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Journal of Prosthetic Dentistry
Research and Education|Articles in Press

Shear bond strength of porcelain to milled and stereolithography additively manufactured zirconia with and without surface treatment: An in vitro study

      Abstract

      Statement of problem

      Delamination of veneering ceramic is one of the most common challenges relating to veneered zirconia restorations. Additive manufacturing (AM) is a fast-expanding technology that has gained widespread acceptance in dentistry and is increasingly being used to produce dental restorations. However, information about bonding of porcelain to AM zirconia is lacking.

      Purpose

      The purpose of this in vitro study was to investigate the shear bond strength (SBS) of porcelain to milled and additively manufactured zirconia, and the effect of surface treatment on bond strength.

      Material and methods

      A Ø12×5-mm disk was designed virtually to fabricate all specimens, which were divided into 2 groups according to the manufacturing technique: additively manufactured or milled zirconia. The effect of airborne-particle abrasion and a zirconia liner before porcelain application was investigated in both groups. Veneering porcelain was fired into an alumina ring mold on the zirconia surface. SBS was measured by using a universal testing machine at a crosshead speed of 1 mm/min before and after aging (n=10). SBS data were analyzed with 3-way ANOVA (α=.05)

      Results

      A significant difference was found between milled and AM zirconia. The SBS of porcelain to milled zirconia was significantly higher (1.38 MPa) than to AM zirconia (0.68 MPa) (P<.001). The surface treatment of zirconia had no significant effect on porcelain SBS in either group (P=.254), whereas thermocycling significantly reduced the SBS of porcelain to zirconia in both milled and AM groups (P=.001).

      Conclusions

      Porcelain bonding to milled zirconia was better than to AM zirconia. Pretreating the zirconia substrate before porcelain application did not improve the porcelain bond.
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      References

