Shear Bond Strength of MDP-Containing Self-Adhesive Resin Cement and Y-TZP Ceramics: Effect of Phosphate Monomer-Containing Primers

Different surface treatments and adhesive monomers for zirconia-resin bonds: A systematic review and network meta-analysis

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.

Effect of Surface Treatments with Low-Pressure Plasma on the Adhesion of Zirconia

The purpose of this study was to investigate the effect of low-pressure plasma on the contact angle, shear bond strength (SBS), and the failure mode of zirconia ceramic. Zirconia specimens were divided into three groups according to the surface treatment methods as follows: sandblasting with aluminum oxide (ZR-C), sandblasting with aluminum oxide and oxygen plasma (ZR-CP), and argon plasma (ZR-P). The contact angle, SBS, and surface characteristics were tested after thermocycling. Data analysis was made using the Kruskal-Wallis test and one-way analysis of variance. Plasma treatment significantly reduced the contact angle (p < 0.001) with the lowest value for the Zr-P group. An increase in oxygen and a decrease in carbon was observed on the zirconia surface in both plasma groups. For the SBS, there were significant differences among the groups (p < 0.018), the Zr-CP group showing the highest bond strength. Mixed failures were the most frequent. Plasma treatment was effective in increasing the wettability, increasing the oxygen/carbon ratio without changing zirconia surface morphology. The sandblasting plus plasma with oxygen group exhibited the highest bond strength.

Adhesive Cementation of Zirconia Based Ceramics-Surface Modification Methods Literature Review

Introduction: The conditioning procedures for glass-based ceramic restorations before adhesive cementation are generally recognized. In the case of polycrystalline ceramics, which include zirconium oxide, there is still no standardized protocol. The aim of this work was to present conditioning methods of the cementation surface of zirconium oxide fixed dentures. The new generation high translucency zirconia has been also considered. Material and method: The following keywords for the PUBMED and EMBASE databases were used: zirconium oxide, zirconium oxide with increased translucency, bond strength, bending strength, surface treatment. The inclusion criteria were original papers in English published between 2015–2021. Results: Out of 1537 publications, 53 articles were selected for the study, covering methods of conditioning zirconium ceramics, including new materials with increased translucency. These procedures were divided into 5 main groups. Summary: Due to the widespread use of zirconia ceramics and the introduction of new zirconia-based materials, the use of a predictable and standardized cementation protocol is one of the most important factors contributing to the long-term clinical success of prosthetic restorations. Therefore, the research showed differences in the properties of the covered materials after conditioning. It suggests the need to create separate conditioning protocols for highly translucent and traditional zirconia.

Effect of Thermocycling on the Bond Strength of Self-Adhesive Resin Cements Used for Luting CAD/CAM Ceramics to Human Dentin

The aim of the study was to evaluate the influence of thermocycling on the shear bond strength of self-adhesive, self-etching resin cements luted to human dentin and computer-aided design/computer-aided manufacturing (CAD/CAM) ceramics. Three modern self-adhesive dental cements (Maxcem Elite, RelyX U200, Panavia SA) were used to lute three CAD/CAM ceramics (IPS Empress CAD, IPS e.max CAD, IPS e.max ZirCAD) onto the dentin. One conventional cement (Panavia V5) served as a control. After preparation, the samples were subjected to thermocycling as a method of artificial aging of dental materials applied to simulate long-term use in oral conditions. Shear bond strength was evaluated according to PN-EN ISO 29022:2013-10 and failure modes were observed under a light microscope. Statistical analysis was performed. The study demonstrated that a combination of ceramics and cements directly impacts the bond strength. The highest bond strength was observed in Panavia V5, lower in Panavia SA and Maxcem Elite and the lowest–in RelyX U200. Adhesive failure between human dentin and cements was the most common failure mode. Moreover, thermocycling highly decreased bond strength of self-adhesive, self-etching cements.

Effect of Simultaneous Sintering of Bioglass to a Zirconia Core on Properties and Bond Strength

This study aimed to assess bioglass sintering to a zirconia core on surface properties and bonding strength to resin cement. Zirconia specimens were divided into four groups: G I: sintered; G II: bioglass modified zirconia (a bioglass slurry was sintered with zirconia at 1550 °C); G III: sandblasted using 50 μm Al₂O₃ particles; and G IV: Z-prime plus application. Surface morphology and chemical analysis were studied using a scanning electron microscope and energy-dispersive spectroscopy. Surface roughness was evaluated using a profilometer. Surface hardness was measured using an indentation tester. For the microshear bond strength test, resin cement cylinders were bonded to a zirconia surface. Half of the specimens were tested after 24 h; the other half were thermocycled (5-55 °C) for 1000 cycles. A shearing load was applied at a crosshead speed of 0.5 mm/min on a universal testing machine. Data were analyzed with ANOVA using SPSS software at (p < 0.05). Results: tThe mean surface roughness of G II was significantly higher than G I and G III. The microhardness of G II was significantly lower than all groups. For bond strength, there was no significant difference between groups II, III, and IV after thermocycling. Conclusions: Bioactive glass can increase the bond strength of zirconia to resin cement, and is comparable to sandblasting and Z-prime bonding agents.

