Repair Bond Strength of Two Shadeless Resin Composites Bonded to Various CAD-CAM Substrates with Different Surface Treatments

Abstract

This study compared the repair bond strength values of two single-shade composite resins bonded to different computer-aided design and computer-aided manufacturing (CAD-CAM) substrates with different surface treatments. A total of 80 slice-shaped specimens were fabricated using two CAD-CAM materials: Lava Ultimate and VitaEnamic. The substrates were thermocycled and then, based on the surface treatment, each substrate material was subdivided into four groups: the air abrasion group (APA), the hydrofluoric-acid-etched group (HF) and two silicon carbide ground groups (SiCr). All of the groups received silane followed by Single Bond Universal Adhesive application prior to being repaired with a resin composite of a smaller disc shape. All the specimens were thermocycled prior to shear bond strength testing and subsequent failure analyses. Statistical analyses were conducted, and the level of statistical significance was set at 0.05. A comparison of the mean values showed a highly statistically significant difference among the eight groups. The highest value of mean shear bond strength was associated with Lava Ultimate substrates repaired using the Charisma Diamond ONE composite after APA surface treatment (36.7 ± 1.99). Meanwhile, the lowest value was recorded for the Vita Enamic group repaired using the OMNICHROMA composite after SiCr surface treatment (17.8 ± 1.6). The failure analysis revealed that cohesive failure in the substrate was the most predominant. Within the limitations of this study, Charisma Diamond ONE showed better bond strength values compared to Omnichroma. Meanwhile, APA is recommended for improved bond strength in repairs of Lava Ultimate restorations.