Surface Treatments of Dental Zirconia: A Review
Keywords:Surface treatment, Zirconia
Regarding the outstanding mechanical and biological properties, zirconia has been generally used in dentistry mainly in prosthodontic and implant dentistry. The problem with this material is that zirconia is a non-silica-based material that cannot be treated with acid etching leading to a loss of ability to bond with resin cement. Surface treatments used most often to improve adhesion are mechanical techniques (airborne particle abrasion, diamond stone, laser, elective discharge machine, selective infiltration etching technique, acid etching), chemical techniques (silicatization, functional monomer), and the combination of mechanical and chemical techniques. The most popular and effective technique is the combined technique which is using small airborne particle abrasion with a pressure of 0.1-0.25 megapascal to roughen the surface and to achieve the micromechanical retention followed by primer or resin cement containing functional monomer.
Piconi C, Maccauro G. Zirconia as a ceramic biomaterial. Biomaterials 1999; 20(1): 1-25.
Manicone PF, Rossi Iommetti P, Raffaelli L. An overview of zirconia ceramics: basic properties and clinical applications. J Dent 2007; 35(11): 819-826.
Ozcan M, Cura C, Valandro LF. Early bond strength of two resin cements to Y-TZP ceramic using MPS or MPS/4-META silanes. Odontology 2011; 99(1): 62-67.
Ahn JS, Yi YA, Lee Y, Seo DG. Shear bond strength of MDP-containing self-adhesive resin cement and Y-TZP ceramics: effect of phosphate monomer-containing primers. Biomed Res Int 2015; 2015: 1-6.
Magne P, Paranhos MP, Burnett LH, Jr. New zirconia primer improves bond strength of resin-based cements. Dent Mater 2010; 26(4): 345-352.
Moraes R, Guimaraes, Oliveira P, Faot F, Cava S. Impact of acidic monomer type and concentration on the adhesive performance of dental zirconia primers. Int J Adhes Adhes 2012; 39(8): 49-53.
Hallmann L, Ulmer P, Lehmann F, Wille S, Polonskyi O, Johannes M, et al. Effect of surface modifications on the bond strength of zirconia ceramic with resin cement resin. Dent Mater 2016; 32(5): 631-639.
Sanli S, Comlekoglu MD, Comlekoglu E, Sonugelen M, Pamir T, Darvell BW. Influence of surface treatment on the resin-bonding of zirconia. Dent Mater 2015; 31(6): 657-668.
Garcia Fonseca R, de Oliveira Abi-Rached F, dos Santos Nunes Reis JM, Rambaldi E, Baldissara P. Effect of particle size on the flexural strength and phase transformation of an airborne-particle abraded yttria-stabilized tetragonal zirconia polycrystal ceramic. J Prosthet Dent 2013; 110(6): 510-514.
Hallmann L, Ulmer P, Reusser E, Hämmerle CHF. Surface characterization of dental Y-TZP ceramic after air abrasion treatment. J Dent 2012; 40(9): 723-735.
Turp V, Sen D, Tuncelli B, Goller G, Ozcan M. Evaluation of air-particle abrasion of Y-TZP with different particles using microstructural analysis. Aus Dent J 2013; 58(2): 183-191.
Souza RO, Valandro LF, Melo RM, Machado JP, Bottino MA, Ozcan M. Air-particle abrasion on zirconia ceramic using different protocols: effects on biaxial flexural strength after cyclic loading, phase transformation and surface topography. J Mech Behav Biomed Mater 2013; 26: 155-163.
Kosmac T, Oblak C, Marion L. The effects of dental grinding and sandblasting on ageing and fatigue behavior of dental zirconia (Y-TZP) ceramics. J Eur Ceram Soc 2008; 28(5): 1085-1090.
Qeblawi DM, Munoz CA, Brewer JD, Monaco EA, Jr. The effect of zirconia surface treatment on flexural strength and shear bond strength to a resin cement. J Prosthet Dent 2010; 103(4): 210-220.
Blatz MB, Chiche G, Holst S, Sadan A. Influence of surface treatment and simulated aging on bond strengths of luting agents to zirconia. Quintessence Int 2007; 38(9): 745-753.
Rona N, Yenisey M, Kucukturk G, Gurun H, Cogun C, Esen Z. Effect of electrical discharge machining on dental Y-TZP ceramic-resin bonding. J Prosthodont Res 2017; 61(2): 158-167.
Esteves-Oliveira M, Jansen P, Wehner M, Dohrn A, Bello-Silva MS, Eduardo CP, et al. Surface characterization and short-term adhesion to zirconia after ultra-short pulsed laser irradiation. J Adhes Dent 2016; 18(6): 483-492.
Yenisey M, Dede DO, Rona N. Effect of surface treatments on the bond strength between resin cement and differently sintered zirconium-oxide ceramics. J Prosthodont Res 2016; 60(1): 36-46.
Akyil MS, Uzun IH, Bayindir F. Bond strength of resin cement to yttrium-stabilized tetragonal zirconia ceramic treated with air abrasion, silica coating, and laser irradiation. Photomed Laser Surg 2010; 28(6): 801-808.
Aboushelib MN, Kleverlaan CJ, Feilzer AJ. Selective infiltration-etching technique for a strong and durable bond of resin cements to zirconia-based materials. J Prosthet Dent 2007; 98(5): 379-388.
