Search Results (118)

Zirconia restoration debonding is one of the common issues in its dental applications because of its dense and chemically inert structure that is difficult to bond to. In this study, plasma treatment of zirconia was performed to improve its bond strength and longevity with dental resin cement. Sandblasted zirconia specimens were treated using argon cold atmospheric plasmas (CAPs), followed by applying a thin layer of 10-MDP primer, dental resin cement with light curing. Micro-shear bond strength (µSBS) test results showed that 300 s of CAP treatment significantly increased the initial µSBS to 38.3 ± 5.6 MPa as compared with the 21.6 ± 7.9 MPa without CAP treatment. After 30 days of storage in 37 °C deionized (DI) water, CAP-treated zirconia specimens had 191.2% higher bond strength than the bonded specimens without plasma treatment. After 1000 cycles of thermal cycling (TC) between 5 °C and 55 °C, the CAP-treated zirconia specimens gave 30.5% higher bond strength than the bonded specimens without plasma treatment. Surface–water contact angle measurements indicated that the zirconia surface became much more hydrophilic but showed rapid hydrophobic recovery within the first hour of CAP treatment, indicating the importance of promptly applying the primer after the plasma treatment. These findings suggest that the argon CAP technique is effective in the surface preparation of zirconia for enhancing bond strength and longevity with dental cement. Full article

This study aimed to investigate the bonding strength and durability of titanium alloys bonded to zirconia-based materials produced using subtractive and additive digital methods. Two titanium alloy groups (N = 20) and two zirconia ceramic groups (N = 60) were fabricated using CAD/CAM milling from prefabricated discs (Ti-ML and Zr-ML), and 3D printing via SLM (Ti-3D) and DLP/LCM systems (Zr-3D). The specimens were bonded with dental cement to form four test groups: Zr-ML/Ti-ML, Zr-ML/Ti-3D, Zr-3D/Ti-ML, and Zr-3D/Ti-3D. Half of the specimens in each group underwent thermocycling to assess the effect of aging on bond strength. The density, microhardness, and surface morphology were evaluated, along with the shear bond strength and failure modes of the resin composites. Statistical differences were analyzed using one-way ANOVA and Tukey’s HSD test across all groups. The 3D-printed specimens of both materials exhibited higher microhardness and lower surface roughness than the milled specimens. The shear bond strength (SBS) was the highest in the Ti-ML/Zr-ML combination group before and after thermocycling, which had more cohesive failures, whereas the lowest bond strength was observed in the Ti-3D/Zr-ML group. The adhesion between titanium and zirconia-based materials was the strongest when both were fabricated using subtractive methods, followed by additive and mixed-method combinations. Full article

The existing scientific literature lacks comprehensive information regarding the influence of zirconia crown height on debonding and fracture of the ceramic restorations on titanium base abutments. Additionally, there is a lack of comparative studies evaluating different types of zirconia as restorative options for screw-retained restorations. Purpose: The purpose of this study was to assess the fracture strength and the failure modes of the zirconia crown/titanium abutment complex by investigating the impact of increasing the height of zirconia crown and comparing different types of zirconia (3 mol% yttria-stabilized zirconia and translucent 5 mol% yttria-stabilized zirconia). Materials and Methods: Six groups of 10 specimens in each group were fabricated. Three groups of specimens (groups # 1, 2, and 3) were fabricated from 3Y zirconia in corresponding heights of 8, 10, and 12 mm. Three more groups (groups # 4, 5, and 6) were fabricated from 5Y zirconia in the same heights (8, 10 and 12 mm). All copings were bonded to 4 mm high titanium base abutments using dual-polymerization resin cement. The specimens underwent load cycling of 100,000 cycles with a force of 100 N. Subsequently, the specimens were loaded to compression until fracture and the failure mode was visually evaluated. Results: Statistically significant differences in fracture strength were noted among all tested groups. Conclusions: 3Y zirconia showed increased strength compared to 5Y in all heights. Ceramic copings with lower height showed increased strength compared to higher copings in both tested zirconia materials. Full article

