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BONDING TO UNCONVENTIONAL
SURFACES
Crowns and restorations:
Amalgam / Cast metal
Porcelain
Acrylic
Gold
www.indiandentalacademy.com
AMALGAM / CAST METAL CROWNS
1. Modification of metal surface –
• Sandblasting
• Diamond-bur roughening
www.indiandentalacademy.com
2. Use of intermediate resins that improve bond
strength
Ex. All-Bond 2, Enhance, Metal Primer
 All-Bond 2 – 3rd generation DBA
 10% phosphoric acid for conditioning
www.indiandentalacademy.com
1. Primer A + Primer B – mix
2. Apply to enamel till acetone evaporates
3. Air-dry for 10 secs
4. Primer B – metal primer
 Further and more research
www.indiandentalacademy.com
3. New adhesive resins that bond chemically to
precious and non-precious metals
Ex. 4 – META - Superbond C & B,
 Molecule orients towards O / OH group in
metal – HYDROGEN BOND
 Bond strength to amalgam less than that
with other sandblasted metals
 Setting time – 10 mins
 Better – Orthomite Super Bond, MCP Bond
www.indiandentalacademy.com
10 – MDP bis-GMA resins - Panavia EX
 Phosphate ester group
 Oxides of metal – Ni, Cr, Co, Sn
 Anaerobic environment – Oxyguard gel
www.indiandentalacademy.com
Procedure:
1. Sandblast - 50 microns Al2O3 for 3 secs
2. Etch with 37% phosphoric acid - 15–30 secs
Large restorations – coat of Metal Primer for 30
secs
3. Sealant
4. Bond with adhesive resin
5. Should not occlude with antagonist
Repolish with rubber cups after debonding.
www.indiandentalacademy.com
PORCELAIN
 Adult patients
 Feldspathic porcelain (10-20% Al2O3), high
aluminous porcelains, glass ceramics
 Conventional acid etch ineffective
 Technique –
1. Roughening of surface with burs/green
stones
2. Porcelain primer
3. Highly filled adhesive
www.indiandentalacademy.com
WOOD et al (1986)
 Bond strength equal/greater than to enamel
surface with this technique
 Damage to porcelain surface
ZACHRISSON et al (1993)
 Unacceptably high failure rates
 Lab tests – high bond strength
 In vitro – continuously increasing force
 In vivo – traumatic incidents, repeated stress
– propagation of micro cracks
www.indiandentalacademy.com
Instead of silane – PORCELAIN ETCHANTS
1. 9.6% Hydrofluoric acid gel – 2-4 mins
2. Equivalent etch by – 1.23% APF for 10 mins
3. 4% APF – 2 mins
 Microporosities for mechanical interlock
 Frosted appearance like enamel
www.indiandentalacademy.com
Procedure:
1. Isolate
2. Deglaze - sandblasting 50 microns Al2O3 –3 secs
• Intraoral sandblasting – Microetcher
• High-speed evacuater
www.indiandentalacademy.com
3. 9.6% HF gel - 2 mins
Strong acid – careful isolation
- remove gel with cotton first
- copious rinsing
- high-volume suction
- immediate drying
4. Bond with highly filled BisGMA resin
5. Use of silane optional
www.indiandentalacademy.com
COMPOSITES
Old composites –
 Decrease in free MMA groups
 Exposed filler particles from silane leached
out
1. Superficial layer abraded with diamond or
carbide bur
2. 37% phosphoric acid
3. Silanation
4. Bonding
www.indiandentalacademy.com
ACRYLIC
 Temporary restorations
1. Wet surface with MMA for 3 mins
2. Bonding – unfilled resin or composite
www.indiandentalacademy.com
GOLD
 Not in much use
1. Sandblasting
2. Electrolytic tin plating – chemical and
mechanical bonding to resin
3. Gallium-tin solution (Adlloy)
4. Metal primers
www.indiandentalacademy.com
 Bond strength not enough to withstand
occlusal forces
 VTD adhesive monomer (triazine-dithiol), 4-
META
www.indiandentalacademy.com

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Bonding to unconventional surfaces

