Advertisement
Journal of Prosthetic Dentistry

Stability of the bond between two resin cements and an yttria-stabilized zirconia ceramic after six months of aging in water

      Statement of the problem

      The behavior of the luting cement and the cementation protocol are essential in the clinical success of ceramic restorations.

      Purpose

      The purpose of this study was to evaluate the bond stability of 2 resin cements and a yttria-stabilized tetragonal polycrystalline zirconia (Y-TZP) ceramic submitted to 2 surface treatments.

      Material and methods

      Sixty plates of a Y-TZP ceramic were assigned to 3 groups according to the surface treatments: control, as sintered surface; methacryloxydecyl dihydrogen phosphate (MDP), coated with an MDP-based primer, and tribochemical silica-coating (TSC), coated with tribochemical silica. The plates of each group were further divided into 2 subgroups according to the resin cement as follows: RelyX adhesive resin cement (conventional) and RelyX Unicem (self-adhesive). Cylinders of resin cements (∅=0.75 mm × 0.5 mm in height) were built up on the ceramic surfaces, and the plates stored in distilled water at 37°C for either 24 hours or 6 months before being submitted to a microshear bond strength test. The data were submitted to 3-way ANOVA and the Tukey honestly significant difference test (α=.05).

      Results

      Three-way ANOVA showed statistical significance for the 3 independent factors: resin cement, surface treatment, and period of water immersion (P<.001). Unicem presented the highest microshear bond strength after 24 hours (MDP, 37.4 ±2.3 and TSC, 36.2 ±2.1 MPa). Except for RelyX adhesive resin cement applied on ceramic surfaces treated with TSC, the microshear bond strength of all the other groups decreased after 6 months of aging in water. The microshear bond strength decreased most in the control groups (−81.5% for ARC and −93.1% for Unicem). In the group treated with TSC, the microshear bond strength for Unicem decreased by 54.8% and in that treated with MDP-based primer by −42.5%. In the group treated with MDP-based primer, the microshear bond strength for RelyX ARC decreased by −52.8%.

