Hydrofluoric acid treatment is frequently used for the surface treatment of ceramic restoratives containing silica. However, hydrofluoric acid is extremely toxic and requires great care when used in chair-side situations. Acidulated phosphate fluoride (APF) solution is highly safe and widely used for caries prevention in both children and adults by application to the teeth. Use of a safer alternative to hydrofluoric acid is desirable, so this study aimed to investigate the effects of surface treatment with APF solution combined with heat treatment on bonding to CAD/CAM ceramics. Specimens of ceramics were distributed into five groups: Group A30, treated by 2% APF for 30 min; Group AH1, treated by APF with heat treatment (at 100⁰C for 1 min); Group AH5, treated by APF with heat treatment (at 100⁰C for 5min); Group HF, treated with 8% hydrofluoric acid, and Group CO, without etching treatment as a control. After treatment, specimens were bonded with dual-cured resin cement system. Tensile bond strength was measured after 24h. Mean bond strengths were as follows: Group CO, 11.03 MPa; Group A30, 12.96 MPa; Group AH1, 14.19 MPa; Group AH5, 17.15 MPa; and Group HF, 17.50 MPa. APF treatment combined with additional heat treatment offered effective bonding to CAD/CAM ceramics