Effect of Air Abrasion Particle Size on Shear Bond Strength of Ultra-translucent Monolithic Zirconia after Artificial Aging: An In Vitro Study
Amgad M Abdultawab, Shereen A Amin, Ahmed N Abdelaziz
Keywords :
Air abrasion, Computer-aided design/computer-aided manufacturing, Dental bonding, Shear bond strength, Surface roughness, Ultra-translucent zirconia
Citation Information :
Abdultawab AM, Amin SA, Abdelaziz AN. Effect of Air Abrasion Particle Size on Shear Bond Strength of Ultra-translucent Monolithic Zirconia after Artificial Aging: An In Vitro Study. Int J Prosthodont Restor Dent 2024; 14 (4):208-217.
Purpose: To explore the influence of air abrasion using alumina particles in two distinct sizes (50 and 110 μm) on the bonding strength and surface characteristics of ultra-translucent zirconia bonded to enamel.
Materials and methods: Twenty-eight disk specimens were created from ultra-translucent, multilayered Katana zirconia using computer-aided design/computer-aided manufacturing (CAD/CAM) milling. The samples were divided into two groups, each containing 14 specimens (n = 14): group A, which was treated with 50 μm alumina particles, and group B, treated with 110 μm alumina particles. Surface roughness was evaluated using a profilometer after surface preparation. Prior to aging, scanning electron microscopy (SEM) and energy-dispersive X-ray spectroscopy (EDX) analyses were performed. To replicate approximately 15 years of intraoral use, the specimens were autoclaved for 5 hours at 134°C and 2 bars of pressure. Duo-Link Universal adhesive cement was used to bond the specimens to enamel. After artificial aging, shear bond strength tests were conducted along with SEM and EDX analyses. Fracture patterns were examined using a digital light microscope. Group comparisons were evaluated through the Mann–Whitney U test. Categorical variables were expressed as counts and percentages, with the Chi-squared test employed to analyze differences between groups.
Results: The shear bond strength demonstrated no statistically significant difference between group A (15.03 ± 2.77 MPa) and group B (13.99 ± 2.76 MPa), as indicated by a p-value of 0.33. However, group A exhibited significantly lower surface roughness (0.93 ± 0.04 μm) compared to group B (0.96 ± 0.02 μm) (p = 0.03). SEM of the 50 μm zirconia specimen showed a small porous, irregular surface texture with small microretentive areas and defective crack areas, while EDX revealed a higher percentage of zirconium oxide concentration (ZrO2). In contrast, the 110 μm zirconia specimen showed large porous, irregular surface texture with defective crack areas in SEM, and EDX revealed a higher percentage of other oxides. SEM of the debonded group A and group B specimens showed cement traces spreading homogeneously over the surface with detached areas. The predominant failure modes were mixed.
Conclusion: Sandblasting with 50 μm alumina particles results in bond strength comparable to that achieved with 110 μm particles, with no significant difference in performance. Both particle sizes increase surface roughness and primarily produce mixed failure modes.
