Effect of several repair techniques on the bond strength between composite resin and degraded Y-TZP ceramic

Objective: To evaluate the bond strength of different repair treatments for composite resin to aged Y-TZP ceramics.  Material and Methods: Zirconia blocks were cut into smaller specimens, sintered according to manufacturer’s recommendations (final dimensions of 4×4×3 mm), and randomly allocated into...

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Veröffentlicht in:Brazilian dental science 2018-10, Vol.21 (4), p.377-385
Hauptverfasser: Wandscher, Vinícius Felipe, Brondani, Luana, Pereira, Gabriel Kalil Rocha, De Melo, Renata Marques
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Sprache:eng
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Zusammenfassung:Objective: To evaluate the bond strength of different repair treatments for composite resin to aged Y-TZP ceramics.  Material and Methods: Zirconia blocks were cut into smaller specimens, sintered according to manufacturer’s recommendations (final dimensions of 4×4×3 mm), and randomly allocated into nine groups (n=15) according to the surface treatment and presence/absence of aging of the substrate (subjected to low-temperature degradation - LTD), as follows: without LTD (Control: without treatment; TBS: tribochemical silica coating + silane + adhesive); with LTD (Control-LTD: without treatment; TBS-LTD: TBS with hydrothermal degradation; MoS-LTD: Monobond S + adhesive; MoP-LTD: Monobond Plus + adhesive; MZP-LTD: Metal/Zirconia Primer + adhesive; USB-LTD: Single Bond Universal; AP-LTD: Alloy primer + adhesive). LTD was simulated in an autoclave (134 °C, 2 bar, 5 h). The ceramic blocks were embedded in PVC cylinders with a self-curing acrylic resin; each surface treatment protocol was performed; a composite resin cylinder (Æ: 3.25 mm and height: 3 mm) was then build-up using split metallic matrices. All the specimens were aged (thermocycling + storage in water for 90 days) and subjected to the shear bond strength test using a universal testing machine (1 mm/min). The failure mode was classified into four types: adhesive, composite resin cohesive fracture, ceramic cohesive fracture, and mixed. The bond strength values were subjected to Mann–Whitney test. Results: Only air-abraded samples (TBS and TBS–LTD) survived thermocycling. More than 80% of the samples of the other groups presented pre-test failures. TBS groups presented higher values of bond strength (3.94) compared to TBS-LTD (0.96). The predominant type of failure for the surviving samples were adhesive. Conclusion: Air particle abrasion is mandatory to improve the bond strength of the Y-TZP substrate; an aged substrate presents an even more unfavorable scenario for adhesion.Keywords Dental prosthesis repair; Hydrothermal degradation; Zirconia; Shear bond strength; Sandblasting. 
ISSN:2178-6011
2178-6011
DOI:10.14295/bds.2018.v21i4.1596