• The Journal of the Korean dental association
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• v.50 no.7
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• pp.368-376
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• 2012

The demand for tooth-colored restorations has grown considerably during the last decade. Posterior composite restorations have risen in popularity as a result of the development of improved resin composites, bonding systems and operating techniques. A major limitation of direct composite restoration is the difficulty of controlling the polymerization shrinkage. To overcome this limitation, the indirect fabrication of a composite restoration and cementation with resin cement has been advocated. Unfortunately, the current available resin cements with indirect restorations do not always bond to dentin as strongly as dentin adhesive systems bond with direct resin composite restorations. Several procedural strategies have been proposed for indirect composite restoration. In this regard, the rationale for the indication, characteristics and clinical application is described in this paper. As a result, we will try to suggest the evidence-based guidelines for indirect composite restorations by reviewing each available indirect composite products, technical procedure and pronosis.

• The Journal of Advanced Prosthodontics
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• v.11 no.4
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• pp.232-238
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• 2019

PURPOSE. The aim of this study was to investigate simulated localized and generalized wear of indirect composite resins used for implant supported provisional restorations. MATERIALS AND METHODS. The study investigated ten indirect composite resins. Two kinds of wear were simulated by 400,000 cycles in a Leinfelder-Suzuki (Alabama) machine. Localized wear was simulated with a stainless-steel ball bearing antagonist and generalized with a flat-ended stainless-steel cylinder antagonist. The tests were carried out in water slurry of polymethyl methacrylate beads. Wear was measured using a Proscan 2100 noncontact profilometer in conjunction with Proscan and AnSur 3D software. RESULTS. Both localized and generalized wear were significantly different (P<.05) among the indirect composite resins. SR Nexco and Gradia Plus showed significantly less wear than the other indirect composite resins. The rank order of wear was same in both types of wear simulation. CONCLUSION. Indirect composite resins are recommended when a provisional implant-supported restoration is required to function in place over a long period. Although only some indirect composite resins showed similar wear resistance to CAD/CAM composite resins, the wear resistance of all the indirect composite resins was higher than that of bis-acryl base provisional and polymethyl methacrylate resins.

• Journal of Welding and Joining
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• v.29 no.4
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• pp.93-99
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• 2011

This study was performed to compare the shear strength of the bondings between stainless steel crown/direct type composite resin and stainless steel crown/indirect type composite resin. Four groups of bonding conditions were prepared. Two groups of bonding conditions were made by the indirect type composite resin system and the other two groups were made by the direct type composite resin system. The shear strength tests were carried out using universal testing machine, Model 4465 of Instron Co.. It was indicated that the bond strength values of the indirect type composite resins were higher than those of the direct type composite resins. TE-SE group was superior to the TE-ONE in indirect type resin system. These results were thought to be the high degree of the polymerization accompanied with temperature and pressure of the resin of indirect type resin. It was also found that indirect composite resin contains less amount of porosity in resin.

• Journal of Technologic Dentistry
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• v.30 no.2
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• pp.23-29
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• 2008

The purpose of this study is to evaluate possibility of using indirect composite resin instead of porcelain through the measurement of shear bond strength between zirconia core and indirect composite resin under treatment of $Rocatec^{TM}$ system for improving the adhesion of indirect composite resin. 20 cylindrical zirconia core specimens were divided into 2 groups, according to zirconia surface treatment and attached materials: 1) treated with sandblast and attached with indirect composite resin, 2) treated with sandblast + $Rocatec^{TM}$ system and attached with indirect composite resin. The shear bond strength of each experimental group was measured by MTS and the changes of zirconia core surface according to surface treatments were obtained by SEM observation and measurements of surface roughness. The mean shear bond strength values are $0.55\;{\pm}\;0.11MPa$(Group SC) and $1.16\;{\pm}\;0.46MPa$(Group SRC). The mean Ra values for the surface treatments were follows: $0.39\;{\pm}\;0.13$($100{\beta}_{{\mu}m}$ sandblast) and $0.50\;{\pm}\;0.03$($100{\beta}_{{\mu}m}$ sandblast + $Rocatec^{TM}$ system). In the analysis of EDS, Si element was detected in the Group SC. The shear bond strength between zirconia core and indirect composite resin was improved significantly by using $Rocatec^{TM}$ system.