Rheological and Mechanical Properties of Resin-Based Materials Applied in Dental Restorations

Resin-based materials have been prevalent for dental restorations over the past few decades and have been widely used for a variety of direct and indirect procedures. Typically, resin-based dental materials are required to be flowable or moldable before setting and can provide adequate mechanical strength after setting. The setting method may include, but is not limited to, light-curing, self-curing or heating. In this review, based on different indications of resin-based dental materials (e.g., dental filling composite, dental bonding agent, resin luting cement), their rheological and mechanical properties were reviewed. Viscous and flexible properties were focused on for materials before setting, while elastic properties and mechanical strength were focused on for materials after setting. At the same time, the factors that may affect their rheological and mechanical properties were discussed. It is anticipated that the insightful information and prospections of this study will be useful to the future development and fabrication of resin-based dental restorative materials.

Adhesion to Zirconia: A Systematic Review of Surface Pretreatments and Resin Cements

This systematic review aims to evaluate the different pretreatments of the zirconia surface and resin cement in order to determine a valid operative protocol for adhesive cementation. Methodologies conducted for this study followed the Prisma (Preferred Reporting Items for Systematic Reviews and Meta-Analysis) guidelines. An electronic search was performed in four databases. The established focus question was: “What type of surface conditioning method is the one that obtains the best adhesion values to zirconia over time by applying a resin cement?” Forty-five relevant papers were found to qualify for final inclusion. In total, 260 different surface pretreatment methods, mainly combinations of air-abrasion protocols and adhesive promoters, were investigated. Altogether, the use of two artificial aging methods, three types of cement and four testing methods was reported. The results showed that mechanicochemical surface pretreatments offered the best adhesive results. Self-adhesive cement and those containing 10-MDP obtained the best results in adhesion to zirconia. Artificial aging reduced adhesion, so storage in water for 30 days or thermocycling for 5000 cycles is recommended. A standardized adhesive protocol has not been established due to a lack of evidence

Influence of Non-Thermal Atmospheric Pressure Plasma Treatment on Retentive Strength between Zirconia Crown and Titanium Implant Abutment

The aim of this study is to investigate the effect of non-thermal atmospheric pressure plasma (NTP) on retentive strength (RS) between the zirconia crown and the titanium implant abutment using self-adhesive resin cement. Surface free energy (SFE) was calculated on 24 cube-shaped zirconia blocks, and RS was measured on 120 zirconia crown-titanium abutment assemblies bonded with G-CEM LinkAce. The groups were categorized according to the zirconia surface treatment as follows: Control (no surface treatment), NTP, Si (Silane), NTP + Si, Pr (Z-Prime Plus), and NTP + Pr. Half of the RS test assemblies were aged by thermocycling for 5000 cycles at 5–55 °C. The SFE was calculated using the Owens-Wendt method, and the RS was measured using a universal testing machine at the maximum load until failure. One-way analysis of variance (ANOVA) with post-hoc Tukey honestly significant difference (HSD) was performed to evaluate the effect of surface treatments on the SFE and RS. Independent sample t-test was used to compare the RS according to thermocycling (p < 0.05). For the SFE analysis, the NTP group had a significantly higher SFE value than the Control group (p < 0.05). For the RS test, in non-thermocycling, the NTP group showed a significantly higher RS value than the Control group (p < 0.05). However, in thermocycling, there was no significant difference between the Control and NTP groups (p > 0.05). In non-thermocycling, comparing with the NTP + Si or NTP + Pr group, there was no significant difference from the Si or Pr group, respectively (p > 0.05). Conversely, in thermocycling, the NTP + Si and NTP + Pr group had significantly lower RS than the Si and Pr group, respectively (p < 0.05). These results suggest that NTP single treatment for the zirconia crown increases the initial RS but has little effect on the long-term RS. Applied with Silane or Z-Prime Plus, NTP pre-treatment has no positive effect on the RS.

Yttria-stabilized tetragonal zirconia polycrystal/resin luting agent bond strength: Influence of Titanium dioxide nanotubes addition in both materials

PURPOSE

To evaluate the shear bond strength (SBS) between Y-TZP and a resin luting agent, after 1 of 2 enhancing strategies with TiO_2--nts was applied, either to the resin luting agent or the Y-TZP mass, in different concentrations.

