Z-Prime Plus Research Articles

Comparison of the Shear Bond Strength Using Primers with Different Application Numbers on Dental Zirconia.

This study examined the effect of the number of phosphate-containing primer applications on the shear bond strength (SBS) of zirconia to resin cement. 315 square specimens (10 × 10 × 4 mm3) were manufactured from Cercon ht presintered zirconia blocks. Alumina particles were used to sandblast zirconia specimens. These specimens were randomly divided into six primer-based groups: No primer application (NP), CLEARFIL CERAMIC PRIMER (C), PANAVIA V5 Tooth Primer (T), M&C PRIMER (MC), Monobond N (MN), and Z-PRIME plus (Z), and then separated into application number (1-4) groups (excluding NP). Each specimen was bonded with resin cement. The SBS was measured using a universal testing machine. The debonded surface was examined with a stereomicroscope. The SBSs were analyzed using two-way analysis of variance. Applying the primer twice exhibited the highest SBSs in each group, with significant differences in the T, MN, and Z groups. However, the SBS in the MC group was significantly lower on the second application. One-hundred percent adhesive failure was observed in all groups. Within the limitations of this study, prior to cementation, the sandblasted zirconia surface should be applied twice with a phosphate-containing primer other than MC to maximize the SBS at the zirconia-resin cement interface.

Evaluation of Shear Bond Strengths of 3D Printed Materials for Permanent Restorations with Different Surface Treatments.

The development of high-filled 3D printing resin necessitates a bonding protocol for dental indirect restorations to achieve optimal bond strength after cementation. This study evaluates shear bond strengths of high-filler 3D printed materials for permanent restorations with various surface treatments. Rodin Sculpture 1.0 (50% lithium disilicate fillers) and 2.0 Ceramic Nanohybrid (>60% zirconia and lithium disilicate fillers) were tested, with Aelite All-Purpose Body composite resin as control. Samples were prepared, post-cured, and sandblasted with alumina (25 µm). Surface roughness was analyzed using an optical profilometer. Two bonding protocols were compared. First, groups were treated with lithium disilicate silane (Porcelain Primer) or zirconia primer (Z-Prime Plus) or left untreated without a bonding agent. Beam-shaped resin cement (DuoLink Universal) specimens were bonded and stored in a 37 °C water bath. Second, additional sets of materials were coated with a bonding agent (All-Bond Universal), either followed by silane application or left untreated. These sets were then similarly stored alongside resin cement specimens. Shear bond tests were performed after 24 h. SEM images were taken after debonding. One-Way ANOVA and post hoc Duncan were performed for the statistical analysis. Rodin 1.0 exhibited increased adhesive failure with silane or zirconia primer coating, but significantly improved bond strengths with bonding agent application. Rodin 2.0 showed consistent bond strengths regardless of bonding agent application, but cohesive failure rates increased with bonding agent and filler coating. In all groups, except for Rodin 1.0 without bonding agent, silane coating increased cohesive failure rate. In conclusion, optimal shear bond strength for high-filler 3D printing materials can be achieved with silane coating and bonding agent application.

Are Universal Adhesives Effective for Bonding to Zirconia in the Long Term?

The bond capacity of universal adhesives should be comparable to a specific primer for zirconia. Thus, this study evaluated the bond strength to zirconia of four universal adhesives and a zirconia primer over long-term storage. The surfaces of 75 samples of zirconia were sandblasted with 50 µm aluminum oxide particles and then divided into groups (n = 15): G1 - Single Bond Universal (SBU); G2 - All Bond Universal; G3 - Peak Universal Bond; G4 - Ambar Universal (AU), and G5 - Z-Prime Plus (ZP). A cone of resin composite was constructed on the applied materials. The samples were submitted to a tensile bond strength test after 24 h using a universal testing machine. Then, the remaining materials were removed from the sample surfaces, and the surfaces were polished and sandblasted again as previously described to obtain the same groups. These new samples were stored in distilled water at 37°C for 12 months and then submitted to a tensile bond strength test. The data were analyzed by two-way analysis of variance and Tukey's test (α =0.05). The material factor (P = 0.001) and the storage factor (P = 0.001) were significant, and the interaction was not significant (P = 0.117). According to Tukey's test, bond strength mean values (in MPa) followed by distinct letters were significantly different. After 24 h, G5 = 21.12 A, G1 = 20.55 A, G4 = 19.19 AB, G2 = 14.22 B, and G3 = 8.44 C. After 12 months, G1 = 7.37 A, G5 = 5.61 AB, G4 = 4.97 B, G2 = 3.32 C, and G3 = 1.93 D. After 12 months of storage, all groups' bond strength significantly decreased. SBU and AU had bond strengths comparable to ZP after 24 h. No material resisted water degradation.

