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Dental Materials (2006) 22, 283–290

www.intl.elsevierhealth.com/journals/dema

Microtensile bond strength of a resin cement to


glass infiltrated zirconia-reinforced ceramic:
The effect of surface conditioning
Regina Amarala, Mutlu Özcanc,*, Marco Antonio Bottinoa,
Luiz Felipe Valandrob
a
São Paulo State University, Department of Dental Materials and Prosthodontics,
São José dos Campos, Brazil
b
Federal University of Santa Maria, Department of Restorative Dentistry, Santa Maria, Brazil
c
Faculty of Medical Sciences, Department of Dentistry and Dental Hygiene,
Antonius Deusinglaan, University of Groningen, Groningen, The Netherlands

Received 6 January 2005; accepted 7 April 2005

KEYWORDS Summary Objectives. This study evaluated the effect of three surface condition-
Bond strength; ing methods on the microtensile bond strength of resin cement to a glass-infiltrated
Microtensile test; zirconia-reinforced alumina-based core ceramic.
Silane coupling agent; Methods. Thirty blocks (5!5!4 mm) of In-Ceram Zirconia ceramics (In-Ceram
Silica coating; Zirconia-INC-ZR, VITA) were fabricated according to the manufacturer’s instructions
Surface conditioning and duplicated in resin composite. The specimens were polished and assigned to one
methods; of the following three treatment conditions (nZ10): (1) Airborne particle abrasion
Zirconia ceramics with 110 mm Al2O3 particles C silanization, (2) Silica coating with 110 mm SiOx
particles (Rocatec Pre and Plus, 3M ESPE) C silanization, (3) Silica coating with
30 mm SiOx particles (CoJet, 3M ESPE) C silanization. The ceramic-composite blocks
were cemented with the resin cement (Panavia F) and stored at 37 8C in distilled
water for 7 days prior to bond tests. The blocks were cut under coolant water to
produce bar specimens with a bonding area of approximately 0.6 mm2. The bond
strength tests were performed in a universal testing machine (cross-head speed:
1 mm/min). The mean bond strengths of the specimens of each block were
statistically analyzed using ANOVA and Tukey’s test (a%0.05).
Results. Silica coating with silanization either using 110 mm SiOx or 30 mm SiOx
particles increased the bond strength of the resin cement (24.6G2.7 MPa and 26.7G
2.4 MPa, respectively) to the zirconia-based ceramic significantly compared to that
of airborne particle abrasion with 110-mm Al2O3 (20.5G3.8 MPa) (ANOVA, P!0.05).

* Corresponding author. Tel.:C31 50 363 8528; fax: C31 50 363 2696.


E-mail address: mutluozcan@hotmail.com (M. Özcan).

0109-5641/$ - see front matter Q 2005 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.
doi:10.1016/j.dental.2005.04.021
284 R. Amaral et al.

Significance. Conditioning the INC-ZR ceramic surfaces with silica coating and
silanization using either chairside or laboratory devices provided higher bond
strengths of the resin cement than with airborne particle abrasion using 110 mm
Al2O3.
Q 2005 Academy of Dental Materials. Published by Elsevier Ltd. All rights reserved.