METHODS

In the Strategy TiO₂-nts on ceramic, the resin luting agent Panavia F2.0™ (Kuraray) and an experimental Y-TZP with added concentrations of TiO_2--nts (0%, 1%, 2%, and 5% vol/vol) and a commercial Y-TZP, comprised 5 different groups (n = 10). In the Strategy TiO₂-nts on cement, the resin luting agent RelyX U200™ (3 M ESPE) was added with different concentrations of TiO_2--nts (0%, 0.3%, 0.6%, 0.9% wt/wt) luted to a commercial Y-TZP, comprising 4 different groups (n = 10). The Y-TZP discs were included in acrylic bases, and a cylinder (3 × 3 mm) of the correspondent luting agent for each respective group was applied over them. After 24 h, specimens were subjected to SBS assessments in a universal testing machine. Field emission scanning electron microscopy and energy dispersive X-ray spectroscopy analyses were also performed on Y-TZP surfaces. Data were analyzed via analysis of variance and Tukey tests (α = 0.05).

RESULTS

TiO₂-nts on ceramic influenced the bond strength significantly, but not linearly; TiO₂-nts on cement did not influence bond strength when analyzed separately, nor in comparison with the first.

CONCLUSION

Y-TZP enhancements with TiO₂-nts led to a higher SBS with Panavia F2.0, a 5% TiO_2--nt concentration presented the highest bond strength. Modified Rely X U200 did not improve SBS.

Influence of Different Surface Pretreatments on Shear Bond Strength of an Adhesive Resin Cement to Various Zirconia Ceramics

The aim of this in vitro study was to assess the influence of surface pretreatment on shear bond strength (SBS) of an adhesive resin cement (G-CEM Link Force TM, GC Corporation, Tokyo, Japan) to three different yttria-stabilized tetragonal zirconia polycrystalline (Y-TZP) ceramics: (1) Copran Zirconia Monolith HT, COP; (2) Katana ML Zirconia, KAT; and (3) Metoxit Z-CAD HTL Zirconia, MET. In total, 45 cylinders (5 mm in diameter, 1 mm height) for each type of zirconia ceramic were prepared used a computer-aided design and computer-aided manufacturing (CAD/CAM) machine (software CEREC 4.2). Each type of zirconia was subdivided into three groups and each group received a different surface pretreatment; 15 samples were not conditioned as control (groups COP 1, KAT 1, MET 1), 15 samples were air-borne particle abraded with aluminum dioxide particles of 50-μm size at 0.3 MPa for 20 s (groups COP 2, KAT 2, MET 2), and 15 samples were hot-etched with a solution of hydrochloric acid and ferric chloride (groups COP 3, KAT 3, MET 3). After specimen fabrication, the adhesive cement-ceramic interface was analyzed using an SBS test. Subsequently, the adhesive remnant index (ARI) was measured. Data were submitted to statistical analysis. Air-borne particle abraded specimens showed the highest SBS values for COP and KAT groups. For MET, no significant difference was reported between air-borne particle abraded specimens and untreated controls. The lowest values were detected for acid-etched groups. A higher frequency of ARI = "1" and ARI = "2" was reported in control and air-borne particle abraded groups, whereas ARI = "3" was detected in hot-etched groups. No correlation was found between ARI score and shear bond strength. Air-borne particle abrasion is considered the best treatment for Zirconia Copran and Zirconia Katana ML, if it is followed by using dual-curing resin cement.

Influence of Non-Thermal Atmospheric Pressure Plasma Treatment on Shear Bond Strength between Y-TZP and Self-Adhesive Resin Cement

The purpose of this study was to evaluate the effect of non-thermal atmospheric pressure plasma (NTP) on shear bond strength (SBS) between yttria-stabilized tetragonal zirconia polycrystal (Y-TZP) and self-adhesive resin cement. For this study, surface energy (SE) was calculated with cube-shaped Y-TZP specimens, and SBS was measured on disc-shaped Y-TZP specimens bonded with G-CEM LinkAce or RelyX U200 resin cylinder. The Y-TZP specimens were classified into four groups according to the surface treatment as follows: Control (no surface treatment), NTP, Sb (Sandblasting), and Sb + NTP. The results showed that the SE was significantly higher in the NTP group than in the Control group (p < 0.05). For the SBS test, in non-thermocycling, the NTP group of both self-adhesive resin cements showed significantly higher SBS than the Control group (p < 0.05). However, regardless of the cement type in thermocycling, there was no significant increase in the SBS between the Control and NTP groups. Comparing the two cements, regardless of thermocycling, the NTP group of G-CEM LinkAce showed significantly higher SBS than that of RelyX U200 (p < 0.05). Our study suggests that NTP increases the SE. Furthermore, NTP increases the initial SBS, which is higher when using G-CEM LinkAce than when using RelyX U200.

