journal article·2025-04-07Open access

Repair Bond Strength and Surface Roughness Evaluation of CAD/CAM Materials After Various Surface Pretreatments

Burcu Dikici, Elif Türkeş Başaran, Nazlı Şirinsükan, Esra Can

Coatings· Volume 15· Issue 4

Abstract

This study assessed the repair shear bond strength (SBS; MPa) and surface roughness (Ra; μm) of aged hybrid ceramic (Cerasmart270, GC) and nano-hybrid ceramic (Grandio Blocs, Voco) CAD/CAM blocks after different surface pretreatment methods. In this study, 2 mm thick Cerasmart270 and Grandio Blocs were cut into slabs (Isomet; n = 80 per group). Following aging for six months, the specimens in each CAD/CAM material were randomly divided into four groups (n: 20 each) according to the surface pretreatments: control (no pretreatment), Er:YAG laser, sandblasting, and bur grinding. A total of 10 specimens in each CAD/CAM material pretreatment group were used for Ra evaluation (Perthometer Mahr), while the other 10 were for SBS. After the application of a silane primer (G-Multi Primer, GC) and universal adhesive (G2-Bond, GC), composite build-ups (Filtek Z250; 3MESPE) were performed for the SBS evaluation. After storage in distilled water for 24 h, SBS was evaluated with a universal testing machine (Instron). SBS and Ra data were analyzed with two-way ANOVA and Tukey’s post hoc tests (p < 0.05). SBS was significantly affected by the surface pretreatment methods (p = 0.0001) and by the types of CAD/CAM material (p = 0.005). Bur grinding showed the highest SBS for both CAD/CAM materials, while the control groups yielded significantly lower SBS than bur grinding and sandblasting (p < 0.05). Er:YAG lasers did not significantly enhance the SBS compared to the control group. Sandblasting presented significantly higher SBS than lasers only in Grandio Blocs (p < 0.05). The surface pretreatment methods significantly influenced Ra (p = 0.0001); however, no significant interaction was found between the types of CAD/CAM material and the surface pretreatments (p > 0.05). Control groups exhibited, significantly, the lowest Ra for both materials (p = 0.0001), while no significant differences were observed between the other pretreatment methods. Bur grinding was identified as the most effective pretreatment method for repairing hybrid ceramic CAD/CAM materials.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Dental materials and restorations · Additive Manufacturing and 3D Printing Technologies · Orthopaedic implants and arthroplasty

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Restorative Dentistry, Faculty of Dentistry, Yeditepe University, 34728 İstanbul, Turkey

References (62)

