Surface treatment in zirconia restorations to make their adhesion more reliable. Report of two clinical cases: short-term follow-up
DOI:
https://doi.org/10.29166/odontologia.vol24.n1.2022-e3579Keywords:
Zirconia, Sandblasting, Surface Treatments, Silane, Bond StrengthAbstract
This 2 case report describes the best way to establish a chemical bond between zirconia (Y-TZP) and a resin cement. Researchers have found that an ideal surface treatment for this ceramic, considered chemically inert, should be tribochemical sandblasting, followed by silane and a 10 MDP-based bonding agent. Materials and Methods: Two Y-TZP RBFDp bridges were prepared in patients who did not want to undergo conventional treatment. The bridges were cemented, following the recommended protocol. A two-year and half follow-up was done to see its evolution. Results: The combination of tribochemical sandblasting plus ceramic primers managed to provide reliable adhesion to this crystalline ceramic. No detachments were observed, nor any type of postoperative sensitivity. The patients did not experience any difficulties in any of their oral functions during these two years. Conclusions: It was found that it is possible to adhere chemically and reliably to the Y-TZP, even in extreme cases in which it is impossible to opt for traditional fixed prosthesis treatments.
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Udoye CI, Jafarzadeh H, Kinoshita J-I, Manabe A, Kobayashi M. Prevalence and reasons for extraction of endodontically treated teeth in adult Nigerians. Journal of Contemporary Dental Practice. 2018;19(12):1470-4.
Mathu-Muju KR, Kennedy DB. Loss of permanent first molars in the mixed dentition: circumstances resulting in extraction and requiring orthodontic management. Pediatric dentistry. 2016;38(5):46E-53E.
Cunha MA, Vettore MV, Dos Santos TR, Matta-Machado AT, Lucas SD, Abreu MHNG. The Role of Organizational Factors and Human Resources in the Provision of Dental Prosthesis in Primary Dental Care in Brazil. International journal of environmental research and public health. 2020;17(5):1646.
Yamazaki S, Arakawa H, Maekawa K, Hara ES, Noda K, Minakuchi H, et al. A retrospective comparative ten-year study of cumulative survival rates of remaining teeth in large edentulism treated with implant-supported fixed partial dentures or removable partial dentures. Journal of prosthodontic research. 2013;57(3):156-61.
AlDhalaan NA, BaQais A, Al-Omar A. Medication-related osteonecrosis of the jaw: A review. Cureus. 2020;12(2).
Barwacz CA, Hernandez M, Husemann RH. Minimally invasive preparation and design of a cantilevered, all‐ceramic, resin‐bonded, fixed partial denture in the esthetic zone: a case report and descriptive review. Journal of Esthetic and Restorative Dentistry. 2014;26(5):314-23.
Kern M, Passia N, Sasse M, Yazigi C. Ten-year outcome of zirconia ceramic cantilever resin-bonded fixed dental prostheses and the influence of the reasons for missing incisors. Journal of dentistry. 2017;65:51-5.
Bömicke W, Karl J, Rammelsberg P. Minimally invasive prosthetic restoration of posterior tooth loss with resin-bonded, wing-retained, and inlay-retained fixed dental prostheses fabricated from monolithic zirconia: A clinical report of two patients. The Journal of prosthetic dentistry. 2017;117(4):459-62.
Kravitz ND. The Maryland bridge retainer: A modification of a Maryland bridge. American Journal of Orthodontics and Dentofacial Orthopedics. 2020;157(1):128-31.
Howe DF, Denehy GE. Anterior fixed partial dentures utilizing the acid-etch technique and a cast metal framework. The Journal of prosthetic dentistry. 1977;37(1):28-31.
Rochette AL. Attachment of a splint to enamel of lower anterior teeth. The Journal of prosthetic dentistry. 1973;30(4):418-23.
Kern M. Clinical long-term survival of two-retainer and single-retainer all-ceramic resin-bonded fixed partial dentures. Quintessence International. 2005;36(2).
Rismanchian M, Shafiei S, Nourbakhshian F, Davoudi A. Flexural strengths of implant-supported zirconia based bridges in posterior regions. The journal of advanced prosthodontics. 2014;6(5):346-50.
Zhang Y, Pajares A, Lawn BR. Fatigue and damage tolerance of Y‐TZP ceramics in layered biomechanical systems. Journal of Biomedical Materials Research Part B: Applied Biomaterials: An Official Journal of The Society for Biomaterials, The Japanese Society for Biomaterials, and The Australian Society for Biomaterials and the Korean Society for Biomaterials. 2004;71(1):166-71.
Ahn J-S, Yi Y-A, Lee Y, Seo D-G. Shear bond strength of MDP-containing self-adhesive resin cement and Y-TZP ceramics: effect of phosphate monomer-containing primers. BioMed Research International. 2015;2015.
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. The Journal of prosthetic dentistry. 2016;115(1):84-9.
Piconi C, Maccauro G. Zirconia as a ceramic biomaterial. Biomaterials. 1999;20(1):1-25.
Lima RBW, Barreto SC, Hajhamid B, de Souza GM, de Goes MF. Effect of cleaning protocol on silica deposition and silica-mediated bonding to Y-TZP. Dental Materials. 2019;35(11):1603-13.
