Nasr Dina M, Matinlinna Jukka P, Silikas Nikolaos, Elraggal Alaaeldin
Conservative Dentistry Department, Faculty of Dentistry, Alexandria University, Alexandria, Egypt.
Division Dentistry, School of Medical Sciences, Faculty of Biology, Medicine, and Health, The University of Manchester, Manchester, M13 9PL, UK.
Odontology. 2025 Apr;113(2):693-705. doi: 10.1007/s10266-024-01007-y. Epub 2024 Nov 29.
Ultra-translucent zirconia has gained popularity in restorative dentistry due to its excellent esthetic properties and high strength. Surface treatment methods play a crucial role in optimizing the bond between zirconia and enamel. This laboratory study aimed to investigate the influence of acid-etching solution on the surface properties of ultra-translucent zirconia and its subsequent shear bond strength to enamel. Thirty-six ultra-translucent zirconia disks were divided into three groups (n = 12): as-sintered (C) as the control group, airborne-particle-abraded (AB), and acid-etched with Zircos-E etching solution (ZE). Surface topography, roughness, and phase composition were assessed using scanning electron microscopy (SEM), confocal laser scanning microscopy (CLSM), and X-Ray diffraction analysis (XRD), respectively. The remaining disks were bonded to enamel using resin cement, and shear bond strength (SBS) was tested after 10,000 thermo-cycles between 5℃ and 55℃. Data were statistically analyzed using one-way ANOVA (α = 0.05). ZE induced higher surface roughness compared to AB, with a more stable crystalline structure. ZE group exhibited the highest SBS (22.48 ± 2.97 MPa), followed by AB (16.72 ± 2.52 MPa), while C group had the lowest SBS (7.55 ± 2.73 MPa). ZE solution demonstrated enhanced surface properties and higher shear bond strengths to human enamel compared to conventional airborne-particle abrasion. This finding highlights the potential of acid-etching solutions in improving the bond between ultra-translucent zirconia and enamel in restorative dentistry applications.
由于其出色的美学性能和高强度,超透明氧化锆在修复牙科领域越来越受欢迎。表面处理方法在优化氧化锆与牙釉质之间的粘结方面起着至关重要的作用。本实验室研究旨在探讨酸蚀溶液对超透明氧化锆表面性能及其随后与牙釉质的剪切粘结强度的影响。将36个超透明氧化锆圆盘分为三组(n = 12):作为对照组的烧结态(C)、空气颗粒磨损(AB)以及用Zircos-E蚀刻溶液酸蚀(ZE)。分别使用扫描电子显微镜(SEM)、共聚焦激光扫描显微镜(CLSM)和X射线衍射分析(XRD)评估表面形貌、粗糙度和相组成。其余圆盘使用树脂粘结剂粘结到牙釉质上,并在5℃至55℃之间进行10000次热循环后测试剪切粘结强度(SBS)。数据使用单因素方差分析进行统计学分析(α = 0.05)。与AB相比,ZE诱导出更高的表面粗糙度,且晶体结构更稳定。ZE组表现出最高的SBS(22.48±2.97MPa),其次是AB(16.72±2.52MPa),而C组的SBS最低(7.55±2.73MPa)。与传统的空气颗粒磨损相比,ZE溶液表现出增强的表面性能和对人牙釉质更高的剪切粘结强度。这一发现突出了酸蚀溶液在修复牙科应用中改善超透明氧化锆与牙釉质之间粘结的潜力。