Bond strength of CAD/CAM-manufactured composite resin and ceramic veneers to a zirconia framework.

This study investigated bond strength of CAD/CAM-manufactured composite resin and ceramic veneers to a zirconia framework and analyzed the effect of treatments of veneer surfaces. A CAD/CAM resin-based (AVE) composite or lithium disilicate ceramic (IEC) block was used as the veneer material. AVE and IEC specimens were assigned to receive one of three surface treatments (n = 22): no surface treatment, acid-etching with 9.5% hydrofluoric acid gel, and airborne-particle abrasion with alumina particles. Zirconia disks and AVE or IEC specimens in each group were bonded with a resin-based luting agent, and shear bond strength of the specimens was measured at 0 and 20,000 thermocycles. Significant differences were assessed by the Steel-Dwass test for multiple comparisons and Mann-Whitney U-test (α = 0.05). As compared with other surface treatments, bond strengths were significantly higher at 0 and 20,000 thermocycles in the airborne-particle abraded AVE and acid-etched IEC specimens. Airborne-particle abrasion of the surface of AVE specimens increased bond strength between AVE veneers and zirconia frameworks, while hydrofluoric acid treatment enhanced bond strength between IEC veneers and zirconia frameworks.

Effect of priming agents on shear bond strengths of resin-based luting agents to a translucent zirconia material.

PURPOSE: The purpose of the present study was to evaluate the effect of priming agents and artificial aging with thermocycling on shear bond strengths of two resin-based luting agents to a translucent zirconia material. METHODS: A total of 308 pairs of translucent zirconia disk specimens were divided into seven treatment groups: Alloy Primer (ALP), Clearfil Ceramic Primer Plus (CCP), Meta Fast Bonding Liner (MFB), MR. bond (MRB), Super-Bond PZ Primer Liquid B (PZB), V-Primer (VPR), and an unprimed group (UP). The specimens in each group were bonded with Panavia V5 Universal (UNI) and Opaque shade (OPA). Shear bond strengths (n=11 each) were tested before and after 5000 thermocycles. The data were analyzed with the Kruskal-Wallis test and the Steel-Dwass test. RESULTS: For both 0 and 5000 thermocycles, the ALP (47.8 and 41.5MPa, respectively) and CCP (45.8 and 42.3MPa, respectively) groups showed significantly higher bond strengths than other groups in the UNI luting agent. For the OPA luting agent, CCP group (45.8MPa) exhibited the highest pre-thermocycling bond strength in all groups. The ALP (32.4MPa) and CCP (36.5MPa) groups had significantly higher post-thermocycling shear bond strengths than other groups. In several groups, the shear bond strengths of the UNI luting agent were significantly higher than those of the OPA luting agent before and after thermocycling. CONCLUSIONS: Application of priming agents containing hydrophobic phosphate monomer (MDP) yielded the durable bond strengths of resin-based luting agents to a translucent zirconia material.

Effect of framework design on fracture load after thermal cycling and mechanical loading of implant-supported zirconia-based prostheses.

This study evaluated the effect of zirconia framework design on fracture load of implant-supported zirconia-based prostheses after thermal cycling and mechanical loading. Three different zirconia framework designs were investigated: uniform-thickness (UNI), anatomic (ANA), and supported anatomic (SUP) designs. Each framework was layered with feldspathic porcelain (ZAC group) or indirect composite material (ZIC group). The specimens then underwent fracture load testing after thermal cycling and cyclic loading. In the ZAC group, mean fracture load was significantly lower for UNI design specimens than for the other framework designs. In the ZIC group, there was no significant difference in mean fracture load between ANA design specimens and either UNI or SUP design specimens. To improve fracture resistance of implant-supported zirconia-based prostheses after artificial aging, uniformly thick layering material and appropriate lingual support with zirconia frameworks should be provided.

Shear bond strength of a denture base acrylic resin and gingiva-colored indirect composite material to zirconia ceramics.

PURPOSE: To evaluate the shear bond strengths of two gingiva-colored materials (an indirect composite material and a denture base acrylic resin) to zirconia ceramics and determine the effects of surface treatment with various priming agents. METHODS: A gingiva-colored indirect composite material (CER) or denture base acrylic resin (PAL) was bonded to zirconia disks with unpriming (UP) or one of seven priming agents (n=11 each), namely, Alloy Primer (ALP), Clearfil Photo Bond (CPB), Clearfil Photo Bond with Clearfil Porcelain Bond Activator (CPB+Act), Metal Link (MEL), Meta Fast Bonding Liner (MFB), MR. bond (MRB), and V-Primer (VPR). Shear bond strength was determined before and after 5000 thermocycles. The data were analyzed with the Kruskal-Wallis test and Steel-Dwass test. RESULTS: The mean pre-/post-thermalcycling bond strengths were 1.0-14.1MPa/0.1-12.1MPa for the CER specimen and 0.9-30.2MPa/0.1-11.1MPa for the PAL specimen. For the CER specimen, the ALP, CPB, and CPB+Act groups had significantly higher bond strengths among the eight groups, at both 0 and 5000 thermocycles. For the PAL specimen, shear bond strength was significantly lower after thermalcycling in all groups tested. After 5000 thermocycles, bond strengths were significantly higher in the CPB and CPB+Act groups than in the other groups. CONCLUSIONS: For the PAL specimens, bond strengths were significantly lower after thermalcycling in all groups tested. The MDP functional monomer improved bonding of a gingiva-colored indirect composite material and denture base acrylic resin to zirconia ceramics.