Evaluation of Shear Bond Strength of Different Resin Cements after Zirconia Surface Treatments

Abstract

Aim: The aim of the study was to evaluate the shear bond strength (SBS) of different resin cements after zirconia surface treatments Materials and Methods: A total of 60 zirconia discs (3x7mm) were prepared and divided into 3 main groups according to the surface treatments as control (C), sandblasting (SB), and tribochemical silica coating (TC). Main groups were divided into two subgroups according to two different resin cements were applied. No surface treatment was applied to the samples in C group. 50μm Al2O3 particles were applied to the samples in SB group for 10 s at a distance of 10 mm under 4 atm. TC group were tribochemically coated with alumina particles. Self-adhesive resin (ME) and multi-system dual-cure adhesive resin (NX3) was applied to the subgroups. After cementation, all samples were tested for SBS. SBS values were statistically analyzed by the Kruskal-Wallis and Mann-Whitney U tests. Results: Regardless of the cement type, SBS values of the surface treated samples were statistically different (p <0.001). Group SB was determined as the group with the highest SBS value. This group was followed by Group C and Group TC, respectively. The SBS values of the samples according to the resin cements and surface treatments were statistically significantly different (p<0.001). SBS values of the samples cemented with NX3 resin cement were found to be higher than the samples treated with ME resin cement. Conclusion: SB increased resin bond to zirconia. It is more advantageous to use multi-system dual cure adhesive cements in zirconia cementation.

Keywords

• Resin cement
• Shear bond strength
• Surface Treatment
• Tribochemical silica coating
• Zirconia

References

1. Zhang Y, Lawn BR. Evaluating dental zirconia. Dental Materials. 2019;35(1):15-23.
2. Rayyan MR. Marginal adaptation of monolithic high-translucency versus porcelain-veneered zirconia crowns. Int J Prosthodont. 2019;32:364-6.
3. Blatz MB, Sadan A, Kern M. Adhesive cementation of high-strength ceramic restorations: Clinical and laboratory guidelines. Quintessence Dent Technol. 2003;26:47-55.
4. Blatz MB, Sadan A, Martin J, Lang B. In vitro evaluation of shear bond strengths of resin to densely-sintered high-purity zirconium-oxide ceramic after long-term storage and thermal cycling. The Journal of prosthetic dentistry. 2004;91(4):356-62.
5. Blatz MB, Chiche G, Holst S, Sadan A. Influence of surface treatment and simulated aging on bond strengths of luting agents to zirconia. Quintessence international. 2007;38(9).
6. Maroulakos G, Thompson GA, Kontogiorgos ED. Effect of cement type on the clinical performance and complications of zirconia and lithium disilicate tooth-supported crowns: A systematic review. Report of the Committee on Research in Fixed Prosthodontics of the American Academy of Fixed Prosthodontics. The Journal of prosthetic dentistry. 2019;121(5):754-65.
7. Örtorp A, Kihl ML, Carlsson GE. A 3-year retrospective and clinical follow-up study of zirconia single crowns performed in a private practice. Journal of dentistry. 2009;37(9):731-6.
8. Lawson NC, Jurado CA, Huang CT, Morris GP, Burgess JO, Liu PR, et al. Effect of surface treatment and cement on fracture load of traditional zirconia (3Y), translucent zirconia (5Y), and lithium disilicate crowns. Journal of Prosthodontics. 2019;28(6):659-65.