Evaluation of Different Priming Agents with Conventional and Bioactive Self-Adhesive Resin Cements on Shear Bond Strength to Zirconia

The aim of this study was to evaluate the effect of different priming agents on the shear bond strength (SBS) of conventional and bioactive self-adhesive resin cements to zirconia. One hundred and twenty zirconia discs were randomly divided into four main groups according to the priming agents used (n = 30): no priming agent (control), zirconia primer (Z-PRIME Plus), universal adhesive (All-Bond Universal), and universal ceramic primer (Monobond N). Then, each group was subdivided into three subgroups according to the type of self-adhesive resin cement used: TheraCem, Activa BioActive, and RelyX U200 Automix (n = 10). All specimens were subjected to thermocycling. The mean SBS data were analyzed using One-Way ANOVA, followed by multiple comparison Bonferroni test. Without the application of priming agents (control), most of the specimens failed during thermocycling. The priming agent, cement type, and their interaction had a significant effect on the SBS to zirconia (p < 0.001). Only the type of priming agent showed a significant effect on the mode of failure (p < 0.001), resulting in mainly mixed failure with Monobond N and adhesive failure with other primers. Regardless of the type of primer, Bioactive resin cements did not improve the SBS to zirconia compared to conventional cements.

Influence of Different Surface Conditioning Methods on Adhesion of Resin Cement to Zirconia

Statement of the problem: The challenge of enhancing the bond between zirconia and resin remains, and the efforts continue to determine a simple method for achieving a durable bond. Objective: This study aimed to evaluate the effect of different surface conditioning strategies on the bond strength between zirconia and resin ce-ment. Materials & Methods: Forty zirconia specimens (Lava Plus) were fabricated and divided into four groups: control (no surface treatment), pri-mer application (Z-Prime Plus), experimental acid (H2O:HF:H2O2) applica-tion, and the combination of the acid and primer application (n=10). A dual-cure resin cement (RelyX Ultimate) was applied over the zirconia specimens. Shear bond strength tests were conducted using a universal testing machine with a cross-head speed of 1 mm/min. The results were analyzed using one-way ANOVA followed by Tukey's post hoc test within the 95% confidence interval. Results: The results of the one-way ANOVA showed that acid appli-cation alone (22.99 ± 2.49 MPa) and acid and primer application (25.24 ± 3.19 MPa) had significantly higher bond strength than the primer (18.87 ± 3.13 MPa) and control (14.91 ± 3.72 MPa) groups (P<0.05). However, there was no significant difference between the acid group and acid and primer combination group (P=0.396). The control group had the lowest bond strength in all test groups (P<0.05). Conclusions: Experimental acid treatment alone or in combination with primer application could be effective in improving the bond strength.

In-Vitro Effect of Effectively of G-Bond and Z-Prime Plus in Prevention of Fracture of Prefabricated Zirconia Posts Bonded to Root Canal Walls

