Advances in Bonding Technology for Zirconia Ceramic Restorations
DOI:
https://doi.org/10.6919/ICJE.202505_11(5).0009Keywords:
Zirconia Ceramics; Adhesive Properties; Surface Treatment.Abstract
Zirconia ceramics have been extensively employed in clinical restorative treatment because of their unique biocompatibility and aesthetic properties. This material not only possesses excellent optical and mechanical properties but also demands a reliable bonding effect for better clinical application. Owing to its chemical inertness, the bonding effect of zirconia ceramics is inferior to that of silicate-based ceramic materials. Since the bonding performance of the material is directly related to the long-term efficacy of the restorations, the enhancement of zirconia ceramic restoration bonding has become an active area of research in recent years. Following the optimization of bonding resins and the continuous improvement of bonding technologies in recent years, the bonding of zirconia ceramic materials has been significantly enhanced. This paper reviews the selection of bonding agents for zirconia ceramic restorations, the surface treatment of zirconia ceramic materials, and the treatment of the bonding surface of the dentin, aiming to provide a basis for its clinical research and application.
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[1] CHĘCIŃSKA K, CHĘCIŃSKI M, SIKORA M, et al. The effect of zirconium dioxide (ZrO₂) nanoparticles addition on the mechanical parameters of polymethyl methacrylate (PMMA): A systematic review and meta-analysis of experimental studies[J]. Polymers, 2022, 14(5):1047.
[2] DU Q, CUI T, NIU G, et al. Improving bond strength of translucent zirconia through surface treatment with SiO₂-ZrO₂ coatings[J]. Operative Dentistry, 2023, 48(6): 666-676.
[3] KUNRATH M F, GUPTA S, LORUSSO F, et al. Oral tissue interactions and cellular response to zirconia implant-prosthetic components: A critical review[J]. Materials, 2021, 14(11):2825.
[4] Fan G R, Su H J, Zhang, J., et al. Research progress on the reliability, preparation technology and clinical applications of zirconia ceramics for dental use[J]. Journal of the Chinese Ceramic Society, 2018, 46(9): 1263-1272.
[5] Xuan L, Xu Y W. The effects of service environment on the reliability and fatigue performance of dental zirconia ceramics[J]. Journal of Practical Stomatology, 2021, 37(6): 749-752
[6] Zhou Y G, Dong B, Yue X W, et al. Micro-scale grinding force of dental zirconia ceramics[J]. Journal of Northeastern University Natural Science, 2020, 41(4): 557-562.
[7] LIU C, ESER A, ALBRECHT T, et al. Strength characterization and lifetime prediction of dental ceramic materials[J]. Dental Materials, 2021, 37(6): 94-105.
[8] ÖZCAN M, BERNASCONI M. Adhesion to zirconia used for dental restorations: a systematic review and meta-analysis[J]. The Journal of Adhesive Dentistry, 2015, 17(1): 7-26.
[9] SADOWSKY S J. Has zirconia made a material difference in implant prosthodontics? A review[J]. Dental Materials, 2020, 36(1): 1-8.
[10] Zhong J J. Preparation and properties of zirconia-based flexible ceramic fibers[D]. Wuhan: Wuhan Textile University, 2023.
[11] Sun J W. Study on the bonding performance of self-adhesive resin cement clearfil SA luting[D]. Xi'an: The Fourth Military Medical University (now Air Force Medical University), 2011.
[12] Xiao, N. Comparative study on the effect of polydopamine composite coating on the bond strength of zirconia ceramic[D]. Jiamusi: Jiamusi University, 2018.
[13] SERICHETAPHONGSE P, CHITSUTHEESIRI S, CHENGPRAPAKORN W. Comparison of the shear bond strength of composite resins with zirconia and titanium using different resin cements[J]. Journal of Prosthodontic Research, 2022, 66(1): 109-116.
[14] LIU J F, YANG C C, LUO J L, et al. Bond strength of self-adhesive resin cements to a high transparency zirconia crown and dentin[J]. Journal of Dental Sciences, 2022, 17(2): 973-983.
[15] Wang T, Li G H. Effects of three types of adhesives on microleakage and fit of IPS e.max CAD all-ceramic crowns[J]. Beijing Journal of Stomatology, 2018, 26(3): 153-156.
