Evidence map›Paper›PMID 38355823›Full record

ArticleClinical oral investigations2024

Repair of monolithic zirconia restorations with different direct resin composites: effect on the fatigue bonding and mechanical performance.

Pablo Machado Soares, Lucas Saldanha da Rosa, Rafaela Oliveira Pilecco, Amanda Maria de Oliveira Dal Piva, João Paulo Mendes Tribst, Arie Werner, Luiz Felipe Valandro, Gabriel Kalil Rocha Pereira, Cornelis Johannes Kleverlaan, Marilia Pivetta Rippe

Abstract read
In one paragraph

Article in Clinical oral investigations, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Managing Fractured Ceramic Restorations: Current Evidence and Best Practices-A Scoping Review.Journal of esthetic and restorative dentistry : official publication of the American Academy of Esthetic Dentistry ... [et al.] · 2026
    Article
  3. Article
  4. Article
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Pablo Machado SoaresPost-Graduate Program in Oral Sciences, Center for Development of Advanced Materials, Division of Prosthodontics-Biomaterials, Federal University of Santa Maria (UFSM), Santa Maria, Brazil.
Lucas Saldanha da RosaPost-Graduate Program in Oral Sciences, Center for Development of Advanced Materials, Division of Prosthodontics-Biomaterials, Federal University of Santa Maria (UFSM), Santa Maria, Brazil.
Rafaela Oliveira PileccoPost-Graduate Program in Oral Sciences, Center for Development of Advanced Materials, Division of Prosthodontics-Biomaterials, Federal University of Santa Maria (UFSM), Santa Maria, Brazil.
Amanda Maria de Oliveira Dal PivaDepartment of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit Van Amsterdam and Vrije Universiteit, Amsterdam, North Holland, the Netherlands.
João Paulo Mendes TribstDepartment of Reconstructive Oral Care, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit Van Amsterdam and Vrije Universiteit, Amsterdam, North Holland, the Netherlands. j.p.mendes.tribst@acta.nl.
Arie WernerDepartment of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit Van Amsterdam and Vrije Universiteit, Amsterdam, North Holland, the Netherlands.
Luiz Felipe ValandroPost-Graduate Program in Oral Sciences, Center for Development of Advanced Materials, Division of Prosthodontics-Biomaterials, Federal University of Santa Maria (UFSM), Santa Maria, Brazil.
Gabriel Kalil Rocha PereiraPost-Graduate Program in Oral Sciences, Center for Development of Advanced Materials, Division of Prosthodontics-Biomaterials, Federal University of Santa Maria (UFSM), Santa Maria, Brazil.
Cornelis Johannes KleverlaanDepartment of Dental Materials Science, Academic Centre for Dentistry Amsterdam (ACTA), Universiteit Van Amsterdam and Vrije Universiteit, Amsterdam, North Holland, the Netherlands.
Marilia Pivetta RippePost-Graduate Program in Oral Sciences, Center for Development of Advanced Materials, Division of Prosthodontics-Biomaterials, Federal University of Santa Maria (UFSM), Santa Maria, Brazil.

Funding

Brazilian Federal Agency for Coordination of Improvement of Higher Education Personnel - CAPES Finance code 001Brazilian Federal Agency for Coordination of Improvement of Higher Education Personnel - CAPES process number 888877.17140/2022-00Brazilian National Council for Scientific and Technological Development - CNPq #140118/2022-5Brazilian National Council for Scientific and Technological Development - CNPq #304665/2022-3Brazilian National Council for Scientific and Technological Development - CNPq #308427/2021-1
6 · The paper itself

Abstract

objectiveThe study aims to evaluate the shear bond and flexural strength fatigue behavior of yttrium-stabilized zirconia (4YSZ) repaired using different resin composites. MATERIALS AND

methodsCylindric specimens of 4YSZ were obtained for the bond strength (Ø = 6 mm, 1.5 mm of thickness) and biaxial flexural strength (Ø = 15 mm, 1 mm of thickness) fatigue tests and divided into 3 groups according to the repair resin composite: EVO (nanohybrid), BULK (bulk-fill), and FLOW (flowable). The zirconia surface was air-abraded with alumina particles, a 10-methacryloyloxydecyl dihydrogen phosphate (10-MDP) primer was applied, and the resin composite was build-up over the zirconia. Fatigue shear bond strength and flexural fatigue strength tests were performed (n = 15). One-way ANOVA and Tukey post hoc tests were carried out for both outcomes, besides scanning electron microscopy and finite element analysis.

resultsThe repair material affected the fatigue shear bond strength of zirconia ceramic. The BULK group (18.9 MPa) depicted higher bond strength values than FLOW (14.8 MPa) (p = 0.04), while EVO (18.0 MPa) showed similar results to both groups. No effect was observed for the mechanical behavior (p = 0.53). The stress distribution was similar for all groups.

conclusionThe repair of yttrium-stabilized zirconia (4YSZ) ceramics with bulk-fill resin composites was the best option for high fatigue bond strength. However, the fatigue mechanical performance was similar regardless of the applied repair material. CLINICAL RELEVANCE: The repair of yttrium-stabilized zirconia (4YSZ) monolithic restorations may be performed with nanohybrid and bulk-fill resin composites in order to promote longevity in the treatment.

Indexed as

Dental BondingMethacrylatesCeramicsComposite ResinsDental Stress AnalysisMaterials TestingResin CementsShear StrengthSurface PropertiesYttriumZirconiumComposite ResinsMethacrylatesmethacryloyloxydecyl dihydrogen phosphateResin CementsYttriumZirconiumzirconium oxideBond strengthBulk-fillCyclic fatigueFinite element analysisFlowable resinResin composite

Identifiers

PMID38355823
PMCPMC10866771

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.