Background and Aim: The purpose of this research was to examine the influence of Z-Prime Plus and G-Bond on zirconia posts fracture resistance affixed to the walls of root canals. Place of Study: Avicenna Medical College Lahore Study Duration: March 2021 to April 2022 Materials and Methods: In this in-vitro experimental study, the diameter and length of each of the 20 mandibular premolars used were identical. This assured that the study's findings were comparable. Once a cut was made at the cementoenamel junction (CEJ) to prepare the teeth for root canal therapy, the teeth were randomly assigned to one of two groups (n=11) with the same number of teeth in each group. In the experiment, a single tooth from each group was chosen at random to serve as the control. A post space of approximately 10 millimeters in length was established in the remaining teeth. The following process involved etching the intracanal dentin, followed by rinsing and drying the material. The technique involved filling the canal with Panavia F2 resin cement. After applying G-Bond and Z-Prime Plus to the zirconia posts in respectively, groups 1 and 2, the placement of post was done in the canals and subsequently cemented. The photo core resin composite material was utilized in the fabrication of the cores. The longitudinal axis of the teeth was compressed by a force application to the core of central fossa o at a crosshead speed of 0.5 millimeters per minute. This was accomplished with a crosshead speed of 0.5 mm/min. The load that caused the fracture was measured and documented. To analyze the data, a t-test was conducted, and a normal distribution was also taken into account. Result: The results indicated that the average fracture resistance of G-Bond was 1088.1±330 while the average fracture resistance of Z-Prime Plus was 898.4±369 however, the difference was not statistically significant (P=0.3). Practical Implication: The influence of Z-Prime Plus and G-Bond on zirconia posts fracture resistance affixed to the walls of root canals Conclusion: There was no significant difference between the fracture resistance of zirconia posts bound with G-Bond and Z-Prime Plus to root canal walls. In contrast, G-Bond is highly advised for usage in this application due to its decreased coefficient of variation (CV) and significantly increased fracture resistance. This makes it a great option for the current endeavor. Keywords: Primer; resin composite; shear bond strength; zirconia ceramic, G-Bond, Post and Core Technique, Z-Prime Plus

Effect of Different Surface Treatment Methods on the Shear Bond Strength of Resin Composite/Zirconia for Intra-oral Repair of Zirconia Restorations.

A durable resin/zirconia bond is essential for successful intra-oral repair of zirconia restorations. The purpose of this study was to evaluate the influence of two mechanical treatments followed by seven chemical treatments on the shear bond strength (SBS) of composite resin to zirconia. In this in vitro study, 280 zirconia blocks (Y-TZP) were either air-abraded or bur roughened and divided into seven experimental groups (n = 20) in terms of primer/resin application: 1) ZPP, Z-Prime Plus; 2) ZPP + GP, Z-Prime Plus followed by G-premio bond; 3) ZPP + ALB, Z-Prime Plus followed by All Bond Universal; 4) ZPP + CLRF, Z-Prime Plus followed by Clearfil SE Bond; 5)GP, G-Premio Bond 6) ALB, All Bond Universal; and 7) CLRF, Clearfil SE Bond. After composite bonding and storage in distilled water (24 hours), half of each group specimen (n = 10) were thermocycled. All specimens were subjected to shear force. Statistical analysis was performed using Kruskal-Wallis and Mann-Whitney test (α = 0.05). Significant reduction in SBS was observed in all groups after thermocycling(p < 0.05), except for the air-abraded ZPP + CLRF (p = 0.143). After aging, air-abraded CLRF exhibited the highest SBS (13.55 ± 7.8 MPa) and bur roughened ZPP showed the lowest SBS (1.16 ± 1.23 MPa). In the aged specimens, there was a significant difference between air abrasion and bur roughening in all groups (p < 0.05). Air-abrasion followed by application of adhesive (with/without prior primer application) is the most efficient technique for repair of veneered zirconia restorations with resin composite.

Does surface treatment with primers increase the shear bond strength between metallic bracket and monolithic zirconia?

