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Li X, Liang S, Inokoshi M, Zhao S, Hong G, Yao C, Huang C. Different surface treatments and adhesive monomers for zirconia-resin bonds: A systematic review and network meta-analysis. JAPANESE DENTAL SCIENCE REVIEW 2024; 60:175-189. [PMID: 38938474 PMCID: PMC11208804 DOI: 10.1016/j.jdsr.2024.05.004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/06/2024] [Revised: 05/03/2024] [Accepted: 05/15/2024] [Indexed: 06/29/2024] Open
Abstract
This review examined the efficacy of surface treatments and adhesive monomers for enhancing zirconia-resin bond strength. A comprehensive literature search in PubMed, Embase, Web of Science, Scopus, and the Cochrane Library yielded relevant in vitro studies. Employing pairwise and Bayesian network meta-analyses, 77 articles meeting inclusion criteria were analyzed. Gas plasma was found to be ineffective, while treatments including air abrasion, silica coating, laser, selective infiltration etching, hot etching showed varied effectiveness. Air abrasion with finer particles (25-53 µm) showed higher immediate bond strength than larger particles (110-150 µm), with no significant difference post-aging. The Rocatec silica coating system outperformed the CoJet system in both immediate and long-term bond strength. Adhesives containing 10-methacryloyloxydecyl dihydrogen phosphate (10-MDP) were superior to other acidic monomers. The application of 2-hydroxyethyl methacrylate and silane did not improve bonding performance. Notably, 91.2 % of bonds weakened after aging, but this effect was less pronounced with air abrasion or silica coating. The findings highlight the effectiveness of air abrasion, silica coating, selective infiltration etching, hot etching, and laser treatment in improving bond strength, with 10-MDP in bonding agents enhancing zirconia bonding efficacy.
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Affiliation(s)
- Xinyang Li
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China
| | - Shengjie Liang
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China
| | - Masanao Inokoshi
- Department of Gerodontology and Oral Rehabilitation, Graduate School of Medical and Dental Sciences, Tokyo Medical and Dental University, 1–5-45 Yushima, Bunkyo-ku, Tokyo 113–8549, Japan
| | - Shikai Zhao
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China
| | - Guang Hong
- Liaison Center for Innovative Dentistry, Graduate School of Dentistry, Tohoku University, Sendai, Japan
| | - Chenmin Yao
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China
| | - Cui Huang
- State Key Laboratory of Oral & Maxillofacial Reconstruction and Regeneration, Key Laboratory of Oral Biomedicine Ministry of Education, Hubei Key Laboratory of Stomatology, School & Hospital of Stomatology, Wuhan University, Wuhan 430079, China
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Eram A, Vinay Kr R, K N C, Keni LG, Shetty DD, Zuber M, Kumar S, S P. Air-Abrasion in Dentistry: A Short Review of the Materials and Performance Parameters. J Biomed Phys Eng 2024; 14:99-110. [PMID: 38357598 PMCID: PMC10862117 DOI: 10.31661/jbpe.v0i0.2310-1670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/09/2023] [Accepted: 11/27/2023] [Indexed: 02/16/2024]
Abstract
The selection of abrasive material and parameters of the Air-Abrasion device for a particular application is a crucial detail. However, there are no standard recommendations or manuals for choosing these details; the operator must depend on his experience and knowledge of the procedure to select the best possible material and set of parameters. This short review attempts to identify some of the effects that the selection of material and parameters could have on the performance of the Air-Abrasion procedure for a particular application. The material and parameter data are collected from various studies and categorized according to the most popular materials in use right now. These studies are then analyzed to arrive at some inferences on the performance of Air-Abrasion materials and parameters. This review arrives at a few conclusions on the effectiveness of a material and parameter set, and that there is potential for developments in the area of standardizing parameter selection; also, there is scope for further studies on Bio-Active Glass as an alternative to the materials currently used in Air-Abrasion.