Salem R, Naggar GE, Aboushelib M, Selim D. Microtensile bond strength of resin-bonded hightranslucency zirconia using different surface treatments. J Adhes Dent 2016; 18(3): 191-196.
Aboushelib MN. Evaluation of zirconia/resin bond strength and interface quality using a new technique. J Adhes Dent 2011; 13(3): 255-260.
Jiang T, Chen C, Lv P. Selective infiltrated etching to surface treat zirconia using a modified glass agent. J Adhes Dent 2014; 16(6): 553-557.
Sriamporn T, Thamrongananskul N, Busabok C, Poolthong S, Uo M, Tagami J. Dental zirconia can be etched by hydrofluoric acid. Dent Mater J 2014; 33(1): 79-85.
Liu D, Tsoi J, Matinlinna J, Wong H. Effects of some chemical surface modifications on resin zirconia adhesion. J Mech Behav Biomed Mater 2015; 46(1): 23-30.
Xie H, Cheng Y, Chen Y, Qian M, Xia Y, Chen C. Improvement in the bonding of Y-TZP by room-temperature ultrasonic HF etching. J Adhes Dent 2017; 19(5): 425-433.
Lung CYK, Kukk E, Matinlinna JP. The effect of silica-coating by sol-gel process on resin-zirconia bonding. Dent Mater J 2013; 32(1): 165-172.
Lung CY, Liu D, Matinlinna JP. Silica coating of zirconia by silicon nitride hydrolysis on adhesion promotion of resin to zirconia. Mater Sci Eng C 2015; 46: 103-110.
Al-Harbi FA, Ayad NM, Khan ZA, Mahrous AA, Morgano SM. In vitro shear bond strength of Y-TZP ceramics to different core materials with the use of three primer/resin cement systems. J Prosthet Dent 2016; 115(1): 84-89.
Chuang SF, Kang LL, Liu YC, Lin JC, Wang CC, Chen HM, et al. Effects of silane-and MDP-based primers application orders on zirconia-resin adhesion-a ToF-SIMS study. Dent Mater 2017; 33(8): 923-933.
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(1): 28-33.
Moura DMD, do Nascimento Januario AB, de Araujo AMM, de Oliveira Dal Piva AM, Ozcan M, Bottino MA, et al. Effect of primer-cement systems with different functional phosphate monomers on the adhesion of zirconia to dentin. J Mech Behav Biomed Mater 2018; 88(1): 69-77.
Triwatana P, Visuttiwattanakorn P, Suputtamongkol K, Butrangamdee N. Bond strength and failure charcteristics of zirconia-based dental ceramic to resin cements. M Dent J 2016; 36(1): 13-23.
Passia N, Mitsias M, Lehmann F, Kern M. Bond strength of a new generation of universal bonding systems to zirconia ceramic. J Mech Behav Biomed Mater 2016; 62(1): 268-274.
Turp V, Akgungor G, Sen D, Tuncelli B. Influence of MDP content in different resin cements and zirconia primers on ceramic-resin cement bond strength. Turkiye Klinikleri J Dental Sci Cases 2016; 22(1): 7-13.
Ebnesajjad S. Adhesives for medical and dental applications-14. Handbook of Adhesives and Surface Preparation. Oxford: Elsevier Inc.; 2011. 345-368.
Van Landuyt KL, Snauwaert J, De Munck J, Peumans M, Yoshida Y, Poitevin A, et al. Systematic review of the chemical composition of contemporary dental adhesives. Biomaterials 2007; 28(26): 3757-3785.
Shimoe S, Hirata I, Otaku M, Matsumura H, Kato K, Satoda T. Formation of chemical bonds on zirconia surfaces with acidic functional monomers. J Oral Sci 2018; 60(2): 187-193.
Derand P, Derand T. Bond strength of luting cements to zirconium oxide ceramics. Int J Prosthodont 2000; 13(2): 131-135.
Moon JE, Kim SH, Lee JB, Ha SR, Choi YS. The effect of preparation order on the crystal structure of yttria-stabilized tetragonal zirconia polycrystal and the shear bond strength of dental resin cements. Dent Mater 2011; 27(7): 651-663.
Ernst CP, Cohnen U, Stender E, Willershausen B. In vitro retentive strength of zirconium oxide ceramic crowns using different luting agents. J Prosthet Dent 2005; 93(6): 551-558.
Bona AD, Pecho OE, Alessandretti R. Zirconia as a dental biomaterial. Materials 2015; 8(8): 4978–4991.
Inokoshi M, De Munck J, Minakuchi S, Van Meerbeek B. Meta-analysis of bonding effectiveness to zirconia ceramics. J Dent Res 2014; 93(4): 329-334.
Ozcan M, Bernasconi M. Adhesion to zirconia used for dental restorations: a systematic review and meta-analysis. J Adhes Dent 2015; 17(1): 7-26.
Kern M. Bonding to oxide ceramics—laboratory testing versus clinical outcome. Dent Mater 2015; 31(1): 8-14.
Khan AA, Al Kheraif AA, Jamaluddin S, Elsharawy M, Divakar DD. Recent trends in surface treatment methods for bonding composite cement to zirconia: a reveiw. J Adhes Dent 2017; 19(1): 7-19.
Russo DS, Cinelli F, Sarti C, Giachetti L. Adhesion to zirconia: a systematic review of current conditioning methods and bonding materials. Dent J 2019; 7(3): 1-19.
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