Background: This was aimed to investigate the effect of surface treatment with different primers on the shear bond strength (SBS) between metallic brackets and monolithic zirconia crowns.Methods: Sixty-five monolithic zirconia molar crowns were fabricated with CAD-CAM technology. All crowns underwent thermal cycling. After aging, crowns were randomly divided into five groups (n = 13) according to cementation procedures: orthodontic bonding system; primer/composite paste: Transbond XT (TXT) (control); Group M: Monobond Plus (MP) was applied on crowns surfaces then TXT composite paste; Group MT: MP was applied on crown surface then primer/composite paste of TXT; Group Z: Z-Prime Plus (ZP) was applied on crown surface then TXT composite paste; Group ZT: ZP was applied on crown surface then primer/composite paste of TXT was used for bonding the metallic brackets. The bracket-bonded crowns were tested for SBS using a universal testing machine. Results were analyzed using analysis of variance.Results: A statistically significant difference was found between all groups regarding SBS values (p=0.001). Group MT showed the highest SBS value, the control group showed the lowest SBS value (p&amp;lt;0.05).Conclusion: It can be concluded that all bracket-bonded crowns were sufficient to withstand orthodontic forces. Surface treatment with primers contributes to increase the shear bond strength between metallic bracket and monolithic zirconia.

Influence of ceramic primers on microshear bond strength to zirconia

This study aimed to investigate the effect of two ceramic primers on the microshear bond strength (µSBS) of yttria-stabilized zirconia (Y-TZP) to two types of self-adhesive resin cement and one BisGMA-based resin cement. Zirconia specimens were sandblasted with 27-µm aluminum oxide and composite cylinders were cemented with resin cement with or without the prior use of ceramic primers. Nine groups (n=12) were randomly distributed according to the cement (self-adhesive RelyX U200/3M ESPE, self-adhesive Maxcem Elite/Kerr, and BisGMA-based dual-cure RelyX ARC/3M ESPE) and ceramic primer (Z-Primer Plus/Bisco and Porcelain Liner M/Sun Medical Co.). After luting, the specimens were stored in distilled water at 37°C for 24 hours and then submitted to the µSBS test. The data were analyzed with two-way ANOVA followed by the Scheffe post hoc test (p&lt;0.05). There were significant differences between RelyX U200 and other groups. There were also significant differences between the RelyX U200 group without ceramic primer and other groups without ceramic primers (p&lt;0.05). Self-adhesive resin cement (RelyX U200 and MaxCem) presented higher microshear bond strength (6.17 and 2.32 MPa) than the conventional resin cement (RelyX ARC) when a porcelain primer was not used (0.43 MPa). When using Porcelain Liner M, the results of RelyX ARC (2.94 MPa) were equivalent to the results of self-adhesive cement (3.93 and 2.11 MPa). When using Z-Prime Plus, the results of MaxCem (5.36 MPa) were lower than those of RelyX U200 (9.59 MPa) but equivalent to those of RelyX ARC (6.07 MPa). When using the RelyX ARC, the use of both ceramic primers improved bond strength to zirconia. When using self-adhesive resin cement, Z-Prime Plus improved microshear bond strength values. It can be concluded that, after 24 hours, the highest µSBS results were obtained when using Z-Prime Plus and RelyX U200 self-adhesive cement.

Different Cavity Designs with Additional Wings Increase the Fracture Resistance of Inlay-Retained Monolithic Zirconia Fixed Dental Prostheses.

To evaluate the effect of different cavity designs and cement types on the fracture resistance of monolithic zirconia inlay-retained fixed dental prostheses (IRFDPs). Four study models consisting of a second premolar, a missing first molar, and a second molar were used for the different cavity designs. Four different inlay cavity designs were prepared: DO-MO (disto-occlusal-mesio-occlusal cavity), MOD-MOD (mesio-occlusodistal-mesio-occlusodistal cavity), WDO-WMO (DO-MO with additional wings), and WMOD-WMOD (MOD-MOD with additional wings). A total of 64 epoxy resin models were produced and scanned individually. IRFDPs were then fabricated from monolithic zirconia using CAD/ CAM software. The bonding surface of the IRFDPs was airborne particle abraded (50-μm alumina/2 MPa), then cemented onto the epoxy resin models using two cementation protocols (n = 8 per group): (1) P = cemented with Panavia SA Cement Plus Automix; and (2) Z/C = cemented with MDP-containing primer (Z-Prime Plus) combined with Calibra Universal resin cement. All IRFDPs were fatigued through thermal aging (6,000 cycles/5°C to 55°C) and chewing simulations (600,000 cycles × 50-N load, 2.1 Hz). All IRFDPs were then subjected to a fracture resistance test using a universal testing machine with a crosshead speed of 0.2 mm/minute. Data were statistically analyzed using one- and two-way ANOVA and Bonferroni multiple comparisons test (P = .001). The mean fracture load (N) of the designs were as follows: WMODWMOD = 1,111.1; WDO-WMO = 1,057.4; MOD-MOD = 725.6; DO-MO = 682.7. According to two-way ANOVA, the differences among the cavity designs were statistically significant (P < .05). The cavity design of IRFDPs affected the fracture resistance. However, the fracture resistance of monolithic zirconia IRFDPs with any cavity design was enough to withstand expected posterior chewing forces.

