Avaliação da resistência de união das interfaces de cimentação de onlays em resina composta CAD/CAM

Abstract

The aim of the study was to evaluate, in vitro, the weakest bond interface in Lava Ultimate onlays luted to the tooth preparation with Single Bond Universal and RelyX Ultimate. The following variables were tested: a) total-etch or the self-etch technique; b) with and without adhesive application on the internal surface of the onlay; c) with and without cyclic loading. Fifty-six Lava Ultimate onlays were milled and luted to the human tooth preparations according to the variables, being formed eight groups (n = 7): G1 and G2 - Single Bond Universal applied in the total-etch mode; G3 and G4 - Single Bond Universal applied in the self-etch mode; G5 and G6 - Single Bond Universal applied in the total-etch mode + adhesive application on the onlay; G7 and G8 - Single Bond Universal in the self-etch mode + adhesive application on the onlay. The onlays were luted with RelyX Ultimate. After storage in distilled water at 37° C for 24 h, only the samples from G2, G4, G6 and G8 were submitted to cyclic loading at 100 N using 1000,000 cycles. Beams with a cross section area of ~0.80 mm2 from all groups were obtained and submitted to a microtensile bond strength test in a universal testing machine at a crosshead speed of 0.5 mm/min. The types of failure were observed in optical microscope. The microtensile bond strength values were analyzed by three-way ANOVA and post-hoc multiple comparison using Tukey’s test (α=0.05). There was a significant interaction between the three factors (p = 0.006).The means followed by the same letter represent no statistical difference for the microtensile bond strength (MPa): G6 = 34.64 (±34.64)a, G1 = 34.48 (±12.58)a, G2 = 31.94 (±9.18) ab, G5 = 30.88 (±6.85)abc, G7 = 26.66 (±8.25)bc, G8 = 24.03 (±7.65)cd, G4 = 18.81 (±4.14)de, G3 = 14.64 (±5.35)e. Most failures were at the resinous agent-restoration interface. It was concluded that the resinous agent-restoration interface corresponds to the weakest interface in Lava Ultimate onlays luted with Single Bond Universal and RelyX Ultimate. The application of Single Bond Universal on the internal surface of the onlay was not a relevant procedure.