Assessment of marginal adaptation of indirect zirconia crown restorations using self-adhesive resin cements modified with polylysine antibacterial particles
Main Article Content
Abstract
The objective of this in vitro study was to evaluate the effect of incorporated polylysine antibacterial particles (PLS) in two different types of adhesive resin cements on marginal adaptation of indirect crown restorations fabricated from IPS e.max ZirCAD (LT block). Material and methods: 32 maxillary first premolar teeth were prepared to receive indirect crown restorations with the following preparation criteria: occlusal-gingival height of 4 mm, 3% axial wall taperness, and a 0.8 mm circumferential chamfer finishing line that was checked with a digital caliper. The prepared teeth were randomly assigned to four main groups (n=8) according to the type of resin cement used to lute indirect restorations: 1) Rely C: cemented with RelyXTM U200 cement, 2) RelyPLS: cemented with RelyXTM U200 cement incorporated by PLS, 3) BrC: cemented with BreezeTM cement and 4) BrPLS: cemented with BreezeTM cement incorporated BreezeTM cement. The teeth were digitally scanned and crown design was performed using Sirona InLab CAD 15.1 software. Each restoration was cemented to its respective tooth and a 230X magnification power digital microscope was used to measure the marginal gap in µm. The data was then analysed statistically; Independent t-test and a paired t-test were used. Result: The results showed that the crowns cemented by RelyC showed significantly lower mean values of the marginal gap compared to BrC (28.969 μm, 31.06 μm), respectively (p<0.05) and there were no significant differences in marginal adaptation between the groups cemented with resin cement incorporated with PLS and the other groups cemented with resin cement not incorporated with PLS for both types of cements (p>0.05). Furthermore, the results of the paired t-test showed a statistically higher marginal gap after cementation compared to before cementation in all groups (p<0.05) Conclusion: Incorporating antibacterial PLS antibacterial particles into resin cements did not adversely affect marginal adaptation of zirconia crowns. A smaller gap was produced with RelyX compared to Breeze cement.
Received date: 02-01-2024
Accepted date: 20-02-2024
Published date: 15-12-2024
Downloads
Article Details
This work is licensed under a Creative Commons Attribution 4.0 International License.
Licenses and Copyright
The following policy applies in The Journal of Baghdad College of Dentistry (JBCD):
# JBCD applies the Creative Commons Attribution (CC BY) license to articles and other works we publish. If you submit your paper for publication by JBCD, you agree to have the CC BY license applied to your work. Under this Open Access license, you as the author agree that anyone can reuse your article in whole or part for any purpose, for free, even for commercial purposes. Anyone may copy, distribute, or reuse the content as long as the author and original source are properly cited. This facilitates freedom in re-use and also ensures that JBCD content can be mined without barriers for the needs of research.
# If your manuscript contains content such as photos, images, figures, tables, audio files, videos, etc., that you or your co-authors do not own, we will require you to provide us with proof that the owner of that content (a) has given you written permission to use it, and (b) has approved of the CC BY license being applied to their content. We provide a form you can use to ask for and obtain permission from the owner. If you do not have owner permission, we will ask you to remove that content and/or replace it with other content that you own or have such permission to use.Don't assume that you can use any content you find on the Internet, or that the content is fair game just because it isn't clear who the owner is or what license applies.
# Many authors assume that if they previously published a paper through another publisher, they own the rights to that content and they can freely use that content in their paper, but that’s not necessarily the case, it depends on the license that covers the other paper. Some publishers allow free and unrestricted re-use of article content they own, such as under the CC BY license. Other publishers use licenses that allow re-use only if the same license is applied by the person or publisher re-using the content. If the paper was published under a CC BY license or another license that allows free and unrestricted use, you may use the content in your JBCD paper provided that you give proper attribution, as explained above.If the content was published under a more restrictive license, you must ascertain what rights you have under that license. At a minimum, review the license to make sure you can use the content. Contact that JBCD if you have any questions about the license. If the license does not permit you to use the content in a paper that will be covered by an unrestricted license, you must obtain written permission from the publisher to use the content in your JBCD paper. Please do not include any content in your JBCD paper which you do not have rights to use, and always give proper attribution.
