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- Research Article The effect of continuous application of MDP-containing primer and luting resin cement on bond strength to tribochemical silica-coated Y-TZP
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Myung-Jin Lim
, Mi-Kyung Yu, Kwang-Won Lee -
Restor Dent Endod 2018;43(2):e19.
DOI: https://doi.org/10.5395/rde.2018.43.e19
Published online: April 3, 2018
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- Correspondence to Kwang-Won Lee, DDS, PhD. Professor, Department of Conservative Dentistry, School of Dentistry, Chonbuk National University, 567 Baekje-daero, Deokjin-gu, Jeonju 54896, Korea. lkw@jbnu.ac.kr
• Received: November 7, 2017 • Accepted: January 26, 2018
Copyright © 2018. The Korean Academy of Conservative Dentistry
This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (https://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
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Abstract
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Objectives This study investigated the effect of continuous application of 10-methacryloyloxydecyldihydrogen phosphate (MDP)-containing primer and luting resin cement on bond strength to tribochemical silica-coated yttria-stabilized tetragonal zirconia polycrystal (Y-TZP).
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Materials and Methods Forty bovine teeth and Y-TZP specimens were prepared. The dentin specimens were embedded in molds, with one side of the dentin exposed for cementation with the zirconia specimen. The Y-TZP specimen was prepared in the form of a cylinder with a diameter of 3 mm and a height of 10 mm. The bonding surface of the Y-TZP specimen was sandblasted with silica-coated aluminium oxide particles. The forty tribochemical silica-coated Y-TZP specimens were cemented to the bovine dentin (4 groups; n = 10) with either an MDP-free primer or an MDP-containing primer and either an MDP-free resin cement or an MDP-containing resin cement. After a shear bond strength (SBS) test, the data were analyzed using 1-way analysis of variance and the Tukey test (α = 0.05).
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Results The group with MDP-free primer and resin cement showed significantly lower SBS values than the MDP-containing groups (p < 0.05). Among the MDP-containing groups, the group with MDP-containing primer and resin cement showed significantly higher SBS values than the other groups (p < 0.05).
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Conclusions The combination of MDP-containing primer and luting cement following tribochemical silica coating to Y-TZP was the best choice among the alternatives tested in this study.
INTRODUCTION
Zirconia has superior physical properties among oxide ceramics, with good esthetics and biocompatibility, and received considerable attention when it was introduced in dentistry [1,2]. Zirconia has since started to be used in esthetics and restoration dentistry, and it is now used extensively, from inlay/onlay and single crown treatments to bridge and implant abutments and partial fixed dental prostheses [3,4,5].
The most commonly used zirconia ceramic is yttria-stabilized tetragonal zirconia polycrystal (Y-TZP), which is made by stabilizing tetragonal zirconia polycrystalline by adding 3–8 mol% yttrium oxides (Y2O3) [6,7]. However, zirconia has a polycrystalline structure that does not contain amorphous silica glass and is acid-resistant. Therefore, surface treatments for traditional porcelain, such as hydrofluoric acid etching and/or silane primer application, are not effective for increasing the adhesion between the zirconia restoration and the teeth [8,9].
A number of studies have been conducted to solve the problem of adhesion between zirconia restorations and teeth [10,11,12,13,14,15]. Most studies have focused on tribochemical silica coating and 10-methacryloyloxydecyldihydrogen phosphate (MDP) primer. The tribochemical silica coating technique includes sandblasting the silica-coated alumina particles on the zirconia surface to increase the surface roughness. Additionally, the tribochemical silica coating creates a layer that is chemically more reactive to the luting resin cement through a silane primer [16,17]. The MDP-containing primer can chemically bind strongly to the hydroxyl groups on the zirconia surface. Blatz et al. [18] reported superior long-term bonding strength to zirconia restorations when using MDP-containing silane primer.
The proper selection of luting agents is very important for effective bonding to zirconia restorations. Phosphate monomer-based luting agents have been proposed for cementation of zirconia restorations [19,20]. Multi-step MDP-containing luting resin cements have been previously investigated, and they showed satisfactory results [21,22].
