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22 protocols using relyx unicem

1

Fiber Post Cementation and Core Buildup

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Using etchant, drying of canal space and rinsing was similar to groups discussed previously. Dual-cure bonding agent ExciTE F DSC adhesive (Ivoclar Vivadent, Schaan, Liechtenstein) was applied to the coronal part of the tooth and on the fiber post. A self-adhesive dual-cure resin cement (RelyX Unicem; 3M, ESPE, India) was used to fill up the post space up to the orifice. A fiber post under finger pressure was cemented in the canal space. Excess cement was removed and cured 20 s. Followed by dual-cure polymerizing resin restorative material (Filtek z350 XT, 3M, India) for core buildup of the rest of the coronal part. The buildup was cured for 40 s.
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2

Fiber Post Cementation Technique

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The canal space was etched, rinsed, and dried similar to methods reported in One-step group 1 and group 2. On the coronal part of the tooth and fiber post, dual-cure bonding agent ExciTE F DSC (Ivoclar Vivadent Schaan, Liechtenstein) was applied with a micro brush, the air thinned, and then cured for 20 s.
A self-adhesive dual-cure resin cement was used to fill up the post space up to the orifice (RelyX Unicem; 3M, ESPE) removing excess cement. Dual-cure polymerizing resin build-up material Multicore for the rest of the coronal part. Then under finger pressure, the fiber post was placed through the buildup into the canal and cemented. The complete unit was light-cured for the 40 s.
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3

Fiber Post Cementation and Core Build-up

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Dentin etched for 20 s using 37% phosphoric acid gel, rinsed, and dried. Application of dual-cure adhesive EXCITE F DSC (Ivoclar Vivadent, Schaan, Liechtenstein) was applied on the fiber post cured for 20 s. Petroleum jelly (Vaseline, petroleum, India) was used inside the canal as a lubricant. The post was covered with composite material (Filtek z350 XT) and inserted in the canal. The fiber post was cured along with the composite material inside the canal for 20 s. Between post and canal wall dual-cure polymerizing resin, cement was injected (RelyX Unicem; 3M ESPE) up to the orifice and cured 20 s. Core build-up was done using packable composite (Filtek z350 XT, 3M, India) then light-cured for 40 s (Figure 1).
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4

Zirconia Endocrown Surface Treatments

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The endocrowns in each preparation design group (n = 30) were assigned into three subgroups (n = 10) based on the zirconia surface treatment applied as follows;
Subgroup A: The intaglio surfaces of the endocrowns underwent air‐porn particle abrasion for 15 s with 50 μm Al2O3 particles from a 10 mm distance and a pressure of 0.3 MPa.
Subgroup Co: Specimen surfaces were air‐born particles abraded using silica‐coated Al2O3 (CoJet™ Sand; 3 M™) with a particle size of 30 μm under 2.8‐bar pressure for 15 s from a distance of 10 mm using the CoJet™ device (CoJet™ Prep; 3 M™).
Subgroup Z: specimens were etched for 30 min at 30°C using Zircos‐E® Etching Solution (M & C Dental).
All zirconia endocrowns were cleaned in an ultrasonic bath and gently dried with oil‐free air. The prepared teeth were cleaned for 15 s using a rubber cap and fluoride‐free pumice and washed with water. The endocrowns were then cemented with self‐adhesive resin cement (RelyX™ Unicem, 3 M™). The restorations were held in a specially designed device under a 4.9 N axially directed load for 5 min. Excess cement was removed, and light curing was performed for 20 s on each side of the endocrown restorations. The cemented endocrowns were placed in distilled water and stored in an incubator at 37°C for 24 h, before undergoing thermocycling for 5000 cycles with 5–55°C temperature fluctuations, and a dwell time of 15 s.
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5

Titanium-Zirconia Abutment Bonding Procedure

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To assemble the titanium insert and zirconia abutment, the inner surface of the zirconia abutment was treated with silica-modified aluminum oxide sandblasting (Rocatec; 3M ESPE) to enhance the bonding strength with the titanium insert, and then a ceramic primer (Monobond Plus; Ivoclar Vivadent, Schaan, Liechtenstein) was applied. The zirconia abutment was bonded with the titanium insert using dual-cure self-adhesive resin cement (RelyX Unicem, 3M ESPE, St. Paul, MN, USA) according to the manufacturer’s instructions. Remaining adhesive was removed under a microscope at 10X magnification.
The abutment was connected to the implant through a titanium abutment screw using a torque wrench (Dentium, Seoul, Korea) with 30 Ncm of tightening torque, as recommended by the manufacturer. Implant–abutment joint stability was ensured by retightening the screw to establish sufficient preloading [6 (link), 17 ].
Then, the abutment was stored in distilled water at 37°C for 24 hours to eliminate the effect of volume change due to adhesive hydration. Thermocycling (Thermal Cyclic Tester, Thermocycling: R&B, Inc.) was performed at 5–55°C in a water bath at intervals of 15 seconds and 10 seconds to simulate five years of exposure to moist oral conditions [18 ].
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6