Background/Objectives: This study investigates the chemical structure and molecular interactions in 3D-printed dental resins reinforced with varying concentrations of Yttria-Stabilized Zirconia (YSZ) nanoparticles, using Fourier-Transform Infrared Spectroscopy (FTIR) to assess the compatibility and bonding behavior at the molecular level. Methods: Three groups of 3D-printed methacrylate-based resin discs were fabricated: a control (0% YSZ), and experimental groups reinforced with 1% and 3% YSZ nanoparticles. Samples were produced using Digital Light Processing (DLP) technology and post-processed under standardized conditions. FTIR spectra were collected via ATR mode over a wavenumber range of 4000–600 cm⁻¹. Spectral differences at key wavenumbers (1721.16, 1237.11, and 929.62 cm⁻¹) were statistically analyzed using one-way ANOVA and Tukey’s post hoc test. Results: FTIR spectra showed no significant shifts in the ester carbonyl band at 1721.16 cm⁻¹, suggesting the preservation of the core resin matrix. However, a statistically significant increase in absorbance at 1237.11 cm⁻¹ was observed in the 1% YSZ group (p = 0.034), indicating dipolar interaction. A distinct new peak at 929.62 cm⁻¹, corresponding to Zr–O vibrations, emerged in the 3% YSZ group (p = 0.002), confirming successful nanoparticle integration. Conclusions: YSZ nanoparticles enhance specific molecular interactions within methacrylate-based dental resins without compromising structural integrity. These findings support the potential application of YSZ-reinforced 3D-printed resins in durable, biocompatible permanent dental restorations. Full article

The aim of this study was to develop an experimental self-etch dental adhesive (SE) by synthesizing graphene oxide–functionalized zirconia (GO-ZrO₂) and hydroxyapatite–functionalized zinc (HA-Zn) as inorganic powders together with bis-GMA _(0–2) (bisphenol A-glycidyl methacrylate) oligomers as main components of the organic matrix. The adhesive was compared to the current gold standard adhesive Clearfill SE Bond 2 (CSE) using cytotoxicity assays, shear bond strength (SBS) tests, and resin–dentin interface analyses. Cytotoxicity assays with human gingival fibroblasts (HGF-1) revealed reduced cell viability at early time points but indicated favourable biocompatibility and potential cell proliferation at later stages. SBS values for the experimental adhesive were comparable to CSE after 24 h of storage while aging did not significantly affect its bond strength. However, SBS exhibited more consistent resin tag formation and higher Weibull modulus values post-aging. A scanning electron microscopy (SEM) analysis highlighted differences in resin tag formation, suggesting the experimental adhesive relies more on chemical bonding than micromechanical interaction. The experimental adhesive demonstrated promising potential clinical properties and bond durability due to the integration of GO-ZrO₂ and HA-Zn fillers into the adhesive. Full article

Background/Objectives: This in vitro study investigated the retention of three different geometrical designs of short titanium base (Ti-base) abutments used in implant-supported zirconia crowns. The advent of digital technology has facilitated the integration of Ti-base abutments into implant dentistry by improving time efficiency, precision, and patient comfort. Methods: Three types of short Ti-base abutments were evaluated: Geo SRN multibase^® (Group A), Herilink^® (Group B), and TS Link^® (Group C), each with a height of 4 mm and gingival height of 1 mm (n = 20 per group). Zirconia crowns (LUXEN^® Smile S2, DentalMax, Republic of Korea) were modified for the testing setup and fabricated using CAD/CAM technology, then bonded to the abutments with RelyX^® Luting 2 resin-modified glass ionomer cement. Pull-out tests were conducted at a crosshead speed of 1 mm/min to assess retention. Results: One-way ANOVA and post hoc Tukey tests revealed significant differences in retention values among the different abutment shapes (p < 0.05). The mean retention forces were 194.65 N for Group A, 241.33 N for Group C, and 360.20 N for Group B. Conclusions: The geometrical design of Ti-base short abutments significantly affects the retention of CAD/CAM zirconia crowns, with hexagonal shapes (Group B) demonstrating superior retention. Clinically, selecting an abutment design with enhanced mechanical retention may improve the long-term success of implant-supported restorations. Full article