The effects of four primers and two cement types on the bonding strength of zirconia.

BackgroundTo evaluate the effects of four ceramic primers and two cement types on the bonding strength and durability between zirconia and resin cement.MethodsA total of 115 polished and air-abraded zirconia blocks were randomly divided into five groups (with 23 in each group) to test the performance of various primers. Meanwhile, all primer samples were divided into two subgroups randomly to measure the difference between the two cement types. Group No treat - Clearfil SA Cement (NT-C); group No treat - RelyX Unicem Cement (NT-U); group Z-Prime Plus - Clearfil SA Cement (ZPP-C); group Z-Prime Plus - RelyX Unicem Cement (ZPP-U); group Rely X Ceramic Primer - Clearfil SA Cement (RCP-C); group Rely X Ceramic Primer - RelyX Unicem Cement (RCP-U); group Clearfil Ceramic Primer - Clearfil SA Cement (CCP-C); group Clearfil Ceramic Primer - RelyX Unicem Cement (CCP-U); group Monobond-S - Clearfil SA Cement (MS-C); group Monobond-S - RelyX Unicem Cement (MS-U). According to the type of cement, the specimens were randomly selected for electron microscope scanning and energy spectrum analysis, and the tightness of zirconium porcelain resin adhesive interface was observed. The bonding strength of different adhesives and aging experiments were tested by shear test mode, and the shear strength of each experimental group was analyzed by one variable three factor analysis of variance.ResultsAll primers in the treated groups maintained a pristine structure without micro-crack, while the non-primer treatment sample exhibited obvious micro-cracks. Furthermore, among the four primers, the sample treated with Clearfil Ceramic Primer (CCP) obtained the highest bonding strength, with a statistically significant difference (P<0.05). However, cohesive failure mainly occurred in the CCP group before thermal cycles, and mixed failure occurred after thermal cycles.ConclusionsCCP is the superior primer, and can improve the bonding strength between zirconia and resin cement. Because the thermal cycles have a significantly adverse effect on the shear bond strength, CCP can be helpful in improving the durability of the zirconia bonding strength. Furthermore, the two cement types exhibited a similar bonding performance for zirconia.

Effect of Different Surface Treatments and Pressure Conditions on Shear Bond Strength of Zirconia Ceramic to Composite Resin.

Objectives: The aim of this study was to assess the shear bond strength (SBS) of zirconia ceramic to composite resin with various surface treatments following pressure changes. Materials and Methods: Totally, 135 zirconia blocks were prepared by computer-aided design/computer-aided manufacturing technology. The samples were divided into 9 groups (n=15). Three surface treatments including sandblasting, tribo-chemical preparation, and laser application were used. For each method, 45 samples were considered and tested under different pressure conditions. Z-Prime Plus primer was used for bonding of all samples to composite cylinders. All specimens were stored in water for 24 h, underwent thermocycling, and were then placed in a pressure chamber under normal-, high-, and low-pressure conditions. Then, the SBS test was performed for each sample. Data were analyzed by two-way and one-way ANOVA (α=0.05). Results: The SBS was significantly higher in sandblasting and tribochemical preparation compared with laser irradiation (P<0.05). There was no statistically significant difference in SBS of sandblasting and tribochemical preparation methods (P>0.05). Sandblasting, tribochemical preparation, and laser methods did not show a significant difference in SBS at different pressures (P>0.05). Conclusion: Sandblasting and tribochemical preparation yielded a higher SBS than laser. Different pressures had no effect on SBS, irrespective of surface preparation method.

