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

Russo, Daniele Scaminaci; Cinelli, Francesca; Sarti, Chiara; Giachetti, Luca

doi:10.3390/dj7030074

Cited by 121 publications

(102 citation statements)

References 101 publications

(126 reference statements)

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“…Although this primers have been reported to increase adhesion by chemical interactions between the Y-TZP surface and resin cement [ 18 , 19 ], some studies have shown that the bond strength of sintered Y-TZP surface-treated with zirconia primers is significantly reduced after aging process [ 20 , 21 ]. Therefore, no consensus yet exists for what is the effective bonding method to Y-TZP prosthesis [ 22 , 23 , 24 ].…”

Section: Introductionmentioning

confidence: 99%

Effect of Non-Thermal Atmospheric Pressure Plasma (NTP) and Zirconia Primer Treatment on Shear Bond Strength between Y-TZP and Resin Cement

et al. 2020

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The purpose of this study was to investigate the effect of non-thermal atmospheric pressure plasma (NTP) treatment on the sandblasting of mechanical method and zirconia primer of chemical method used to increase the bond strength between zirconia and resin cement. In this study, Y-TZP was divided into 4 groups according to the surface treatment methods as follows: Zirconia primer (Pr), NTP + Zirconia primer (NTP + Pr), Sandblasting + Zirconia primer (Sb + Pr), Sandblasting + NTP + Zirconia primer (Sb + NTP + Pr). Then, two types of resin cement (G-CEM LinkAce and Rely X-U200) were used to measure the shear bond strength (SBS) and they were divided into non-thermal cycling group and thermal cycling group for aging effect. Statistical analyses were performed using the Kruskal-Wallis test and Mann-Whitney U test. The result of the surface energy (SE), there was no significant difference among the groups (p > 0.05). As a result of the SBS test, the Sb + Pr group had a significantly higher SBS value than the other groups regardless of the resin cement type (p < 0.05), and the decrease rate after thermal cycling treatment was the lowest. On the other hand, the NTP + Pr group showed significantly lower SBS values than the other groups except for the case of using Rely X-U200 (p < 0.05), and the reduction rate after thermal cycling was the highest. The Sb + NTP + Pr group did not differ significantly from the Pr group (p > 0.05). Within the limitations of two successive studies, treatment with NTP after sandblasting used for mechanical bond strength showed a positive effect on initial SBS. However, when NTP was treated before the zirconia primer used for the chemical bond strength, it showed a negative effect on SBS compared to other treatment methods, which was noticeable after the thermal cycling treatment.

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Section: Introductionmentioning

confidence: 99%

Effect of Non-Thermal Atmospheric Pressure Plasma (NTP) and Zirconia Primer Treatment on Shear Bond Strength between Y-TZP and Resin Cement

et al. 2020

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“…Previous studies have reported that the use of sandblasting and functional monomer-containing resin cement shows reliable clinical bonding to zirconia ceramic [9,12,13,14,17]. However, until now, there has been no definitive protocol for the most effective bonding to zirconia prosthesis [10,18,19].…”

Section: Introductionmentioning

confidence: 99%

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

et al. 2019

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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.

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“…The conducted analyses drew the conclusion that a combination of mechanical and chemical treatments is essential for good adhesion. However, they revealed that currently there is a lack of evidence to support a universal adhesion protocol [ 34 , 35 , 36 ].…”

Section: Discussionmentioning

confidence: 99%

Effect of Different Surface Treatment Methods on Bond Strength of Dental Ceramics to Dental Hard Tissues: A Systematic Review

et al. 2021

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For long-term successful use of ceramic materials in dental procedures, it is necessary to ensure reliable bonding of restorations to dental substrates. This can be achieved by the application of a proper luting cement and through additional surface conditioning. The present systematic review summarizes the most up-to-date evidence on the use of different surface modification methods to enhance the bond strength of dental ceramics to the hard tissues of the teeth. The authors of the review searched the Web of Science, Scopus, and MEDLINE databases to identify relevant articles published between 1 January 2010 and 1 January 2020. A total of 4892 records were identified, and after screening, the full text of 159 articles was evaluated, which finally resulted in the inclusion of 19 studies. The available reports were found to be heterogeneous in terms of materials and methodology, and therefore, only within-studies comparison was performed instead of comparison between studies. A statistically significant difference in the bond strength between the samples treated with different methods of surface conditioning, or between conditioned and nonconditioned samples, was revealed by most of the studies. Predominantly, the studies showed that a combination of mechanical and chemical methods was the most effective way of enhancing bond strength. Artificial aging and luting cement were also identified as the factors significantly influencing bond strength.

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

Cited by 121 publications

References 101 publications

Effect of Non-Thermal Atmospheric Pressure Plasma (NTP) and Zirconia Primer Treatment on Shear Bond Strength between Y-TZP and Resin Cement

Effect of Non-Thermal Atmospheric Pressure Plasma (NTP) and Zirconia Primer Treatment on Shear Bond Strength between Y-TZP and Resin Cement

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

Effect of Different Surface Treatment Methods on Bond Strength of Dental Ceramics to Dental Hard Tissues: A Systematic Review

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