[16] Zhang Y M, Yang Q X, Wang Y, et al. Effects of resin-reinforced glass ionomer cement coating method on the cementation between dental implant abutment and zirconium crown [J]. Chinese Journal of Dental Materials and Devices, 2018, 27(2): 79-84.
[17] Wang L, Guo X, Wei T J, et al. Effect of three kinds of resin adhesives on the adhesive strength of pure alumina[J]. Progress in Modern Biomedicine, 2018, 18(21): 4065-4068.
[18] Li L, Xiang J Z, Ma Y L. Effect of different resin adhesives on the bond strength and edge microleakage of IPS e.max CAD all-ceramic crown [J]. Journal of Bengbu Medical College, 2020, 45(1): 78-80, 84.
[19] Pan L P. Comparison of bond strength and marginal microleakage of different adhesives for zirconia crowns[J]. Renowned Doctor, 2022, (20): 57-59.
[20] Zhang X Y. Effects of different sandblasting pressures on the mechanical properties and bonding strength of transparent zirconia[D]. Jinan: Shandong University, 2020.
[21] KIM H K, YOO K W, KIM S J, et al. Phase transformations and subsurface changes in three dental zirconia grades after sandblasting with various Al₂O₃ particle sizes[J]. Materials, 2021, 14(18):5321.
[22] INOKOSHI M, SHIMIZUBATA M, NOZAKI K, et al. Impact of sandblasting on the flexural strength of highly translucent zirconia[J]. Journal of the Mechanical Behavior of Biomedical Materials, 2021, 115: 104268.
[23] Li X, Su N C, Liao, Y M, et al. Effect of different conditions of sandblasting on surface loss of dental zirconia [J]. Stomatology, 2017, 37(1): 28-32.
[24] KIM M, KIM R H, LEE S C, et al. Evaluation of tensile bond strength between self-adhesive resin cement and surface-pretreated zirconia[J]. Materials, 2022, 15(9): 3089.
[25] LEE M H, SON J S, KIM K H, et al. Improved resin-zirconia bonding by room temperature hydrofluoric acid etching[J]. Materials, 2015, 8(3): 850-866.
[26] Wei M, Zhu H, Liang Z R, et al. The effects of different hot acid solution etching treatment on the bonding strength and the flexural strength of zirconia [J]. Journal of Practical Stomatology, 2022, 38(4): 445-449.
[27] SRIAMPORN T, THAMRONGANANSKUL N, BUSABOK C, et al. Dental zirconia can be etched by hydrofluoric acid[J]. Dental Materials Journal, 2014, 33(1): 79-85.
[28] SMIELAK B, KLIMEK L. Effect of hydrofluoric acid concentration and etching duration on select surface roughness parameters for zirconia[J]. The Journal of Prosthetic Dentistry, 2015, 113(6): 596-602.
[29] Hu Z B, Shan G H, Yang W L. Effects of surface treatment on the bond strength of transparent zirconia [J]. Chinese Journal of Prosthodontics, 2024, 25(2): 136-140.
[30] AL-TAEE L, BANERJEE A, DEB S. In-vitro adhesive and interfacial analysis of a phosphorylated resin polyalkenoate cement bonded to dental hard tissues[J]. Journal of Dentistry, 2022, 118: 104050.
[31] Lu J C, Xie H F, Zhang F M., et al. Establishment and mechanisms of chemical interaction between phosphate monomer and zirconia model [J]. West China Journal of Stomatology, 2017, 35(2): 145-149.
[32] Chen Y, Xie H F, Qian M K, et al. Bonding improvement and micro-leakage evaluation of zirconia to resin via MDP conditioning [J]. Stomatology, 2017, 37(9): 774-777.
[33] Liu F Xie, X F, Zhang R X, et al. Effects of10-methacryloxy decyldihydrogen phosphate-conditioned adhesive in improving the bonding strength and marginal sealing of zirconia ceramics and resin [J]. Chinese Journal of General Practice, 2022, 20(6): 937-940
[34] Zhang M Q. Effects of different surface treatments on the bond strength and durability of zirconia ceramic and resin cement[D]. Changchun: Jilin University, 2023.
[35] ALTAN B, CINAR S, TUNCELLI B. Evaluation of shear bond strength of zirconia-based monolithic CAD-CAM materials to resin cement after different surface treatments[J]. Nigerian Journal of Clinical Practice, 2019, 22(11): 1475-1482.
