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1 s2.0 S0022391305006906 Main
1 s2.0 S0022391305006906 Main
CLINICAL IMPLICATIONS
A tribochemical treatment on the surface of the zirconia-based ceramic posts tested may be useful
for improving the bond strength with composite resin cores and enhancing post-and-core stability
without compromising the flexural strength of the posts.
metal transformations, a tetragonal to monoclinic trans- strength of glass-ceramic materials to composite resin.
formation (t / m) is also likely to occur in zirconia crys- The acid etching partially removes the glassy matrix
tals and is called a martensitic-like transformation.10 and creates mechanical retentive areas where silane mol-
This martensitic-like transformation can be induced by ecules lodge and link inorganic molecules of the ceramic
externally applied stress and is associated with a volu- crystalline phase to organic molecules in the resinous
metric expansion (3% to 5%) of the crystalline struc- material.21-24 However, these techniques do not im-
ture.2,10 As a result, a propagating crack due to tensile prove the strength of the resin bond to high-strength ce-
stress in the ceramic material will develop a correspond- ramics, such as the alumina or zirconia-based materials,
ing compressive stress at the tip of the crack, thus pre- because they have little or no silica content.25-30
venting continued crack growth.10 The yttria–partially Some studies have shown that a tribochemical silica
stabilized tetragonal zirconia polycrystalline ceramics coating may increase the BS between composite resin
(Y-TZP) have an elastic modulus of approximately 200 and high-strength ceramics.26-30 Systems such as the
MPa, and a flexural strength (FS) of 820 MPa. These Rocatec system (3M ESPE; Seefeld, Germany) were in-
properties are far higher than those exhibited by other troduced primarily to improve the bond between metal
high-strength ceramics.11 External treatments such as and composite resin. The system consists of an airborne
grinding or airborne-particle abrasion can induce an particle–abrasion pretreatment with Rocatec Pre pow-
external t / m, which, in turn, is likely to increase the der (110 mm aluminum oxide) to clean the metal sur-
mean FS of zirconia-based ceramics.12 Severe grinding, face, then a silica coating with Rocatec Plus powder
on the other hand, may introduce deep surface flaws that (110 mm aluminum oxide, coated with silicon dioxide),
act as stress concentrators and may decrease the mean and finally, the application of silane. The silica coating
FS.11-13 Clinical indications for zirconia-based ceramics ‘‘energizes’’ the substrate surface, which allows the silica
include endodontic posts, implant abutments, complete to adhere to it.26,27 Silane improves the bond between
crowns, and fixed partial dentures.14 the silica adhered to the substrate and the resin matrix.
The zirconia-based ceramic posts are advocated for Some authors report that a Rocatec tribochemical silica
use with heat-pressed glass ceramic or composite resin coating provides durable resin bonds to glass-infiltrated
as core materials.2,4,6,8 However, some authors have aluminum oxide ceramics with Bis-GMA-based com-
suggested that the composite resin core and zirconia- posite resin cements.14,26,27 An advantage of this system
based ceramic post combination should be avoided is that silica-coating units are available for use in both the
due to the possibility of insufficient bond strength.15-17 dental laboratory and dental office. Other silica-coating
According to Yaman and Thorsteinsson,18 a stiffer and methods were either ineffective with alumina ceramics
more stable core material may diminish apical stress or technically complicated.14
and prevent the intrusion of a loaded post. Stability is The manufacturer of a zirconia-based ceramic post
partially achieved by a strong link between the post (Cosmopost; Ivoclar Vivadent, Schaan, Liechtenstein)
and core.19 Al-Harbi and Nathanson15 and Cohen states that the post surfaces should not be altered in
et al16 compared bond strength between zirconia-based any manner.2,9 Nevertheless, the influence of a tribo-
ceramic posts and composite resin with titanium posts chemical treatment on the fracture strength or BS of
and composite resin and concluded that the first system the posts with composite resin requires further investi-
may not be clinically acceptable because of the low bond gation. Thus, the purpose of this study was to evaluate
strength values obtained. In another study, 5 types of the effect of a tribochemical treatment on the BS and
esthetic posts and composite resin core systems luted mode of failure between composite resin cores and
to root dentin were analyzed after being subjected to zirconia posts and on the FS of zirconia posts.
cyclic loading. The interfaces between the post-and-
core systems and root dentin were examined under scan-
MATERIAL AND METHODS
ning electronic microscopy (SEM). The group with the
zirconia-based ceramic posts exhibited the highest gap This study consisted of 2 parts: testing the effect
index at the post/root dentin interface. The authors of a tribochemical treatment (Rocatec; 3M ESPE) on
suggested that the bond strength (BS) between this the BS and mode of failure between a composite resin
post and core might not be stable enough to resist mas- core material and zirconia-based ceramic posts, and
ticatory loading and might play a direct role in its lack of determining the FS of zirconia-based ceramic posts.