Recently, new universal adhesives containing MDP and new single-step self-adhesive resin cements containing MDP have been marketed and are becoming a common choice for cementation of zirconia restorations [23,24]. Few studies have been conducted on new universal adhesives containing MDP as a zirconia primer and new self-adhesive resin cements containing MDP as a luting agent for zirconia.
The purpose of this study was to investigate the effect of continuous application of MDP-containing primer and MDP-containing luting resin cement on shear bond strength (SBS) between bovine dentin and tribochemical silica-coated Y-TZP. The null hypothesis was that the continuous application of MDP-containing primer and luting resin cement would have no effect on SBS between bovine dentin and tribochemical silica-coated Y-TZP.
MATERIALS AND METHODS
The materials listed in Table 1 were used in this study. Pre-sintered Y-TZP blocks (NexxZr T, Sagemax, Federal Way, WA, USA), which have a 5% shrinkage, were used instead of pure zirconium dioxide. Primer and luting resin cement were selected for MDP-free and MDP-containing materials, depending on the presence of the MDP component.
Table 1
Materials used, manufacturers, and main components
Y-TZP, yttria-stabilized tetragonal zirconia polycrystal; MDP, 10-methacryloyloxydecyl dihydrogen phosphate; 3-TMSPMA, 3-trimethoxysilylpropyl methacrylate; 4-MET, 4-methacryloyloxyethyl trimellitate; MEPS, methacryloyloxyalkyl thiophosphate methylmethacrylate; Bis-GMA, bisphenyl A glycidyl methacrylate; TEGDMA, triethylene glycol dimethacrylate; UDMA, urethane dimethacrylate.
Forty bovine incisors and Y-TZP specimens were prepared for the SBS test. The bovine incisors were cleaned using a scaler and stored in distilled water at 4°C. The bovine teeth were then cut to obtain dentin specimens of suitable sizes for polytetrafluoroethylene molds with an inner diameter of 7 mm, an outer diameter of 11 mm, and a height of 10 mm. The dentin specimens were embedded in the mold using polymethylmethacrylate resin, with one side of the dentin exposed for cementation with the zirconia specimen. The Y-TZP blocks were milled by computer-assisted design/computer-assisted manufacturing, and then finally sintered to form a cylindrical specimen (3 mm in diameter and 10 mm in height).
The bonding surface of all specimens, including bovine teeth and Y-TZP, was polished using 1,000, 1,500, and 2,000 grit silicon carbide papers, ultrasonically cleaned in distilled water for 5 minutes, and dried.
The bonding surface of the Y-TZP specimens was sandblasted with silica-coated 110 µm aluminum oxide particles (Rocatec plus, 3M ESPE, St. Paul, MN, USA) from a distance of 10 mm for 10 seconds at 0.3 MPa.
1) The SR group: The MDP-free primer (ESPE Sil, 3M ESPE) was applied to the surface of tribochemical silica-coated Y-TZP with a disposable brush, followed by air-drying. The MDP-containing primer (G-premio bond, GC Corp., Tokyo, Japan) was applied to the bovine dentin surface with a rubbing motion for 10 seconds, and the surface was then dried thoroughly for 5 seconds with air under maximum air pressure. After the primer became a thin film with the appearance of frosted glass, it was light-cured for 10 seconds. The luting procedure was performed by applying the MDP-free resin cement (Rely X ARC, 3M ESPE).
2) The GR group: The MDP-containing primer (G-premio bond, GC Corp.) was applied to the surface of tribochemical silica-coated Y-TZP and the bovine dentin surface with a rubbing motion for 10 seconds, followed by thorough drying for 5 seconds with air under maximum air pressure. After the primer became a thin film with the appearance of frosted glass, it was light-cured for 10 seconds. The luting procedure was performed by applying the MDP-free resin cement (Rely X ARC, 3M ESPE).
3) The SG group: The MDP-free primer (ESPE Sil, 3M ESPE) was applied to the surface of tribochemical silica-coated Y-TZP and the MDP-containing primer (G-premio bond, GC Corp.) was applied to the bovine dentin surface in the same manner as above. The luting procedure was performed by applying the MDP-containing resin cement (G-cem LinkAce, GC Corp.).
