High bonding strength between zirconia and composite resin based on combined surface treatment for dental restorations

Shear Bond Strength of Clear Aligner Attachment Using 4-META/MMA-TBB Resin Cement on Glazed Monolithic Zirconia

Increasing demand for adult orthodontic treatment using clear aligners has highlighted challenges in bonding clear aligner attachments to various restorations. Specifically, the bond strength of clear aligner attachments to glazed monolithic zirconia has not been extensively studied. This study aims to compare the shear bond strength (SBS) and mode of failure (MOF) of conventional bonding methods versus Superbond C&B (4-META/MMA-TBB resin cement) for clear aligner attachments on glazed monolithic zirconia. Fifty sintered and glazed zirconia samples were divided into five groups and attached with clear aligner attachments: Si (silane), B (bonding agent), SiB (bonding agent and silane), SU (Superbond C&B), and SiSU (silane and Superbond C&B). SBS and MOF of these samples were analyzed. Results indicated a significant difference in bond strength among the groups. SiSU exhibited the highest bond strength, followed by SU, while B had the lowest bond strength. SEM analysis revealed that SiSU and SU predominantly exhibited mixed failure, indicating high bond strength without affecting the glazed layers of the zirconia. In contrast, B exhibited only adhesive failure at the interface, resulting in insufficient bond strength for effective orthodontic treatment. In conclusion, using 4-META/MMA-TBB resin cement provides high bond strength for clear aligner attachments on glazed zirconia with minimal material damage during debonding.

Zirconia bond strength durability following artificial aging: A systematic review and meta-analysis of in vitro studies

The present study systematically reviewed the literature regarding the bond strength durability of zirconia ceramics to resin-based luting cements after application of different bonding protocols and aging conditions. Electronic searches in PubMed, Scopus, and Web of Science databases were performed for relevant literature published between January 1st 2015 and November 15th 2022. Ninety-three (93) English language in-vitro studies were included. The percentage of the mean bond strength change was recorded prior to and after artificial aging, and the weighted mean values and 95% confidence intervals were calculated. Bonding protocols were classified based on the combination of MDP/non-MDP containing cement/primer and surface pretreatment, as well as the level of artificial aging performed. Alumina sandblasting (SA) was identified as the most frequently used surface pre-treatment while an insufficient number of studies was identified for each category of alternative surface treatments. The combination of MDP cement with tribochemical silica coating (TSC) or SA yielded more durable results after aging, while the application of SA and TSC improved bond durability when a non-MDP cement and a non-MDP primer were used. TSC may lead to increased bond durability compared to SA, whereas MDP cements may act similarly when combined with SA or TSC.

Aspects and Principles of Material Connections in Restorative Dentistry-A Comprehensive Review

The combination of two dissimilar materials has always been a serious problem in dentistry. In order to meet this challenge, it is necessary to combine both chemical methods (treatment with silanes, (meth)acrylic functional monomers) and the development of the surface of the joined material in a physical way, e.g., by sandblasting with alumina, alumina with silica, acid etching, the use of lasers and other means. The purpose of this literature review is to present all methods of joining dental composites with other materials such as ceramics, metal, another composite material. This review covers articles published within the period 2012-2022 in journals indexed in the PubMed database, written in English and describing joining different dental materials to each other. All the critical steps of new joint preparation have been addressed, including proper cleaning of the joint surface, the application of appropriate primers capable of forming a chemical bond between ceramics, zirconium oxide or metals and alloys, and finally, the application of new composite materials.

Resin Cement-Zirconia Bond Strengthening by Exposure to Low-Temperature Atmospheric Pressure Multi-Gas Plasma

The purpose of this study was to investigate the effect of gas species used for low-temperature atmospheric pressure plasma surface treatment, using various gas species and different treatment times, on zirconia surface state and the bond strength between zirconia and dental resin cement. Three groups of zirconia specimens with different surface treatments were prepared as follows: untreated group, alumina sandblasting treatment group, and plasma treatment group. Nitrogen (N₂), carbon dioxide (CO₂), oxygen (O₂), argon (Ar), and air were employed for plasma irradiation. The bond strength between each zirconia specimen and resin cement was compared using a tension test. The effect of the gas species for plasma irradiation on the zirconia surface was investigated using a contact angle meter, an optical interferometer, an X-ray diffractometer, and X-ray photoelectric spectroscopy. Plasma irradiation increased the wettability and decreased the carbon contamination on the zirconia surface, whereas it did not affect the surface topography and crystalline phase. The bond strength varied depending on the gas species and irradiation time. Plasma treatment with N₂ gas significantly increased bond strength compared to the untreated group and showed a high bond strength equivalent to that of the sandblasting treatment group. The removal of carbon contamination from the zirconia surface and an increase in the percentage of Zr-O₂ on the zirconia surface by plasma irradiation might increase bond strength.