Zarone F, Russo S, Sorrentino R. From porcelain fused to metal to zirconia: clinical and experimental considerations. Dent Mater 2011;27:83–96. DOI: 10.1016/j.dental.2010.10.024
Rinke S, Fischer C. Range of indications for translucent zirconia modifications: clinical and technical aspects. Quintessence Int 2013;44:557–566. DOI: 10.3290/j.qi.a29937
Zhang Y. Making yttria-stabilized tetragonal zirconia translucent. Dent Mater 2014;30:1195–1203. DOI: 10.1016/j.dental.2014.08.375
Inokoshi M, Shimizu H, Nozaki K, et al. Crystallographic and morphological analysis of sandblasted highly translucent dental zirconia. Dent Mater 2018;34:508–518. DOI: 10.1016/j.dental.2017.12.008
Kontonasaki E, Giasimakopoulos P, Rigos AE. Strength and aging resistance of monolithic zirconia: an update to current knowledge. Jpn Dent Sci Rev 2020;56:1–23. DOI: 10.1016/j.jdsr.2019.09.002
Souza R, Barbosa F, Araújo G, et al. Ultrathin monolithic zirconia veneers: reality or future? Report of a clinical case and one-year follow-up. Oper Dent 2018;43:3–11. DOI: 10.2341/16-350-T
Thompson JY, Stoner BR, Piascik JR, et al. Adhesion/cementation to zirconia and other non-silicate ceramics: where are we now? Dent Mater 2011;27:71–82. DOI: 10.1016/j.dental.2010.10.022
Luthra R, Kaur P. An insight into current concepts and techniques in resin bonding to high strength ceramics. Aust Dent J 2016;61:163–173. DOI: 10.1111/adj.12365
Tzanakakis EG, Tzoutzas IG, Koidis PT. Is there a potential for durable adhesion to zirconia restorations? A systematic review. J Prosthet Dent 2016;115:9–19. DOI: 10.1016/j.prosdent.2015.09.008
Kern M. Bonding to oxide ceramics-laboratory testing versus clinical outcome. Dent Mater 2015;31:4–18. DOI: 10.1016/j.dental.2014.06.007
Ozcan M, Bernasconi M. Adhesion to zirconia used for dental restorations: a systematic review and meta-analysis. J Adhes Dent 2015;17:7–26. DOI: 10.3290/j.jad.a33525
Thammajaruk P, Inokoshi M, Chong S, et al. Bonding of composite cements to zirconia: a systematic review and meta-analysis of in vitro studies. J Mech Behav Biomed Mater 2018;80:258–268. DOI: 10.1016/j.jmbbm.2018.02.008
Hallmann L, Ulmer P, Reusser E, et al. Effect of blasting pressure, abrasive particle size and grade on phase transformation and morphological change of dental zirconia surface. Surf Coatings Technol 2012;206:4293–4302. DOI: 10.1016/j.surfcoat.2012.04.043
Scaminaci Russo D, Cinelli F, Sarti C, et al. Adhesion to zirconia: a systematic review of current conditioning methods and bonding materials. Dent J (Basel) 2019;7:74. DOI: 10.3390/dj7030074
Ågren M, Kou W, Molin Thorén M. Bond strength of surface-treated novel high translucent zirconia to enamel. Biomater Investig Dent 2019;6(1):35–42. DOI: 10.1080/26415275.2019.1684200
Hummel M, Kern M. Durability of the resin bond strength to the alumina ceramic Procera. Dent Mater 2004;20:498–508. DOI: 10.1016/j.dental.2003.10.014
Monteiro RV, Dos Santos DM, Bernardon JK, et al. Effect of surface treatment on the retention of zirconia crowns to tooth structure after aging. J Esthet Restor Dent 2020;32(7):699–706. DOI: 10.1111/jerd.12623
Tsuo Y, Yoshida K, Atsuta M. Effects of alumina-blasting and adhesive primers on bonding between resin luting agent and zirconia ceramics. Dent Mater J 2006;25:669–674. DOI: 10.4012/dmj.25.669
Zhang Y, Lawn BR, Rekow ED, et al. Effect of sandblasting on the long-term performance of dental ceramics. J Biomed Mater Res B Appl Biomater 2004;71:381–386. DOI: 10.1002/jbm.b.30097
Zhang Y, Lawn BR, Malament KA, et al. Damage accumulation and fatigue life of particle-abraded ceramics. Int J Prosthodont 2006;19:442–448. PMID: 17323721.