        • Zhang Y.
        • Kelly J.R.
        Dental ceramics for restoration and metal veneering.
        Dent Clin North Am. 2017; 61: 797-819
        • Piconi C.
        • Maccauro G.
        Zirconia as a ceramic biomaterial.
        Biomaterials. 1999; 20: 1-25
        • Spitznagel F.A.
        • Boldt J.
        • Gierthmuehlen P.C.
        CAD/CAM ceramic restorative materials for natural teeth.
        J Dent Res. 2018; 97: 1082-1091
        • Teichmann M.
        • Wienert A.L.
        • Rückbeil M.
        • Weber V.
        • Wolfart S.
        • Edelhoff D.
        Ten-year survival and chipping rates and clinical quality grading of zirconia-based fixed dental prostheses.
        Clin Oral Investig. 2018; 22: 2905-2915
        • Sailer I.
        • Feher A.
        • Filser F.
        • Gauckler L.J.
        • Lüthy H.
        • Hämmerle C.H.
        Five-year clinical results of zirconia frameworks for posterior fixed partial dentures.
        Int J Prosthodont. 2007; 20: 383-388
        • Christensen G.J.
        Porcelain-fused-to-metal versus zirconia-based ceramic restorations.
        J Am Dent Assoc. 2009; 140: 1036-1039
        • Miyazaki T.
        • Nakamura T.
        • Matsumura H.
        • Ban S.
        • Kobayashi T.
        Current status of zirconia restoration.
        J Prosthodont Res. 2013; 57: 236-261
        • Ferrari M.
        • Vichi A.
        • Zarone F.
        Zirconia abutments and restorations: from laboratory to clinical investigations.
        Dent Mater. 2015; 31: 63-76
        • Ghodsi S.
        • Jafarian Z.
        A review on translucent zirconia.
        Eur J Prosthodont Restor Dent. 2018; 26: 62-74
        • Zhang Y.
        • Lawn B.R.
        Novel zirconia materials in dentistry.
        J Dent Res. 2018; 97: 140-147
        • Kwon S.J.
        • Lawson N.C.
        • McLaren E.E.
        • Nejat A.H.
        • Burgess J.O.
        Comparison of the mechanical properties of translucent zirconia and lithium disilicate.
        J Prosthet Dent. 2018; 120: 132-137
        • Shahmiri R.
        • Standard O.C.
        • Hart J.N.
        • Sorrell C.C.
        Optical properties of zirconia ceramics for esthetic dental restorations: a systematic review.
        J Prosthet Dent. 2018; 119: 36-46
        • Vardhaman S.
        • Borba M.
        • Kaizer M.R.
        • Kim D.
        • Zhang Y.
        Wear behavior and microstructural characterization of translucent multilayer zirconia.
        Dent Mater. 2020; 36: 1407-1417
        • Abrisham S.M.
        • Tafti A.F.
        • Kheirkhah S.
        • Tavakkoli M.A.
        Shear bond strength of porcelain to a base-metal compared to zirconia core.
        J Dent Biomater. 2017; 4: 367-372
        • Sailer I.
        • Pjetursson B.E.
        • Zwahlen M.
        • Hämmerle C.H.
        A systematic review of the survival and complication rates of all-ceramic and metal-ceramic reconstructions after an observation period of at least 3 years. Part II: fixed dental prostheses.
        Clin Oral Implants Res. 2007; 18: 86-96
        • Tinschert J.
        • Schulze K.A.
        • Natt G.
        • Latzke P.
        • Heussen N.
        • Spiekermann H.
        Clinical behavior of zirconia-based fixed partial dentures made of DC-Zirkon: 3-year results.
        Int J Prosthodont. 2008; 21: 217-222
        • Vult von Steyern P.
        • Carlson P.
        • Nilner K.
        All-ceramic fixed partial dentures designed according to the DC-Zirkon technique. A 2-year clinical study.
        J Oral Rehabil. 2005; 32: 180-187
        • Raigrodski A.J.
        • Chiche G.J.
        • Potiket N.
        • et al.
        The efficacy of posterior three-unit zirconium-oxide-based ceramic fixed partial dental prostheses: a prospective clinical pilot study.
        J Prosthet Dent. 2006; 96: 237-244
        • Sailer I.
        • Gottnerb J.
        • Kanelb S.
        • Hammerle C.H.
        Randomized controlled clinical trial of zirconia-ceramic and metal-ceramic posterior fixed dental prostheses: a 3-year follow-up.
        Int J Prosthodont. 2009; 22: 553-560
        • Lee H.S.
        • Kwon T.Y.
        The Application of a novel ceramic liner improves bonding between zirconia and veneering porcelain.
        Materials (Basel). 2017; 10: 1023
        • Saito A.
        • Komine F.
        • Blatz M.B.
        • Matsumura H.
        A comparison of bond strength of layered veneering porcelains to zirconia and metal.
        J Prosthet Dent. 2010; 104: 247-257
        • He M.
        • Zhang Z.
        • Zheng D.
        • Ding N.
        • Liu Y.
        Effect of sandblasting on surface roughness of zirconia-based ceramics and shear bond strength of veneering porcelain.
        Dent Mater J. 2014; 33: 778-785
        • Trindade F.Z.
        • Amaral M.
        • Melo R.M.
        • Bottino M.A.
        • Valandro L.F.