9. Burke F, Fleming GJ, Nathanson D, Marquis PM. Are adhesive technologies needed to support ceramics? An assessment of the current evidence. Journal of Adhesive Dentistry. 2002;4(1).
10. Keshvad A, Hakimaneh SMR. Microtensile bond strength of a resin cement to silica‐based and Y‐TZP ceramics using different surface treatments. Journal of Prosthodontics. 2018;27(1):67-74.
11. Chen L, Suh BI, Kim J, Tay FR. Evaluation of silica-coating techniques for zirconia bonding. American journal of dentistry. 2011;24(2):79-84.
12. Blatz MB, Sadan A, Kern M. Resin-ceramic bonding: a review of the literature. The Journal of prosthetic dentistry. 2003;89(3):268-74.
13. Kohal RJ, Klaus G, Strub JR. Zirconia‐implant‐supported all‐ceramic crowns withstand long‐term load: a pilot investigation. Clinical oral implants research. 2006;17(5):565-71.
14. Özcan M, Vallittu PK. Effect of surface conditioning methods on the bond strength of luting cement to ceramics. Dental Materials. 2003;19(8):725-31.
15. Özcan M. The use of chairside silica coating for different dental applications: a clinical report. The Journal of prosthetic dentistry. 2002;87(5):469-72.
16. Al-Akhali M, Al-Dobaei E, Wille S, Mourshed B, Kern M. Influence of elapsed time between airborne-particle abrasion and bonding to zirconia bond strength. Dental Materials. 2021.
17. Kara HB, Dilber E, Koc O, Ozturk AN, Bulbul M. Effect of different surface treatments on roughness of IPS Empress 2 ceramic. Lasers in medical science. 2012;27(2):267-72.
18. Özcan M, Valandro LF, Amaral R, Leite F, Bottino MA. Bond strength durability of a resin composite on a reinforced ceramic using various repair systems. Dental materials. 2009;25(12):1477-83.
19. Nagaoka N, Yoshihara K, Tamada Y, Yoshida Y, Van Meerbeek B. Ultrastructure and bonding properties of tribochemical silica-coated zirconia. Dental materials journal. 2018:2017-397.
20. Bottino MA, Valandro LF, Scotti R, Buso L. Effect of surface treatments on the resin bond to zirconium-based ceramic. International Journal of Prosthodontics. 2005;18(1).
21. Blum IR, Nikolinakos N, Lynch CD, Wilson NH, Millar BJ, Jagger DC. An in vitro comparison of four intra-oral ceramic repair systems. Journal of Dentistry. 2012;40(11):906-12.
22. Qeblawi DM, Muñoz CA, Brewer JD, Monaco Jr EA. The effect of zirconia surface treatment on flexural strength and shear bond strength to a resin cement. The Journal of prosthetic dentistry. 2010;103(4):210-20.
23. Atsu SS, Kilicarslan MA, Kucukesmen HC, Aka PS. Effect of zirconium-oxide ceramic surface treatments on the bond strength to adhesive resin. The Journal of prosthetic dentistry. 2006;95(6):430-6.
24. Blatz M, Vonderheide M, Conejo J. The effect of resin bonding on long-term success of high-strength ceramics. Journal of dental research. 2018;97(2):132-9.
25. Moon J-E, Kim S-H, Lee J-B, Han J-S, Yeo I-S, Ha S-R. Effects of airborne-particle abrasion protocol choice on the surface characteristics of monolithic zirconia materials and the shear bond strength of resin cement. Ceramics International. 2016;42(1):1552-62.
26. Phark J-H, Duarte Jr S, Blatz M, Sadan A. An in vitro evaluation of the long-term resin bond to a new densely sintered high-purity zirconium-oxide ceramic surface. The Journal of prosthetic dentistry. 2009;101(1):29-38.
27. Piwowarczyk A, Lauer H-C, Sorensen JA. In vitro shear bond strength of cementing agents to fixed prosthodontic restorative materials. The Journal of prosthetic dentistry. 2004;92(3):265-73.