Do Chemical-Based Bonding Techniques Affect the Bond Strength Stability to Cubic Zirconia?

This study evaluated the effectiveness of chemical-based adhesive techniques on promoting immediate and aged bond strength between zirconia and luting cement. A total of 128 discs of zirconia were divided into 4 groups (n = 32) according to the adhesive treatment: tribochemical silica-coating followed by silane (Silane Primer, Kerr) and bonding (Optibond FL, Kerr), Signum Zirconia Bond (Hereaus), Z-Prime Plus (Bisco), and All-Bond Universal (Bisco). Composite cylinders were cemented on the zirconia sample with Duo-Link Universal (Bisco). Eight specimens per group were subjected to 10,000 thermocycles and subsequently bond strength was tested with shear-bond strength test. ANOVA test showed that artificial aging significantly affected the bond strength to zirconia. Bonferroni test highlighted a significant influence of adhesive treatment (Signum) on bond strength after thermocycling. It was concluded that 10-MDP-based bonding systems showed no improvement in initial bond strength compared with tribochemical treatment. All chemical bonding techniques tested in this study were influenced by thermocycling.

Effects of Universal Adhesive on Shear Bond Strength of Resin Cement to Zirconia Ceramic with Different Surface Treatments.

Aim This study aimed to assess shear bond strength (SBS) of resin cement to zirconia ceramic with different surface treatments by using Single Bond Universal. Methods In this in vitro study, 50 zirconia discs (2 × 6 mm) were divided into 5 groups of (I) sandblasting with silica-coated alumina (CoJet) + silane + Single Bond 2, (II) sandblasting with CoJet + Single Bond Universal, (III) sandblasting with alumina + Single Bond Universal, (IV) sandblasting with alumina + Z-Prime Plus, and (V) Single Bond Universal with no surface treatment. Resin cement was applied in plastic tubes (3 × 5 mm2), and after 10,000 thermal cycles, the SBS was measured by a universal testing machine. The mode of failure was determined under a stereomicroscope at × 40 magnification. Data were analyzed using one-way ANOVA. Results The maximum (6.56 ± 4.29 MPa) and minimum (1.94 ± 1.96 MPa) SBS values were noted in groups III and I, respectively. Group III had the highest frequency of mixed failure (60%). Group V had the maximum frequency of adhesive failure (100%). Conclusion Single Bond Universal + sandblasting with alumina or silica-coated alumina particles is an acceptable method to provide a strong SBS between resin cement and zirconia.

Influence of Non-Thermal Atmospheric Pressure Plasma Treatment on Retentive Strength between Zirconia Crown and Titanium Implant Abutment.

The aim of this study is to investigate the effect of non-thermal atmospheric pressure plasma (NTP) on retentive strength (RS) between the zirconia crown and the titanium implant abutment using self-adhesive resin cement. Surface free energy (SFE) was calculated on 24 cube-shaped zirconia blocks, and RS was measured on 120 zirconia crown-titanium abutment assemblies bonded with G-CEM LinkAce. The groups were categorized according to the zirconia surface treatment as follows: Control (no surface treatment), NTP, Si (Silane), NTP + Si, Pr (Z-Prime Plus), and NTP + Pr. Half of the RS test assemblies were aged by thermocycling for 5000 cycles at 5–55 °C. The SFE was calculated using the Owens-Wendt method, and the RS was measured using a universal testing machine at the maximum load until failure. One-way analysis of variance (ANOVA) with post-hoc Tukey honestly significant difference (HSD) was performed to evaluate the effect of surface treatments on the SFE and RS. Independent sample t-test was used to compare the RS according to thermocycling (p < 0.05). For the SFE analysis, the NTP group had a significantly higher SFE value than the Control group (p < 0.05). For the RS test, in non-thermocycling, the NTP group showed a significantly higher RS value than the Control group (p < 0.05). However, in thermocycling, there was no significant difference between the Control and NTP groups (p > 0.05). In non-thermocycling, comparing with the NTP + Si or NTP + Pr group, there was no significant difference from the Si or Pr group, respectively (p > 0.05). Conversely, in thermocycling, the NTP + Si and NTP + Pr group had significantly lower RS than the Si and Pr group, respectively (p < 0.05). These results suggest that NTP single treatment for the zirconia crown increases the initial RS but has little effect on the long-term RS. Applied with Silane or Z-Prime Plus, NTP pre-treatment has no positive effect on the RS.