Background/Objectives: Conservative options for single-tooth replacements in the anterior region include all-ceramic one-retainer resin-bonded fixed dental prostheses (RBFDPs) and three-unit fixed partial dentures (FPDs). Methods: This systematic review assessed their clinical outcomes. Following the PRISMA 2020 guidelines, an electronic search of MEDLINE/PubMed was conducted from November 1991 to March 2025 for randomized clinical trials (RCTs), prospective cohort studies (PCSs), and retrospective cohort studies (RCSs). Keywords included dental prosthesis, fixed prosthesis, resin-bonded prosthesis, single-tooth replacement, anterior teeth, all-ceramic, lithium disilicate, monolithic, zirconia, survival rate, and success rate. Failures and complications were analyzed to determine long-term outcomes. Results: The search identified 990 articles, and the full-text review of 54 articles was performed, resulting in 23 studies meeting the inclusion criteria. This review revealed that one-retainer RBFDPs and three-unit FPDs in the anterior region demonstrated high survival and success rates. However, debonding was a common complication in RBFDPs, while framework design issues were noted in FPDs. Conclusions: These outcomes highlight the reliability of both approaches as conservative, all-ceramic, prosthodontic interventions for anterior single-tooth replacements. The consideration of one-retainer RBFDPs and three-unit FPDs is advisable due to their favorable clinical performance and minimal invasiveness. Full article

Acid-etched zirconia has emerged as a high-strength alternative to traditional glass ceramics for laminate veneers in aesthetic dentistry. This randomized, double-blind controlled clinical trial aimed to evaluate the one-year clinical performance of zirconia veneers etched with a hydrofluoric-nitric acid mixture and bonded using a 10-methacryloyloxydecyl dihydrogen phosphate (MDP) containing polymeric adhesive system, compared to lithium disilicate veneers. Fifty-two patients were treated with either translucent zirconia or lithium disilicate veneers, and restorations were bonded using light-cured resin-based adhesives. Clinical parameters, including veneer survival, esthetics, marginal adaptation, postoperative sensitivity, and periodontal health, were assessed using modified United States Public Health Service (USPHS) criteria and periodontal indexes at 2 weeks, 6 months, and 12 months. Both materials showed high survival rates with no statistically significant differences in clinical outcomes. One zirconia veneer debonded early but was successfully rebonded without fracture, while one lithium disilicate veneer fractured upon debonding. The findings support the viability of acid-etched zirconia veneers bonded with polymer-based adhesives as a durable and esthetic restorative option. The study highlights the clinical relevance of polymeric bonding systems in enhancing zirconia veneer performance and reinforces their role in modern adhesive dentistry. Full article

This study investigated the effectiveness of Tooth Primer and cleaning agents in removing saliva contamination from zirconia as assessed using shear bond strength (SBS). A total of 175 rectangular specimens, 10 mm in diameter and 6 mm in thickness, were randomly divided into seven groups (n = 25 each): group 1, no saliva contamination (control); group 2, saliva-contaminated and not rinsed; group 3, saliva-contaminated and rinsed; group 4, saliva-contaminated, Ivoclean-treated, and rinsed; group 5, saliva-contaminated, Katana Cleaner-treated, and rinsed; group 6, saliva-contaminated, Tooth Primer-treated, and rinsed; and group 7, saliva-contaminated, Tooth Primer-treated, and not rinsed. All zirconia specimens from groups 1–7 were bonded to composite rods with Panavia SA Luting Multi cement. The bonded specimens were subjected to the SBS test using a universal testing machine. To assess the type of failure, the debonded surface was evaluated using a stereomicroscope. The SBS data were analyzed using one-way ANOVA with Tukey’s post-test. The SBS values of groups 2 (0.90 ± 0.20 MPa) and 3 (1.35 ± 0.43 MPa) were significantly lower compared with the other groups (p = 0.00). The SBS value of zirconia decontamination using Ivoclean in group 4 (18.51 ± 3.01 MPa) was significantly lower than that of the control group (22.24 ± 2.37 MPa) (p = 0.00). However, the SBS values of groups 5 (20.92 ± 2.63 MPa), 6 (21.43 ± 2.81 MPa), and 7 (20.87 ± 2.35 MPa) did not significantly differ compared with the control group (22.24 ± 2.37 MPa) (p = 0.369, p = 0.861, p = 0.327, respectively). Moreover, SBS values did not significantly differ among groups 5 to 7 (p = 0.984, p = 1.00, p = 0.976, respectively). Regarding failure mode, groups 2 and 3 exclusively experienced adhesive failures. Groups 1, 4, 5, 6, and 7 exhibited adhesive and mixed failures. In conclusion, Ivoclean, Katana Cleaner, and Tooth Primer effectively mitigated the adverse effects of saliva contamination on the resin cement–zirconia interface. Furthermore, Tooth Primer can be used as a cleaner for saliva-contaminated zirconia surfaces, with or without rinsing. Full article

