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    Effect of Polishing Systems on Fluoride Release and Surface Roughness of Different Restorative Materials
    (Univ Costa Rica, Fac Odontologia, 2020) Sismanoglu, Soner; Gumustas, Burak; Yildirim-Bilmez, Zuhal
    Secondary caries is an important factor in the replacement of the restorations, and it is thought that fluoride-releasing materials may prevent this problem. Furthermore, the fluoride release of the materials may be increased by polishing process. Available knowledge about the effect of polishing systems (PS) on the fluoride release of materials is limited. Therefore, this study was conducted to evaluate the effect of PS on the fluoride release of fluoride-containing materials. Restorative materials were divided into 6 groups: Fuji IX GP, Fuji II, Dyract XP, Beautifil II, Beautifil-Bulk, and Filtek Ultimate. Each group was also divided into four subgroups: Mylar strip, Sof-Lex Discs, Sof-Lex Diamond, and OneGloss. Fluoride release was determined using a fluoride ion-selective electrode. Surface roughness was evaluated with a profilometer. Two-way repeated measure and one- way ANOVA tests were used for statistical analysis. The initial rapid fluoride release was observed only in Fuji IX. The PS increased the fluoride release of Fuji IX and Fuji II and Dyract XP materials while reducing the fluoride release of resin-based materials. The highest surface roughness values were obtained with OneGloss. Further, a significant relationship between fluoride release and surface roughness was found. The polishing provides an increase in fluoride release, especially in glass-ionomer- based materials. This article revealed that there is a relationship between fluoride release and surface roughness. Proper PS must be chosen according to the material to provide the best clinical benefits in terms of fluoride release and surface roughness.
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    Effect of surface treatments and universal adhesive application on the microshear bond strength of CAD/CAM materials
    (Korean Acad Prosthodontics, 2020) Sismanoglu, Soner; Gurcan, Aliye Tugce; Yildirim-Bilmez, Zuhal; Turunc-Oguzman, Rana; Gumustas, Burak
    PURPOSE. The aim of this study was to evaluate the microshear bond strength (mu SBS) of four computer-aided design/computer-aided manufacturing (CAD/CAM) blocks repaired with composite resin using three different surface treatment protocols. MATERIALS AND METHODS. Four different CAD/CAM blocks were used in this study: (1) flexible hybrid ceramic (FHC), (2) resin nanoceramic (RNC), (c) polymer infiltrated ceramic network (PICN) and (4) feldspar ceramic (FC). All groups were further divided into four subgroups according to surface treatment: control, hydrofluoric acid etching (HF), air-borne particle abrasion with aluminum oxide (AlO), and tribochemical silica coating (TSC). After surface treatments, silane was applied to half of the specimens. Then, a silane-containing universal adhesive was applied, and specimens were repaired with a composite, Next, mu SBS test was performed. Additional specimens were examined with a contact profilometer and scanning electron microscopy. The data were analyzed with ANOVA and Tukey tests. RESULTS. The findings revealed that silane application yielded higher mu SBS values (P<.05). All surface treatments were showed a significant increase in mu SBS values compared to the control (P<.05). For FHC and RNC, the most influential treatments were AlO and TSC (P<.05). CONCLUSION. Surface treatment is mandatory when the silane is not preferred, but the best bond strength values were obtained with the combination of surface treatment and silane application. HF provides improved bond strength when the ceramic content of material increases, whereas AlO and TSC gives improved bond strength when the composite content of material increases.
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    Efficacy of different surface treatments and universal adhesives on the microtensile bond strength of bulk-fill composite repair
    (Taylor & Francis Ltd, 2020) Sismanoglu, Soner; Gurcan, Aliye Tuhce; Yildirim-Bilmez, Zuhal; Gumustas, Burak
    The purpose of this in vitro study was to evaluate the influence of different surface treatments and aging on the microtensile bond strength (mu TBS) of bulk-fill composite resins. Bulk-fill composites (Filtek One; 3M ESPE) randomly received five different surface treatments: (1) no treatment, control, (2) 37% phosphoric acid etching (PA), (3) 9% hydrofluoric acid etching (HF), (4) air-borne particle abrasion with 50-mu m alumina particles (Al2O3), (5) tribochemical silica coating (CoJet). Following, the specimens were divided into three subgroups according to universal adhesive applied: Clearfil Universal Bond (CU; Kuraray), Prime&Bond Universal (PBU; Dentsply Sirona), or Single Bond Universal (SBU; 3M ESPE). A nanofill composite (Filtek Ultimate; 3M ESPE) was employed as a repair. Bonded specimens were stored in water for 24 h at 37 degrees C or thermal aged, then subjected to the mu TBS test. Additionally, specimens were analyzed with a contact profilometer and were evaluated with scanning electron microscopy. Control and PA treatments were showed the lowest mu TBS (p < 0.05), and there was no significant difference between these two groups (p > 0.05). Al2O3 and CoJet treatments generally exhibited a similar influence on mu TBS values. In addition, a correlation was found between surface roughness and bond strength (r = 0.831). CoJet resulted in significantly higher repair mu TBS values when compared to the other surface treatments. In addition, the use of silane-containing universal adhesive was increased the cohesive failure rate and maintained the repair mu TBS values after thermocycling.
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    Mechanical properties and repair bond strength of polymer-based CAD/CAM restorative materials
    (Wiley, 2021) Sismanoglu, Soner; Tugce Gurcan, Aliye; Yildirim-Bilmez, Zuhal; Gumustas, Burak
    Information on the mechanical properties and repairability of computer-aided design/computer-aided manufacturing (CAD/CAM) blocks is scarce. Five CAD/CAM blocks with similar indications were evaluated, including four resin nanoceramics, one polymer-infiltrated ceramic network (PICN), and one feldspathic ceramic. CAD/CAM blocks were sectioned into 4 mm x 1.2 mm x 13 mm bars for flexural strength (FS), and 4 mm thick blocks were prepared for elastic modulus (EM), nanohardness (NH), and microshear bond strength (mu SBS) testing. FS of the CAD/CAM blocks was determined using a three-point bending test, whereas EM and NH values were measured using a nanoindenter. The reparability of the tested block materials was determined by the mu SBS test. One-way ANOVA was conducted for FS, EM, NH, and mu SBS followed by Tukey's pairwise comparison (alpha < 0.05). FS ranged from 115 to 207 MPa, EM from 8.21 to 44 GPa, NH from 0.76 to 7.24, and mu SBS from 24.9 to 30.6 MPa. The findings of the present study revealed that resin nanoceramic blocks exhibited higher FS values than PICN and feldspathic ceramic, and they have acceptable mechanical properties for the fabrication of single-unit restorations according to the ISO 6872:2008. Furthermore, all CAD/CAM blocks tested can be successfully repaired regarding their recommended repair protocol.