Methods: Bars of e.max CAD (9 groups of 10 - 22mm x 2.5mm x 2.5mm) were prepared; polished sequentially (180, 320, and 600 paper); and fired following manufacturer’s instructions. 4 groups were particle abraded (30µm alumina from 10mm at 8psi, 15psi, 30psi, or 45psi for 10s). 2 groups were etched with 5% HF (20s or 2 minutes). Two groups were etched with 9.5% HF (20s or 2 minutes). The control was polished and fired only (no treatment). Specimens were loaded using a three point flexural test to failure in an Instron (1mm/min crosshead speed). ANOVA and Dunnett’s t-test determined intergroup differences (p= 0.05).
Results: Compared to the control, the 15psi, 30psi, and 45psi abraded groups produced significantly lower flexural strengths (p<0.05). The 8psi treated group was not statistically different from the control (p>0.08). The 5% and 9.5% HF etched groups were not significantly different from the control (p>0.05).
Group | Mean Flexural Strength (MPa) | Deviation (MPa) |
Control | 376.8 | 80 |
8 psi | 305.3 | 29 |
15 psi | 278.9 | 39 |
30 psi | 240.6 | 31 |
45 psi | 241.9 | 14 |
5% HF (20s) | 313.7 | 62 |
5% HF (2min) | 333.8 | 46 |
9.5% HF (20s) | 303.5 | 39 |
9.5% HF (2min) | 353.5 | 67 |
Conclusions: Alumina particle abrasion higher than 15psi significantly reduced e.max CAD flexural strength. HF etching is recommended to increase micromechanical retention and clean the intaglio surface of the restoration prior to bonding.