Flexural test as an alternative to tensile test for bond strength of resin cement to zirconia

ObjectiveThere has been a great many technical difficulties in measuring the bond strengths between brittle dental substrates and materials, especially in preparing specimens. This study evaluated the validity of the relatively easy flexural bond strength (FBS) test in measuring bond strength of resin cement to zirconia as an alternative to the cumbersome tensile bond strength (TBS) and micro-tensile bond strength (MTBS) tests. Materials and methodsThe FBS and TBS of resin cement to zirconia were measured experimentally after three surface treatments on a zirconia ceramic: air abrasion only (A), conditioning with Single Bond Universal (U) after air abrasion, and conditioning with Z-Prime Plus (Z) after air abrasion. The data were investigated using two-way analysis of variance (ANOVA), Weibull statistics, and a theoretical simulation. ResultsIn both the FBS and TBS tests, the experimental data were consistent and quantitatively similar. First, according to ANOVA, the U group showed the highest bond strengths in both tests, followed by the Z group and the A group. In each surface treatment group, the FBS was always higher than the TBS. Second, the Weibull fitting showed the same order of strength in both tests (A < Z < U) and in all surface treatment groups (FBS > TBS). Third, the theoretical ratios calculated from the Weibull moduli agreed well with the experimental ratios of the FBS to the TBS. ConclusionThe FBS test can be an alternative to the TBS and MTBS tests in measuring the bond strength of brittle resin cement to zirconia.

A novel porous silica-zirconia coating for improving bond performance of dental zirconia.

To coat a zirconia surface with silica-zirconia using a dip-coating technique and evaluate its effect on resin-zirconia shear bond strength (SBS). A silica-zirconia suspension was prepared and used to coat a zirconia surface using a dip-coating technique. One hundred and eighty-nine zirconia disks were divided into three groups according to their different surface treatments (polishing, sandblasting, and silica-zirconia coating). Scanning electron microscopy (SEM), energy dispersive X-ray (EDX), and X-ray diffraction (XRD) were used to analyze the differently treated zirconia surfaces. Different primer treatments (Monobond N, Z-PRIME Plus, and no primer) were also applied to the zirconia surfaces. Subsequently, 180 composite resin cylinders (Filtek Z350) were cemented onto the zirconia disks with resin cement (RelyX Ultimate). The SBS was measured after water storage for 24 h or 6 months. The data were analyzed by two-way analysis of variance (ANOVA). SEM and EDX showed that the silica-zirconia coating produced a porous layer with additional Si, and XRD showed that only tetragonal zirconia was on the silica-zirconia-coating surface. Compared with the control group, the resin-zirconia SBSs of the sandblasting group and silica-zirconia-coating group were significantly increased (P<0.05). The silica-zirconia coating followed by the application of Monobond N produced the highest SBS (P<0.05). Water aging significantly reduced the resin-zirconia SBS (P<0.05). Dip-coating with silica-zirconia might be a feasible way to improve resin-zirconia bonding.

Adhesion of Resin Cement to Zirconia Using Argon Plasma and Primer.