Introduction process. When a ceramic exhibits chemical states of


silicon and oxygen, then siloxane bond will be
Etching the inner surfaces of ceramics with glassy achieved as these represent the binding sites for the
matrix using hydrofluoric acid followed by the coupling agent to the ceramic surface. Since silane
application of a silane coupling agent is an efficient coupling agents do not bond well to alumina, the
conditioning method for bonding resin composite bond strengths of resin composite to such ceramics
[1–6]. However neither etching with this agent nor could be affected [10].
adding silane resulted in an adequate resin bond to Air-particle abrasion is a prerequisite for achiev-
some new high-strength ceramics [7,8]. Particularly ing sufficient bond strength between the resins and
high-alumina [9–12] or zirconia-reinforced ceramics high-strength ceramics that are reinforced either
[13,14] cannot be roughened by hydrofluoric acid with alumina or zirconia [22]. The air abrasion
etching since such ceramics do not contain a silicon systems rely on air-particle abrasion with different
dioxide (silica) phase. Similarly, cement adhesion particle sizes ranging from 30 to 250 mm [16,23].
to glass-infiltrated zirconia–alumina ceramic The abrasive process removes loose contaminated
(In-Ceram Zirconia-INC-ZR) is also not favorable layers and the roughened surface provides some
since this ceramic presents the same character- degree of mechanical interlocking or ‘keying’ with
istics due to its high crystal content (aluminum the adhesive. It can be argued that the increased
oxide: G67 wt%; zirconium oxide: G13 wt%) and roughness also forms a larger surface area for the
limited vitreous phase (lanthanum aluminum sili- bond. While these mechanisms explain some of the
cate: G20 wt%) [15]. For this reason, special general characteristics of adhesion to roughened
conditioning systems are indicated for these types surfaces, it may also introduce physico-chemical
of ceramics [16]. changes that affect surface energy and wettability.
Previous investigations revealed that most clini- Such conditioning systems could be applied either
cal failures have initiated from the cementation or at the laboratory or chairside, using large or small
internal surfaces. Failure rates due to high-strength size particles. However, there is limited knowledge
ceramic fractures have been reported to range as to whether micromechanical retention using
between 2.3 and 8% [17–19]. Therefore, the large or small particle size increase resin bond to
integrity of the luting cement to ceramic surfaces high-strength ceramics of different microstructures
plays a major role in the longevity of the restoration and chemical compositions.
and the failures originated from cementation A high and reliable resin bond to alumina and
surfaces identified the need for a reliable con- zirconia ceramics was also achieved with airborne
ditioning method to strengthen this critical area. particle abrasion and by using a phosphate mono-
Modern surface conditioning methods require mer (MDP) containing resin composite luting
airborne particle abrasion of the surface before cement. Although there are some studies on bond
bonding in order to achieve high bond strength. One strength of resin cements to the zirconium-based
such system is silica coating. In this technique, ceramics [24–26], to the authors’ knowledge, no
the surfaces are air-abraded with aluminum oxide study has investigated the bond strength of
particles modified with silisic acid [20,21]. The phosphate-monomer based resin cement to zirco-
blasting pressure results in the embedding of silica nium-reinforced ceramics in combination with
particles on the ceramic surface, rendering the conditioning methods that rely on chairside con-
silica-modified surface chemically more reactive to ditioning systems.
the resin through silane coupling agents. Silane The aim of this study, therefore, was to evaluate
molecules, after being hydrolized to silanol, can the effect of three surface conditioning methods
form polysiloxane network or hyroxyl groups cover based on airborne particle abrasion, employing
the silica surface. Monomeric ends of the silane three types of sand particles, on the microtensile
molecules react with the methacrylate groups of bond strength of the resin cement to a glass-
the adhesive resins by free radical polymerization infiltrated zirconia-reinforced ceramic.
Bond strength of a resin cement to zirconia ceramic 285

Material and methods San Ramon, CA, USA) at a pressure of 2.8 bars from
a distance of approx. 10 mm, for 20 s in circling
Thirty blocks (5!5!4 mm) of zirconia-reinforced movements.
alumina-based ceramics [In-Ceram Zirconia-INC-ZR Laboratory Silica Coating (LSC): Silica coating
(VITA Zahnfabrik, Bad Sackingen, Germany)] were process was conducted using a laboratory type of
fabricated according to the manufacturer’s air abrasion device (Rocatector Delta device, 3M
instructions. Ceramic surfaces were ground finished ESPE) in which the specimens were first conditioned
up to 1200-grit silicon carbide abrasive (3M, St. by air-abrasion with 110 mm grain sized Al2O3
Paul, USA) in a polishing machine (Labpol 8–12, particles at a pressure of 2.8 bars with Rocatec
Extec, USA) and cleaned for 10 min in an ultrasonic Pre abrasive. Then the specimens were air-abraded
bath (Quantrex 90, L&R Ultrasonics, Kearny, NJ, with Rocatec Plus abrasive, which was 110 mm grain
USA) containing ethylacetate and air-dried. Each sized SiOx, at 2.8 bars under the same conditions
ceramic block was duplicated in composite resin with CGB.
(W3D-Master, Wilcos, Petrópolis, RJ, Brazil) using a Chairside Silica Coating (CSC): Silica coating
mold made out of silicon impression material process was achieved using an intraoral air abrasion
(Express, 3M/ESPE, St. Paul, USA). Composite device (Micro–Etcher, Danville Inc., San Ramon, CA,
resin layers were incrementally condensed into USA) filled with CoJetw-Sand (30 mm SiOx particles)
the mold to fill up the mold and each layer was light (3M-ESPE, Minnesota, USA) under the same con-
polymerized for 40 s (XL 3000-3M/ESPE, St. Paul, ditions with CGB.
USA; light output: 500 mW/cm2). One composite Following all three surface conditioning
resin block was fabricated for each ceramic block. methods, the remnants of sand particles were
gently air blown, silane coupling agent (ESPEw-Sil,
3M ESPE AG, Seefeld, Germany) was applied and
Surface conditioning methods waited for its evaporation for 5 min.
Table 1 summarizes the three surface conditioning
methods, silane, ceramic and cement used for the Topographic analyses of conditioned
experiments. The ceramic blocks (10 blocks per ceramic surface
conditioning) were assigned to one of the three
following treatment conditions: Additional ceramic specimens were conditioned
Chairside Gritblasting (CGB): In this group, air- using the three surface conditioning methods in
borne particle abrasion was performed using order to observe the topographic surface changes
110 mm grain sized Al2O3 particles using an intraoral under the Scanning Electron Microscope (SEM)
air abrasion device (Micro–Etcher, Danville Inc., (JEOL-JSM-T330A, Jeol Ltd, Tokyo, Japan).

