The effect of repeated surface treatment of zirconia on its bond strength to resin cement

J Adv Prosthodont. 2020 Oct;12(5):291-298. doi: 10.4047/jap.2020.12.5.291. Epub 2020 Oct 26.

Abstract

Purpose: The aim of this study is to evaluate the influence of repeated surface treatments on wettability and surface roughness for zirconia surface and bond strength of zirconia-based ceramics to resin cement.

Materials and methods: Seventy blocks (10 × 10 × 3 mm) of zirconia-based ceramics were fabricated and divided into two groups according to the surface treatments: (A) 110 µm Al2O3 airborne-particle abrasion and (R) 110 µm silica modified Al2O3 airborne-particle abrasion. At stage 2, each group was subdivided into 5 groups according to the surface retreatments: (a) 110 µm Al2O3 airborne-particle abrasion, (r) 110 µm silica modified Al2O3 airborne-particle abrasion, (D) diamond bur, (Da) diamond bur + 110 µm Al2O3 airborne-particle abrasion, and (Dr) diamond bur + 110 µm silica modified Al2O3 airborne-particle abrasion. Cylinders of self-adhesive resin cement were cemented onto each treated ceramic surface and subjected to micro-shear bond strength test. Additional specimens were prepared for roughness and wettability analyses. The data were subjected to t-test and One-way ANOVA followed by Tukey's post hoc test (α=.05).

Results: At stage 1, group R presented higher bond strength values than group A (P=.000). There was a statistically significant increase of bond strength at stage 2 for group A (P=.003). The diamond bur influenced the surface roughness, increasing the values (P=.023). Group R provided better wettability. Regardless of the applied surface treatment, most of failures were adhesive.

Conclusion: The combination of application and reapplication of Rocatec Plus showed the best results of bond strength. Surface retreatment and recementation might be an indicated clinical strategy.

Keywords: Bond strength; Surface roughness; Surface treatment; Wettability; Zirconia.