To evaluate the effectiveness of nonthermal atmospheric plasma (NTAP) and priming on the shear bond strength (SBS) of a resin cement to two zirconia ceramics after 24 hours and 1 year of water storage. A total of 120 plates (9 x 7 x 2 mm) were obtained from two types of zirconia (Katana, Kuraray Noritake; and ZirCAD, Ivoclar Vivadent) plates randomly divided into 12 groups (n = 10 each). Zirconia ceramic plates were submitted to the following treatments: (1) untreated (control); (2) treated with ZPrime Plus (Bisco Dental) primer; (3) NTAP (Surface Plasma Tool Model SAP, Surface Engineering and Plasma Solution) application for 10 seconds; (4) NTAP for 30 seconds; (5) NTAP for 10 seconds followed by priming; and (6) NTAP for 30 seconds followed by priming. Two silicone molds (2.37-mm diameter x 2-mm height) were positioned on the treated surface of each zirconia plate, and the resin cement (Panavia F 2.0, Kuraray Noritake) was manipulated and inserted into the molds. After light activation, two resin cement cylinders (specimens) were obtained from each plate. One specimen was tested after 24 hours, and the other after 1 year. The shear load was applied to the base of the resin cement cylinders until failure. Data were analyzed using three-way ANOVA and post hoc Tukey test (α = .05). NTAP application alone (groups 3 and 4) increased SBS compared to the control group only at 24 hours. After 1 year, the NTAP/primer combination showed higher SBS than the other groups. Water storage for 1 year reduced the bond strength for all groups. NTAP, combined or not combined with primer, had a beneficial effect on adhesion after 24 hours and after 1 year. Water storage negatively influenced the adhesion in all groups.

Comparison of repair protocols for veneered zirconia as a function of surface conditioning parameters, ceramic primer types and defect sizes

This study assessed the effect of surface conditioning methods and ceramic primers on the repair strength of resin-composite to zirconia-veneering ceramic with different defect sizes. Zirconia (IPS e.max ZirCAD) (n = 30) and veneering ceramic (Creation) (n = 30) alone acted as control groups. In the 1st part of the study, zirconia was silica-coated (SC) and treated with 3 different ceramic primers (Monobond Plus + Helibond (MBP), Clearfil Ceramic Primer Plus (CCP), Z-Prime Plus (ZPP)). Feldspathic ceramic was etched with 9.6% hydrofluoric acid (HF) and primed. After repairing with resin-composite (Empress Esthetic) and testing for shear bond strength (SBS), the best performing adhesive system (MBP) for both substrates (N = 60, n = 10 per group) was tested for defect sizes of (a) 3.2, (b) 4, (c) 5 mm with zirconia (diameter: 1.7 mm) being in the center (N = 60, n = 10 per group). Half of the specimens were repaired employing HFSC and the other half with SCHF. The specimens were stored in distilled water (37 °C, 24 h) and thermocycled (5–55 °C, 5000 cycles). The resin-substrate interface was loaded under shear force (1 mm/min). Data (MPa) were analyzed using two-way ANOVA and Tukey’s tests (α = 0.05). In the 1st study, MBP resulted in significantly higher SBS (MPa) for both zirconia and veneering ceramic (Zirconia: 14.2 ± 3.6; Veneer: 11.0 ± 3.7), compared to those of CCP (Zirconia: 9.4 ± 2.2; Veneer: 7.5 ± 3.4) and ZPP (Zirconia: 5.0 ± 0.9; Veneer: 5.9 ± 2.1) (p < 0.01). Neither the size of the defect (p > 0.05) nor repair sequence showed a significant effect (p > 0.05) on the repair bond strength with mainly mixed type with cohesive fracture in the veneering ceramic.

A comparison of shear bond strength of brackets bonded to zirconia

Abstract Purpose: The objective of this study was to compare the shear bond strength (SBS) of ceramic orthodontic brackets bonded to highly translucent zirconia surfaces following the use of two different primers. Materials and methods:&lt;Three types of highly translucent zirconia crowns, Cercon xt ML, e.max ZirCAD, and STML-ML Katana Zirconia, were milled, sandblasted, and primed using two zirconia primers, Monobond Etch and Prime and Z-Prime Plus. A ceramic bracket (Radiance) was bonded onto the facial surface of each crown. Shear bond strength was evaluated using a universal testing machine. Results: There was no significant overall difference across the six experimental groups regarding shear bond strength. The use of the two tested zirconia primers resulted in comparable and clinically acceptable shear bond strengths. Conclusions: Both tested zirconia primers were associated with adequate bond strength when bonding a ceramic orthodontic bracket to the three highly translucent zirconia substrates.