Bonding Effectiveness of Veneering Ceramic to Zirconia after Different Grit-Blasting Treatments

<b>Objective:</b> To determine the effect of grit-blasting before and after sintering on the surface roughness of zirconia and the micro-tensile bond strength of a pressable veneering ceramic to zirconia. <b>Methods:</b> Pre-sintered zirconia blocks (IPS e.max ZirCAD, Ivoclar...

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Main Authors: Francesca Zicari (Author), Carlo Monaco (Author), Marcio Vivan Cardoso (Author), Davide Silvestri (Author), Bart Van Meerbeek (Author)
Format: Book
Published: MDPI AG, 2024-07-01T00:00:00Z.
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Summary:<b>Objective:</b> To determine the effect of grit-blasting before and after sintering on the surface roughness of zirconia and the micro-tensile bond strength of a pressable veneering ceramic to zirconia. <b>Methods:</b> Pre-sintered zirconia blocks (IPS e.max ZirCAD, Ivoclar) were divided into four test groups of three specimens each and a control group ('CTR'; no surface treatment). Pre-S-30, Pre-S-50, and Pre-S-110 were grit-blasted with 30-µm SiO<sub>2</sub>-coated Al<sub>2</sub>O<sub>3</sub>, 50-µm Al<sub>2</sub>O<sub>3</sub> and 110-µm Al<sub>2</sub>O<sub>3</sub> particles, respectively, before sintering. Post-S-30 was grit-blasted with 30-µm SiO<sub>2</sub>-coated Al<sub>2</sub>O<sub>3</sub> after sintering. For each treatment, the surface roughness was measured (Ra, Perthometer M4P, Mahr Perthen). After sintering the zirconia blocks, a liner was applied and a pressable ceramic (IPS e.max ZirPress, Ivoclar) was heat-pressed. Sixteen microbars were obtained from each block and submitted to micro-tensile bond-strength (µTBS) testing. Data were analyzed with one-way ANOVA. Any correlation between Ra and µTBS was evaluated (Sperman test). <b>Results:</b> Grit-blasting before sintering with 110-µm Al<sub>2</sub>O<sub>3</sub> (Ra<sub>Pre-S-110</sub> = 3.4 ± 0.4 µm), 50-µm Al<sub>2</sub>O<sub>3</sub> (Ra<sub>Pre-S-50</sub> = 2.3 ± 0.5 µm), and 30-µm SiO<sub>2</sub>-coated Al<sub>2</sub>O<sub>3</sub> (Ra<sub>Pre-S-30</sub> = 1.2 ± 0.2 µm) resulted in significantly higher roughness than grit-blasting after sintering with 30-µm SiO<sub>2</sub>-coated Al<sub>2</sub>O<sub>3</sub> (Ra<sub>Post-S-30</sub> = 0.5 ± 0.1 µm). The highest µTBS was measured when the sintered zirconia was grit-blasted with 30-μm SiO<sub>2</sub>-coated Al<sub>2</sub>O<sub>3</sub> (µTBS<sub>Post-S-30</sub> = 28.5 ± 12.6 MPa), which was significantly different from that of specimens that were grit-blasted before sintering (µTBS<sub>Pre-S-30</sub> = 21.8 ± 10.4; µTBS<sub>Pre-S-50</sub> = 24.1 ± 12.6; µTBS<sub>Pre-S-110</sub> = 26.4 ± 14.1) or were not grit-blasted (µTBS<sub>CTR</sub> = 20.2 ± 11.2). <b>Conclusions:</b> Grit-blasting zirconia before sintering enhanced the surface roughness proportionally to the particle size of the sand used. Grit-blasting with 30-µm SiO<sub>2</sub>-coated Al<sub>2</sub>O<sub>3</sub> after sintering improved bonding of the veneering ceramic to zirconia. <b>Clinical Significance</b>: As grit-blasting with 30-µm SiO<sub>2</sub>-coated Al<sub>2</sub>O<sub>3</sub> after sintering improved bonding of the veneering ceramic to zirconia, it may reduce veneering ceramic fractures/chipping.
Item Description:10.3390/dj12070219
2304-6767