Abstract
Objective: To analyze surface treatment protocols for improved bond strength to zirconia ceramics among the various types of surface treatment available. Methods: This is an integrative literature review, with articles published between 2013 and 2023, available in English and in full text. The search was carried out in the Pubmed database, using the descriptors “zirconia", “surface treatment”, “bond strength", “resin cements” and “cementation”, combined by the Boolean operator “AND”. Results: 17 articles were selected after applying the inclusion and exclusion criteria. The treatments analyzed were classified as mechanical (particle blasting abrasion, Rocatec, Siljet, Cojet systems and lasers) and chemical (selective infiltration etching, hydrofluoric acid solutions and primers/silanes containing MDP). Blasting abrasion increased the free energy of the surface and improved adhesion, although it can cause embrittlement. Systems such as Rocatec, Siljet and Cojet promoted good micromechanical retention with silica. Lasers did not demonstrate significant improvement, and selective infiltration etching was effective without causing fractures. HF solutions and primers/silanes showed unsatisfactory performance. Final considerations: Although there is no universal protocol, specific techniques can improve long-term bond strength.
References
ABDULLAH AO, et al. Effect of repeated laser surface treatments on shear bond strength between zirconia and veneering ceramic. The Journal of Prosthetic Dentistry, 2020, 123(2):338. e1–6.
ATOCHE-SOCOLA KJ, et al. Microshear bond strength of dual-cure resin cement in zirconia after different cleaning techniques: an in vitro study. The Journal of Advanced Prosthodontics, 2021; 13(4): 237.
BITENCOURT S, et al. Effect of laser irradiation on bond strength between zirconia and resin cement or veneer ceramic: A systematic review and meta-analysis. The Journal of Indian Prosthodontic Society. 2021;21(2):125.
DEEB JG, et al. Evaluation of Er:YAG and Er,Cr:YSGG laser irradiation for the debonding of prefabricated zirconia crowns. Advances in Clinical and Experimental Medicine, 2021 ;30(1):7–15.
FUSHIKI R, et al. Long-term Bond Strength between Layering Indirect Composite Material and Zirconia Coated with Silica based Ceramics. The Journal Of Adhesive Dentistry, 2015; 17(3):273–81.
GOYATA F, et al.. Effect of surface treatments with acid solutions on the surface roughness of an Yttrium-Tetragonal Zirconia Polycrystal. Journal of Clinical and Experimental Dentistry, 2018; 1.
GRASEL R, et al. Effect of Resin Luting Systems and Alumina Particle Air Abrasion on Bond Strength to Zirconia. Operative Dentistry. 2018; 1;43(3):282–90.
KUMAR R, et al. Effect of Surface Treatment of Zirconia on the Shear Bond Strength of Resin Cement: A Systematic Review and Meta-Analysis. Curēus, 2023; 15(9):e45045
PAPIA E, et al. Bonding between oxide ceramics and adhesive cement systems: A systematic review. Journal of Biomedical Materials Research Part B: Applied Biomaterials, 2013;102(2):395–413.
PERDIGÃO J, et al. Effect of Artificial Aging and Surface Treatment on Bond Strengths to Dental Zirconia. Operative Dentistry, 2013; 38(2): 168–76.
RUSSO DS, et al. Adhesion to Zirconia: A Systematic Review of Current Conditioning Methods and Bonding Materials. Dentistry Journal. 2019; 7(3): 74.
SAADE J, et al. Effect of different combinations of surface treatment on adhesion of resin composite to zirconia. Clinical, Cosmetic and Investigational Dentistry, 2019; 11:119–29.
SAADE J, et al. Evaluation Of The Effect Of Different Surface Treatments, Aging And Enzymatic Degradation On Zirconia-Resin Micro-Shear Bond Strength. Clinical, Cosmetic And Investigational Dentistry, 2020; 12:1-8.
SAMIMI P, et al. Effect of adhesive resin type for bonding to zirconia using two surface pretreatments. J Adhes Dent, 2015; 17(4): 353-359
TANIŞ MÇ, et al. Effect of selective infiltration etching on the bond strength between zirconia and resin luting agents. Journal Of Esthetic And Restorative Dentistry, 2018; 31(3):257–262.
TZANAKAKIS EGC, et al. Is there a potential for durable adhesion to zirconia restorations? A systematic review. The Journal of Prosthetic Dentistry, 2016; 115(1):9–19.
VALVERDE GB, et al. Surface characterisation and bonding of Y-TZP following non-thermal plasma treatment. Journal of Dentistry, 2013; 41(1):51–59.
YAVUZ T, et al. Effect of Different Surface Treatments on Porcelain-Resin Bond Strength. Journal of Prosthodontics; 2015; 26(5): 446–454.
ZAHRAN M, et al. Fracture load of ultrathin occlusal veneers: Effect of thickness and surface conditioning. Journal of the mechanical behavior of biomedical materials, 2023; 145: e106030.
ZENS MA, et al. A new approach for Y-TZP surface treatment: evaluations of roughness and bond strength to resin cement: evaluations of roughness and bond strength to resin cement. Journal Of Applied Oral Science, 2019; 27: 1-8.