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Affiliation(s)
- Afiya Eram
- Department of Conservative Dentistry and Endodontics, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, India
| | - Rajath Vinay Kr
- Department of Aeronautical & Automobile Engineering, Manipal Institute of Technology, Manipal, Manipal Academy of Higher Education, Manipal, India
| | - Chethan K N
- Department of Aeronautical & Automobile Engineering, Manipal Institute of Technology, Manipal, Manipal Academy of Higher Education, Manipal, India
| | - Laxmikant G Keni
- Department of Aeronautical & Automobile Engineering, Manipal Institute of Technology, Manipal, Manipal Academy of Higher Education, Manipal, India
| | - Divya D Shetty
- Department of Aeronautical & Automobile Engineering, Manipal Institute of Technology, Manipal, Manipal Academy of Higher Education, Manipal, India
| | - Mohammad Zuber
- Department of Aeronautical & Automobile Engineering, Manipal Institute of Technology, Manipal, Manipal Academy of Higher Education, Manipal, India
| | - Saurabh Kumar
- Department of Pediatric & Preventive Dentistry, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, India
| | - Pradeep S
- Department of Prosthodontics & Crown and Bridge, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, India
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Dikicier S, Korkmaz C, Atay A. Surface roughness and characteristics of CAD/CAM zirconia and glass ceramics after combined treatment procedures. BMC Oral Health 2022; 22:524. [PMID: 36419112 PMCID: PMC9685924 DOI: 10.1186/s12903-022-02389-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/20/2022] [Accepted: 08/08/2022] [Indexed: 11/27/2022] Open
Abstract
BACKGROUND The roughening of the inner surface of a fixed ceramic restoration is an important factor for the bonding process. The aim of this study is to investigate the effect of combined surface treatments (acid etching, air-abrasion and Er: YAG Laser) on surface roughness of CAD/CAM fabricated zirconia (ZrO2) and lithium-disilicate glass ceramics (LDS). METHODS Sixty ZrO2 (Ceramill Zi) and LDS (IPS e.max CAD) specimens, (5 mm in width, 5 mm in length and 1.5 mm in height) were fabricated using CAD/CAM and sintered according to the manufacturer's instructions. All specimens subjected to three surface treatment combinations; etching with 4% hydrofluoric acide (HF), airborne-particle abrasion with 110-μm alumina (Al2O3) (AP) and Er:YAG laser (Er:YAG) (Group A-HF + AP; Group B-Er:YAG + AP, and Group C-Er:YAG + HF). Perthometer was used to measure the surface roughness of the specimens before and after the tretments. RESULTS Group A presented the highest Ra (LDS 0.81 ± 0.27 and ZrO2 0.67 ± 0.21 after treatment) and Group C the lowest (LDS 0.45 ± 0.13 and ZrO2 0.26 ± 0.07, after treatment). Compared with before treatment, the Ra were significantly different only in Group A both ZrO2 and LDS after treatment (p < 0.05). Qualitative SEM images suggested the surface topography of the ZrO2 was smoother than the LDS. Less surface changes were observed in the Er:YAG combined procedures than HF + AP. CONCLUSIONS HF + AP was significantly succesful in modifying the ceramic surface. Er:YAG did not sufficiently promote the surface topography, even if combined with any other treatments. Overall, surface tretments on ZrO2 not easier than LDS.
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Affiliation(s)
- Sibel Dikicier
- grid.488643.50000 0004 5894 3909Department of Prosthodontics, Hamidiye Faculty of Dentistry, University of Health Sciences, 34660 Uskudar Istanbul, Turkey
| | - Cumhur Korkmaz
- grid.488643.50000 0004 5894 3909Department of Prosthodontics, Hamidiye Faculty of Dentistry, University of Health Sciences, 34660 Uskudar Istanbul, Turkey
| | - Arzu Atay
- grid.488643.50000 0004 5894 3909Department of Prosthodontics, Hamidiye Faculty of Dentistry, University of Health Sciences, 34660 Uskudar Istanbul, Turkey
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Physicochemical and biological characterization of silica-coated alumina particles. Dent Mater 2022; 38:1878-1885. [PMID: 36207169 DOI: 10.1016/j.dental.2022.09.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/07/2022] [Revised: 09/18/2022] [Accepted: 09/23/2022] [Indexed: 11/23/2022]
Abstract
OBJECTIVES A tribochemical silica-coating (TSC) method has been developed to improve the adhesion of dental resin composites to various substrates. The method utilizes airborne-particle abrasion using particles having a silica surface and an alumina core. The impact of the TSC method has been extensively studied but less attention has been paid to the characterization of the silica-modified alumina particles. Due to the role of silicate ions in cell biology, e.g. osteoblast function and bone mineralization, silica-modified alumina particles could also be potentially used as a biomaterial in scaffolds of tissue regeneration. Thus, we carried out detailed physicochemical characterization of the silica-modified alumina particles. METHODS Silica-modified alumina particles (Rocatec, 3 M-ESPE) of an average particle size of 30 µm were studied for the phase composition, spectroscopic properties, surface morphology, dissolution, and the capability to modify the pH of an immersion solution. The control material was alumina without silica modification. Pre-osteoblastic MC3T3-E1 cells were used to assess cell viability in the presence of the particles. Cell viability was tested at 1, 3, 7 and 10 days of culture with various particle quantities. Multivariate ANOVA was used for statistical analyses. RESULTS Minor quantities of silica enrichment was verified on the surface of alumina particles and the silica did not evenly cover the alumina surface. In the dissolution test, no change in the pH of the immersion solution was observed in the presence of the particles. Minor quantities of silicate ions were dissolved from the particles to the cell culture medium but no major differences were observed in the viability of pre-osteoblastic cells, whether the cells were cultured with silica-modified or plain alumina particles. SIGNIFICANCE Characterization of silica-modified alumina particles demonstrated differences in the particle surface structure compared to control alumina. Dissolution of silica layer in Tris buffer or SBF solution varied from that of cell culture medium: minor quantities of dissolved Si were observed in cell culture test medium. The cell viability test did not shown significant differences between control alumina and its silica-modified counterpart.