        Zirconia-porcelain bonding: Effect of multiple firings on microtensile bond strength.
        J Adhes Dent. 2013; 15: 467-472
        • Lundberg K.
        • Wu L.
        • Papia E.
        The effect of grinding and/or airborne-particle abrasion on the bond strength between zirconia and veneering porcelain: a systematic review.
        Acta Biomater Odontol Scand. 2017; 3: 8-20
        • Levartovsky S.
        • Pilo R.
        • Shadur A.
        • Matalon S.
        • Winocur E.
        Complete rehabilitation of patients with bruxism by veneered and non-veneered zirconia restorations with an increased vertical dimension of occlusion: an observational case-series study.
        J Prosthodont Res. 2019; 63: 440-446
        • Monaco C.
        • Llukacej A.
        • Baldissara P.
        • Arena A.
        • Scotti R.
        Zirconia-based versus metal-based single crowns veneered with overpressing ceramic for restoration of posterior endodontically treated teeth: 5-year results of a randomized controlled clinical study.
        J Dent. 2017; 65: 56-63
        • Liu D.
        • Matinlinna J.P.
        • Pow E.H.
        Insights into porcelain to zirconia bonding.
        J Adhes Scie Technol. 2012; 26: 1249-1265
        • Silva N.R.
        • Witek L.
        • Coelho P.G.
        • Thompson V.P.
        • Rekow E.D.
        • Smay J.
        Additive CAD/CAM process for dental prostheses.
        J Prosthodont. 2012; 20: 93-96
        • Strub J.R.
        • Rekow E.D.
        • Witkowski S.
        Computer-aided design and fabrication of dental restorations: current systems and future possibilities.
        J Am Dent Assoc. 2006; 137: 1289-1296
        • Huang H.
        Machining characteristics and surface integrity of yttria stabilized tetragonal zirconia in high-speed deep grinding.
        J Mater Sci Eng A. 2003; 345: 155-163
        • Bae E.J.
        • Jeong I.D.
        • Kim W.C.
        • Kim J.H.
        A comparative study of additive and subtractive manufacturing for dental restorations.
        J Prosthet Dent. 2017; 118: 187-193
        • Galante R.
        • Figueiredo-Pina C.G.
        • Serro A.P.
        Additive manufacturing of ceramics for dental applications: a review.
        Dent Mater. 2019; 35: 825-846
        • Dehurtevent M.
        • Robberecht L.
        • Hornez J.C.
        • Thuault A.
        • Deveaux E.
        • Béhin P.
        Stereolithography: a new method for processing dental ceramics by additive computer-aided manufacturing.
        Dent Mater. 2017; 33: 477-485
        • Wang W.
        • Yu H.
        • Liu Y.
        • Jiang X.
        • Gao B.
        Trueness analysis of zirconia crowns fabricated with 3-dimensional printing.
        J Prosthet Dent. 2018; 121: 285-291
        • Ebert J.
        • Ozkol E.
        • Zeichner A.
        • et al.
        Direct inkjet printing of dental prostheses made of zirconia.
        J Dent Res. 2009; 88: 673-676
        • Methani M.M.
        • Revilla-León M.
        • Zandinejad A.
        The potential of additive manufacturing technologies and their processing parameters for the fabrication of all-ceramic crowns: a review.
        J Esthet Restor Dent. 2020; 32: 182-192
        • Zhang X.
        • Wu X.
        • Shi J.
        Additive manufacturing of zirconia ceramics: a state-of-the-art review.
        J Mater Res Techno. 2020; 9: 9029-9048
        • Kim M.S.
        • Hong M.H.
        • Min B.K.
        • Kim Y.K.
        • Shin H.J.
        • Kwon T.Y.
        Microstructure, flexural strength, and fracture toughness comparison between CAD/CAM milled and 3D-printed zirconia ceramics.
        Appl Sci. 2022; 12: 9088
        • Revilla-León M.
        • Meyer M.J.
        • Zandinejad A.
        • Özcan M.
        Additive manufacturing technologies for processing zirconia in dental applications.
        Int J Comput Dent. 2020; 23: 27-37
        • Zandinejad A.
        • Methani M.M.
        • Schneiderman E.D.
        • Revilla-León M.
        • Morton D.
        Fracture resistance of additively manufactured zirconia crowns when cemented to implant supported zirconia abutments: an in vitro study.
        J Prosthodont. 2019; 28: 893-897
        • Revilla-León M.
        • Methani M.M.
        • Morton D.
        • Zandinejad A.
        Internal and marginal discrepancies associated with stereolithography (SLA) additively manufactured zirconia crowns.
        J Prosthet Dent. 2020; 124: 730-737
        • Miura S.
        • Fujita T.
        • Tsukada S.
        • Teshigawra D.
        • Saito-Murakami K.
        • Fujisawa M.
        Comparative evaluation of the reproductive trueness of zirconia crowns fabricated using additive manufacturing and conventional milling.
        Int J Prosthodont. 2022; 35: 410-413
        • Marsico C.
        • Øilo M.
        • Kutsch J.
        • Kauf M.
        • Arola D.