Adhesion to Zirconia: A Systematic Review of Current Conditioning Methods and Bonding Materials

Background. Reliable bonding between resin composite cements and high strength ceramics is difficult to achieve because of their chemical inertness and lack of silica content that makes etching impossible. The purpose of this review is to classify and analyze the existing methods and materials suggested to improve the adhesion of zirconia to dental substrate by using composite resins, in order to explore current trends in surface conditioning methods with predictable results. Methods. The current literature, examining the bond strength of zirconia ceramics, and including in vitro studies, clinical studies, and a systematic review, was analyzed. The research in the literature was carried out using PubMed and Cochrane Library databases, only papers in English, published online from 2013 to 2018. The following keywords and their combinations were used: Zirconia, 3Y-TZP, Adhesion, Adhesive cementation, Bonding, Resin, Composite resin, Composite material, Dentin, Enamel. Results. Research, in PubMed and Cochrane Library databases, provided 390 titles with abstracts. From these, a total of 93 publications were chosen for analysis. After a full text evaluation, seven articles were discarded. Therefore, the final sample was 86, including in vitro, clinical studies, and one systematic review. Various adhesive techniques with different testing methods were examined. Conclusions. Airborne-particle abrasion and tribo-chemical silica coating are the pre-treatment methods with more evidence in the literature. Increased adhesion could be expected after physico-chemical conditioning of zirconia. Surface contamination has a negative effect on adhesion. There is no evidence to support a universal adhesion protocol.

Effect of different combinations of surface treatment on adhesion of resin composite to zirconia

Purpose: The purpose of this laboratory study was to evaluate the effect of different surface treatment combinations on resin zirconia bonding. Materials and methods: One hundred and five pre-sintered zirconia quadrangles were prepared out of zirconia blocks, polished, then sintered and divided into five groups (n=21). Group I (control): samples were untreated, group II: grit-blasting with 50 µm alumina particles, group III: grit-blasting with 100 µm alumina particles, group IV: Er,Cr:YSGG laser, and group V: selective infiltration etching technique. Microstructural analysis was performed using scanning electron microscopy, atomic force microscopy, a diffractometer, and a profilometer. Cylinders of composite resin were luted with Panavia resin composite cementand Clearfil ceramic primer. Shear bond strength (SBS) was determined using a universal testing machine. Results: SBS results were analyzed using one-way ANOVA followed by Tukey post hoc tests for multiple comparisons. The level of significance was set to 0.05. SBS values of the studied groups II, III, IV, and V were 16.2±1.8 MPa, 15.7±3.7 MPa, 14.8±3.4 MPa, and 16.8±3.0 MPa, respectively. All values were significantly higher than the control group (10.48±1.80 MPa), but without a significant difference between them. Group III exhibited the roughest surface, and Group I had a more significantly reduced surface roughness value than any other group. Group III presented the highest significant increase of tetragonal to monoclinic phase transformation (13%). Conclusion: The use of grit-blasting with greater particles size enhanced SBS with resin composite cement, but induced a higher amount of monoclinic phase transformation. The use of primer based on adhesive monomer with the resin cement is required to enhance the bonding efficiency. The use of laser enhanced the surface roughness and the bonding ability to zirconia.

Bond strength between MDP-based cement and translucent zirconia

The purpose was to evaluate the bond strength between adhesive cement and translucent zirconia in comparison to conventional zirconia. Four brands of translucent zirconia (BruxZir^® HT, Lava™ Plus, Prettau^® Anterior, and Prettau^® Zirconia) and one conventional zirconia (Kavo Everest^® ZS) were evaluated. Specimens were divided into groups depending on the pretreatment of the cementation surface of the zirconia: as-produced, hydrofluoric acid treatment, or sandblasted. The groups underwent three different procedures of artificial aging: water storage (24 h), 5,000 thermocycles, or long-term aging, (water storage 150 days including 37,500 thermocycles) before shear bond strength testing. Sandblasting treatment increased the bond strength significantly for all the brands of zirconia, irrespective of artificial aging procedures, in comparison to the control group. Bond strength between adhesive cement to translucent zirconia is equivalent to conventional zirconia. Sandblasting creates a cementation surface that is more durable than as-produced or hydrofluoric-acid-treated, irrespective of type of zirconia.