4) The GG group: The MDP-containing primer (G-premio bond, GC Corp.) was applied to the surface of tribochemical silica-coated Y-TZP and the bovine dentin surface was applied as above. The luting procedure was performed by applying the MDP-containing resin cement (G-cem LinkAce, GC Corp.).
The luting procedure was performed under a constant load of 5 newtons (N). Tack curing was done for 3 seconds and the excess cement was carefully removed with an explorer. While maintaining the load, all surfaces were light-cured for 20 seconds each. The specimens subjected to the luting procedure were stored in water at 36°C for 24 hours before the SBS test. Table 2 summarizes the experimental groups, surface treatments, primers, and luting resin cements applied on the Y-TZP surface.
Table 2
Experimental groups according to the materials (primer and luting cement) used
SR, the group with MDP-free primer pretreatment and MDP-free resin cement; GR, the group with MDP-containing primer and MDP-free resin cement; SG, the group with MDP-free primer and MDP-containing resin cement; GG, the group with MDP-containing primer pretreatment and MDP-containing resin cement; MDP, 10-methacryloyloxydecyldihydrogen phosphate.
*ESPE Sil; †G-premio bond; ‡Rely X ARC; §G-cem LinkAce.
Each specimen was mounted in the jig of a universal testing machine (Model 5543, Instron, Canton, MA, USA), and shear force was loaded onto it using a chisel-shaped metal rod at a constant crosshead speed of 0.5 mm/min until failure occurred (Figure 1). The SBS was calculated using the following formula:
Figure 1
(A) Shear bond strength (SBS) test machine; (B) Representative image of the SBS test, with a specimen mounted in the jig of the machine. Arrow, application of a load by a universal testing machine.
Y-TZP, yttria-stabilized tetragonal zirconia polycrystal.
The load was measured by recording the force at which failure occurred.
After measuring the SBS, the debonded surface was analyzed using a stereomicroscope (DM 2500M, Leica Microsystems, Wetzlar, Germany) to determine the mode of failure between the Y-TZP and bovine dentin. The failure mode was classified as adhesive, cohesive, or mixed, and the ratio of each failure mode was calculated. Representative morphologies of debonded specimens were investigated by scanning electron microscopy (SEM; S-5500, Hitachi, Tokyo, Japan) after sputtering using a gold-palladium alloy conductive layer (Ion sputter E-1030, Hitachi).
Statistical analyses were performed using statistical software (SPSS version 18.0, SPSS Inc., Chicago, IL, USA). The mean and standard deviation values of the SBS were analyzed using 1-way analysis of variance, and the all-pairwise multiple-comparison procedure (Tukey test) was used for identifying significant differences among the groups. The p values less than 0.05 were considered to indicate statistical significance in all tests.
RESULTS
The SBS values between bovine dentin and Y-TZP for the 4 groups are depicted in Figure 2. The SR group (8.31 ± 0.96 MPa) with MDP-free primer pretreatment and MDP-free resin cement showed significantly lower SBS values than the MDP-containing groups: GR, 11.12 ± 1.66 MPa; SG, 10.88 ± 0.95 MPa; and GG, 15.21 ± 2.61 MPa (p < 0.05). Among the MDP-containing groups, the GG group with MDP-containing primer pretreatment and MDP-containing resin cement showed significantly higher SBS values than the other groups (p < 0.05). In contrast, there was no statistically significant difference between the GR group with MDP-containing primer and MDP-free resin cement and the SG group with MDP-free primer and MDP-containing resin cement.
Figure 2
The shear bond strength (SBS) of yttria-stabilized tetragonal zirconia polycrystal (Y-TZP) bonded to bovine dentin with different primers and luting cements. Groups indicated with different letters showed significant differences (p < 0.05).
SR, the group with MDP-free primer pretreatment and MDP-free resin cement; GR, the group with MDP-containing primer and MDP-free resin cement; SG, the group with MDP-free primer and MDP-containing resin cement; GG, the group with MDP-containing primer pretreatment and MDP-containing resin cement; MDP, 10-methacryloyloxydecyldihydrogen phosphate.
