Bond Strength Between Resin Cement to High-Translucency Zirconia Following Sandblasting And Non-Thermal Plasma Treatment




Objective: The aim of this study was to compare the bond strength of High-Translucency zirconia (HT) and lithium disilicate dental ceramics, under different surface treatments. Material And Methods: For this, ceramics were divided into groups: Control Group (C) (n = 5), lithium disilicate sheets, conditioned with 10% hydrofluoric acid, followed by application of 37% phosphoric acid, silane and universal adhesive application; Group HTAI (n = 5), HT zirconia sheets were blasted with silica oxide, followed by the application of universal adhesive; Group HTPAI (n = 5), HT zirconia sheets were blasted with silica oxide, followed by the application of non-thermal plasma and universal adhesive and the HTP Group (n = 5), HT zirconia received only the application of non-thermal argon plasma. Subsequently, the specimens of each group were subjected to a cementation process with resin cement, obtaining cylinders. After 24 h of storage, in distilled water, at 37°C, the specimens were subjected to a mechanical micro-shear test. The data obtained were submitted to ANOVA One-way followed by the Tukey test (5%). Results: The HTP Group was excluded from the statistical analysis, as adhesions failed within the storage period. In addition, it was not possible to verify a statistical difference between the control group C and the experimental groups HTAI and HTPAI. Conclusion: The results showed that the applicability of high translucency zirconia can potentially be compared to the lithium disilicate bond strength, when submitted to the same surface treatments, except for the plasma application, which alone was not effective.


Lithium disilicate; Nonthermal plasma; Zirconia ceramic.


Duminis T, Shahid S, Karpukhina NG, Hill RG. Predicting refractive index of fluoride containing glasses for aesthetic dental restorations. Dental Materials. 2018;34(5):e83-e8.

Ahmad I. Protocols for predictable aesthetic dental restorations: John Wiley & Sons; 2008.

Mizrahi B. Aesthetic and biomechanical precision in complex cases. The Alpha Omegan. 2009;102(4):142-7.

Anusavice K. Degradability of dental ceramics. Advances in dental research. 1992;6(1):82-9.

Denry I, Holloway JA. Ceramics for dental applications: a review. Materials. 2010;3(1):351-68.

McLaren EA, Cao PT. Ceramics in dentistry—part I: classes of materials. Inside dentistry. 2009;5(9):94-103.

Shenoy A, Shenoy N. Dental ceramics: An update. Journal of conservative dentistry: JCD. 2010;13(4):195.

Valandro LF, Della Bona A, Bottino MA, Neisser MP. The effect of ceramic surface treatment on bonding to densely sintered alumina ceramic. The Journal of prosthetic dentistry. 2005;93(3):253-9.

Kern M, Sasse M, Wolfart S. Ten-year outcome of three-unit fixed dental prostheses made from monolithic lithium disilicate ceramic. The Journal of the American Dental Association. 2012;143(3):234-40.

Aboushelib MN, Sleem D. Microtensile bond strength of lithium disilicate ceramics to resin adhesives. J Adhes Dent. 2014;16(6):547-52.

Pilathadka S, Vahalová D, Vosáhlo T. The Zirconia: a new dental ceramic material. An overview. Prague Med Rep. 2007;108(1):5-12.

Kobayashi K, Kuwajima H, Masaki T. Phase change and mechanical properties of ZrO2-Y2O3 solid electrolyte after ageing. Solid State Ionics. 1981;3-4:489-93.

Tsukuma K, Ueda K, Shimada M. Strength and Fracture Toughness of Isostatically Hot-Pressed Composites of Al2O3 and Y2O3-Partially-Stabilized ZrO2. Journal of the American Ceramic Society. 1985;68(1):C‐4-C‐5.

Tsukuma K, Shimada M. Strength, fracture toughness and Vickers hardness of CeO2-stabilized tetragonal ZrO2 polycrystals (Ce-TZP). Journal of Materials Science. 1985;20(4):1178-84.

Manicone PF, Iommetti PR, Raffaelli L. An overview of zirconia ceramics: basic properties and clinical applications. Journal of dentistry. 2007;35(11):819-26.

