Shear bond strength of glass ionomer and resin-based cements to different types of zirconia

J Esthet Restor Dent. 2020 Dec;32(8):806-814. doi: 10.1111/jerd.12638. Epub 2020 Aug 18.

Abstract

Objective: To investigate the shear bond strength (SBS) of a glass ionomer (GI) cement, an 10-methacryloyloxy-decyl dihydrogen phosphate (MDP)-based adhesive resin cement (MDP-based AC), an MDP-based self-adhesive resin cement (MDP-based SAC), an MDP-free self-adhesive resin cement (MDP-free SAC), and a resin-modified GI (RMGI) cement to a 3 mol% yttria-stabilized (3Y-TZP) and a 5 mol% yttria partially stabilized zirconia (5Y-PSZ).

Materials and methods: Fifty blocks were produced using 3Y-TZP and 5Y-PSZ, assigned to subgroups based on the five cements investigated (n = 10) and luted to cylindrical specimens of the same substrate. Each specimen was loaded in a SBS apparatus to failure. Mean SBS (MPa) values and standard deviations were calculated. Data were analyzed using a two-way analysis of variance and Tukey tests (α = .05). Failed specimens were subjected to fractographic analysis.

Results: MDP-based AC and MDP-based SAC cements displayed the highest SBS values with both the substrates; GI cement showed the lowest. RMGI and MDP-free SAC cements performed better with 3Y-TZP than with 5Y-PSZ. Fractographic analysis revealed only adhesive and mixed failures.

Conclusions: MDP-based AC and MDP-based SAC cements are suitable for both 3Y-TZP and 5Y-PSZ. MDP-free SAC and RMGI cements are adequate choices for 3Y-TZP, but seem less effective with 5Y-PSZ.

Clinical significance: MDP-based SACs appear to be as reliable as MDP-based ACs for both 3Y-TZP and 5Y-PSZ cementation. Specifically, for 5Y-PSZ cementation, resin-based MDP-free SACs do not seem to guarantee predictable results in terms of SBS.

Keywords: 3 mol% yttria-stabilized tetragonal zirconia polycrystal; 5 mol% yttria partially stabilized zirconia polycrystal; MDP; glass ionomer; resin-modified glass ionomer; self-adhesive resin cement; shear bond strength.

MeSH terms

  • Acrylic Resins
  • Dental Bonding*
  • Dental Stress Analysis
  • Glass Ionomer Cements
  • Materials Testing
  • Resin Cements*
  • Silicon Dioxide
  • Surface Properties
  • Zirconium

Substances

  • Acrylic Resins
  • Glass Ionomer Cements
  • Resin Cements
  • glass ionomer
  • Silicon Dioxide
  • Zirconium
  • zirconium oxide