Figure 3 shows the failure modes in the debonded area between bovine dentin and Y-TZP. A schematic diagram below the graph showing the failure modes in Figure 3 illustrates the debonding patterns at the zirconia-resin cement-bovine dentin interface. SEM images of the debonded Y-TZP surface and bovine dentin surface after the SBS test are shown in Figure 4. The SR group showed 50% adhesive failure at the zirconia-resin cement interface and 50% mixed failure. Compared to the SR group, adhesive failure in the GR and SR groups was less common, and mixed failure was more common. The GG group showed 10% adhesive failure at the zirconia-resin cement interface, 70% mixed failure, and 20% cohesive failure within the resin cement. Cohesive failure was only observed in the GG group.
Figure 3
Schematic diagram and illustration of the percentages of the failure modes after the shear bond strength (SBS) test of yttria-stabilized tetragonal zirconia polycrystal (Y-TZP) bonded to bovine dentin.
SR, the group with MDP-free primer pretreatment and MDP-free resin cement; GR, the group with MDP-containing primer and MDP-free resin cement; SG, the group with MDP-free primer and MDP-containing resin cement; GG, the group with MDP-containing primer pretreatment and MDP-containing resin cement; MDP, 10-methacryloyloxydecyldihydrogen phosphate.
Figure 4
Scanning electron microscopy images (×30 magnification) of debonded yttria-stabilized tetragonal zirconia polycrystal (Y-TZP) surface (A-D) and bovine dentin surface (E-H) after the shear bond strength (SBS) test. (A, E) Adhesive failure at the zirconia-resin cement interface in the SR group; (B, F) Mixed failure in the GR group; (C, G) Mixed failure in the SG group; (D, H) Cohesive failure within resin cement in the GG group.
Zr, Y-TZP surface; R, resin cement; D, bovine dentin; SR, the group with MDP-free primer pretreatment and MDP-free resin cement; GR, the group with MDP-containing primer and MDP-free resin cement; SG, the group with MDP-free primer and MDP-containing resin cement; GG, the group with MDP-containing primer pretreatment and MDP-containing resin cement; MDP, 10-methacryloyloxydecyldihydrogen phosphate.
DISCUSSION
Conventional Al2O3 sandblasting has been widely used on zirconia as a surface treatment. However, it is likely to produce surface defects depending on the pressure and the size of the particles, and to compromise the mechanical strength of Y-TZP at high pressure [25,26]. In contrast, for tribochemical silica coating, not only does mechanical bonding result from an increase in the surface roughness, but chemical bonding can also be achieved via siloxane bonds [27,28]. Therefore, the Y-TZP surface treatment method was chosen as a roughening procedure for tribochemical silica coating instead of conventional Al2O3 sandblasting in this study. However, controversy exists regarding tribochemical silica coating. According to Matinlinna et al. [29], the silica content on the Y-TZP bonding surface after tribochemical silica coating is too low to achieve sufficient silanization. Moreover, siloxane bonds may be sensitive to hydrolytic degradation in conditions involving contact with moisture, such as water storage and thermocycling, thus affecting the long-term stability of the adhesive interface [16,30].
G-cem LinkAce, one of the luting resin cements used in this study, is a self-adhesive, dual-cure, and MDP-containing resin cement. According to the manufacturer's instructions, application of this resin cement is very simple and can be accomplished in a single clinical step without any pre-treatment. However, previous studies have reported that some self-adhesive resin cements had a low bonding strength when applied to intact zirconia surfaces where neither tribochemical silica coating nor application of primer had been done [24,27,28]. For this reason, the luting resin cement used in the study was applied to the Y-TZP surface pretreated with tribochemical silica coating and primer application.
The MDP monomer consists of 3 different functional groups: the methacryloyl, decyl, and dihydrogen phosphate groups [31]. The methacryloyl group acts as an essential component for the copolymerization of the MDP monomer, while the dihydrogen phosphate group chemically bonds to the zirconium oxides [32]. More specifically, 2 hydrogen groups derived from the phosphate group react with zirconium oxides to form a stable Zr-O-P covalent bond [19,20]. According to Byeon et al. [33], the Zr-O bond was confirmed using XPS analysis, proving that a chemical bond between MDP and Y-TZP occurred. This can explain why the MDP-containing groups showed significantly higher bond strengths than the MDP-free group.