[36] DE FIGUEIREDO V M G, SILVA A M, MASSI M, et al. Effect of the nanofilm-coated zirconia ceramic on resin cement bond strength[J]. Journal of Dental Research, Dental Clinics, Dental Prospects,2022, 16(2):170-178.
[37] CHEUNG G J, BOTELHO M G. Zirconia surface treatments for resin bonding[J]. The Journal of Adhesive Dentistry, 2015, 17(6): 551-558.
[38] SAADE J, SKIENHE H, OUNSI H F, et al. Evaluation of the effect of different surface treatments, aging and enzymatic degradation on zirconia-resin micro-shear bond strength[J]. Clinical, Cosmetic and Investigational Dentistry, 2020, 12: 1-8.
[39] Lu Z, Qin S, Liu H. Research progress on the application of low-temperature plasma in stomatology[J]. Chinese Journal of Geriatric Dentistry ,2019, 17(5): 304-307, 318.
[40] Jiang Y L. Effects of different plasma treatments on the bonding performance of zirconia[D]. Dalian: Dalian Medical University, 2022.
[41] LIU T, HONG L, HOTTEL T, et al. Non-thermal plasma enhanced bonding of resin cement to zirconia ceramic[J]. Clinical Plasma Medicine, 2016, 4(2): 50-55.
[42] VALVERDE G B, COELHO P G, JANAL M N, et al. Surface characterisation and bonding of Y-TZP following non-thermal plasma treatment[J]. Journal of Dentistry, 2013, 41(1): 51-59.
[43] PARANHOS M P, BURNETT L H Jr, MAGNE P. Effect of Nd:YAG laser and CO₂ laser treatment on the resin bond strength to zirconia ceramic[J]. Quintessence International, 2011, 42(1): 79-89.
[44] LIU L, LIU S, SONG X, et al. Effect of Nd:YAG laser irradiation on surface properties and bond strength of zirconia ceramics[J]. Lasers in Medical Science, 2015, 30(2): 627-634.
[45] TZANAKAKIS E G, DIMITRIADI M, TZOUTZAS I, et al. Effect of water storage on hardness and interfacial strength of resin composite luting agents bonded to surface-treated monolithic zirconia[J]. Dentistry Journal, 2021, 9(7):78.
[46] Du Q, Niu G. Effect of laser and coating surface treatment on the bond strength of zirconia ceramics [J]. West China Journal of Stomatology, 2024, 42(3): 359-364.
[47] ESTEVES-OLIVEIRA M, JANSEN P, WEHNER M, et al.Surface characterization and short-term adhesion to zirconia after ultra-short pulsed laser irradiation[J].The journal of adhesive dentistry,2016,18(5):483-492
[48] YILMAZ-SAVAS T, DEMIR N, OZTURK A N, et al. Effect of different surface treatments on the bond strength of lithium disilicate ceramic to the zirconia core[J]. Photomedicine and Laser Surgery, 2016, 34(6): 236-243.
[49] VICENTE PRIETO M, GOMES A L C, MONTERO MARTÍN J, et al. The effect of femtosecond laser treatment on the effectiveness of resin-zirconia adhesive: an in vitro study[J]. Journal of Lasers in Medical Sciences, 2016, 7(4): 214-219.
[50] YE Q, ZHOU F, LIU W. Bioinspired catecholic chemistry for surface modification[J]. Chemical Society Reviews, 2011, 40(7): 4244-4258.
[51] MULYATI S, MUCHTAR S, ARAHMAN N, et al. Two-step dopamine-to-polydopamine modification of polyethersulfone ultrafiltration membrane for enhancing anti-fouling and ultraviolet resistant properties[J]. Polymers, 2020,12(9):2051.
[52] Liu Y H, Liu D, Wang Y, et al. Research progress of the surface modification by dopamine in medical field[J]. Surface Technology, 2022, 51(11): 164-173.
[53] Xiao N, Hou Y Z, Hou Y. Effect of polydopamine on the shear bond strength of zirconia ceramic [J]. Beijing Journal of Stomatology, 2018, 26(6): 323-326.
[54] Wang X F. Fundamental study on the effect of bonding surface coating on the bond strength of zirconia ceramics[D]. Nanjing: Nanjing Medical University, 2011.