Yoshida K. Influence of alumina air-abrasion for highly translucent partially stabilized zirconia on flexural strength, surface properties, and bond strength of resin cement. J Appl Oral Sci 2020;28:e20190371. DOI: 10.1590/1678-7757-2019-0371
Ismail AM, Bourauel C, ElBanna A, et al. Micro versus macro shear bond strength testing of dentin-composite interface using chisel and wireloop loading techniques. Dent J (Basel) 2021;9(12):140. DOI: 10.3390/dj9120140
Zhao P, Yu P, Xiong Y, et al. Does the bond strength of highly translucent zirconia show a different dependence on the airborne-particle abrasion parameters in comparison to conventional zirconia? J Prosthodont Res 2020;64(1):60–70. DOI: 10.1016/j.jpor.2019.04.008
Sahafi A, Peutzfeldt A, Ravnholt G, et al. Resistance to cyclic loading of teeth restored with posts. Clin Oral Investig 2005;9(2):84–90. DOI: 10.1007/s00784-004-0299-7
Çöterta HS, Dündarb M, Öztürka B. The effect of various preparation designs on the survival of porcelain laminate veneers. Margin 2009;11(5):405–411. DOI: 10.3290/j.jad.a17634
Amarante JEV, Pereira MVS, de Souza GM, et al. Roughness and its effects on flexural strength of dental yttria-stabilized zirconia ceramics. Mater Sci Eng A 2019;739:149–157. DOI: 10.1016/j.msea.2018.10.027
Zhu J, Gao J, Jia L, et al. Shear bond strength of ceramic laminate veneers to finishing surfaces with different percentages of preserved enamel under a digital guided method. BMC Oral Health 2022;22(1):3. DOI: 10.1186/s12903-021-02038-5
Moon JE, Kim SH, Lee JB, et al. Effects of airborne-particle abrasion protocol choice on the surface characteristics of monolithic zirconia materials and the shear bond strength of resin cement. Ceram Int 2016;42(1):1552–1562. DOI: 10.1016/j.ceramint.2015.09.104
Tyor S, Al-Zordk W, Sakrana AA. Fracture resistance of monolithic translucent zirconia crown bonded with different self-adhesive resin cement: influence of MDP-containing zirconia primer after aging. BMC Oral Health 2023;23(1):636. DOI: 10.1186/s12903-023-03365-5
Kim MJ, Kim YK, Kim KH, et al. Shear bond strengths of various luting cements to zirconia ceramic: surface chemical aspects. J Dent 2011;39(11):795–803. DOI: 10.1016/j.jdent.2011.08.012
Kansal R, Rani S, Kumar M, et al. Comparative evaluation of shear bond strength of newer resin cement (RelyX ultimate and RelyX U200) to lithium disilicate and zirconia ceramics as influenced by thermocycling. Contemp Clin Dent 2018;9(4):601–606. DOI: 10.4103/ccd.ccd_601_18
Go EJ, Shin Y, Park JW. Evaluation of the microshear bond strength of MDP-containing and non-MDP-containing self-adhesive resin cement on zirconia restoration. Oper Dent 2019;44(4):379–385. DOI: 10.2341/18-132-L
Valente F, Mavriqi L, Traini T. Effects of 10-MDP based primer on shear bond strength between zirconia and new experimental resin cement. Materials 2020;13(1):235. DOI: 10.3390/ma13010235
Chevalier J, Gremillard L, Virkar AV, et al. The tetragonal-monoclinic transformation in zirconia: lessons learned and future trends. J Am Ceram Soc 2009;92(9):1901–1920. DOI: 10.1111/j.1551-2916.2009.03278.x
Sami OM, Naguib EA, Afifi RH, et al. Effect of different adhesion protocols on the shear bond strength of universal adhesive systems to sound and artificial caries-affected dentin. European J Gen Dent 2021;10(1):30–36. DOI: 10.1055/s-0041-1732776
Ziada A, Csaba D. Effect of post-etching cleaning methods on surface micromorphology and shear bond strength of composite resin cement to feldspathic ceramic blocks. Egypt Dent J 2019;65:475–482. DOI: 10.21608/edj.2019.72723