In this study, the MDP monomer was applied twice on the bonding surface of tribochemical silica-coated Y-TZP by primer and luting resin cement. The MDP monomer of the first applied primer would be expected to be a major contributor to the chemical bond between MDP and Y-TZP. However, since the primed layer on the bonding surface of Y-TZP could act as a semi-permeable membrane after polymerization, it could be expected that the MDP monomer of luting cement is recharged with a primed layer even after the solvent is volatilized. As a result, the MDP-containing experimental group in both the primer and the luting resin cement would have provided a higher supply of dihydrogen functional groups capable of chemically bonding with zirconium oxide than the MDP-containing experimental group in either the primer or luting cement. For this reason, the group with a combination of MDP-containing primer and luting resin cement showed the highest shear bond strength, with statistical significance. Therefore, the null hypothesis was rejected.
The failure modes in the debonded area between Y-TZP and bovine dentin reflect the SBS [33]. According to Cavalcanti et al. [34] and Zandparsa et al. [35], mixed failure at the interface between zirconia and resin cement occurred predominantly, in contrast to mixed failure, at the interface between luting resin cement and tooth substrate, and a markedly higher rate of adhesive failure is associated with weak bond strength between zirconia and the luting resin cement. Thus, in MDP-containing groups such as the GR, SG, and GG groups, the proportion of adhesive failure was lower, but the rate of mixed failure was higher than in the MDP-free SR group. This means that there is a close correlation between SBS and the failure mode.
This study has the following limitations. Water storage and thermocycling, which could affect the bonding strength of Y-TZP, were not considered. Further research is needed on other surface treatments of Y-TZP, the adhesion of self-adhesive MDP-containing resin cements to zirconia, and long-term water storage conditions and thermocycling as challenges to bonding surfaces.
CONCLUSIONS
The combination of MDP-containing primer and luting cement following tribochemical silica coating was the best choice among the alternatives tested in this study for bonding Y-TZP to bovine dentin.
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Funding: This paper was supported by the Biomedical Research Institute of the Chonbuk National University Hospital in 2016.
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Conflict of Interest: No potential conflict of interest relevant to this article was reported.
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Author Contributions:
Conceptualization: Lim MJ, Lee KW.
Data curation: Lim MJ.
Formal analysis: Lim MJ, Yu MK.
Funding acquisition: Lee KW.
Methodology: Lim MJ, Lee KW.
Resources: Lim MJ, Yu MK.
Supervision: Yu MK, Lee KW.
Visualization: Lim MJ.
Writing - original draft: Lim MJ.
Writing - review & editing: Lim MJ, Yu MK, Lee KW.
- 1. Piconi C, Maccauro G. Zirconia as a ceramic biomaterial. Biomaterials 1999;20:1-25.ArticlePubMed
- 2. Denry I, Kelly JR. State of the art of zirconia for dental applications. Dent Mater 2008;24:299-307.ArticlePubMed
- 3. Manicone PF, Iommetti PR, Raffaelli L. An overview of zirconia ceramics: basic properties and clinical applications. J Dent 2007;35:819-826.ArticlePubMed
- 4. Beuer F, Schweiger J, Edelhoff D. Digital dentistry: an overview of recent developments for CAD/CAM generated restorations. Br Dent J 2008;204:505-511.ArticlePubMedPDF
- 5. Gomes AL, Montero J. Zirconia implant abutments: a review. Med Oral Patol Oral Cir Bucal 2011;16:e50-e55.ArticlePubMed
- 6. Badwal SP. Zirconia-based solid electrolytes: microstructure, stability and ionic conductivity. Solid State Ion 1992;52:23-32.Article