# If any relevant accompanying data is submitted to repositories with stated licensing policies, the policies should not be more restrictive than CC BY.
# JBCD reserves the right to remove any photos, captures, images, figures, tables, illustrations, audio and video files, and the like, from any paper, whether before or after publication, if we have reason to believe that the content was included in your paper without permission from the owner of the content.
How to Cite
Publication Dates
References
Zarone F, Di Mauro MI, Ausiello P, Ruggiero G, Sorrentino R. Current status on lithium disilicate and zirconia: a narrative review. BMC Oral Health. 2019;19:1-14.. DOI: https://doi.org/10.1186/s12903-019-0838-x
Ali SNA-H. In vitro comparison of marginal and internal fit between stainless steel crowns and esthetic crowns of primary molars using different luting cements. Dental Res J. 2019;16(6):366. DOI: https://doi.org/10.4103/1735-3327.270783
Ibraheem AF, Abdulkareem A. Comparison of the marginal fitness of the ceramic crowns fabricated with different CAD/CAM systems (An in vitro study). J Bagh Coll Dent. 2016;28(4):28-33. DOI: https://doi.org/10.12816/0033207
Pegoraro TA, da Silva NR, Carvalho RM. Cements for use in esthetic dentistry. Dental Clin North Am. 2007;51(2):453-71. DOI: https://doi.org/10.1016/j.cden.2007.02.003
Perroni AP, Bergoli CD, Dos Santos MBF, Moraes RR, Boscato N. Spectrophotometric analysis of clinical factors related to the color of ceramic restorations: A pilot study. J Prosthet Dent. 2017;118(5):611-6. DOI: https://doi.org/10.1016/j.prosdent.2016.12.010
Edelhoff D, Özcan M. To what extent does the longevity of fixed dental prostheses depend on the function of the cement? Working Group 4 materials: cementation. Clin Oral Implants Res. 2007;18:193-204. DOI: https://doi.org/10.1111/j.1600-0501.2007.01442.x
Ferracane JL, Stansbury J, Burke FJT. Self‐adhesive resin cements–chemistry, properties and clinical considerations. J Oral Rehabil. 2011;38(4):295-314. DOI: https://doi.org/10.1111/j.1365-2842.2010.02148.x
Yang L, Chen B, Meng H, Zhang H, He F, Xie H, et al. Bond durability when applying phosphate ester monomer-containing primers vs. self-adhesive resin cements to zirconia: Evaluation after different aging conditions. J Prosthodont Res. 2020;64(2):193-201. DOI: https://doi.org/10.1016/j.jpor.2019.06.008
Rosenstiel SF, Land MF, Crispin BJ. Dental luting agents: A review of the current literature. J Prosthet Dent. 1998;80(3):280-301. DOI: https://doi.org/10.1016/S0022-3913(98)70128-3
Abdul-Karem L, Al Noor T. Synthesis, spectral and bacterial studies of mixed ligand complexes of schiff base derived from Methyldopa and Anthranilic acid with some metal ions. Ibn Al Haitham J Pure Appl Sci. 2017:240-52.
