Saade Jihad, Skienhe Hasan, Ounsi Hani F, Matinlinna Jukka P, Salameh Ziad
Department of Prosthodontics, Faculty of Dental Medicine, Lebanese University, Beirut, Lebanon.
Department of Restorative Dentistry and Endodontics, Faculty of Dental Medicine, Lebanese University, Beirut, Lebanon.
Clin Cosmet Investig Dent. 2020 Jan 6;12:1-8. doi: 10.2147/CCIDE.S219705. eCollection 2020.
The purpose of this study was to evaluate the effect of surface treatments on zirconia-resin bonding and the effect of aging on bond durability for one year.
Three hundred and twenty zirconia blocks were divided into 4 equal study groups. Group 1 (control): as-sintered, group 2: (GB): grit-blasted, group 3: (LAS): laser-etched, group 4: (SIE): selective infiltration etching. Composite cylinders were bonded to the zirconia with resin cement and ceramic primer. Aging was performed following 3 different aging protocols: thermocycling, storage in distilled water, or storage in an enzymatic esterase solution. Micro-shear bond strength test (μSBS) was recorded using a universal testing machine. μSBS values were analyzed using two-way Analysis of Variance followed by Tukey post-hoc tests. Level of significance was set at 0.05.
GB, LAS and SIE groups showed significantly higher values when compared to control. Groups GB, LAS and SIE reported a significant decrease up to 50% in μSBS after water storage and enzymatic degradation, while control group reported a 90% decrease. Failure analysis showed mainly adhesive failure for control group, while the percentage of cohesive failure in resin cement was higher in SIE group compared to GB and LAS groups.
Water aging and esterase solutions played a significant role by increasing bond degradation. A minimum of one-year water and esterase storage medium should be used to evaluate the durability of the bond between resin cement and zirconia.
本研究旨在评估表面处理对氧化锆-树脂粘结的影响以及老化对粘结耐久性的影响,为期一年。
将320个氧化锆块分为4个相等的研究组。第1组(对照组):烧结态,第2组:(GB)喷砂处理,第3组:(LAS)激光蚀刻,第4组:(SIE)选择性渗透蚀刻。用树脂粘结剂和陶瓷底漆将复合圆柱体粘结到氧化锆上。按照3种不同的老化方案进行老化处理:热循环、在蒸馏水中储存或在酶促酯酶溶液中储存。使用万能试验机记录微剪切粘结强度测试(μSBS)。μSBS值采用双向方差分析,随后进行Tukey事后检验进行分析。显著性水平设定为0.05。
与对照组相比,GB组、LAS组和SIE组的值显著更高。GB组、LAS组和SIE组在水储存和酶促降解后,μSBS显著下降高达50%,而对照组下降了90%。失效分析表明,对照组主要为粘结失效,而SIE组树脂粘结剂中的内聚破坏百分比高于GB组和LAS组。
水老化和酯酶溶液通过增加粘结降解发挥了重要作用。应使用至少一年的水和酯酶储存介质来评估树脂粘结剂与氧化锆之间粘结的耐久性。