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Dental Materials Supporting Your Practice

Exploring bonding effectiveness to zirconia ceramics

bigstock-Ceramic-Crown-With-Zirconia-Ba-7448283This summary is based on the article published in the Journal of Dental Research: Meta-analysis of Bonding Effectiveness to Zirconia Ceramics (April 2014)

M. Inokoshi, J. De Munck, S. Minakuchi, and B. Van Meerbeek

 

 

 

Context

  • Dental zirconia can no longer be considered unbondable to tooth tissue.
  • Different mechanical and chemical surface pre-treatments have been recommended to improve the bonding of composite cement to zirconia.
  • In today’s literature, multiple papers can be found reporting on bond strength measurements to zirconia; a large range of different pre-treatment methods has been tried out to ameliorate the bonding effectiveness to zirconia and its bond durability.

Purpose of the Review

  • The systematic collection of bond strength data on luting materials/techniques to zirconia, and, based thereupon,
  • The identification of the primary parameters that affect bond strength to zirconia, and
  • Disclosure of general trends in bond durability for the different approaches today available to bond to zirconia ceramics.

Key Findings

  • The combination of mechanical and chemical zirconia surface pre-treatments contributed to the durability of the bond of composite cements to zirconia ceramics.
  • The cement choice appeared less critical, as long as a composite cement was used for adhesive luting of zirconia ceramics.
  • When bonding effectiveness to zirconia was tested, a tensile test was more discriminative, particularly when combined with ‘water storage’ aging.

 

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1 Comment

  1. Aly Adatia August 27, 2014

    What surface treatments are recommended and supported by evidence to enhance the bond of indirect zirconia restorations to resin cements and to tooth structure?

    Reply

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