28. Brentel AS, Özcan M, Valandro LF, Alarça LG, Amaral R, Bottino MA. Microtensile bond strength of a resin cement to feldpathic ceramic after different etching and silanization regimens in dry and aged conditions. Dental Materials. 2007;23(11):1323-31.
29. Wegner SM, Kern M. Long-term resin bond strength to zirconia ceramic. Journal of Adhesive Dentistry. 2000;2(2).
30. Dérand P, Dérand T. Bond strength of luting cements to zirconium oxide ceramics. International Journal of Prosthodontics. 2000;13(2).
31. Wolfart M, Lehmann F, Wolfart S, Kern M. Durability of the resin bond strength to zirconia ceramic after using different surface conditioning methods. Dental Materials. 2007;23(1):45-50.
32. Hummel M, Kern M. Durability of the resin bond strength to the alumina ceramic Procera. Dental Materials. 2004;20(5):498-508.
33. Zhang Y, Lawn BR, Rekow ED, Thompson VP. Effect of sandblasting on the long‐term performance of dental ceramics. Journal of Biomedical Materials Research Part B: Applied Biomaterials: An Official Journal of The Society for Biomaterials, The Japanese Society for Biomaterials, and The Australian Society for Biomaterials and the Korean Society for Biomaterials. 2004;71(2):381-6.
34. Zhang Y, Lawn BR, Malament KA, Thompson VP, Rekow ED. Damage accumulation and fatigue life of particle-abraded ceramics. International Journal of Prosthodontics. 2006;19(5).
35. Yang B, Barloi A, Kern M. Influence of air-abrasion on zirconia ceramic bonding using an adhesive composite resin. Dental Materials. 2010;26(1):44-50.
36. Oyagüe RC, Monticelli F, Toledano M, Osorio E, Ferrari M, Osorio R. Effect of water aging on microtensile bond strength of dual-cured resin cements to pre-treated sintered zirconium-oxide ceramics. Dental Materials. 2009;25(3):392-9.
37. Kern M. Resin bonding to oxide ceramics for dental restorations. Journal of Adhesion Science and Technology. 2009;23(7-8):1097-111.
38. Matinlinna JP, Heikkinen T, Özcan M, Lassila LV, Vallittu PK. Evaluation of resin adhesion to zirconia ceramic using some organosilanes. Dental Materials. 2006;22(9):824-31.
39. Aboushelib MN, Mirmohamadi H, Matinlinna JP, Kukk E, Ounsi HF, Salameh Z. Innovations in bonding to zirconia-based materials. Part II: Focusing on chemical interactions. Dental Materials. 2009;25(8):989-93.
40. Nishigawa G, Maruo Y, Irie M, Oka M, Yoshihara K, Minagi S, et al. Ultrasonic cleaning of silica-coated zirconia influences bond strength between zirconia and resin luting material. Dental materials journal. 2008;27(6):842-8.
41. Lorente MC, Scherrer SS, Richard J, Demellayer R, Amez-Droz M, Wiskott HA. Surface roughness and EDS characterization of a Y-TZP dental ceramic treated with the CoJet™ Sand. dental materials. 2010;26(11):1035-42.
42. Heikkinen T, Matinlinna J, Vallittu P, Lassila L. Effect of primers and resins on the shear bond strength of resin composite to zirconia. SRX Dentistry. 2010;2010.
43. Matinlinna JP, Lassila LV, Vallittu PK. Pilot evaluation of resin composite cement adhesion to zirconia using a novel silane system. Acta Odontologica Scandinavica. 2007;65(1):44-51.
44. Lee B-S, Lin Y-C, Chen S-F, Chen S-Y, Chang C-C. Influence of calcium hydroxide dressing and acid etching on the push-out bond strengths of three luting resins to root canal dentin. Clinical oral investigations. 2014;18(2):489-98.
45. Lambrechts P IS, van Meerbeck B, William G, Braem, M VG. Classification and Potential of Composite Luting Materials. Berlin, Germany: Quintessence; . pp 61–90.1991.
46. Papia E, Larsson C, du Toit M, von Steyern PV. Bonding between oxide ceramics and adhesive cement systems: a systematic review. Journal of Biomedical Materials Research Part B: Applied Biomaterials. 2014;102(2):395-413.