      Conclusions

      Irrespective of surface treatments, self-adhesive resin cement was not able to maintain the bond to Y-TZP ceramic after 6 months of aging in water.
      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Journal of Prosthetic Dentistry
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Blatz M.B.
        Long-term clinical success of all-ceramic posterior restorations.
        Quintessence Int. 2002; 33: 415-426
        • Blatz M.B.
        • Sadan A.
        • Kern M.
        Resin-ceramic bonding: a review of the literature.
        J Prosthet Dent. 2003; 89: 268-274
        • Blatz M.B.
        • Richter C.
        • Sadan A.
        • Chiche G.J.
        Critical appraisal. Resin bond to dental ceramics, Part II: high-strength ceramics.
        J Esthet Restor Dent. 2004; 16: 324-328
        • Radovic I.
        • Monticelli F.
        • Goracci C.
        • Vulicevic Z.R.
        • Ferrari M.
        Self-adhesive resin cements: a literature review.
        J Adhes Dent. 2008; 10: 251-258
        • Zhang C.
        • Degrange M.
        Shear bond strengths of self-adhesive luting resins fixing dentine to different restorative materials.
        J Biomater Sci Polym Ed. 2010; 21: 593-608
        • Vrochari A.D.
        • Eliades G.
        • Hellwig E.
        • Wrbas K.T.
        Water sorption and solubility of four self-etching, self-adhesive resin luting agents.
        J Adhes Dent. 2010; 12: 39-43
        • 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.
        J Prosthet Dent. 2009; 101: 29-38
        • Liu Q.
        • Meng X.
        • Yoshida K.
        • Luo X.
        Bond degradation behavior of self-adhesive cement and conventional resin cements bonded to silanized ceramic.
        J Prosthet Dent. 2011; 105: 177-184
        • Manicone P.F.
        • Rossi Iommetti P.
        • Raffaelli L.
        An overview of zirconia ceramics: basic properties and clinical applications.
        J Dent. 2007; 35: 819-826
        • Pittayachawan P.
        • McDonald A.
        • Petrie A.
        • Knowles J.C.
        The biaxial flexural strength and fatigue property of Lava Y-TZP dental ceramic.
        Dent Mater. 2007; 23: 1018-1029
        • Guazzato M.
        • Albakry M.
        • Ringer S.P.
        • Swain M.V.
        Strength, fracture toughness and microstructure of a selection of all-ceramic materials. Part II. Zirconia-based dental ceramics.
        Dent Mater. 2004; 20: 449-456
        • Kern M.
        Resin bonding to oxide ceramics for dental restorations.
        J Adhes Sci Technol. 2009; 23: 1097-1111
        • Thompson J.Y.
        • Stoner B.R.
        • Piascik J.R.
        • Smith R.
        Adhesion/cementation to zirconia and other non-silicate ceramics: where are we now?.
        Dent Mater. 2011; 27: 71-82
        • Miragaya L.
        • Maia L.C.
        • Sabrosa C.E.
        • De Goes M.F.
        Da Silva EM. Evaluation of Self-adhesive resin cement bond strength to yttria-stabilized zirconia ceramic (Y-TZP) using four surface treatments.
        J Adhes Dent. 2011; 13: 473-480
        • Attia A.
        Bond strength of three luting agents to zirconia ceramic: influence of surface treatment and thermocycling.
        J Appl Oral Sci. 2011; 19: 388-395
        • Della Bona A.
        • Borba M.
        • Benetti P.
        • Cecchetti D.
        Effect of surface treatments on the bond strength of a zirconia-reinforced ceramic to composite resin.
        Braz Oral Res. 2007; 21: 10-15
        • Baldissara P.
        • Quertzè M.
        • Monaco C.
        • Scotti R.
        • Fonseca R.G.
        Efficacy of surface treatments on the bond strength of resin cements to two brands of zirconia ceramic.
        J Adhes Dent. 2013; 15: 259-267
        • Castro H.L.
        • Corazza P.H.
        • Paes-Júnior T.A.
        • Della Bona A.
        Influence of Y-TZP ceramic treatment and different resin cements on bond strength to dentin.
        Dent Mater. 2012; 28: 1191-1197
        • Yang B.
        • Barloi A.
        • Kern M.
        Influence of air-abrasion on zirconia ceramic bonding using an adhesive composite resin.
        Dent Mater. 2010; 26: 44-50
        • Matinlinna J.P.
        • Heikkinen T.
        • Ozcan M.
        • Lassila L.V.
        • Vallittu P.K.
        Evaluation of resin adhesion to zirconia ceramic using some organosilanes.
        Dent Mater. 2006; 22: 824-831
        • Mirmohammadi H.
        • Aboushelib M.N.
        • Salameh Z.
        • Feilzer A.J.
        • Kleverlaan C.J.
        Innovations in bonding to zirconia based ceramics: part III. Phosphate monomer resin cements.
        Dent Mater. 2010; 26: 786-792
        • Piascik J.R.
        • Swift E.J.
        • Braswell K.
        • Stoner B.R.
        Surface fluorination of zirconia: adhesive bond strength comparison to commercial primers.
        Dent Mater. 2012; 28: 604-608
        • Lehmann F.
        • Kern M.
        Durability of resin bonding to zirconia ceramic using different primers.
        J Adhes Dent. 2009; 11: 479-483
        • Chen L.
        • Shen H.
        • Suh B.I.