Dual Cure Resin Cements for Dental Restorations

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Five different dual cure resin cements were used for cementing rods to bovine dentin; Multilink Automix (Ivoclar Vivadent), Variolink Esthetic (Ivoclar Vivadent), Panavia F2.0 (Kuraray Noritake Dental), Duo-Link (Bisco) RelyX Unicem (3 M ESPE) (Table 1).
Cementation was performed according to producers’ manual and primer was applied when recommended (Table 1).
Ten rods from each of the three groups; KHF2 etched zirconia, air borne particle abraded zirconia and HF etched lithium disilicate, were cemented by each cement.
Dentine was cleaned using pumice powder dispensed in water prior to cementation.
After placing the rods onto dentin, a standardized 882 g seating load was applied by a cementation jig. Excess cement was removed using quick stick micro-brush before light curing 20 s each from 4 directions.
All specimens were kept dry at room temperature for 15 min following cementation and thereafter immersed in 37°C distilled water for 24 h.
Specimens were sandblasted using Al2O3 to remove cement remnant outside the rods and evaluated by light microscopy. Test units were thermocycled 5000 cycles in 5 °C and 55 °C water baths.
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7

Fiber Post Bond Strength Evaluation

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This in vitro investigation was conducted using a 2×3 factorial study design to evaluate the factors "moment of fiber post cutting" in three levels (before the luting procedure, immediately after post luting or after resin core build-up) and "adhesive luting agents" in two levels. The evaluated luting agents included the regular resin cement RelyX ARC (3M ESPE, St. Paul, MN, USA) and the self-adhesive resin cement RelyX Unicem (3M ESPE). The bond strengths of the fiber posts to the root canals of bovine incisors were evaluated by push-out testing (n=10). The experimental design is illustrated in Figure 1.
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8

Endodontic Restoration Material Evaluation

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Freshly extracted mandibular premolars,10% formalin (Fisher Scientific, Mumbai, India), 5.25% sodium hypochlorite (Dentpro, Mumbai, India), 3% hydrogen peroxide (Bhandari Labs, Ujjain, India), normal saline (Tech tonics, Kamla, Nagpur, Maharashtra, India), epoxy resin sealer cement (MM-Seal, Micro Mega, France), gutta-percha obturating material (Dentsply, Ballaigues, Switzerland), prefabricated metal posts (para post, Coltene and Whaledent, USA), resin luting cement (Relyx Unicem, 3M ESPE, Germany), and composite core build-up materials: (1) Hybrid composite (Z-100, 3M ESPE, Germany), ( 2) nanocomposite (Z-350, 3M ESPE, Germany), and (3) ormocer (Admira, VOCO, Germany).
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9

Evaluation of Dental Restorative Materials

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The specimens were randomly assigned to three experimental groups and one negative control group (n = 10). Each material was mixed according to the manufacturers’ instructions and placed into the tooth cavity of the relevant group; nothing was placed in the cavity for the control group. A resin material (RelyX Unicem; 3M ESPE, Seefeld, Germany) was used to seal all of the cavities. All specimens were stored at room temperature and 100% relative humidity.
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10

Fiber Post Placement in Root-Canal Treated Teeth

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The root-canal treated teeth were randomly assigned into six groups of 10 teeth each (Table-I).
In all groups, a size # 3 tapered fiber post of 15mm length and 1.6mm diameter (3M ESPE RelyX Fiber Post, St. Paul, MN, USA) was used. To create an 11mm post space, the condensed gutta-percha was removed using a heated plugger. The post space was then irrigated with 2ml of the assigned irrigant solution. With a low speed hand piece, sequential reamers (3M ESPE) were used to shape the canals. RelyX-Unicem (3M ESPE) and MultiCore Flow (Ivoclar Vivadent Inc, Amherst, NY, USA) were used to cement the fiber posts according to the manufacturers’ guidelines.
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