Table 1 Characteristics of surface conditioning methods, silane, ceramic and cement used for the experiments
with codes and manufacturing company names.
Conditioning principles, Abbreviation Characteristics Manufacturer
silane, ceramic, cement
Chairside Gritblasting CGB 110 mm Al2O3, (2.8 bars, 10 mm, 20 s) Korox, Bego, Bremen,
Germany
Laboratory Silica Coating LSC Rocatec Pre (110 mm Al2O3)C Roca- 3M ESPE AG, Seefeld,
Germany tec Plus (110 mm SiOx) (both at 2.8
bars, 10 mm, 20 s)
Chairside Silica Coating CSC CoJetw-Sand (30 mm SiOx) (2.8 bars, 3M-ESPE, Minnesota, USA
10 mm, 20 s)
Silane coupling agent 3-methacryloxyprophyltrimethoxy 3M ESPE AG, Seefeld,
Germany silane in ethanol (ESPEw-Sil) (5 min)
Ceramic
In-Ceram Zirconia INC-ZR Glass-infiltrated zirconia Vita Zahnfabrik, Bad
Saeckingen, Germany
Cement
Panavia F Filler (78%),10-Methacryloyloxyde- Kuraray, Okayama, Japan
cyldihydrogenphosphate (MDP),
dimethacrylates, chemical and
photoinitiators
286 R. Amaral et al.

Bonding procedure and specimen


preparation

Each conditioned ceramic block was bonded to a


composite block under the load of 750 g using a
resin cement system (Panavia F, Kuraray CO.,
Okayama, Japan). The excess resin cement was
removed by means of a brush. The resin cement was
then light polymerized (XL 3000) for 40 s from each
direction. Oxyguard was applied on the cement
layer for 10 min. The blocks were washed with air-
water spray and stored in distilled water at 37 8C for
7 days prior to bond tests.
The blocks were then bonded with cyanoacrylate
glue (Super Bonder Gel, Loctite Ltd, São Paulo,
Brazil) to a metal base that was coupled to a cutting
machine. Slices were obtained using a slow-speed
diamond wheel saw (KG Sorensen, Barueri, Brazil)
under cooling. The peripheral slices were disre-
garded in case the results could be influenced by
Figure 1 (a) Cutting procedure to obtain slices of
either the excess or insufficient amount of resin
cemented ceramic and composite blocks with ca 0.8 mm
cement at the interface. Three slices (0.8G0.1 mm thickness (3 slices per block); (b) The slices rotated 908
in thickness) were obtained per block initially. The and bonded onto the metal base again for further cutting
slices were rotated 908 and bonded onto the metal procedures (0.8 mm-thickness) in order to obtain non-
base again. The peripheral bar specimens were also trimmed bar specimens with ca 8 mm in length and
disregarded for the same reasons described above. 0.6 mm2 adhesive surface area.
Other 3 sectioning were carried out. (Fig. 1(a)-(b)).
Twelve non-trimmed bar specimens (with
approximately 8 mm in length and 0.6G0.1 mm2 order to determine the significant differences
adhesive surface area) were obtained per block between surface conditioning methods. P values
(Fig. 2(a)-(c)). less than 0.05 are considered to be statistically
significant in all tests.
Microtensile bond strength test