Raut A, Rao PL, Ravindranath T. Zirconium for esthetic rehabilitation: an overview. Indian Journal of Dental Research. 2011;22(1):140.

Schmitt J, Wichmann M, Karl M, Göllner M, Lohbauer U, Hoist S. Surface characteristics of zirconia-based posterior restorations: clinical and scanning electron microscopic analysis. Journal of the Canadian Dental Association. 2011;77(2):111.

Casolco SR, Xu J, Garay JE. Transparent/translucent polycrystalline nanostructured yttria stabilized zirconia with varying colors. Scripta Materialia. 2008;58(6):516-9.

Bona AD, Anusavice KJ, Hood JA. Effect of ceramic surface treatment on tensile bond strength to a resin cement. International Journal of Prosthodontics. 2002;15(3).

Alves M, Campos F, Bergoli C, Bottino M, Özcan M, Souza R. Effect of adhesive cementation strategies on the bonding of Y-TZP to human dentin. Operative dentistry. 2016;41(3):276-83.

May LG, Passos SP, Capelli DB, Özcan M, Bottino MA, Valandro LF. Effect of silica coating combined to a MDP‐based primer on the resin bond to Y‐TZP ceramic. Journal of Biomedical Materials Research Part B: Applied Biomaterials. 2010;95(1):69-74.

Tsuo Y, Yoshida K, Atsuta M. Effects of alumina-blasting and adhesive primers on bonding between resin luting agent and zirconia ceramics. Dental materials journal. 2006;25(4):669-74.

Valverde GB, Coelho PG, Janal MN, Lorenzoni FC, Carvalho RM, Thompson VP, et al. Surface characterisation and bonding of Y-TZP following non-thermal plasma treatment. Journal of dentistry. 2013;41(1):51-9.

de Mendonça BC, Negreiros WM, Giannini M. Effect of aluminum oxide sandblasting, plasma application and their combination on the bond strength of resin cement to zirconia ceramics. Brazilian Dental Science. 2019;22(2):275-80.

Shimizu H, Inokoshi M, Takagaki T, Uo M, Minakuchi S. Bonding efficacy of 4-META/MMA-TBB resin to surface-treated highly translucent dental zirconia. J Adhes Dent. 2018;20:453-9.

da Silva BTF, Trevelin LT, de Sá Teixeira F, Salvadori MC, Cesar PF, Matos AB. Non-thermal plasma increase bond strength of zirconia to a resin cement. Brazilian Dental Science. 2018;21(2):210-9.

Soares CJ, Soares PV, Pereira JC, Fonseca RB. Surface treatment protocols in the cementation process of ceramic and laboratory‐processed composite restorations: a literature review. Journal of esthetic and restorative dentistry. 2005;17(4):224-35.

Soares CJ, Giannini M, Oliveira MTd, Paulillo LAMS, Martins LRM. Effect of surface treatments of laboratory-fabricated composites on the microtensile bond strength to a luting resin cement. Journal of Applied Oral Science. 2004;12(1):45-50.

Júnior VVBF, Dantas DCB, Bresciani E, Huhtala MFRL. Evaluation of the bond strength and characteristics of zirconia after different surface treatments. The Journal of prosthetic dentistry. 2018;120(6):955-9.

Lopes BB, Ayres APA, Lopes LB, Negreiros WM, Giannini M. The effect of atmospheric plasma treatment of dental zirconia ceramics on the contact angle of water. Applied Adhesion Science. 2014;2(1):17.

Pozzobon JL, Pereira GKR, Wandscher VF, Dorneles LS, Valandro LF. Mechanical behavior of yttria-stabilized tetragonal zirconia polycrystalline ceramic after different zirconia surface treatments. Materials Science and Engineering: C. 2017;77:828-35.

Eliezer S, Eliezer Y. The Fourth State of Matter: An Introduction to Plasma Science, 2nd Edition: CRC Press; 2001.

Sarmento HR, Campos F, Sousa RS, Machado JP, Souza RO, Bottino MA, et al. Influence of air-particle deposition protocols on the surface topography and adhesion of resin cement to zirconia. Acta Odontologica Scandinavica. 2014;72(5):346-53.

Rosen MR, MR R. From treating solution to filler surface and beyond. The life history of a silane coupling agent. 1978.






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