Effects of MDP-based primers on shear bond strength between resin cement and zirconia

Yttria-stabilized tetragonal zirconia polycrystal (Y-TZP) ceramics are widely used for fixed dental prostheses and dental implants. Various primers have been introduced to enhance the bonding strength of zirconia crowns. The aim of current study was to analyze the effects of 10-methacryloyloxydecyl dihydrogen phosphate (MDP) primers on the shear bond strength between zirconia crowns and resin cement were assessed. The total sample size included 90 samples of Y-TZP ceramic surfaces. Samples in group I were abraded with aluminum oxide. Samples in groups II and III were abraded and primed with the zirconia and Z-PrimePlus MDP primers, respectively. Group IV samples did not undergo any treatment or application. Group V and VI samples did not undergo any abrasion but were primed with zirconia and Z-PrimePlus MDP primers, respectively. Prior to bonding of the resin cement, the primers were applied for 1 min and air-dried. Then, Clearfil SA luting self-adhesive resin cement was coated onto the zirconia crowns. The highest bond strength was achieved in group III, followed by group II, and group IV exhibited the lowest bond strength between Y-TZP ceramic and adhesive resin cement. Therefore, the application of MDP primers yielded greater bond strength between Y-TZP ceramics and adhesive resin cement, compared with the group without the use of primers.

Effect of selective infiltration etching on the bond strength between zirconia and resin luting agents

OBJECTIVE

To evaluate the shear bond strength of resin cements to zirconia treated with the selective infiltration etching technique (SIE).

MATERIALS AND METHODS

Forty-seven zirconia specimens were prepared with a sequence of silicon carbide abrasives, cleaned in an ultrasonic bath. Three samples were separated for atomic force microscope (AFM) analyses (one nontreated for control, one sandblasted, and one selective infiltration etched) and the remaining were randomly distributed in four groups, according to the combination of surface treatment and resin cement: group 1a (sandblasting + Variolink II), group 1b (sandblasting + Panavia SA Plus), group 2a (SIE + Variolink II), group 2b (SIE + Panavia SA Plus). A composite resin cylinder (3 mm × 3 mm) was cemented to the zirconia surface, as per each group's specific protocol. After storing 24 hours in distilled water at 37°C, the specimens were tested for shear bond strength and the results were subjected to statistical analysis.

RESULTS

At 24 hours, the highest SBS values were observed in group 2b, where the SIE technique was used in conjunction with Panavia SA Plus. Lowest values were found in group 1a. Increased surface roughness was observed with SIE.

CONCLUSIONS

SIE significantly enhanced the resin bond strength to zirconia. However, cement selection was also an important factor, for both surface treatments tested.

CLINICAL SIGNIFICANCE

Use of SIE method combined with MDP monomer containing resin cement can provide clinically acceptable bond strength between zirconia and resin cement.

Evaluation of the Microshear Bond Strength of MDP-containing and Non-MDP-containing Self-adhesive Resin Cement on Zirconia Restoration

OBJECTIVES

The purpose of this study was to measure the microshear bond strength (μSBS) of four different self-adhesive resin cements with/without 10-methacryloyloxydecyl dihydrogen phosphate (MDP)-containing primer to zirconium ceramics and to evaluate the effect of zirconia primers on these self-adhesive resin cements (SARCs).

METHODS AND MATERIALS

Zirconia blocks (20 × 20 × 8 mm³) were prepared and divided into eight groups (n=20). They were sandblasted (50 μm Al₂O₃) and treated as follows: no primer or primer (Z-Primer Plus). Four self-adhesive resin cements (MDP-containing: Permacem 2.0 [PC], Clearfil SA luting [CS]; non-MDP-containing: Rely-X U200 [RU], Maxcem Elite [ME]) were bonded to the zirconia surface. After thermocycling, a μSBS test was performed. The failure mode was analyzed using light microscopy. Statistical analysis of μSBS was performed using one-way analysis of variance and two-sample t-test with post hoc Tukey test. The loss rate was evaluated using the Fisher's exact test and χ² test with post hoc Tukey test (p<0.05).

RESULTS

Within the no primer groups, the PC and CS groups showed higher bond strength than the RU and ME groups. Comparing the μSBS of the no primer and primer groups in the same SARCs, the RU/P group was higher than the RU group, and the ME/P group was higher than the ME group. No significant difference was observed between the PC and PC/P groups and between the CS and CS/P groups.

CONCLUSIONS

Non-MDP-containing SARC showed the increased bonding value with MDP-containing primer to zirconia ceramics. The bond strength of MDP-containing SARCs was not affected significantly by the use of zirconia primer.

