Long-term microtensile bond strength of surface modified zirconia

ObjectiveTo compare long-term microtensile bond strength of zirconia, surface-modified via a novel treatment, to current surface conditioning methods for zirconia, when resin bonded to dental composite.MethodsTwo ProCAD (porcelain) and 10 sintered ZirCAD (ZrO2) blocks (18 mm × 14 mm × 12 mm) were obtained from manufacturers. Twelve Herculite XRV composite blocks were fabricated (18 mm × 14 mm × 12 mm). Bonding surface of blocks was polished through 1200-grit SiC and air-abraded (50 μm alumina, 0.28 MPa, 20 s). Blocks were then separated into six groups: (1) porcelain (control), HF-etched/silane-treated, (2) ZrO2, tribochemical-coated/silane-treated, (3) ZrO2, primer-treated, (4) ZrO2, modified via novel 3.2 nm silica layer/silane-treated, (5) ZrO2, modified via novel 5.8 nm silica layer/silane-treated, and (6) ZrO2, modified via novel 30.4 nm silica layer/silane-treated. Blocks were bonded to composite using Clearfil Esthetic cement. Blocks were stored in distilled water (37 °C, 24 h), then cut into microtensile bars (n = 8/gp), then bond strengths were measured using a universal testing machine at 0, 1, 3, and 6 months. All groups were statistically analyzed (ANOVA, Tukey's, p < 0.05).ResultsAt 6 months (aging), all silica seed layer specimens displayed microtensile bond strength similar to CoJet specimens but less than that of silane-modified dental porcelain.ConclusionThe deposition of a silica layer on zirconia resulted in similar or superior long-term resin bond strength when compared to traditional silanation and bonding techniques for zirconia but lower than that for silane-treated dental porcelain.