Show source-provided references
1. Intraoral Repair of Direct and Indirect Restorations: Procedures and Guidelines10.2341/15-269-LIT ↗
2. Risk of failure of repaired versus replaced defective direct restorations in permanent teeth: A systematic review and meta-analysis10.1007/s00784-022-04459-0 ↗
3. Performance of dental ceramics: Challenges for improvements10.1177/0022034510391795 ↗
4. CAD-CAM resin-ceramic material wear: A systematic review10.1016/j.prosdent.2022.01.027 ↗
5. From Artisanal to CAD-CAM Blocks: State of the Art of Indirect Composites10.1177/0022034516634286 ↗
6. Repair of restorations—Criteria for decision making and clinical recommendations10.1016/j.dental.2012.07.006 ↗
7. Repair bond strength of resin composite to three aged CAD/CAM blocks using different repair systems10.4047/jap.2020.12.3.131 ↗
8. Shear bond strength of a new self-adhering flowable composite resin for lithium disilicate-reinforced CAD/CAM ceramic material10.4047/jap.2014.6.6.434 ↗
9. Gajski, P., Par, M., Tarle, Z., and Marovic, D. (2024). Effect of Silane-Containing Adhesives on Repair Bond Strength between Fresh and Aged Composite Materials—A Pilot Study. Materials, 17.10.3390/ma17184646 ↗
10. Repair bond strength and nanoleakage of artificially aged CAD-CAM composite resin10.1016/j.prosdent.2018.05.013 ↗
11. Ozturk Yesilirmak, S., Oglakci, B., Ozduman, Z.C., and Eliguzeloglu Dalkilic, E. (2023). Shear Bond Strength of Repaired CAD/CAM Resin-Based Composite Materials Submitted to Er:YAG Laser Treatments at Different Powers. Coatings, 13.10.3390/coatings13091498 ↗
12. Fractography of clinical failures of indirect resin composite endocrown and overlay restorations10.1016/j.dental.2021.02.002 ↗
13. Bonding between oxide ceramics and adhesive cement systems: A systematic review10.1002/jbm.b.33013 ↗
14. Fouquet, V., Lachard, F., Abdel-Gawad, S., Dursun, E., Attal, J.-P., and François, P. (2022). Shear Bond Strength of a Direct Resin Composite to CAD-CAM Composite Blocks: Relative Contribution of Micromechanical and Chemical Block Surface Treatment. Materials, 15.10.3390/ma15145018 ↗
15. Effect of surface treatments and universal adhesive application on the microshear bond strength of CAD/CAM materials10.4047/jap.2020.12.1.22 ↗
16. Repair protocols for indirect monolithic restorations: A literature review10.7717/peerj.16942 ↗
17. Effect of surface treatments on shear bond strength of resin composite bonded to CAD/CAM resin-ceramic hybrid materials10.4047/jap.2016.8.4.259 ↗
18. Effect of surface treatment on the repair bond strength of OMNICHROMA and Charisma Diamond ONE resin composites bonded to variable substrates10.1016/j.heliyon.2023.e17786 ↗
19. Tensile bond strength of resin composite repair in vitro using different surface preparation conditionings to an aged CAD/CAM resin nanoceramic10.1007/s00784-014-1269-3 ↗
20. Repair bond strength of resin composite to a novel CAD/CAM hybrid ceramic using different repair systems10.4012/dmj.2014-159 ↗
21. Shear bond strengths of aged and non-aged CAD/CAM materials after different surface treatments10.4047/jap.2020.12.5.273 ↗
22. Repair Success of Two Innovative Hybrid Materials as a Function of Different Surface Treatments10.11607/ijp.5581 ↗
23. Shear bond strength of repair composite resin to an acid-etched and a laser-irradiated feldspathic ceramic surface10.1089/pho.2009.2586 ↗
24. Efficacy of ceramic repair material on the bond strength of composite resin to zirconia ceramic10.3109/00016357.2014.946963 ↗
25. Bond strength of self-adhesive resin cement to definitive resin crown materials manufactured by additive and subtractive methods10.4012/dmj.2024-111 ↗
26. Influence of different surface treatments and universal adhesives on the repair of CAD-CAM composite resins: An in vitro study10.1016/j.prosdent.2020.02.029 ↗
27. Arkoy, S., and Ulusoy, M. (2022). Effect of Different Surface Treatments on Repair Bond Strength of CAD/CAM Resin-Matrix Ceramics. Materials, 15.10.3390/ma15186314 ↗
28. Repair bond strength and surface topography of resin-ceramic and ceramic restorative blocks treated by laser and conventional surface treatments10.1002/jemt.23672 ↗
29. The Effect of Different Surface Roughening Systems on the Micro-Shear Bond Strength of Aged Resin Composites10.4103/njcp.njcp_95_21 ↗
30. Grinding of composite cores using diamond burs with different grit sizes: The effects on the retentive strength of zirconia crowns10.20396/bjos.v19i0.8658335 ↗
