Flowable composite as an alternative to adhesive resin cement in bonding hybrid CAD/CAM materials: in-vitro study of micro-shear bond strength

To assess the micro-shear bond strength of light-cured adhesive resin cement compared to flowable composite to hybrid CAD/CAM ceramics.

Rectangular discs were obtained from polymer-infiltrated (Vita Enamic; VE) and nano-hybrid resin-matrix (Voco Grandio; GR) ceramic blocks and randomly divided according to the luting agent; light-cured resin cement (Calibra Veneer; C) and flowable composite (Neo Spectra ST flow; F), resulting in four subgroups; VE-C, VE-F, GR-C and GR-F. Substrates received micro-cylinders of the tested luting agents (n = 16). After water storage, specimens were tested for micro-shear bond strength (µSBS) using a universal testing machine at 0.5 mm/min cross-head speed until failure and failure modes were determined. After testing for normality, quantitative data were expressed as mean and standard deviation, whereas, qualitative data were expressed as percentages. Quantitative data were statistically analysed using Student t test at a level of significance (P ≤ 0.05).

Group GR-F showed the highest µSBS, followed by VE-C, VE-F and GR-C respectively, although statistically insignificant. All groups showed mixed and adhesive failure modes, where VE-F and GR-C showed the highest mixed failures followed by GR-C and VE-C respectively.

After short-term aging, flowable composite and light-cured resin cement showed high comparable bond strength when cementing VE and GR.