Calderón MC, Altamirano IV, Medeiros IS. Cerámicas: una actualización. Revista Odontología. 2019;21(2):86-113.
Campos F, Valandro LF, Feitosa SA, Kleverlaan CJ, Feilzer AJ, De Jager N, et al. Adhesive cementation promotes higher fatigue resistance to zirconia crowns. Operative dentistry. 2017;42(2):215-24.
Kern M, Thompson VP. Bonding to glass infiltrated alumina ceramic: adhesive methods and their durability. The Journal of Prosthetic Dentistry. 1995;73(3):240-9.
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. Dental materials. 1999;15(6):426-33.
Le M, Larsson C, Papia E. Bond strength between MDP-based cement and translucent zirconia. Dental materials journal. 2019:2018-194.
Imamura N, Kawaguchi T, Shimizu H, Takahashi Y. Effect of three metal priming agents on the bond strength of adhesive resin cement to Ag-Zn-Sn-In alloy and component metals. Dental materials journal. 2017.
Lehmann F, Kern M. Durability of resin bonding to zirconia ceramic using different primers. Journal of Adhesive Dentistry. 2009;11(6):479.
Okutan Y, Yucel MT, Gezer T, Donmez MB. Effect of airborne particle abrasion and sintering order on the surface roughness and shear bond strength between Y-TZP ceramic and resin cement. Dental materials journal. 2019:2018-051.
Özcan M, Bernasconi M. Adhesion to zirconia used for dental restorations: a systematic review and meta-analysis. Journal of Adhesive Dentistry. 2015;17(1).
Kern M, Sasse M. Ten-year survival of anterior all-ceramic resin-bonded fixed dental prostheses. Journal of adhesive dentistry. 2011;13(5):407.
Craig RG. Restorative dental materials. 2019.
Xie H, Li Q, Zhang F, Lu Y, Tay FR, Qian M, et al. Comparison of resin bonding improvements to zirconia between one-bottle universal adhesives and tribochemical silica coating, which is better? Dental materials. 2016;32(3):403-11.
Yi YA, Ahn JS, Park YJ, Jun SH, Lee IB, Cho BH, et al. The effect of sandblasting and different primers on shear bond strength between yttria-tetragonal zirconia polycrystal ceramic and a self-adhesive resin cement. Operative dentistry. 2015;40(1):63-71.
Botelho MG, Ma X, Cheung GJK, Law RKS, Tai MTC, Lam WYH. Long-term clinical evaluation of 211 two-unit cantilevered resin-bonded fixed partial dentures. Journal of dentistry. 2014;42(7):778-84.
Kara HB, Aykent F. Single tooth replacement using a ceramic resin bonded fixed partial denture: A case report. European journal of dentistry. 2012;6(01):101-4.
Sasse M, Kern M. Survival of anterior cantilevered all-ceramic resin-bonded fixed dental prostheses made from zirconia ceramic. Journal of dentistry. 2014;42(6):660-3.
Passia N, Chaar MS, Kern M. Outcome of posterior fixed dental prostheses made from veneered zirconia over an observation period of up to 13 years. Journal of dentistry. 2019;86:126-9.
Sax C. 10-year clinical outcomes of fixed dental prostheses with zirconia frameworks: University of Zurich; 2011.
AL‐AMLEH B, Lyons K, Swain M. Clinical trials in zirconia: a systematic review. Journal of oral rehabilitation. 2010;37(8):641-52.
Tzanakakis E-GC, Tzoutzas IG, Koidis PT. Is there a potential for durable adhesion to zirconia restorations? A systematic review. The Journal of prosthetic dentistry. 2016;115(1):9-19.
Matinlinna JP, Lassila LV, Özcan M, Yli-Urpo A, Vallittu PK. An introduction to silanes and their clinical applications in dentistry. International Journal of Prosthodontics. 2004;17(2).
Calderon MGC. Influência do aquecimento de agentes de acoplamento químico na resistência de união de um cimento resinoso à zircônia: Universidade de São Paulo.
Matinlinna JP, Lung CYK, Tsoi JKH. Silane adhesion mechanism in dental applications and surface treatments: A review. Dental materials. 2018;34(1):13-28.
Nagaoka N, Yoshihara K, Feitosa VP, Tamada Y, Irie M, Yoshida Y, et al. Chemical interaction mechanism of 10-MDP with zirconia. Scientific Reports. 2017;7.
Feitosa VP. Evaluation of acidic functional monomers with spacer chains with different hydrophilicities and lengths= Avaliação de monômeros funcionais ácidos com cadeias espaçadoras de diferentes hidrofilias e comprimentos. 2013.
Byeon SM, Jang YS, Lee MH, Bae TS. Improvement in the Tensile Bond Strength between 3Y-TZP Ceramic and Enamel by Surface Treatments. Materials (Basel). 2016;9(8).
Yoshida K. Effect of 10-Methacryloyloxydecyl Dihydrogen Phosphate Concentrations in Primers on Bonding Resin Cements to Zirconia. Journal of Prosthodontics-Implant Esthetic and Reconstructive Dentistry. 2021;30(4):356-62.
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Copyright (c) 2022 María Cristina Díaz Segovia, Marcelo Cascante-Calderón , Diego Andrés Fernández Franco, David Alfonso Velastegui Atahualpa
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