adhesion to dentin.17 Clinical reports have remarked on Thirty-four cylindrical zirconia posts with tapered ends
the importance of post/core stability when suggesting (Cosmopost), 21 mm long and 1.7 mm in diameter,
that it is one of the factors responsible for restoration were selected and allotted to each group for the 2 tests.
failures.3,5,20 For BS testing, 20 posts were divided into 2 groups of
Regarding the bonding mechanism between com- 10 each according to surface treatment. In the experi-
posite resin and ceramics, hydrofluoric acid etching mental (E) group, posts were treated with the Rocatec
and silanization can enhance the mechanical bond system. The first step of the tribochemical treatment is
attribute this improvement in retentive values to 12. Kosmac T, Oblak C, Jevnikar P, Funduk N, Marion L. The effect of surface
grinding and sandblasting on flexural strength and reliability of Y-TZP
the elimination of silane by-products with the heat zirconia ceramic. Dent Mater 1999;15:426-33.
treatment. 13. Fischer H, Rentzsch W, Marx R. Elimination of low-quality ceramic posts
The role of water storage and silane on the bond by proof testing. Dent Mater 2002;18:570-5.
14. Blatz MB, Sadan A, Kern M. Resin-ceramic bonding: a review of the liter-
between composite resin and zirconia-based ceramics ature. J Prosthet Dent 2003;89:268-74.
requires further study to determine the effect of each 15. Al-harbi F, Nathanson D. In vitro assessment of retention of four esthetic
component of the tribochemical treatment on strength dowels to resin core foundation and teeth. J Prosthet Dent 2003;90:
547-55.
enhancements, both BS and FS. It must be noted that 16. Cohen BI, Pagnillo MK, Newman I, Musikant BL, Deutsch AS. Retention
the results reported in this initial study were obtained of core material supported by three post head designs. J Prosthet Dent
under static loading. However, clinically, dental restora- 2000;83:624-8.
17. Dietschi D, Romelli M, Goretti A. Adaptation of adhesive posts and cores
tions are exposed to stresses and thermal interactions far to dentin after fatigue testing. Int J Prosthodont 1997;10:498-507.
more complex than those incorporated in laboratory 18. Yaman P, Thorsteinsson TS. Effect of core materials on stress distribution of
tests. Consequently, it is logical that in vivo failures posts. J Prosthet Dent 1992;68:416-20.
19. Nergiz I, Schmage P, Plazter U, McMullan-Vogel CG. Effect of different
may occur at stress levels lower than those reported in surface textures on retentive strength of tapered posts. J Prosthet Dent
this study. 1997;78:451-7.
20. Mannocci F, Bertelli E, Sherriff M, Watson TF, Ford TR. Three-year clinical
CONCLUSIONS comparison of survival of endodontically treated teeth restored with either
full cast coverage or with direct composite restoration. J Prosthet Dent
Within the limitations of this study, the following 2002;88:297-301.
21. Della Bona A, Anusavice KJ, Hood JA. Effect of ceramic surface treatment
conclusions were drawn: on tensile bond strength to a resin cement. Int J Prosthodont 2002;15:
248-53.
1. The use of a tribochemical silica coating and silaniza- 22. Della Bona A, Shen C, Anusavice KJ. Work of adhesion of resin on treated
tion significantly increased (P,.001) the BS between lithia disilicate-based ceramic. Dent Mater 2004;20:338-44.
zirconia-based ceramic posts and composite resin 23. Stangel I, Nathanson D, Hsu CS. Shear strength of the composite bond to
etched porcelain. J Dent Res 1987;66:1460-5.
cores, and also changed the mode of failure from 24. Hooshmand T, van Noort R, Keshvad A. Bond durability of the
adhesive to cohesive/adhesive for the 2 materials resin-bonded and silane treated ceramic surface. Dent Mater 2002;18:
tested. 179-88.
25. Madani M, Chu FCS, McDonald AV, Smales RJ. Effects of surface treat-
2. There was a significant increase (P,.001) in the FS of ments on shear bond strengths between a resin cement and an alumina
the tested zirconia-based ceramic posts after treat- core. J Prosthet Dent 2000;83:644-7.
ment with a tribochemical silica coating and silane. 26. Kern N, Thompson VP. Bonding to glass-infiltrated alumina ceramic:
adhesive methods and their durability. J Prosthet Dent 1995;73:240-9.
The authors thank Dr Dan Nathanson, Goldman School of Dental 27. Blixt M, Adamczak E, Linden L, Oden A, Arvidson K. Bonding to
densely sintered alumina surfaces: effect of sandblasting and silica coat-
Medicine, Boston University, for the support and guidance he
ing on shear bond strength of luting cements. Int J Prosthodont 2000;
provided. 13:221-6.
28. Awliya W, Oden A, Yaman P, Dennison JB, Razzoog ME. Shear bond
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