• The Journal of Advanced Prosthodontics
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• v.8 no.4
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• pp.267-274
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• 2016

PURPOSE. This study aimed to evaluate the effect of surface treatments on bond strength of indirect composite material (Tescera Indirect Composite System) to monolithic zirconia (inCoris TZI). MATERIALS AND METHODS. Partially stabilized monolithic zirconia blocks were cut into with 2.0 mm thickness. Sintered zirconia specimens were divided into different surface treatment groups: no treatment (control), sandblasting, glaze layer & hydrofluoric acid application, and sandblasting + glaze layer & hydrofluoric acid application. The indirect composite material was applied to the surface of the monolithic zirconia specimens. Shear bond strength value of each specimen was evaluated after thermocycling. The fractured surface of each specimen was examined with a stereomicroscope and a scanning electron microscope to assess the failure types. The data were analyzed using one-way analysis of variance (ANOVA) and Tukey LSD tests (${\alpha}$=.05). RESULTS. Bond strength was significantly lower in untreated specimens than in sandblasted specimens (P<.05). No difference between the glaze layer and hydrofluoric acid application treated groups were observed. However, bond strength for these groups were significantly higher as compared with the other two groups (P<.05). CONCLUSION. Combined use of glaze layer & hydrofluoric acid application and silanization are reliable for strong and durable bonding between indirect composite material and monolithic zirconia.

• The Journal of Advanced Prosthodontics
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• v.9 no.1
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• pp.38-44
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• 2017

PURPOSE. The objective of this study was to investigate the effect of surface treatments on microtensile bond strengths (MTBSs) of two types of indirect resin composites bonded to a conventional direct resin composite. MATERIALS AND METHODS. Indirect resin composite blocks of Ceramage and SR Nexco were prepared in a plastic mold having a dimension of $10{\times}10{\times}4\;mm$. These composite blocks were divided into three groups according to their surface treatments: Group1: Sandblast (SB); Group2: Sandblast and ultrasonically clean (SB+UL); Group3: Sandblast plus silane (SB+SI). After bonding with direct resin composite, indirect-direct resin composite blocks were kept in distilled water for 24 hours at $37^{\circ}C$ and cut into microbars with the dimension of $1{\times}1{\times}8\;mm$. Microbar specimens (n = 40 per group) were loaded using a universal testing machine. Failure modes and compositions were evaluated by SEM. The statistical analyses of MTBS were performed by two-way ANOVA and Dunnett's test at ${\alpha}=.05$. RESULTS. Surface treatments and brands had effects on the MTBS without an interaction between these two factors. For SR Nexco, the MTBSs of SB and SB+SI group were significantly higher than that of SB+UL. For Ceramage, the MTBSs of SB and SB+SI were significantly higher than that of SB+UL. The mean MTBS of the Ceramage specimens was significantly higher than that of SR Nexco for all surface treatments. CONCLUSION. Sandblasting with or without silane application could improve the bond strengths of repaired indirect resin composites to a conventional direct resin composite.

• The Journal of Korean Academy of Prosthodontics
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• v.37 no.5
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• pp.620-639
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• 1999