Effect of airborne-particle abrasion and, acid and alkaline treatments on shear bond strength of dental zirconia

The surface roughness, morphology and shear bond strength (SBS) of dental zirconia using three different surface treatment techniques were evaluated. Three groups of sintered zirconia blocks were treated as follow, 1) Airborne-particle abrasion (APA) group (G1-APA), 50-µm Al₂O₃; 2) APA and 9% hydrofluoric acid etching (G2-HF); 3) APA and Sodium Hydroxide (G3-NaOH). The specimens were evaluated for roughness [atomic force microscope (AFM)], morphology [Scanning Electron Microscope (SEM)] and for SBS in the universal testing machine. The AFM revealed changes in the roughness after the surface treatments, however there was not Ra difference between groups, SEM analysis revealed changes in surface morphology for all surface treated specimens. For SBS, significant difference was found between G1-APA=8.4±2.7 MPa and G2-HF=3.3±0.6 MPa (p<0.05) and G2-HF and G3-NaOH=9.0±3.0 MPa (p<0.05). The main fracture mode was mixed failure (63%) for G1-APA and G3-NaOH groups. G2-HF showed 100% adhesive failure. SBS was improved with NaOH, however application of HF significantly decreased SBS.

Effect of MDP-Based Primers on the Luting Agent Bond to Y-TZP Ceramic and to Dentin

Purpose

The aim of this study was to evaluate the influence of multimode MDP-based primers and different application protocols on the bond strength of a representative resin cement to an yttrium stabilized tetragonal zirconia (Y-TZP) ceramic.

Materials and Methods

The occlusal dentin from 60 human molars was exposed. The teeth and zirconia cylinders (N = 60) (3 mm of diameter; 4 mm of height) were divided into six groups (n = 10) according to the ceramic surface conditioning: (1) air abraded with SiO₂ particles; (2) Z-Prime Plus; (3) air abraded with SiO₂ particles + Z-Prime Plus; (4) air abraded with SiO₂ particles + All-Bond Universal; (5) air abraded with SiO₂ particles + ScotchBond Universal Adhesive; and (6) untreated zirconia. The luting agent (Duo-Link cement) was applied on the treated dentin surface. Specimens were stored in water (37°C, 24 h) and tested in shear bond strength. Data were statistically analyzed using 2-way ANOVA and Post hoc Tukey tests (α = 0.05).

Results

Significant effects of ceramic conditioning were found (p < 0.0001). The specimens sandblasted with silica particles followed by the application of Z-Prime Plus or All-Bond Universal presented greater bond strength values. For the untreated zirconia, several specimens failed prematurely prior to testing.

Conclusions

Sandblasting with silica particles combined with Z-Prime Plus increased the bond strength.

Investigating the effect of G-Bond and Z-PRIME Plus on the bond strength between prefabricated zirconia posts and the root canal wall in vitro

Background. The aim of this study was to analyze the effect of G-Bond and Z-PRIME Plus on the bond strength between prefabricated zirconia posts and the root canal wall.

Methods. The study was carried out on 21 premolar teeth with similar conditions. The samples were cut at the CEJ. After root canal treatment of the roots, the post space was prepared up to a length of 10mm. The samples were randomly assigned to two groups of 10. G-Bond was used in one group and Z-PRIME Plus in the other to prepare the posts’ surfaces. After cementation and mounting the samples in polyester, the post was cut from the apical area into three equal sections. The bond strength of the samples was tested using the push-out test on a universal testing machine. Data wereanalyzed using t-test.

Results. The meanpush-out bond strengths in the control,G-Bond and Z-PRIME Plus groups were 14.3, 27.6±11.8 and 27.4±13.4N, respectively. There was no statistically significant difference between the two groups (P<0.9). Both methods of surface treatment increased bond strength. The bond strengths were different in different sections such as coronal, middle and apical in each group.

Conclusion. There was no significant differencebetween the G-Bond and Z-PRIME Plus groups and both products in-creased the bond strength of prefabricated zirconia posts.

The effect of Z-primer on the shear bond strength of zirconia ceramic to dentin: in vitro

Background

One of the major limitations of zirconia ceramic is the difficulty to adhere to dental. Said adhesion improves the marginal sealing of the restoration, minimizing microleakage. According to the limitation of zirconia ceramic bonding, zirconia primer enhances bond strengths to Zirconia, Alumina and Metal substrates. Purpose: the aim of the current study was to determine effect of Z-primer on the shear bond strength of zirconia ceramic to dentin.

Material and Methods

28 newly extracted intact premolars and divided into 4 groups (n=7). In group 1, resin-based (Duo-link; Bisco, Schaumburg, IL) cement was used without applying Z-primer. In group 2, resin-based (Duo-link; Bisco, Schaumburg, IL) cement was used with applying Z-primer. In group 3, resin-based cement (Panavia F2; Kurary, Japan) was used without Z-primer. In group 4, resin- based cement (Panavia F2) with Z-primer was used. Zirconia ceramic blocks (4×4×2mm) without sandblasting were applied onto the surface of dentin then cured from 3 dimensions for 20S. Shear bond strength test was carried out after 24h. Stereo microscope was used to evaluate the zirconia ceramic and dentin topography and failure mode.