  • 1. BONDING TO UNCONVENTIONAL SURFACES Crowns and restorations: Amalgam / Cast metal Porcelain Acrylic Gold www.indiandentalacademy.com
  • 2. AMALGAM / CAST METAL CROWNS 1. Modification of metal surface – • Sandblasting • Diamond-bur roughening www.indiandentalacademy.com
  • 3. 2. Use of intermediate resins that improve bond strength Ex. All-Bond 2, Enhance, Metal Primer  All-Bond 2 – 3rd generation DBA  10% phosphoric acid for conditioning www.indiandentalacademy.com
  • 4. 1. Primer A + Primer B – mix 2. Apply to enamel till acetone evaporates 3. Air-dry for 10 secs 4. Primer B – metal primer  Further and more research www.indiandentalacademy.com
  • 5. 3. New adhesive resins that bond chemically to precious and non-precious metals Ex. 4 – META - Superbond C & B,  Molecule orients towards O / OH group in metal – HYDROGEN BOND  Bond strength to amalgam less than that with other sandblasted metals  Setting time – 10 mins  Better – Orthomite Super Bond, MCP Bond www.indiandentalacademy.com
  • 6. 10 – MDP bis-GMA resins - Panavia EX  Phosphate ester group  Oxides of metal – Ni, Cr, Co, Sn  Anaerobic environment – Oxyguard gel www.indiandentalacademy.com
  • 7. Procedure: 1. Sandblast - 50 microns Al2O3 for 3 secs 2. Etch with 37% phosphoric acid - 15–30 secs Large restorations – coat of Metal Primer for 30 secs 3. Sealant 4. Bond with adhesive resin 5. Should not occlude with antagonist Repolish with rubber cups after debonding. www.indiandentalacademy.com
  • 8. PORCELAIN  Adult patients  Feldspathic porcelain (10-20% Al2O3), high aluminous porcelains, glass ceramics  Conventional acid etch ineffective  Technique – 1. Roughening of surface with burs/green stones 2. Porcelain primer 3. Highly filled adhesive www.indiandentalacademy.com
  • 9. WOOD et al (1986)  Bond strength equal/greater than to enamel surface with this technique  Damage to porcelain surface ZACHRISSON et al (1993)  Unacceptably high failure rates  Lab tests – high bond strength  In vitro – continuously increasing force  In vivo – traumatic incidents, repeated stress – propagation of micro cracks www.indiandentalacademy.com
  • 10. Instead of silane – PORCELAIN ETCHANTS 1. 9.6% Hydrofluoric acid gel – 2-4 mins 2. Equivalent etch by – 1.23% APF for 10 mins 3. 4% APF – 2 mins  Microporosities for mechanical interlock  Frosted appearance like enamel www.indiandentalacademy.com
  • 11. Procedure: 1. Isolate 2. Deglaze - sandblasting 50 microns Al2O3 –3 secs • Intraoral sandblasting – Microetcher • High-speed evacuater www.indiandentalacademy.com
  • 12. 3. 9.6% HF gel - 2 mins Strong acid – careful isolation - remove gel with cotton first - copious rinsing - high-volume suction - immediate drying 4. Bond with highly filled BisGMA resin 5. Use of silane optional www.indiandentalacademy.com
  • 13. COMPOSITES Old composites –  Decrease in free MMA groups  Exposed filler particles from silane leached out 1. Superficial layer abraded with diamond or carbide bur 2. 37% phosphoric acid 3. Silanation 4. Bonding www.indiandentalacademy.com
  • 14. ACRYLIC  Temporary restorations 1. Wet surface with MMA for 3 mins 2. Bonding – unfilled resin or composite www.indiandentalacademy.com
  • 15. GOLD  Not in much use 1. Sandblasting 2. Electrolytic tin plating – chemical and mechanical bonding to resin 3. Gallium-tin solution (Adlloy) 4. Metal primers www.indiandentalacademy.com
  • 16.  Bond strength not enough to withstand occlusal forces  VTD adhesive monomer (triazine-dithiol), 4- META www.indiandentalacademy.com