Karatasli, Ö., Kursoglu, P., Capa, N. Kazazoglu, E. Comparison of the marginal fit of different coping materials and designs produced by computer aided manufacturing systems. Dent Mater J.2011;30, 97-102. DOI: https://doi.org/10.4012/dmj.2010-063
Ushiwata O, de Moraes JV. Method for marginal measurements of restorations: Accessory device for toolmakers microscope. J Prosthet Dent. 2000;83, 362-366. DOI: https://doi.org/10.1016/S0022-3913(00)70141-7
Heboyan A. Marginal and internal fit of fixed prosthodontic constructions: A literature review. Int. J. Dent. Res. Rev.2019; 2, 19. DOI: https://doi.org/10.28933/ijdrr-2019-06-1105
Abdulazeez MI, Majeed MA. Fracture strength of monolithic zirconia crowns with modified vertical preparation: a comparative in vitro study. Euro J Dent. 2021;16(01):209-14. DOI: https://doi.org/10.1055/s-0041-1735427
Ali AH, Koller G, Foschi F, Andiappan M, Bruce KD, Banerjee A, et al. Self-limiting versus conventional caries removal: a randomized clinical trial. J dent res. 2018 Oct;97(11):1207-13.. DOI: https://doi.org/10.1177/0022034518769255
Ling L, Ma Y, Chen Y, Malyala R. Physical, Mechanical, and Adhesive Properties of Novel Self-Adhesive Resin Cement. Int J Dent. 2022. DOI: https://doi.org/10.1155/2022/4475394
Hu G, Zhang XY, Zhao JX, Zhou CJ, Wu JL. Development of novel self-adhesive resin cement with antibacterial and self-healing properties. Hua xi kou Qiang yi xue za zhi= Huaxi Kouqiang Yixue Zazhi= West China Journal of Stomatology. 2020 ;38(3):256-62 .
Al-Noor TH, Mohapatra RK, Azam M, Karem LKA, Mohapatra PK, Ibrahim AA, et al. Mixed-ligand complexes of ampicillin derived Schiff base ligand and Nicotinamide: Synthesis, physico-chemical studies, DFT calculation, antibacterial study and molecular docking analysis. J Mol Struct. 2021;1229. DOI: https://doi.org/10.1016/j.molstruc.2020.129832
Shima S, Sakai H. Polylysine produced by Streptomyces. Agric Biol Chem. 1977;41(9):1807-9. DOI: https://doi.org/10.1080/00021369.1977.10862764
Kangwankai K, Sani S, Panpisut P, Xia W, Ashley P, Petridis H, et al. Monomer conversion, dimensional stability, strength, modulus, surface apatite precipitation and wear of novel, reactive calcium phosphate and polylysine-containing dental composites. PloS one. 2017;12(11):e0187757. DOI: https://doi.org/10.1371/journal.pone.0187757
Shih L, Shen MH, Van YT. Microbial synthesis of poly (ε-lysine) and its various applications. Bioresour Technol. 2006 1;97(9):1148-59. DOI: https://doi.org/10.1016/j.biortech.2004.08.012
Lygidakis NN, Allan E, Xia W, Ashley PF, Young AM. Early polylysine release from dental composites and its effects on planktonic Streptococcus mutans growth. J Funct Biomater. 2020 ;11(3):53. DOI: https://doi.org/10.3390/jfb11030053
Dima S, Lee YY, Watanabe I, Chang WJ, Pan YH, Teng NC. Antibacterial effect of the natural polymer ε-polylysine against oral pathogens associated with periodontitis and caries. Polymers. 2020 May 27;12(6):1218. DOI: https://doi.org/10.3390/polym12061218
Mansi ZM, Al-Shamma AM. Characterization of Polylysine Enriched Self-Adhesive Resin Cements. Int J Dent. 2023 (special issue). DOI: https://doi.org/10.1155/2023/8839934
Khan MA. Development of antibacterial and remineralizing composite bone cements: UCL (University College London); 2015.