The bar specimens were glued parallel to the long


axis of an adapted caliper using cyanoacrylate Results
glue. This apparatus was coupled to the universal
testing machine (EMIC DL-1000, EMIC, São José The results of the microtensile bond strength tests
dos Pinhais, Brazil) and the specimens were for three surface conditioning methods are pre-
loaded in tension to failure at a crosshead speed sented in Table 2.
of 1 mm minK1. Silica coating with silanization either with
Bond strength values were calculated using the 110 mm SiOx particles or 30 mm SiOx revealed
formula, sZL/A, where ‘L’ is the load at failure significantly higher bond strengths of the resin
(Kgf) and ‘A’ is the adhesive area (mm2) measured cement (24.6G2.6 MPa and 26.7G2.4 MPa,
using a digital caliper (Mitutoyo, Tokyo, Japan) respectively) to the INC-ZR ceramic compared to
prior to the tests. that of airborne particle abrasion with 110-mm
Al2O3 (20.5G3.8 MPa) (ANOVA, PZ0.0004). There
Statistical analysis were no significant differences between both silica
coating groups (PO0.05)
Statistical analysis was performed using Statistics SEM analysis at !2000 magnification, comp-
8.0 for Windows (Analytical Software Inc, Talla- lementary to the bond strength tests, revealed
hassee, FL, USA). The means of the specimens of that all three types of sand particles penetrated the
each blocks were obtained and these values substrate surfaces and the ceramic surfaces were
(nZ10) were analyzed by 1-way analysis of covered with abundant sand particles even after air
variance (ANOVA) and Tukey’s test (aZ05) in blowing (Fig. 3(a)–(c)).
Bond strength of a resin cement to zirconia ceramic 287

(b) (c)

(a)
Resin
composite
not tested

Resin *
tested Cement

Ceramic

*Adhesive zone

Figure 2 (a) Protocol of specimen choice according to cutting procedure (tested-and non-tested regions); (b) Bar
specimens with ca 8 mm in length and 0.6G0.1 mm2 bonded surface area; (c) Bonded zone (*) between the ceramic and
composite block at the bar specimen.

Discussion silane bonding and therefore increased bond


strength values were obtained for this ceramic.
In this study, roughening the zirconia-reinforced These findings are in compliance with the study of
ceramic surfaces with air particle abrasion and Özcan and Vallittu [10], even though a different
applying silane prior to cementation provided high experimental set up was used where a bis-GMA
bond strengths and silica coating followed by based resin cement and shear bond test were
silanization evidently enhanced the bond between employed.
the luting cement and the ceramic surfaces. The Material selection and clinical recommendations
silica layer left by silica coating on the ceramic on resin bonding are based on mechanical labora-
surface provides a basis for silane to react. In the tory tests that show great variability in materials
ceramic-resin bond, silane functions as a coupling and methods. One of the most common testing-
agent, which adsorbs onto and alters the surface of method is the shear bond test. However the specific
the ceramic, thereby facilitating chemical inter- fracture pattern in shear testing may cause
action [11,23]. cohesive failure in the substrate that may lead to
When alumina or zirconia ceramics are glass erraneous interpretation of the data while in
infiltrated, they are melted together at high microtensile tests, stress distribution was reported
temperatures to form a ceramic composite. The to be more homogeneous [28–31]. Although, for this
chemical components of the ceramics (traces such reason, microtensile test was employed in this
as Li2O, Na2O, K2O, CaO, MgO) are then bonded to study, similar ceramic-cement performance was
each other by strong covalent bonds with hydroxyl observed in dry conditions in the study of Özcan and
groups at the surface of the ceramic material [27]. Vallittu [10].
When the surface is air abraded, this would Some studies, on the other hand, have evaluated
generate more hydroxyl groups on the surface and ceramics with different microstructures, reporting
also enhance the micro-mechanical retention.
Furthermore, the methoxy groups of silane would
react with water to form silanol groups that in turn, Table 2 Microtensile bond strength (MPa) of the
resin luting cement, and statistical differences con-
will react with the surface hydroxyl groups to form
sidering the surface conditioning factor after (a)
siloxane network. Amphoteric alumina in the Airborne particle abrasion with 110 mm Al2O3 particles,
ceramic matrix could form chemical adhesion, (b) Silica coating with 110 mm Al2O3 and 110-mm SiOx
covalent bridges, through its surface hydroxyl particles, (c) Silica coating with 30 mm SiOx particles.
groups with hydrolyzed silanol groups of the silane:
Groups s* (MPa) (SD)
–Al–O–Si–[10].
In principle, the presence of the glassy phase in 1-INC ZIRC-CGB 20.5a (3.8)
ceramics favors better siloxane bonds. The silanol 2-INC ZIRC-LSC 24.6b (2.7)
groups could then react further to form a siloxane 3-INC ZIRC-CSC 26.7b (2,4)
(–Si–O–Si–O–) network with the silica on the surface. For abbreviations, see Table 1. Different superscripted
The In-Ceram ceramic system tested in this study, letters indicate significant differences between the cer-
In-Ceram Zirconia (INC-ZR), is glass infiltrated. Most amic-surface conditioning combinations (P!0.05). SD, stan-
dard deviation.
probably the glass infiltration facilitated better
288 R. Amaral et al.