31. The effect of elapsed time following alumina blasting on adhesion of CAD/CAM resin block to dentin10.4012/dmj.2018-113 ↗
32. Surface topography and bond strengths of feldspathic porcelain prepared using various sandblasting pressures10.1111/jicd.12171 ↗
33. Repair bond strength of aged composite resins using different surface treatment protocols10.11607/prd.5026 ↗
34. The effect of surface conditioning on the bond strength of resin composite to amalgam10.1016/j.jdent.2011.10.019 ↗
35. Lasers in dentistry: Overview and perspectives10.1089/pho.2013.3493 ↗
36. Ablation of composite resins using Er: YAG laser—Comparison with enamel and dentin10.1002/lsm.10196 ↗
37. Bond strengths of all-ceramics: Acid vs laser etching10.2341/06-52 ↗
38. The effect of water aging on the repair shear bond strength of current resin composites10.4103/jid.jid_2_23 ↗
39. Dikici, B., Türkeş Başaran, E., and Can, E. (2025). Does the Type of Resin Luting Material Affect the Bonding of CAD/CAM Materials to Dentin?. Dent. J., 13.10.3390/dj13010041 ↗
40. Influence of thermal and mechanical load cycling on microtensile bond strength of self- etching adhesives
41. Evaluation of the repair capacities and color stabilities of a resin nanoceramic and hybrid CAD/CAM blocks10.4047/jap.2020.12.3.140 ↗
42. Effect of surface treatment with laser on repair bond strength of composite resin to ceramic10.4103/1735-3327.340115 ↗
43. Repair Bond Strength to Hybrid CAD/CAM Materials after Silane Heat Treatment with Laser
44. Influence of different power outputs of er:yag laser on shear bond strength of a resin composite to feldspathic porcelain
45. Repair Bond Strength of a CAD/CAM Nanoceramic Resin and Direct Composite Resin: Effect of Aging and Surface Conditioning Methods
46. Aydin, N., Celik Oge, S., Guney, O., Okbaz, O., and Sertdemir, Y. (2024). A Comparison of the Shear Bond Strength between a Luting Composite Resin and Both Machinable and Printable Ceramic–Glass Polymer Materials. Materials, 17.10.3390/ma17194697 ↗
47. Microtensile Bond Strength of Composite Cement to Novel CAD/CAM Materials as a Function of Surface Treatment and Aging10.2341/15-263-L ↗
48. Influence Of Filler, Monomer Matrix And Silane Coating On Composite Resin Adhesion
49. Adhesive Bonding to Hybrid Materials: An Overview of Materials and Recommendations
50. Surface treatments on repair bond strength of aged resin composites10.4103/jispcd.JISPCD_99_22 ↗
51. Didangelou, P., Dionysopoulos, D., Papadopoulos, C., Strakas, D., Mourouzis, P., and Tolidis, K. (2023). Evaluation of repair bond strength of a dental CAD/CAM resin composite after surface treatment with two Er, Cr: YSGG laser protocols following artificial aging. J. Mech. Behav. Biomed. Mater., 146.10.1016/j.jmbbm.2023.106101 ↗
52. Repairability of CAD/CAM high-density PMMA- and composite-based polymers10.1007/s00784-015-1411-x ↗
53. Which surface treatment promotes higher bond strength for the repair of resin nanoceramics and polymer-infiltrated ceramics? A systematic review and meta-analysis10.1016/j.prosdent.2020.06.009 ↗
54. Evaluation of the effect of different surface treatments on luting CAD/CAM composite resin overlay workpieces
55. Adhesive luting of new CAD/CAM materials
56. Sandblasting may damage the surface of composite CAD-CAM blocks10.1016/j.dental.2016.12.003 ↗
57. Shear bond, wettability and AFM evaluations on CO2 laser-irradiated CAD/CAM ceramic surfaces10.1007/s10103-017-2171-4 ↗
58. Muhammed, H.A., Mahmoud, E.M., Fahmy, A.E., and Nasr, D.M. (2023). The effect of sandblasting versus acid etching on the surface roughness and biaxial flexural strength of CAD/CAM resin-matrix ceramics (In vitro study). BMC Oral Health, 23.10.1186/s12903-023-02883-6 ↗
59. Effect of different powers of Er, Cr: YSGG laser treatment on surface morphology of microhybride composite resin: Scanning electron microscope (SEM) evaluation
60. Effects of surface treatments on repair bond strength of a new CAD/CAM ZLS glass ceramic and two different types of CAD/CAM ceramics10.2334/josnusd.17-0109 ↗
61. Effect of feldspathic ceramic surface treatments on bond strength to resin cement10.1089/pho.2007.2018 ↗
62. Effect of surface treatment of CAD/CAM resin composites on the shear bond strength of self-adhesive resin cement10.4012/dmj.2019-431 ↗