Tanis MC, Akcaboy C. Effects of different surface treatment methods and MDP monomer on resin cementation of zirconia ceramics an in vitro study. J Lasers Med Sci 2015;6:174–181. DOI: 10.15171/jlms.2015.1512
Grasel R, Santos MJ, Chagas Rego HM, et al. Effect of resin luting systems and alumina particle air abrasion on bond strength to zirconia. Oper Dent 2018;43:282–290. DOI: 10.2341/15-352-L
Schnabl D, Dumfahrt H, Laimer J, et al. Zirconia primers improve the shear bond strength of dental zirconia. J Prosthod 2020;29:62–68. DOI: 10.1111/jopr.13013
Inokoshi M, De Munck J, Minakuchi S, et al. Meta-analysis of bonding effectiveness to zirconia ceramics. J Dent Res 2014;93:329–334. DOI: 10.1177/0022034514524228
Le M, Larsson C, Papia E. Bond strength between MDP-based cement and translucent zirconia. Dent Mater J 2019;38:480–489. DOI: 10.4012/dmj.2018-194
Arao N, Yoshida K, Sawase T. Effects of air abrasion with alumina or glass beads on surface characteristics of CAD/CAM composite materials and the bond strength of resin cements. J Appl Oral Sci 2015;23:629–636. DOI: 10.1590/1678-775720150261
Lopes FC, Palma-Dibb RG, Campi LB, et al. Surface topography and bond strength of CAD-CAM milled zirconia ceramic. luted onto human dentin: effect of surface treatments before and after sintering. Appl Adhes Sci 2018;6:8. DOI: 10.1186/s40563-018-0110-7
Pereira GKR, Guilardi LF, Dapieve KS, et al. Mechanical reliability, fatigue strength and survival analysis of new polycrystalline translucent zirconia ceramics for monolithic restorations. J Mech Behav Biomed Mater 2018;85:57–65. DOI: 10.1016/j.jmbbm.2018.05.029
Aung SSMP, Takagaki T, Lyann SK, et al. Effects of alumina-blasting pressure on the bonding to super/ultratranslucent zirconia. Dent Mater 2019;35:730–739. DOI: 10.1016/j.dental.2019.02.025
Zhang X, Liang W, Jiang F, et al. Effects of air-abrasion pressure on mechanical and bonding properties of translucent zirconia. Clin Oral Investig 2021;25:1979–1988. DOI: 10.1007/s00784-020-03506-y
AlMutairi R, AlNahedh H, Maawadh A, et al. Effects of different air particle abrasion protocols on the biaxial flexural strength and fractography of high/ultra-translucent zirconia. Materials 2021;15(1):244. DOI: 10.3390/ma15010244
Lima RBW, Barreto SC, Alfrisany NM, et al. Effect of silane and MDP-based primers on physic-chemical properties of zirconia and its bond strength to resin cement. Dent Mater 2019;35:1557–1567. DOI: 10.1016/j.dental.2019.07.008
Yagawa S, Komine F, Fushiki R, et al. Effect of priming agents on shear bond strengths of resin-based luting agents to a translucent zirconia material. J Prosthodont Res 2018;62:204–209. DOI: 10.1016/j.jpor.2017.08.011
Nagaoka N, Yoshihara K, Feitosa VP, et al. Chemical interaction mechanism of 10-MDP with zirconia. Sci Rep 2017;7:45563. DOI: 10.1038/srep45563
Feitosa VP, Sauro S, Ogliari FA, et al. Impact of hydrophilicity and length of spacer chains on the bonding of functional monomers. Dent Mater 2014;30:317–323. DOI: 10.1016/j.dental.2014.06.006
Comino-Garayoa R, Pelácz J, Tobar C, et al. Adhesion to zirconia: a systematic review of surface pretreatments and resin cements. Materials (Basel) 2014;14:2751. DOI: 10.3390/ma14112751
Öztürk E, Bolay S, Hickel R, et al. Effects of ceramic shade and thickness on the micro-mechanical properties of a light-cured resin cement in different shades. Acta Odontologica Scandinavica 2015;73:503–507. DOI: 10.3109/00016357.2014.996185