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Fernandes Neto C, Narimatsu MH, Magão PH, da Costa RM, Pfeifer CS, Furuse AY. Physical-chemical characterization and bond strength to zirconia of dental adhesives with different monomer mixtures and photoinitiator systems light-activated with poly and monowave devices. Biomater Investig Dent 2022; 9:20-32. [PMID: 35528027 PMCID: PMC9067976 DOI: 10.1080/26415275.2022.2064289] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022] Open
Abstract
Introduction: Bonding to crystalline zirconia is currently a challenge. Properly cured adhesives are crucial to optimize this bond, and that in turn is influenced by the initial mobility of the system, as well as by the reactivity of the initiators. Aim: This study aimed to characterize adhesives containing monomer mixtures of different viscosities and double and triple photoinitiator systems; and to evaluate the bonding to Y-TZP zirconia, when adhesives were light-activated with monowave or polywave light-curing units (LCU). Materials and methods: Adhesives were formulated at a 1:1 weight proportion of Bis-GMA/TEGDMA or Bis-GMA/Bis-EMA. To these mixtures 0.5 wt% of CQ, 0.5–1.0 wt% of DABE, 0.5–1.0 wt% of DPIHP, or 0.5–1.0 wt% of TAS-Sb were added and used as photoinitiator systems. A total of ten adhesives were prepared. Resin composite cylinders were cemented on zirconia slices and 6000 thermal cycles were performed. Degree of conversion (DC), sorption (SO) and solubility (SL) after 7 days of water storage, and microshear bond strength (µSBS) were evaluated. Data were analyzed with three-way ANOVA and Tukey’s HSD (α = 0.05). Results: Bis-GMA/Bis-EMA combined with either CQ/DABE or CQ/DABE/TAS-Sb presented the highest DC, and no significant differences were observed for LCUs (p = .298). CQ/DABE < CQ/DABE/TAS-Sb ≈ CQ/DABE/DPIHP and the polywave LCU showed smaller overall SO (p < .05). Bis-GMA/TEGDMA with CQ/DABE cured with the polywave LCU presented the lowest SO. SL varied as follows: CQ/DABE/TAS-Sb < CQ/DABE/DPIHP < CQ/DABE (p < .001). For µSBS, only the factor photoinitiator system was significant (p = .045). All mean values were above 30 MPa, with higher values being observed for BIS-GMA/TEGDMA and CQ/DABE. Conclusion: It can be concluded that the adhesive containing CQ/DABE/TAS-Sb as coinitiator of Bis-GMA/Bis-EMA mixtures produced a material with higher DC and lower SL, while bond strength values were similar to the ones obtained by CQ/DABE.
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Affiliation(s)
- Constantino Fernandes Neto
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil
| | - Mayara Hana Narimatsu
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil
| | - Pedro Henrique Magão
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil
| | - Reginaldo Mendonça da Costa
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil
| | - Carmem Silvia Pfeifer
- Division of Biomaterials and Biomechanics, Department of Restorative Dentistry, School of Dentistry, Oregon Health and Science University, Portland, OR, USA
| | - Adilson Yoshio Furuse
- Department of Operative Dentistry, Endodontics and Dental Materials, Bauru School of Dentistry, University of São Paulo, Bauru, Brazil
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Franz A, Winkler O, Lettner S, Öppinger S, Hauser A, Haidar M, Moritz A, Watts DC, Schedle A. Optimizing the fitting-surface preparation of zirconia restorations for bonding to dentin. Dent Mater 2021; 37:464-476. [PMID: 33451690 DOI: 10.1016/j.dental.2020.12.001] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/11/2020] [Revised: 12/07/2020] [Accepted: 12/07/2020] [Indexed: 10/22/2022]
Abstract
OBJECTIVES The aim of this study was to identify the relative strengths and weaknesses of different interfaces within the multilayer structure of a zirconia crown restoration when applying different surface pretreatments. These include the influence on shear strengths of different air abrasion protocols, glaze-on techniques, zirconia primers and self-adhesive cements for either the complex structure: zirconia / self adhesive resin composite cement (RCC) / bovine dentin substrate (part 1) or the RCC / zirconia substrate (part 2). METHODS In Part 1, zirconia discs, pretreated by either glaze-on techniques or air abrasion using Rocatec™ Soft, were bonded to bovine dentin substrates with different self-adhesive RCCs. In Part 2, steel-cylinders were bonded to zirconia cuboid substrates, pretreated by either different protocols for air-abrasion or a glaze-on-technique, with different self-adhesive RCCs. Shear bond strengths (SBS) were measured for all interfacial combinations. RESULTS In part 1, application of air abrasion using Rocatec™ Soft significantly increased the SBS of zirconia to dentin compared to control specimens without pretreatment, while glaze-on techniques did not increase the SBS. Pretreatment of zirconia surfaces with two primers (either Clearfil Ceramic Primer, or Monobond S) showed significantly higher SBS than the controls. Cementations with RelyX Unicem 2 Automix showed significantly higher SBS than with MaxCem Elite. In Part 2, all air abrasion protocols increased the SBS, but there was no significant difference between these protocols. Again the glaze-on technique did not increase SBS. A significant difference between the two RCCs was again observed. When zirconia substrates were air abraded, regardless of which protocol was applied, the highest SBS were obtained by Calibra with P&B active followed by Panavia with or without Clearfil Ceramic Primer Plus. Calibra applied without P&B active exhibited the lowest SBS. SIGNIFICANCE Pretreatment of zirconia substrates using air abrasion and/or ceramic primers increased the SBS of the zirconia cement interface. For all tested glaze-on treatments, in our experimental setting no effect was observed.