Indirect composite resins are used as an popular effective esthetic material in prosthetic dentistry, often with metallic substructure that provides support for restorations. Recently, new indirect composite resins as a substitute of ceramic have been developed. These resins provide good esthetics, with a wide range of hue and chroma. And the flexural strength of those is in the range of 120-150MPa, Which is higher than that of feldspathic Ceramic, and similar th that of Dicor. Although it has many merits, one of the major clinical problems of composite resins is the bond failure between metal and resin due to insufficient interfacial bond strength. The purpose of this study was to evaluate shear bond strength of the reinforced indirect composite resin to dental alloys. Three different composite resin systems($Artglass^{(R)},\;Sculpture^{(R)},\;Targis^{(R)}$) as test groups and ceramic($VMK\;68^{(R)}$) as control group were bonded to Ni-Cr-Be alloy($Rexillium\;III^{(R)}$) and gold alloy(Deva 4). All specimens were stored at $^37{\circ}C$ distilled water for 24 hours and the half of specimens were thermocycled 2000 times at temperature from $5^{\circ}C\;to\;60^{\circ}C$. The shear bond strengths of reinforced indirect composite resins to dental alloys were measured by using the universal testing machine, and modes of debonding were observed by stereoscope and scanning electron microscope. The results were as follows: 1 The shear bond strengths of reinforced indirect composite resins to dental alloys were approximately half those of ceramic to dental alloys(P<0.01). 2. There was no significant difference between the shear bond strength of several reinforced indirect composite resins to metal. 3. Alloy type did not affect on the shear bond strengths of resin to metal, but the shear bond strengths of ceramic to gold alloys were higher than those of ceramic to Ni-Cr alloys(P<0.05). 4. The shear bond strengths of Artglass and Targil to gold alloys were significantly decreased after thermocycling treatment(P<0.01). 5. Sculpture showed cohesive, adhesive, and mixed failure modes, but Artglass and Targis showed adhesive or mixed failures. And ceramic showed cohesive and mixed failures.

• The Journal of the Korean dental association
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• v.42 no.9 s.424
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• pp.632-637
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• 2004

• Restorative Dentistry and Endodontics
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• v.24 no.1
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• pp.233-239
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• 1999

Recently, a second generation composite resin system(ceromer) was introduced with significantly improved mechanical properties. The purpose of this study was to compare a ceromer with the other restorative materials and to assess its clinical usefulness. In this study, we used four restorative materials : amalgam (BESTALOY$^{(R)}$), indirect composite resin (Clearfil CR Inlay$^{(R)}$), ceromer (Targis$^{(R)}$) and ceramic (Vintage$^{(R)}$). And then we devided into four groups. The materials of each group were as follows : Amalgam group : BESTALOY$^{(R)}$ (Dong Myung Dental Industrial Co.) Composite Resin group : Clearfil CR Inlay$^{(R)}$ (Kuraray) Ceromer group : Targis$^{(R)}$ Dentin (Ivoclar-Vivadent) Ceramic group : Vintage$^{(R)}$ (Shofu Inc.) According to the above classification, we made samples through the polymerization of BESTALOY$^{(R)}$, Clearfil CR Inlay$^{(R)}$ and Targis$^{(R)}$ with separable cylindrical metal mold and firing of Vintage$^{(R)}$ in a investment mold. And then, we measured and compared the value of compressive strength, diametral tensile strength and Vicker's microhardness of each sample. The results were as follows : 1. Amalgam showed the highest value of compressive strength (390.37${\pm}$42.22MPa) and the value of ceromer was somewhere between ceramic and indirect composite resin. There were significant differences among the experimental groups(p<0.001). 2. Indirect composite resin showed the highest value of diametral tensile strength (74.21${\pm}$15.33MPa) and there was no significant difference with ceromer. Ceromer was higher diametral tensile strength than amalgam and ceramic (p<0.001). 3. Ceramic showed the highest value of microhardness (538.44${\pm}$37.38Hv) and the value of ceromer was somewhere between ceramic and indirect composite resin. There were significant differences among the experimental groups (p<0.001).

• Proceedings of the KACD Conference
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• 2001.11a
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• pp.595-595
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• 2001

As the interest for esthetic restoration is increasing, the usage of composite resin is increasing. The usage of composite resin is not limited to anterior teeth but is spreading to posterior area using direct ＆ indirect methods. Generally, dual or chemical cure resin cement has been used for setting composite or porcelain inlay restoration. However, chemical cure resin cement has limited working time and it's difficult to remove excess cement from the tooth and the restoration. The dual cured composite is also difficult to remove from the tooth surface.(omitted)