramic. Excess cement was carefully removed with a clean brush and probe, and Oxyguard II (Kuraray Noritake Dental Inc., Okayama, Japan) was applied around the specimens. After waiting for 7 min after cementation, the Oxyguard II was removed with air-water spraying, and the specimens were cured in a photo-polymerization device for 60 s (Solidilite V, Shofu Inc., Kyoto, Japan).
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2

Ceramic Veneer Surface Conditioning

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5% HF acid (IPS Ceramic Etching Gel, Ivoclar Vivadent) was applied for 20 s. to the bonding surface of the veneer. The surface was irrigated with water for 60 s. Veneers were dried with strong stream of water and oil free air for 10 s. A thin coat of universal primer (Monobond N, Ivoclar Vivadent) was applied with a microbrush and allowed to react for 60 s. Remaining excess was dispersed with strong stream of air.
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3

Bonding Endocrowns with Silane and Resin Cement

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Etching with 5% hydrofluoric acid (IPS Ceramic Etching Gel, Ivoclar Vivadent, Schaan, Liechtenstein) for 20 seconds was done on the tissue surfaces of endocrowns in IPS e.max CAD and Vita Suprinity groups and 60 seconds for Vita Enamic. After etching, each restoration was cleaned in an ultrasonic apparatus for five minutes and then dried with oil-free air spray. A thin layer of silane coupling agent (Prosil; FGM) was applied to the internal walls of the endocrowns for 60 seconds and then air-dried.
Self-adhesive resin composite cement (RelyX Unic-em 2 Automix, 3 M ESPE, Seefeld, Germany) with a 1: 1 base-catalyst ratio was mixed to obtain a uniform consistency. The cement was used on the tissue surface of the endocrowns. The restoration was placed on the tooth with a 3 kg weight in a load applicator. The excess cement was removed after 2-3 minutes from the start of the mix. Then the cement was light-activated for 20 seconds. A light-emitting diode curing unit (Demetron A.1, Kerr/Sybron, Orange, CA, USA) with a 12-mm diameter curing light tip
and irradiance output of 1000±50mW/cm2 was used. The surface-tip distance was 0.5mm (Figure 5).
After cementation, all samples were kept in an incubator (Model 2; Precision Scientific Co., Columbus, OH, USA) at 37°C for 24 hours.
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4

Etching Lithium Disilicate Glass Ceramic

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The bonding surface of lithium disilicate glass ceramic rods were etched with hydrofluoric acid (HF 4.5%, IPS Ceramic Etching Gel, Ivoclar Vivadent) for 20 s, cleaned by running water >20 s and thoroughly air-dried.
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5

Ceramic Bonding Procedures: A Standardized Protocol

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The ceramic blocks underwent the following bonding procedures: Etching with 37% hydrofluoric acid (IPS Ceramic Etching gel, Ivoclar Vivadent, Schaan, Liechtenstein) for 2 min. Rinsing and ultrasonic cleaning (SN-QX-13, Pushang, Shanghai, China) for 3 min. Coating with a silane coupling agent (Monobond Plus, Ivoclar Vivadent, Schaan, Liechtenstein) followed by drying with oil-free air. Etching of the enamel from Group Ctrl, Bo and R-Bo with a gel containing 37% phosphoric acid (Eco-Etch, Ivoclar Vivadent, Schaan, Liechtenstein) for 20 s, followed by a 10-s wash and gentle air-drying for 10 s. Application of primer (Syntac Primer, Ivoclar Vivadent, Schaan, Liechtenstein) to the enamel for 15 s. Application of a bonding agent (Syntac adhesive, Ivoclar Vivadent, Schaan, Liechtenstein) for 10 s, followed by another bonding agent (Heliobond, Ivoclar Vivadent, Schaan, Liechtenstein) for 10 s. Bonding of blocks and specimens using dual-curing resin adhesive (Variolink N, Ivoclar Vivadent, Schaan, Liechtenstein), pressed with a 500 g weight and cured with light irradiation for 20 s on each side. All materials were applied according to their manufactures’ instructions. After bonding, all specimens underwent thermocycling as detailed in Sect. Thermocycling test.
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6

Bonding Performance of Lithium Disilicate Glass-Ceramics

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All the lithium disilicate glass-ceramic samples with various Al2O3 contents (LSA1, LSA2 and LSA3) were selected and subjected to the µSBS test for the evaluation of their bonding performance. Briefly, 20 ceramic plates (5 × 5 × 2 mm) of each ceramic condition were prepared and embedded in a metal ring using epoxy resin. After polishing with 600, 800, 1000, and 1200 grit silicon carbide paper, the specimens were randomly divided into 4 group according to 4 surface treatments: (1) no surface treatment; (2) silane coating (Monobond N, Ivoclar Vivadent, Liechtenstein); (3) hydrofluoric acid (IPS® ceramic etching gel, Ivoclar Vivadent, Liechtenstein); and (4) hydrofluoric acid and silane coating. The treated ceramic surface was then cemented with 4 resin cement rods (Multilink® N, Ivoclar Vivadent, Liechtenstein) by injecting resin cement into 4 plastic tubes (0.8 mm internal diameter and 0.5 mm height). After removing the tubes and storing in water for 24 h, the specimens were subjected to a µSBS test using universal testing machine (Instron® 5566 a universal testing machine, Instron Engineering Corporation, Norwood, MA, USA) at the crosshead speed of 0.5 mm/min. Data were analysed using a two-way ANOVA test with Dunnett T3 post hoc test at a significant level of 0.05 (p < 0.05).
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7

Ceramic Veneer Adhesive Luting Technique

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The intaglio surface of veneers was etched with 4.5% hydrofluoric acid (IPS Ceramic Etching gel, Ivoclar Vivadent) for 60 s. They were washed thoroughly with water for 30 s and then dried using compressed air. A single component silane coupling agent (Monobond N, Ivoclar Vivadent) was applied to the etched veneer surface in a thin coat with a brush and allowed to react for 60 s.
The prepared tooth was etched using 37% phosphoric acid (Eco-Etch Etching Gel, Ivoclar Vivadent) for 15 s. It was followed by washing, drying, and application of bonding agent (Tetric N-Bond total etch dental adhesive by Ivoclar Vivadent).
Dual-/light-curing luting composite system (Variolink N, Ivoclar Vivadent) was used for the adhesive luting of ceramic. A thin layer of resin cement was applied to the center of the intaglio surface of the veneer. It was then seated on the prepared tooth with light finger pressure and then light cured from facial, palatal, and incisal surfaces for 40 s.
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8

Acid Etching of Silica-based Ceramics

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The lot numbers and manufacturers’ details of five silica-based glass ceramics used in this study are listed in Table 3. Ceramic surfaces were exposed to acid etching for four different time intervals with 5% hydrofluoric acid gel for dental use (IPS Ceramic etching gel™, Ivoclar Vivadent, Schaan, Liechtenstein). The etched samples were examined under a scanning electron microscope (SEM) (JSM-6360LV, JEOL, Tokyo, Japan) to study the pore pattern, width, and depth. Furthermore, the effect of acid etching duration on Sa and wettability was evaluated.
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9

Ceramic Surface Etching Protocol

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The bonding surfaces of ceramic discs were etched with 5% hydrofluoric acid (IPS Ceramic Etching Gel; Ivoclar Vivadent, Schaan, Liechtenstein) for 60 seconds. The gel was rinsed with water for 20 seconds, and then dried with oil-free compressed air.
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10

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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