This study aims to assess the thermal dynamics of supporting structures during laser-assisted debonding of bonded yttrium-stabilized zirconia (YSZ) ceramic. We tested the hypothesis that the heat transfer to dentin analog material and composite resin resembles that of dentin. Thirty sintered YSZ (ZirCAD, Ivoclar, Schann, Liechtenstein) slabs (4 mm diameter, 1 mm thickness) were air particle abraded, followed by two coats of Monobond Plus (Ivoclar). The slabs were bonded to exposed occlusal dentin, NEMA G10 dentin analog, or composite resin cylinders using Multilink Automix (Ivoclar) dual-cured cement. The bonded YSZ specimens (n = 10/group) subjected to irradiation with an Er,Cr:YSGG laser (Waterlase MD, Biolase, Foothill Ranch, CA, USA) at 7.5 W, 25 Hz, with 50% water and air for 15 s. Heat transfer during laser irradiation was monitored with an infrared camera (Optris PI 640, Optris GmbH, Berlin, Germany) at 0.1-s intervals. Data were analyzed using one-way ANOVA, which showed no significant differences in mean temperature between zirconia and cement layers across the substrates (composite resin, G10, dentin) (p = 0.0794). These results suggest flexibility in substrate choice for future thermal dynamics studies under laser irradiation. Full article

In ceramic digital light processing (DLP) additive manufacturing, the photosensitive resin, which acts as a carrier for ceramic particles, must exhibit suitable curing performance, curing strength, and viscosity. This ensures both the bonding strength of the fabricated ceramic parts and the dimensional accuracy of the ceramic green body. In this study, various photosensitive resin monomers were investigated in depth to formulate resins containing monofunctional, bifunctional, and multifunctional groups. Their rheological and curing properties were analyzed theoretically and experimentally. Different resin slurry systems were prepared and printed using DLP technology, and their mechanical properties were tested and compared. The effect of photoinitiator content on the curing behavior of the resin was examined, and the optimal photoinitiator concentration was identified. Based on the optimized resin, a zirconia ceramic slurry with 56 vol% solid content was prepared. After DLP printing, debinding, and sintering, dense zirconia ceramic samples with a relatively uniform grain structure were obtained, exhibiting a bending strength of 766.85 MPa. These results significantly expand the potential applications for zirconia ceramic components with complex geometries. Full article

Objectives: This study evaluates the effectiveness of laser surface texturing (LST) using a Surface Transition Machine (STM) on pre-sintered zirconia, comparing its impact on surface characteristics and shear bond strength (SBS) with resin cement to conventional sandblasting techniques. Methods: Zirconia specimens were treated with either STM or sandblasting, followed by surface analysis through scanning electron microscopy (SEM) and White Light Interferometry (WLI), wettability assessment via contact angle measurements, and SBS testing with resin cement and a 10-MDP-containing primer. Results: SEM and WLI revealed significant surface alterations in STM-treated zirconia, producing microscale textures. STM-treated surfaces exhibited significantly lower contact angles (28.4 ± 10.0°) compared to untreated (78.2 ± 8.0°) and sandblasted (79.2 ± 5.7°) surfaces, indicating enhanced wettability (p < 0.05). SBS was highest in the STM with primer group (46.3 ± 8.3 MPa) and STM without primer (43.4 ± 4.3 MPa), both of which significantly outperformed sandblasting with primer (30.06 ± 3.09 MPa) and sandblasting alone (9.8 ± 3.7 MPa) (p < 0.05). Conclusions: These findings suggest that STM-based LST is a more effective method for improving zirconia surface characteristics and adhesion in dental restorations, simplifying bonding procedures, and potentially offering better clinical outcomes than conventional sandblasting. Full article