Figure 3 (a) Typical SEM micrographs (!2000) of conditioned ceramic surfaces for a-Airborne particle abrasion with
110 mm Al2O3 particles, (b) Silica coating with 110 mm SiOx particles, c-Silica coating with 30 mm SiOx particles. Note that
after all three conditioning methods, ceramic surfaces were covered with abundant sand particles.

that high-strength ceramics are compact materials [33–36]. In a previous study, a significant increase
making them difficult to gritblast [13,22]. Interest- of silica on the surface of the In-Ceram ceramic
ingly, the results of this study indicate that the (15.8–19.7 wt%) was detected after blasting with
silica coating system with small particle size of Rocatec-Plus (SiOx) when compared with the
30 mm SiOx particles as well as large particle size of samples blasted only with Rocatec-Pre (Al2O3
110 mm SiOx produced statistically higher mean particles) suggesting better bond strength between
bond strength values than with chairside grit the In-Ceram ceramic and the resin cements due to
blasting using 110-mm grain sized Al2O3 particles. the increase of silica content and the interaction
One can expect higher surface roughness created with the silane agent. Our ongoing studies involve
using bigger particle size thereby higher micro- Energy Dispersive X-ray Spectroscopy (EDS) analysis
mechanical retention but this was not achieved in to gain more insight on the interaction between
this study. One reason for this could be associated these three sand particles and the ceramic
with the phenomenon of less wettability and composites [37].
contact angle [13,32] between the silane coupling The other reason for lower results obtained after
agent and the deep grooves on the ceramic surfaces 110 mm grain sized Al2O3 particle deposition could
occurred after grit blasting. However this be due to the weak bond between Al–Si–O as
assumption could not be verified for the application reported earlier elsewhere [10].
of 110 mm SiOx. The reason for this can be Although satisfactory bond strength values of
explained on the grounds that particle deposition resin cement to high-strength ceramics are yet to
mechanisms differ depending on the substrate be determined for clinically successful
characteristics, particle composition, size performance, the bond values obtained for the
distribution, quantity and morphology. Although ceramic tested in this study could be considered
SEM images demonstrated comparable views with sufficient with both conditioning methods. In
agglomerates of sand particles, it is difficult to clinical applications however, when air abrasion
deduce whether the sand is in contact with the will be contemplated by chairside, clinicians
alumina or the glass phase of the ceramic tested should also consider the possible material loss
in this study. Nevertheless, the results of this [9] especially at the margins of the restorations
study together with some other studies reveal that may lead to ditching when bigger grain size
good adhesion of silica particles in the vitreous particles are used during airborne particle
phases of the glass-infiltrated zirconia ceramics abrasion.
Bond strength of a resin cement to zirconia ceramic 289

Bonding of ceramic to tooth substance is based Acknowledgements


on the adhesion of luting cement and its bonding
resin to the ceramic substrate together with the We express our appreciation to the Wilcos Ltd in
adhesion of luting cement to enamel and dentine. Brazil (Petrópolis/RJ, Brazil) and VITA Zahnfabrik
Future studies should also concentrate on the (Bad Säckingen, Germany) for providing some of
involvement of the tooth tissues in the test the materials used in this study. We also thank
complex. Prof. Dr. Ivan Balducci, School of Dentistry, São
The cement–ceramic adhesion is susceptible to Paulo State University at São José dos Campos,
chemical, thermal and mechanical influences under Brazil, for his assistance with statistical analysis.
intraoral conditions. One limitation of this study
could be the lack of thermocycling although there
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