Results

According to the data, significant difference detected on after application of the Z-primer compared to the other groups (p<0.001). No significant difference detected between 2 types of resin cements (p>0.05). However, the highest SBS observed in second group (Duo-link(+)Zprimer) while lowest detected in first group (Duo-link(-)Zprimer).

Conclusions

These results suggested application of the Z-primer increased shear bond strength between zirconia ceramic and dentin.

Key words:Flexural strength, monolithic zirconia, sintering temperature, sintered-holding time.

In vitro shear bond strength between fluorinated zirconia ceramic and resin cements

PURPOSE

The purpose of this study was to evaluate the efficiency of a gas-phase fluorination method under different fluorination periods through using two resin cements.

MATERIALS AND METHODS

84 zirconia specimens in dimensions of 5 mm × 5 mm × 2 mm were prepared and surface treated with 50 µm aluminum oxide particles or gas phase fluorination for 2 min, 5 min, or 10 min. One specimen in each group was surface analyzed under scanning electron microscope. The remaining specimens were bonded to composite cylinders in dimensions of 2 mm diameter and 3 mm high with Panavia SA Plus or Variolink N. Then, the specimens were stored in 37℃ distilled water for 24 hours and shear bond strength test was applied at a speed of 1 mm/min.

RESULTS

The highest shear bond strength values were observed in the samples fluorinated for 5 minutes and cemented with Panavia SA Plus. Variolink N did not elicit any statistical differences between surface treatments. Panavia SA Plus resin cement and Variolink N resin cements featured statistically significant difference in shear bond strength values only in the case of 5 minutes of fluorination treatment.

CONCLUSION

According to the results of this study, application of 5 minutes of fluorination with 10-methacryloyloxydecyl dihydrogen phosphate monomer (MDP) containing Panavia SA Plus resin cement increased the resin bond strength of zirconia. Fluorination of the zirconia surface using conventional resin cement, Variolink N, did not lead to an increase in bond strength.

Effects of Universal and Conventional MDP Primers on the Shear Bond Strength of Zirconia Ceramic and Nanofilled Composite Resin

STATEMENT OF THE PROBLEM

The clinical success of ceramic depends on the quality of the bond between the zirconia and resin cement.

PURPOSE

In the present study, the effects of universal and conventional MDP-containing primers were evaluated on the shear bond strength of zirconia ceramic and nanofilled composite resin.

MATERIALS AND METHOD

Thirty blocks of zirconia ceramic (6mm×2mm) were prepared. Then the inner surfaces were air-abraded and divided into three groups (n= 10) as follows: untreated with primer (control group, I); All- Bond Universal (group II) and Z-Prime Plus (group III). The specimens in each group were bonded with Variolink N cement to cylinders of composite resin Z350XT. After 24 hour water storage, the shear bond strength test was performed with a universal testing machine at a crosshead speed of 1mm/ min and bond strength values (MPa) were calculated and analyzed with one-way ANOVA and post hoc Tukey tests (p< 0.05). The failure mode of each specimen was evaluated under a stereomicroscope and representative specimens were analyzed by scanning electron microscopy (SEM).

RESULTS

The mean shear bond strength values (MPa) were 7.58±1.62, 17.51±1.34 and 22.45±3.60 in groups I, II and III, respectively. These results indicated that the shear bond strength were significantly higher in groups II and III compared to the control group (p< 0.001). Chemical pre-treatment of zirconia with Z- Prime Plus revealed significantly higher bond strength than the All-Bond Universal adhesive (p< 0.002). All the failure modes were adhesive in the control group (I) and when using primer treatment, mixed failures occurred in 40% and 50% of specimens in groups II and III, respectively.

CONCLUSION

Treatment with both primers resulted in higher bond strength values compared to the control group. The use of Z-Prime Plus treatment in combination with air-abrasion procedure resulted in the highest bond strength.

The Effect of Various Types of Mechanical and Chemical Preconditioning on the Shear Bond Strength of Orthodontic Brackets on Zirconia Restorations

The purpose of this study was to investigate the combined effect of mechanical and chemical treatments on the shear bond strength (SBS) of metal orthodontic brackets on zirconia restoration. The zirconia specimens were randomly divided into 12 groups (n = 10) according to three factors: AL (Al₂O₃) and CO (CoJet™) by sandblasting material; SIL (silane), ZPP (Zirconia Prime Plus), and SBU (Single Bond Universal) by primer; and N (not thermocycled) and T (thermocycled). The specimens were evaluated for shear bond strength, and the fractured surfaces were observed using a stereomicroscope. Scanning electron microscopy images were also obtained. CO-SBU combination had the highest bond strength after thermocycling (26.2 MPa). CO-SIL showed significantly higher SBS than AL-SIL (p < 0.05). CO-ZPP resulted in lower bond strength than AL-ZPP before thermocycling, but the SBS increased after thermocycling (p > 0.05). Modified Adhesive Remnant Index (ARI) scoring and SEM figures were consistent with the results of the surface treatments. In conclusion, CO-SBU, which combines the effect of increased surface area and chemical bonding with both 10-MDP and silane, showed the highest SBS. Sandblasting with either material improved the mechanical bonding by increasing the surface area, and all primers showed clinically acceptable increase of shear bond strength for orthodontic treatment.

