Fatigue performance of fully-stabilized zirconia polycrystals monolithic restorations: The effects of surface treatments at the bonding surface.

This study evaluated the distinct conditioning effect of the intaglio surface of bonded fully-stabilized zirconia (FSZ) simplified restorations on the mechanical fatigue behavior of the set prior to and after aging. Ceramic disc shaped specimens (Ø= 10 mm and 1 mm thick) were randomly allocated into 14 groups considering: "surface treatments" (Ctrl: no-treatment; PM: universal primer; GLZ: low-fusing porcelain glaze; SNF: 5 nm SiO2 nanofilm deposition; AlOx: air-abrasion with aluminum oxide; SiC: air-abrasion with silica-coated aluminum oxide; 7%Si: air-abrasion with 7% silica-coated aluminum oxide); and "aging" (baseline: 24 h at 37 °C in water; or aged: 90 days at 37 °C in water + 12,000 thermal cycles). The discs were treated, luted with resin cement onto the dentin analog, subjected to aging or not, and then tested under a step-stress fatigue test at 20 Hz, 10,000 cycles/step, step-size of 100N starting at 200N, and proceeding until failure detection. Fractographic, topographic, surface roughness, contact angle, and atomic force microscopy analyzes were performed. The surface treatments at baseline led to statistically similar fatigue failure loads (953N-1313N), except for GLZ (1313N), which was significantly higher than 7%Si (953 N). Meanwhile, Ctrl had 40% pre-test failures (debonding) after aging, and therefore the worst fatigue performance (notable decrease in fatigue results), while all the other groups presented superior and statistically similar fatigue behavior (973-1271N). In fact, when considering baseline Vs aging conditions, stable fatigue results could only be noted when using surface treatments. In conclusion, internal surface treatments of FSZ ceramic restorations are mandatory for fatigue behavior stability after aging the restorative set, while non-treatment induced unstable results.

Adhesion to Y-TZP ceramic: study of silica nanofilm coating on the surface of Y-TZP.

This study evaluated the influence of silica-based film coatings on the surface of yttrium-stabilized tetragonal zirconia polycrystal (Y-TZP), in particular on the durability of the bond strength between the ceramic and resin cement. Eighty Y-TZP (In-Ceram YZ, Vita) blocks (4 × 4 × 3 mm) were obtained and divided into four groups according to the surface treatments (n = 20): tribochemical silica coating (TBS; Cojet, 3M/ESPE), 5 nm SiO2 nanofilm and silanization (F-5), 500 nm SiO2 nanofilm and silanization (F-500), and 500 nm SiO2 nanofilm + hydrofluoric-acid-etching + silanization (F-500HF). Specimens of composite resin (3.25 mm in diameter and 3 mm in height) were cemented to Y-TZP blocks using resin cement (Relyx ARC). Half of the specimens from each group were tested 24 h after adhesion (B: baseline condition), and the other half were subjected to aging (A: storage for 90 days and 10,000 thermal cycles). The specimens were subjected to shear testing (SBS) (1 mm/min). After testing, the surfaces were analyzed with a stereomicroscope and scanning electron microscope. Micromorphologic and elemental chemical analyses of the treated Y-TZP surface were made by X-ray energy dispersive spectroscopy. Bond strength data were statistically analyzed by Kruskal-Wallis/Mann-Whitney tests (α = 0.05). The surface treatment showed significant differences for B (p = 0.0001) and A (p = 0.0000) conditions. In both storage conditions, TBS and F-5 groups promoted the significantly highest bond strength. Most of the specimens presented adhesive failure. The X-ray energy dispersive spectroscopy analysis depicted the highest peak of silica in the TBS, F-5, and F-500 groups. The adhesion to zirconia can be improved if the surface receives a 5 nm layer of SiO2 nanofilm or is subjected to sandblasting with silica particles, followed by silanization.