        Effect of incorporating BisGMA resin on the bonding properties of silane and zirconia primers.
        J Prosthet Dent. 2013; 110: 402-407
        • Yun J.Y.
        • Ha S.R.
        • Lee J.B.
        • Kim S.H.
        Effect of sandblasting and various metal primers on the shear bond strength of resin cement to Y-TZP ceramic.
        Dent Mater. 2010; 26: 650-658
        • Kern M.
        • Barloi A.
        • Yang B.
        Surface conditioning influences zirconia ceramic bonding.
        J Dent Res. 2009; 88: 817-822
        • Song J.Y.
        • Park S.W.
        • Lee K.
        • Yun K.D.
        • Lim H.P.
        Fracture strength and microstructure of Y-TZP zirconia after different surface treatments.
        J Prosthet Dent. 2013; 110: 274-280
        • Aboushelib M.N.
        Evaluation of zirconia/resin bond strength and interface quality using a new technique.
        J Adhes Dent. 2011; 13: 255-260
        • Valverde G.B.
        • Coelho P.G.
        • Janal M.N.
        • Lorenzoni F.C.
        • Carvalho R.M.
        • Thompson V.P.
        • et al.
        Surface characterisation and bonding of Y-TZP following non-thermal plasma treatment.
        J Dent. 2013; 41: 51-59
        • Aboushelib M.N.
        • Mirmohamadi H.
        • Matinlinna J.P.
        • Kukk E.
        • Ounsi H.F.
        • Salameh Z.
        Innovations in bonding to zirconia-based materials. Part II: focusing on chemical interactions.
        Dent Mater. 2009; 25: 989-993
        • Sasse M.
        • Eschbach S.
        • Kern M.
        Randomized clinical trial on single retainer all-ceramic resin-bonded fixed partial dentures: influence of the bonding system after up to 55 months.
        J Dent. 2012; 40: 783-786
        • Blatz M.B.
        • Phark J.H.
        • Ozer F.
        • Mante F.K.
        • Saleh N.
        • Bergler M.
        • et al.
        In vitro comparative bond strength of contemporary self-adhesive resin cements to zirconium oxide ceramic with and without air-particle abrasion.
        Clin Oral Investig. 2010; 14: 187-192
        • Wolfart M.
        • Lehmann F.
        • Wolfart S.
        • Kern M.
        Durability of the resin bond strength to zirconia ceramic after using different surface conditioning methods.
        Dent Mater. 2007; 23: 45-50
        • Oyague R.C.
        • 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.
        Dent Mater. 2009; 25: 392-399
        • de Souza G.M.
        • Silva N.R.
        • Paulillo L.A.
        • De Goes M.F.
        • Rekow E.D.
        • Thompson V.P.
        Bond strength to high-crystalline content zirconia after different surface treatments.
        J Biomed Mater Res B Appl Biomater. 2010; 93: 318-323
        • Luthy H.
        • Loeffel O.
        • Hammerle C.H.
        Effect of thermocycling on bond strength of luting cements to zirconia ceramic.
        Dent Mater. 2006; 22: 195-200
        • de Sá Barbosa W.F.
        • Aguiar T.R.
        • Francescantonio M.D.
        • Cavalcanti A.N.
        • de Oliveira M.T.
        • Giannini M.
        Effect of water storage on bond strength of self-adhesive resin cements to zirconium oxide ceramic.
        J Adhes Dent. 2013; 15: 145-150
        • May L.G.
        • Passos S.P.
        • Capelli D.B.
        • Ozcan M.
        • Bottino M.A.
        • Valandro L.F.
        Effect of silica coating combined to a MDP-based primer on the resin bond to Y-TZP ceramic.
        J Biomed Mater Res B Appl Biomater. 2010; 95: 69-74
        • Wegner S.M.
        • Gerdes W.
        • Kern M.
        Effect of different artificial aging conditions on ceramic/composite bond strength.
        Int J Prosthodont. 2002; 15: 267-272
        • Morresi A.L.
        • D'Amario M.
        • Capogreco M.
        • Gatto R.
        • Marzo G.
        • D'Arcangelo C.
        • et al.
        Thermal cycling for restorative materials: does a standardized protocol exist in laboratory testing? A literature review.
        J Mech Behav Biomed Mater. 2013; 29: 295-308
        • Kern M.
        • Wegner S.M.
        Bonding to zirconia ceramic: adhesion methods and their durability.
        Dent Mater. 1998; 14: 64-71
        • Amaral M.
        • Valandro L.F.
        • Bottino M.A.
        • Souza R.O.
        Low-temperature degradation of a Y-TZP ceramic after surface treatments.
        J Biomed Mater Res B Appl Biomater. 2013; 101: 1387-1392
        • Sato H.
        • Yamada K.
        • Pezzotti G.
        • Nawa M.
        • Ban S.
        Mechanical properties of dental zirconia ceramics changed with sandblasting and heat treatment.
        Dent Mater J. 2008; 27: 408-414
        • Zhang Y.
        • Lawn B.R.
        • Rekow E.D.
        • Thompson V.P.
        Effect of sandblasting on the long-term performance of dental ceramics.
        J Biomed Mater Res B Appl Biomater. 2004; 71: 381-386
        • Cattani Lorente M.
        • Scherrer S.S.
        • Richard J.
        • Demellayer R.
        • Amez-Droz M.
        • Wiskott H.W.
        Surface roughness and EDS characterization of a Y-TZP dental ceramic treated with the CoJet™ Sand.
        Dent Mater. 2010; 26: 1035-1042