Objectives: Among modern metal-free materials, zirconia, a high-performance ceramic material that can only be manufactured through CAM procedures, has certainly exponentially gained popularity thanks to its mechanical strength, biocompatibility, esthetic, and versatility. However, one of the main debates that has been raised in relation to zirconia is its usage as an adhesive material. The present case report describes the clinical outcome of a multidisciplinary case finalized with adhesive minimally invasive zirconia veneers for the treatment of discolored teeth after a 24-month follow-up. Methods: A 19-year-old female patient with discolored upper frontal teeth (first premolar to first premolar) negatively affecting her self-esteem and social life was visited by a prosthodontic specialist. The treatment plan included orthodontic treatment, soft and hard tissue management through surgical procedures, and, lastly, minimally invasive adhesive zirconia veneers. The zirconia veneers bonding was performed under a rubber dam by conditioning the dental substrate by sandblasting the enamel with 40-micron aluminum oxide, etching with orthophosphoric acid 37%, and using a proper adhesive system. Monolithic zirconia restorations were sandblasted with 70-micron aluminum oxide at 0.2 MPa, then cleaned with a specific cleaner, and treated with a primer. Results: At the last follow-up (24 months), neither biological nor mechanical complications were observed. The patient anecdotally reported being very satisfied with the functional and esthetic results obtained. Therefore, the case was considered successful. Conclusions: Within the limitations of the present case report, the reported case on the use of minimally invasive resin-bonded zirconia veneers for the treatment of discolored teeth showed excellent outcomes after a 24-month follow-up. The use of zirconia as an adhesive material seems to be emerging. However, more clinical studies are required to validate the procedure. Full article

Contemporary indirect restorative materials vary in their physical and mechanical properties, necessitating additional research. This investigation aims to compare the mechanical properties (such as fatigue and compressive strength) of indirect dental restorative materials. In an in vitro study, the mechanical behaviour of monolithic onlay restorations made from a lithium disilicate glass–ceramic (Group A), a ceramic-infiltrated composite (Group B), a polymer-based composite resin (Group C), and zirconia (Group D), bonded to a prepared tooth model, was evaluated after ageing and mechanical cycling. The average value of compressive strength (stage of cracking) in each group was as follows: Group A, 871 N; Group B, 728 N; Group C, 2655 N; and Group D, 2005 N. Moreover, the results of the compressive strength test (stage of destruction) in each group were as follows: Group A, 2516.5 N; Group B, 2266 N; Group C, 5670 N; and Group D, 3543 N. An analysis of variance (ANOVA) followed by Tukey’s (HSD) post hoc test was conducted to assess pairwise comparisons among group means. Statistical analysis revealed significant differences between Groups C and D and the others, highlighting the potential of these materials in clinical applications. Based on the average values, it can be concluded that the 3D-printed ceramic-infiltrated composite onlays exhibited the highest compressive resistance values among the materials evaluated. The lithium disilicate glass–ceramic and the ceramic-infiltrated composite are brittle materials, which should be considered when covering teeth with high occlusal stress. Full article

This study evaluated whether airborne-particle abrasion could be an alternative to hydrofluoric acid etching as a pretreatment for the adhesive bonding of silicate ceramic restorations. Feldspar (FEL; n = 100), lithium silicate (LiSi; n = 100), and zirconia (ZrO₂; (n = 80) substrates were CAD/CAM-fabricated and airborne-particle-abraded with Al₂O₃ (25 µm or 50 µm of mean particle size) at pressures of 0.05 or 0.1 MPa. The controls included FEL (60 s) and LiSi (20 s) etched with hydrofluoric acid. The surface free energy (SFE) and roughness (Ra) were measured. For the tensile bond strength (TBS), surfaces were conditioned using a primer (Monobond Plus) and luted to a resin composite (Variolink Esthetic). TBS was assessed initially (24 h, 37 °C water storage) and after thermocycling (5/55 °C, 10,000×). Statistical analysis (SPSS, V29) was performed using a one-way ANOVA, post hoc Scheffé, and a two-group t-test (p = 0.05). Abrasion with 50 µm and 0.1 MPa induced the highest Ra values across the materials (62.5 ± 3.88 µm). ZrO₂ exhibited a higher TBS (35.4–49.5 MPa) than FEL and LiSi. For aged LiSi, the specimens treated at 0.1 MPa showed a higher TBS (18.7 ± 9.0 MPa) than those treated at 0.05 MPa, regardless of the particle size. The etched and aged FEL showed a higher SFE but a lower TBS compared to abrasion. Al₂O₃ particle abrasion (25 or 50 µm at 0.1 MPa) may replace etching for silicate-based ceramics, while 50 µm is recommended for ZrO₂ at either pressure. Full article