Faul, F., Erdfelder, E., Buchner, A., Lang, A.-G. Statistical power analyses using G*Power 3.1: Tests for correlation and regression analyses. Behav Res Methods. 2009; 41, 1149-1160. DOI: https://doi.org/10.3758/BRM.41.4.1149
Hmedat SJA, Ibraheem AF. An in vitro evaluation of fit of the crowns fabricated by zirconium oxide-based ceramic CAD/CAM systems, before and after porcelain firing cycles and after glaze cycles. J Bagh Coll Dent. 2013;25(1):43-8. DOI: https://doi.org/10.12816/0014962
Khaledi A-A, Farzin M, Akhlaghian M, Pardis S, Mir N. Evaluation of the marginal fit of metal copings fabricated by using 3 different CAD-CAM techniques: Milling, stereolithography, and 3D wax printer. J Prosthet Dent. 2020;124(1):81-6. DOI: https://doi.org/10.1016/j.prosdent.2019.09.002
Anunmana C, Charoenchitt M, Asvanund C. Gap comparison between single crown and three-unit bridge zirconia substructures. J Adv Prosthodont. 2014;6(4):253-8. DOI: https://doi.org/10.4047/jap.2014.6.4.253
Shahrbaf S, Van Noort R, Mirzakouchaki B, Ghassemieh E, Martin N. Fracture strength of machined ceramic crowns as a function of tooth preparation design and the elastic modulus of the cement. Dent Mater. 2014;30(2):234-41. DOI: https://doi.org/10.1016/j.dental.2013.11.010
Wolfart S, Wegner SM, Al-Halabi A, Kern M. Clinical evaluation of marginal fit of a new experimental all-ceramic system before and after cementation. Int J Prosthodont. 2003;16(6).
Hasan SA, Abdul-Ameer ZM-H. Effect of three different preparation designs on the marginal adaptation of indirect overlay restoration fabricated from lithium disilicate ceramic material: An in-vitro comparative study. Saudi Dent J. 2023;35(4):372-7. DOI: https://doi.org/10.1016/j.sdentj.2023.03.013
Abdulla HA, Majeed MA. Assessment of bioactive resin-modified glass ionomer restorative as a new CAD/CAM material. Part I: Marginal fitness study. Indian J Forensic Med Toxicol. 2020;14(1):865-70.
Ghadeer FK, Alwan LE, Al-Azzawi AK. Crystallization firing effect on the marginal discrepancy of the IPS. emax CAD crowns using two different CAD/CAM systems. J Bagh Coll Dent. 2023;35(1):49-57. DOI: https://doi.org/10.26477/jbcd.v35i1.3316
Abdullah LS, ibraheem AF. The effect of finishing line designs and occlusal surface reduction schemes on vertical marginal fit of full contour CAD/CAM zirconia crown restorations (a comparative in vitro study). Int J Dent Oral Health. 2017;4, 1-6. DOI: https://doi.org/10.16966/2378-7090.247
Al-Hawwaz ZM, Ibraheem AF. Marginal and internal fitness of full contour CAD/CAM fabricated zirconia crowns using different digital intra-oral scanners (an in vitro study). JPAM. 2018;12, 839-844. DOI: https://doi.org/10.22207/JPAM.12.2.46
Borges GA, Faria JS, Agarwal P, Spohr AM, Correr-Sobrinho L, Miranzi BA. In vitro marginal fit of three all-ceramic crown systems before and after cementation. Oper Dent. 2012;37(6):641-9. DOI: https://doi.org/10.2341/11-012-L
White SN, Yu Z. Film thickness of new adhesive luting agents. J Prosthet Dent. 1992;67(6):782-5. DOI: https://doi.org/10.1016/0022-3913(92)90582-U
Araújo RP, González AHM, di Hipólito V, Valduga CJ, dos Santos DI, Graeff CF. Inorganic characterizations and filler particles morphology of self-adhesive cements. Int J Adhes Adhes. 2016;68:62-9. DOI: https://doi.org/10.1016/j.ijadhadh.2016.02.003
AlSahafi R, Balhaddad AA, Mitwalli H, Ibrahim MS, Melo MAS, Oates TW, et al. Novel crown cement containing antibacterial monomer and calcium phosphate nanoparticles. Nanomater. 2020;10(10):2001. DOI: https://doi.org/10.3390/nano10102001