- 7. Mondal P, Hahn H. Investigation of the complex conductivity of nanocrystalline Y2O3-stabilized zirconia. Ber Bunsenges Phys Chem 1997;101:1765-1768.Article
- 8. Amaral R, Özcan M, Bottino MA, Valandro LF. Microtensile bond strength of a resin cement to glass infiltrated zirconia-reinforced ceramic: the effect of surface conditioning. Dent Mater 2006;22:283-290.ArticlePubMed
- 9. Valandro LF, Özcan M, Amaral R, Leite FP, Bottino MA. Microtensile bond strength of a resin cement to silica-coated and silanized In-Ceram Zirconia before and after aging. Int J Prosthodont 2007;20:70-72.PubMed
- 10. Tanaka R, Fujishima A, Shibata Y, Manabe A, Miyazaki T. Cooperation of phosphate monomer and silica modification on zirconia. J Dent Res 2008;87:666-670.ArticlePubMedPDF
- 11. Rüttermann S, Fries L, Raab WH, Janda R. The effect of different bonding techniques on ceramic/resin shear bond strength. J Adhes Dent 2008;10:197-203.PubMed
- 12. Piwowarczyk A, Lauer HC, Sorensen JA. The shear bond strength between luting cements and zirconia ceramics after two pre-treatments. Oper Dent 2005;30:382-388.PubMed
- 13. Lehmann F, Kern M. Durability of resin bonding to zirconia ceramic using different primers. J Adhes Dent 2009;11:479-483.PubMed
- 14. Kitayama S, Nikaido T, Takahashi R, Zhu L, Ikeda M, Foxton RM, Sadr A, Tagami J. Effect of primer treatment on bonding resin cements to zirconia ceramic. Dent Mater 2010;26:426-432.PubMed
- 15. Kern M, Barloi A, Yang B. Surface conditioning influences zirconia ceramic bonding. J Dent Res 2009;88:817-822.ArticlePubMedPDF
- 16. Özcan M, Nijhuis H, Valandro LF. Effect of various surface conditioning methods on the adhesion of dual-cure resin cement with MDP functional monomer to zirconia after thermal aging. Dent Mater J 2008;27:99-104.ArticlePubMed
- 17. Karimipour-Saryazdi M, Sadid-Zadeh R, Givan D, Burgess JO, Ramp LC, Liu PR. Influence of surface treatment of yttrium-stabilized tetragonal zirconium oxides and cement type on crown retention after artificial aging. J Prosthet Dent 2014;111:395-403.ArticlePubMed
- 18. 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. J Prosthet Dent 2004;91:356-362.ArticlePubMed
- 19. Kern M, Wegner SM. Bonding to zirconia ceramic: adhesion methods and their durability. Dent Mater 1998;14:64-71.ArticlePubMed
- 20. Yoshida K, Tsuo Y, Atsuta M. Bonding of dual-cured resin cement to zirconia ceramic using phosphate acid ester monomer and zirconate coupler. J Biomed Mater Res B Appl Biomater 2006;77:28-33.ArticlePubMed
- 21. Palacios RP, Johnson GH, Phillips KM, Raigrodski AJ. Retention of zirconium oxide ceramic crowns with three types of cement. J Prosthet Dent 2006;96:104-114.ArticlePubMed
- 22. Valandro LF, Özcan M, Bottino MC, Bottino MA, Scotti R, Bona AD. Bond strength of a resin cement to high-alumina and zirconia-reinforced ceramics: the effect of surface conditioning. J Adhes Dent 2006;8:175-181.PubMed
- 23. Thompson JY, Stoner BR, Piascik JR, Smith R. Adhesion/cementation to zirconia and other non-silicate ceramics: where are we now? Dent Mater 2011;27:71-82.ArticlePubMed
- 24. Shin YJ, Shin Y, Yi YA, Kim J, Lee IB, Cho BH, Seo DG. Evaluation of the shear bond strength of resin cement to Y-TZP ceramic after different surface treatments. Scanning 2014;36:479-486.ArticlePubMed
- 25. Kosmač T, Oblak C, Jevnikar P, Funduk N, Marion L. The effect of surface grinding and sandblasting on flexural strength and reliability of Y-TZP zirconia ceramic. Dent Mater 1999;15:426-433.ArticlePubMed
- 26. Guazzato M, Albakry M, Quach L, Swain MV. Influence of surface and heat treatments on the flexural strength of a glass-infiltrated alumina/zirconia-reinforced dental ceramic. Dent Mater 2005;21:454-463.ArticlePubMed
- 27. 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.ArticlePubMed