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Affiliation(s)
- Alexander Franz
- University Clinic of Dentistry, Medical University of Vienna, Austria
| | - Olivia Winkler
- University Clinic of Dentistry, Medical University of Vienna, Austria
| | - Stefan Lettner
- University Clinic of Dentistry, Medical University of Vienna, Austria
| | - Simon Öppinger
- University Clinic of Dentistry, Medical University of Vienna, Austria
| | - Anna Hauser
- University Clinic of Dentistry, Medical University of Vienna, Austria
| | - Marwan Haidar
- University Clinic of Dentistry, Medical University of Vienna, Austria
| | - Andreas Moritz
- University Clinic of Dentistry, Medical University of Vienna, Austria
| | - David C Watts
- School of Medical Sciences and Photon Science Institute, University of Manchester, Manchester, UK
| | - Andreas Schedle
- University Clinic of Dentistry, Medical University of Vienna, Austria.
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Martins FV, Mattos CT, Cordeiro WJB, Fonseca EM. Evaluation of zirconia surface roughness after aluminum oxide airborne-particle abrasion and the erbium-YAG, neodymium-doped YAG, or CO 2 lasers: A systematic review and meta-analysis. J Prosthet Dent 2019; 121:895-903.e2. [PMID: 30711290 DOI: 10.1016/j.prosdent.2018.07.001] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/27/2017] [Revised: 07/12/2018] [Accepted: 07/13/2018] [Indexed: 11/18/2022]
Abstract
STATEMENT OF PROBLEM Veneer chipping and crown decementation are the most frequent failures in restorations using zirconia as an infrastructure. Increasing the roughness of the zirconia surface has been suggested to address this problem. PURPOSE The purpose of this systematic review and meta-analysis was to evaluate yttria-stabilized tetragonal zirconia polycrystal surface roughness, produced with aluminum oxide airborne-particle abrasion and the erbium yttrium aluminum garnet (YAG), neodymium-doped YAG, or CO2 lasers. MATERIAL AND METHODS This study was based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) checklist. The review identified relevant studies through December 2017 with no limit on the publication year in the search databases: Web of Science, Scopus, and MEDLINE via PubMed. The selected studies were submitted to a risk of bias assessment. The means and standard deviations of roughness were evaluated for the meta-analysis using Review Manager software. RESULTS The 17 studies that met all inclusion criteria presented a medium risk of bias. All the treatment methods tested were able to create a roughness on the yttria-stabilized tetragonal zirconia polycrystal surface. The I2 test values presented a high heterogeneity among the studies. CONCLUSIONS The presintered specimens submitted to airborne-particle abrasion had higher surface roughness compared with abrasion after the sintering process. Irradiation with the neodymium-doped YAG and CO2 lasers was destructive to the zirconia surfaces. The erbium laser used with lower energy intensity appears to be a promising method for surface treatment.
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Affiliation(s)
- Felipe V Martins
- Post-Graduate Student, Federal Fluminense University (UFF), Rio de Janeiro, Brazil.
| | - Cláudia T Mattos
- Adjunct Professor, Department of Orthodontics, Federal Fluminense University (UFF), Rio de Janeiro, Brazil
| | - Wayne J B Cordeiro
- Adjunct Professor, Department of Dental Technique, Federal Fluminense University (UFF), Rio de Janeiro, Brazil
| | - Edgard M Fonseca
- Adjunct Professor, Department of Dental Technique, Federal Fluminense University (UFF), Rio de Janeiro, Brazil
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