        Vat polymerization-printed partially stabilized zirconia: mechanical properties, reliability, and structural defects.
        Addit Manuf. 2020; 36: 101450
        • Nakai H.
        • Inokoshi M.
        • Nozaki K.
        • et al.
        Additively manufactured zirconia for dental applications.
        Materials (Basel). 2021; 14: 3694
        • Osman R.B.
        • van der Veen A.J.
        • Huiberts D.
        • Wismeijer D.
        • Alharbi N.
        3D-printing zirconia implants; a dream or a reality? An in-vitro study evaluating the dimensional accuracy, surface topography and mechanical properties of printed zirconia implant and discs.
        J Mech Behav Biomed Mater. 2017; 75: 521-528
        • Mei Z.
        • Lu Y.
        • Lou Y.
        • Yu P.
        • Sun M.
        • Tan X.
        Determination of hardness and fracture toughness of Y-TZP manufactured by digital light processing through the indentation technique.
        Biomed Res Int. 2021; 2021: 6612840
        • Lu Y.
        • Mei Z.
        • Lou Y.
        • et al.
        Schwickerath adhesion tests of porcelain veneer and stereolithographic additive-manufactured zirconia.
        Ceram Int. 2020; 46: 16572-16577
        • Song K.H.
        • Im Y.W.
        • Lee J.H.
        • Lee J.
        • Lee H.H.
        Evaluation of mold-enclosed shear bond strength between zirconia core and porcelain veneer.
        Dent mater J. 2018; 37: 783-788
        • Zandinejad A.
        • Khanlar L.N.
        • Barmak A.B.
        • Tagami J.
        • Revilla-León M.
        Surface roughness and bond strength of resin composite to additively manufactured zirconia with different porosities.
        J Prosthodont. 2022; 31: 97-104
        • Kraemer Fernandez P.
        • Unkovskiy A.
        • Benkendorff V.
        • Klink A.
        • Spintzyk S.
        Surface characteristics of milled and 3D printed denture base materials following polishing and coating: an in-vitro study.
        Materials (Basel). 2020; 13: 3305
        • Della Bona A.
        • Cantelli V.
        • Britto V.T.
        • Collares K.F.
        • Stansbury J.W.
        3D printing restorative materials using a stereolithographic technique: a systematic review.
        Dent Mater. 2021; 37: 336-350
        • Revilla-León M.
        • Jordan D.
        • Methani M.M.
        • Piedra-Cascon W.
        • Özcan M.
        • Zandinejad A.
        Influence of printing angulation on the surface roughness of additive manufactured clear silicone indices: an in vitro study.
        J Prosthet Dent. 2021; 125: 462-468
        • Corazza P.H.
        • de Castro H.L.
        • Feitosa S.A.
        • Kimpara E.T.
        • Della Bona A.
        Influence of CAD-CAM diamond bur deterioration on surface roughness and maximum failure load of Y-TZP-based restorations.
        Am J Dent. 2015; 28: 95-99
        • Aboushelib M.N.
        • Kleverlaan C.J.
        • Feilzer A.J.
        Microtensile bond strength of different components of core veneered all-ceramic restorations: Part II: Zirconia veneering ceramics.
        Dent Mater. 2006; 22: 857-863
        • Fischer J.
        • Stawarzcyk B.
        • Trottmann A.
        • Hammerle C.H.
        Impact of thermal misfit on shear strength of veneering ceramic/zirconia composites.
        Dent Mater. 2009; 25: 419-423
        • Johansson E.
        • Lidström O.
        • Johansson J.
        • Lyckfeldt O.
        • Adolfsson E.
        Influence of resin composition on the defect formation in alumina manufactured by stereolithography.
        Materials (Basel). 2017; 10: 138
        • Kim H.J.
        • Lim H.P.
        • Park Y.J.
        • Vang M.S.
        Effect of zirconia surface treatments on the shear bond strength of veneering ceramic.
        J Prosthet Dent. 2011; 105: 315-322
        • Liu D.
        • Matinlinna J.P.
        • Tsoi J.K.
        • et al.
        A new modified laser pretreatment for porcelain zirconia bonding.
        Dent Mater. 2013; 29: 559-565
        • Gain A.K.
        • Song H.Y.
        • Lee B.T.
        Microstructure and mechanical properties of porous yttria stabilized zirconia ceramic using poly methyl methacrylate powder.
        Scr Mater. 2006; 54: 2081-2085
        • Guess P.C.
        • Kuliš A.
        • Witkowski S.
        • Wolkewitz M.
        • Zhang Y.
        • Strub J.R.
        Shear bond strengths between different zirconia cores and veneering ceramics and their susceptibility to thermocycling.
        Dent Mater. 2008; 24: 1556-1567
        • Nakamura T.
        • Sugano T.
        • Usami H.
        • et al.
        Shear bond strength of veneering porcelain to porous zirconia.
        Dent Mater J. 2014; 33: 220-225
        • Della Bona A.
        • Van Noort R.
        Shear vs. tensile bond strength of resin composite bonded to ceramic.
        J Dent Res. 1995; 74: 1591-1596