- 28. Akgungor G, Sen D, Aydin M. Influence of different surface treatments on the short-term bond strength and durability between a zirconia post and a composite resin material. J Prosthet Dent 2008;99:388-399.PubMed
- 29. Matinlinna JP, Heikkinen T, Özcan M, Lassila LV, Vallittu PK. Evaluation of resin adhesion to zirconia ceramic using some organosilanes. Dent Mater 2006;22:824-831.ArticlePubMed
- 30. Wegner SM, Ken M. Long-term resin bond strength to zirconia ceramic. J Adhes Dent 2000;2:139-147.PubMed
- 31. Yanagida H, Matsumura H, Taira Y, Atsuta M, Shimoe S. Adhesive bonding of composite material to cast titanium with varying surface preparations. J Oral Rehabil 2002;29:121-126.ArticlePubMed
- 32. Fonseca RG, Haneda IG, Adabo GL. Effect of metal primers on bond strength of resin cements to base metals. J Prosthet Dent 2009;101:262-268.ArticlePubMed
- 33. Byeon SM, Lee MH, Bae TS. Shear bond strength of Al2O3 sandblasted Y-TZP ceramic to the orthodontic metal bracket. Materials (Basel) 2017;10:148.ArticlePubMedPMC
- 34. Cavalcanti AN, Foxton RM, Watson TF, Oliverira MT, Giannini M, Marchi GM. Bond strength of resin cements to a zirconia ceramic with different surface treatments. Oper Dent 2009;34:280-287.ArticlePubMedPDF
- 35. Zandparsa R, Tulua NA, Finkelman MD, Schaus SE. An in vitro comparison of shear bond strength of zirconia to enamel using different surface treatments. J Prosthodont 2014;23:117-123.ArticlePubMedPDF
REFERENCES
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Citations
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XML DownloadThe effect of continuous application of MDP-containing primer and luting resin cement on bond strength to tribochemical silica-coated Y-TZP
Figure 1 (A) Shear bond strength (SBS) test machine; (B) Representative image of the SBS test, with a specimen mounted in the jig of the machine. Arrow, application of a load by a universal testing machine.Y-TZP, yttria-stabilized tetragonal zirconia polycrystal.
Figure 2 The shear bond strength (SBS) of yttria-stabilized tetragonal zirconia polycrystal (Y-TZP) bonded to bovine dentin with different primers and luting cements. Groups indicated with different letters showed significant differences (p < 0.05).SR, the group with MDP-free primer pretreatment and MDP-free resin cement; GR, the group with MDP-containing primer and MDP-free resin cement; SG, the group with MDP-free primer and MDP-containing resin cement; GG, the group with MDP-containing primer pretreatment and MDP-containing resin cement; MDP, 10-methacryloyloxydecyldihydrogen phosphate.
Figure 3 Schematic diagram and illustration of the percentages of the failure modes after the shear bond strength (SBS) test of yttria-stabilized tetragonal zirconia polycrystal (Y-TZP) bonded to bovine dentin.SR, the group with MDP-free primer pretreatment and MDP-free resin cement; GR, the group with MDP-containing primer and MDP-free resin cement; SG, the group with MDP-free primer and MDP-containing resin cement; GG, the group with MDP-containing primer pretreatment and MDP-containing resin cement; MDP, 10-methacryloyloxydecyldihydrogen phosphate.
Figure 4 Scanning electron microscopy images (×30 magnification) of debonded yttria-stabilized tetragonal zirconia polycrystal (Y-TZP) surface (A-D) and bovine dentin surface (E-H) after the shear bond strength (SBS) test. (A, E) Adhesive failure at the zirconia-resin cement interface in the SR group; (B, F) Mixed failure in the GR group; (C, G) Mixed failure in the SG group; (D, H) Cohesive failure within resin cement in the GG group.Zr, Y-TZP surface; R, resin cement; D, bovine dentin; SR, the group with MDP-free primer pretreatment and MDP-free resin cement; GR, the group with MDP-containing primer and MDP-free resin cement; SG, the group with MDP-free primer and MDP-containing resin cement; GG, the group with MDP-containing primer pretreatment and MDP-containing resin cement; MDP, 10-methacryloyloxydecyldihydrogen phosphate.