[55] Li B C. Research on polydopamine functional coatings and nanoparticles for biomedical applications[D]. Hangzhou: Zhejiang University, 2018
[56] LEE S B, GONZÁLEZ-CABEZAS C, KIM K M, et al. Catechol-functionalized synthetic polymer as a dental adhesive to contaminated dentin surface for a composite restoration[J]. Biomacromolecules, 2015, 16(8): 2265-2275.
[57] LEE H A, PARK E, LE H. Polydopamine and its derivative surface chemistry in material science: a focused review for studies at KAIST[J]. Advanced Materials, 2020, 32(35): e1907505.
[58] KROGSGAARD M, NUE V, BIRKEDAL H. Mussel-inspired materials: self-healing through coordination chemistry[J]. Chemistry, 2016, 22(3): 844-857.
[59] Li M, Hua C G, Jiang L. Research progress on new technology for improving adhesion properties of zirconia ceramics [J]. International Journal of Stomatology, 2021, 48(4): 485-490.
[60] ALI N, SAFWAT A, ABOUSHELIB M. The effect of fusion sputtering surface treatment on microshear bond strength of zirconia and MDP-containing resin cement[J]. Dental Materials, 2019, 35(6): e107-e112.
[61] OĞUZ E, ÖZGÜR M E, SUNGUR S, et al. Impact of multiple firings and resin cement type on shear bond strength between zirconia and resin cements[J]. The Journal of Advanced Prosthodontics, 2020, 12(4): 197-203.
[62] Yin L, Cheng Q H, Chen Z, et al. Study on the influence of 3D printing zirconia patterned design and surface pretreatment methods on adhesive performance [J]. Chinese Journal of Practical Stomatology, 2024, 17(6): 684-690.
[63] Zhang J, Zhang Y, Lv X, et al. The effect of air abrasion on dentin-resin adhesive system [J]. Journal of Practical Stomatology, 2004, 20(4): 472-474.
[64] Ma H W, Wang J H, Liu Z J. Research progress on filling treatment of wedge-shaped defects [J]. Stomatology, 2018, 38(3): 285-288.
[65] Jiang B L, Huang C. Influence of different etching modes on bonding effects of universal adhesives[J]. Journal of Oral Science Research, 2022, 38(11): 1018-1021.
[66] ALRAHLAH A, NIAZ M O, ABRAR E, et al. Treatment of caries affected dentin with different photosensitizers and its effect on adhesive bond integrity to resin composite[J]. Photodiagnosis and Photodynamic Therapy, 2020, 31: 101865.
[67] Yang C, Miao Y. Analysis of adhesive performance of different types of dental restorations[J]. Inner Mongolia Medical Journal, 2024, 56(2): 205-208.
[68] LIBER-KNEĆ A, ŁAGAN S.Surface testing of dental biomaterials-determination of contact angle and surface free energy[J].Materials (Basel, Switzerland),2021, 14(11):2716.
[69] JOKSTAD A, BAYNE S, BLUNCK U, et al. Quality of dental restorations: FDI Commission Project 2-95[J]. International Dental Journal, 2001, 51(3): 117-158.
[70] Zhu G R S, Tian Y M, Zhang Z T, et al. Effect of subpressure technique on total-etching dentin bonding [J]. Beijing Journal of Stomatology, 2017, 25(1): 11-14.
[71] Wang H M, Zhu Y L, Yang Y B, et al. Research progress in the effect of EDTA pretreatment of dentin on self-etching bonding [J]. Chinese Journal of Practical Stomatology, 2021, 14(3): 370-373.
[72] ALCÁNTARA-OBISPO E, SANTANDER-RENGIFO F, LADERA-CASTAÑEDA M, et al. Adhesive strength in dentin conditioned with 18% ethylenediaminetetraacetic acid versus 35% phosphoric acid: in vitro study with 1-year artificial aging[J]. Polymers, 2022, 14(20): 1234.
[73] Zhang Y, Huang Y, Pang Y Y, et al. Biomimetic remineralization of infected demineralized dentin using procyanidins to simulate the biological function of glycosaminoglycans[C]//Proceedings of the 14th National Academic Conference on Dental Caries and Endodontics. Tianjin: Tianjin Medical University Stomatological Hospital, 2022: 159-161.
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