Dipentaerythritol penta-acrylate phosphate - an alternative phosphate ester monomer for bonding of methacrylates to zirconia

The present work examined the effects of dipentaerythritol penta-acrylate phosphate (PENTA) as an alternative phosphate ester monomer for bonding of methacrylate-based resins to yttria-stabilized tetragonal zirconia polycrystals (Y-TZP) and further investigated the potential bonding mechanism involved. Shear bond strength testing was performed to evaluate the efficacy of experimental PENTA-containing primers (5, 10, 15, 20 or 30 wt% PENTA in acetone) in improving resin-Y-TZP bond strength. Bonding without the use of a PENTA-containing served as the negative control, and a Methacryloyloxidecyl dihydrogenphosphate(MDP)-containing primer was used as the positive control. Inductively coupled plasma-mass spectrometry (ICP-MS), X-ray photoelectron spectroscopy (XPS) and Fourier-transform infrared spectroscopy (FTIR) were used to investigate the potential existence of chemical affinity between PENTA and Y-TZP. Shear bond strengths were significant higher in the 15 and 20 wt% PENTA groups. The ICP-MS, XPS and FTIR data indicated that the P content on the Y-TZP surface increased as the concentration of PENTA increased in the experimental primers, via the formation of Zr-O-P bond. Taken together, the results attest that PENTA improves resin bonding of Y-TZP through chemical reaction with Y-TZP. Increasing the concentration of PENTA augments its binding affinity but not its bonding efficacy with zirconia.

Improvement in the Tensile Bond Strength between 3Y-TZP Ceramic and Enamel by Surface Treatments

This study examined the effects of 3 mol % yttria-stabilized tetragonal zirconia polycrystal (3Y-TZP) ceramic surface treatments on the tensile bond strength and surface characteristics of enamel. To measure the tensile bond strength, the 3Y-TZP and tooth specimens were manufactured in a mini-dumbbell shape and divided into four groups based on the type of 3Y-TZP surface treatment: polishing (P), 110 µm alumina sandblasting (S), 110 µm alumina sandblasting combined with selective infiltration etching (SS), and 110 µm alumina sandblasting combined with MDP (10-methacryloyloxydecyl dihydrogen phosphate)-containing silane primer (SP). After surface treatment, the surface roughness, wettability, and surface changes were examined, and the tensile bond strength was measured. The mean values (from lowest to highest) for tensile bond strength (MPa) were as follows: P, 8.94 ± 2.30; S, 21.33 ± 2.00; SS, 26.67 ± 4.76; and SP, 31.74 ± 2.66. Compared to the P group, the mean surface roughness was significantly increased, and the mean contact angle was significantly decreased, while wettability was increased in the other groups. Therefore, surface treatment with 110 µm alumina sandblasting and MDP-containing silane primer is suitable for clinical applications, as it considerably improves the bond strength between 3Y-TZP and enamel.

Effect of Surface Treatment on Shear Bond Strength between Resin Cement and Ce-TZP/Al2O3

Purpose. Although several studies evaluating the mechanical properties of Ce-TZP/Al₂O₃ have been published, to date, no study has been published investigating the bonding protocol between Ce-TZP/Al₂O₃ and resin cement. The aim of this study was to evaluate the shear bond strength to air-abraded Ce-TZP/Al₂O₃ when primers and two different cement types were used. Materials and Methods. Two types of zirconia (Y-TZP and Ce-TZP/Al₂O₃) specimens were further divided into four subgroups according to primer application and the cement used. Shear bond strength was measured after water storage for 3 days or 5,000 times thermocycling for artificial aging. Results. The Y-TZP block showed significantly higher shear bond strength than the Ce-TZP/Al₂O₃ block generally. Primer application promoted high bond strength and less effect on bond strength reduction after thermocycling, regardless of the type of cement, zirconia block, or aging time. Conclusions. Depending on the type of the primer or resin cement used after air-abrasion, different wettability of the zirconia surface can be observed. Application of primer affected the values of shear bond strength after the thermocycling procedure. In the case of using the same bonding protocol, Y-TZP could obtain significantly higher bond strength compared with Ce-TZP/Al₂O₃.