Figure 1
Figure 2
Figure 3
Figure 4
The effect of continuous application of MDP-containing primer and luting resin cement on bond strength to tribochemical silica-coated Y-TZP
Materials used, manufacturers, and main components
| Material/trade name | Manufacturer | Main components |
|---|---|---|
| Y-TZP ceramic/NexxZr T | Sagemax, Federal Way, WA, USA | 91.6% ZrO2, 5% Y2O3, 3% HfO2 |
| Tribochemical silica/Rocatec Plus | 3M ESPE, St. Paul, MN, USA | Aluminum oxide (110 µm) modified with silica |
| MDP-free primer/ESPE Sil | 3M ESPE, St. Paul, MN, USA | 3-TMSPMA, ethanol |
| MDP-containing primer/G-premio bond | GC Corp., Tokyo, Japan | MDP, 4-MET, MEPS methacrylate monomer, acetone, water, initiator, silica |
| MDP-free cement/Rely X ARC | 3M ESPE, St. Paul, MN, USA | Paste A: Bis-GMA, TEGDMA, zirconia/silica filler, pigments, amine and photo-initiator system |
| Paste B: zirconia/silica filler, benzoyl peroxide | ||
| MDP-containing cement/G-cem LinkAce | GC Corp., Tokyo, Japan | Paste A: fluoro-alumino-silicate glass, UDMA, dimethacrylate, silicon dioxide |
| Paste B: phosphoric acid monomer, silicon dioxide, UDMA, dimethacrylate |
Y-TZP, yttria-stabilized tetragonal zirconia polycrystal; MDP, 10-methacryloyloxydecyl dihydrogen phosphate; 3-TMSPMA, 3-trimethoxysilylpropyl methacrylate; 4-MET, 4-methacryloyloxyethyl trimellitate; MEPS, methacryloyloxyalkyl thiophosphate methylmethacrylate; Bis-GMA, bisphenyl A glycidyl methacrylate; TEGDMA, triethylene glycol dimethacrylate; UDMA, urethane dimethacrylate.
Experimental groups according to the materials (primer and luting cement) used
| Group | Surface treatment | Primer | Luting cement |
|---|---|---|---|
| SR | MDP-free primer* | MDP-free cement‡ | |
| GR | Tribochemical silica coating | MDP-containing primer† | MDP-free cement‡ |
| SG | MDP-free primer* | MDP-containing cement§ | |
| GG | MDP-containing primer† | MDP-containing cement§ |
SR, the group with MDP-free primer pretreatment and MDP-free resin cement; GR, the group with MDP-containing primer and MDP-free resin cement; SG, the group with MDP-free primer and MDP-containing resin cement; GG, the group with MDP-containing primer pretreatment and MDP-containing resin cement; MDP, 10-methacryloyloxydecyldihydrogen phosphate.
*ESPE Sil; †G-premio bond; ‡Rely X ARC; §G-cem LinkAce.
Table 1 Materials used, manufacturers, and main components
Y-TZP, yttria-stabilized tetragonal zirconia polycrystal; MDP, 10-methacryloyloxydecyl dihydrogen phosphate; 3-TMSPMA, 3-trimethoxysilylpropyl methacrylate; 4-MET, 4-methacryloyloxyethyl trimellitate; MEPS, methacryloyloxyalkyl thiophosphate methylmethacrylate; Bis-GMA, bisphenyl A glycidyl methacrylate; TEGDMA, triethylene glycol dimethacrylate; UDMA, urethane dimethacrylate.
Table 2 Experimental groups according to the materials (primer and luting cement) used
SR, the group with MDP-free primer pretreatment and MDP-free resin cement; GR, the group with MDP-containing primer and MDP-free resin cement; SG, the group with MDP-free primer and MDP-containing resin cement; GG, the group with MDP-containing primer pretreatment and MDP-containing resin cement; MDP, 10-methacryloyloxydecyldihydrogen phosphate.
*ESPE Sil; †G-premio bond; ‡Rely X ARC; §G-cem LinkAce.
