TODENTJ-25-03-2019_TODENTJ-12-929 1553507601 Bentham Open doi@benthamopen.net Bentham Open The Open Dentistry Journal TODENTJ 1874-2106 10 30 2018 12 1 Diego Fabris Ferreira da Silva Raquel de Oliveira Lopes Niélli Caetano de Souza Maurem Leitão Marcondes Patrícia Danesi Ana Maria Spohr Objective: The aim of the study was to evaluate the effect of a universal adhesive and different primers on the bond strength to zirconia ceramic. Materials and Methods: Seventy-five zirconia ceramic samples were obtained and divided into five groups (n=15): G1–Scothbond Universal (SBU); G2 – silane + SBU; G3 - Signum Zirconia Bond; G4 - Z-Prime Plus; G5 - MZ Primer. A cone of composite resin was built. The specimens were stored in 100% relative humidity with distilled water at 37°C for 48 h and then submitted to a tensile bond strength test in a universal testing machine at a crosshead speed of 0.5 mm/min. The type of failure that occurred during the de-bonding procedure was analyzed. Results: The mean results of the bond strength test (MPa) followed by the same letter represent no statistical difference by ANOVA and Tukey’s post-hoc test (p<0.05): G2=27.55a (±6.99), G4=23.71a (±5.65), G1=22.64a (±5.67), G5=13.64b (±5.49), G3=7.54c (±4.75). G2 and G4 exhibited predominantly cohesive failure in the composite resin cone. G1 and G5 had predominantly mixed failures, and G3 exhibited only adhesive failures. Conclusion: The SBU and Z-Prime Plus provided higher bond strength to zirconia ceramic. 10 30 2018 929 936 TODENTJ-12-929 1 10.2174/crossmark_policy opendentistryjournal.com benthamopen.com true Peer Reviewed Single blind Checked with iThenticate 2018-5-26 2018-9-26 2018-10-7 2018-10-30 https://creativecommons.org/licenses/by/4.0/legalcode 10.2174/1874210601812010929 1553507601 https://opendentistryjournal.com/VOLUME/12/PAGE/929/ https://opendentistryjournal.com/contents/volumes/V12/TODENTJ-12-929/TODENTJ-12-929.pdf https://opendentistryjournal.com/contents/volumes/V12/TODENTJ-12-929/TODENTJ-12-929.pdf https://opendentistryjournal.com/contents/volumes/V12/TODENTJ-12-929/TODENTJ-12-929.pdf https://opendentistryjournal.com/contents/volumes/V12/TODENTJ-12-929/TODENTJ-12-929.pdf https://opendentistryjournal.com/contents/volumes/V12/TODENTJ-12-929/TODENTJ-12-929.pdf https://opendentistryjournal.com/contents/volumes/V12/TODENTJ-12-929/TODENTJ-12-929.pdf https://opendentistryjournal.com/contents/volumes/V12/TODENTJ-12-929/TODENTJ-12-929.pdf https://opendentistryjournal.com/contents/volumes/V12/TODENTJ-12-929/TODENTJ-12-929.xml J Can Dent Assoc Santos MJ 71 585a 2005 Santos MJ, Bezerra RB. Fracture resistance of maxillary premolars restored with direct and indirect adhesive techniques. J Can Dent Assoc 2005; 71 : 585a-d. J. Conserv. Dent. Bassir M.M. 16 413 2013 10.4103/0972-0707.117494 Bassir MM, Labibzadeh A, Mollaverdi F. The effect of amount of lost tooth structure and restorative technique on fracture resistance of endodontically treated premolars. J Conserv Dent 2013; 16 (5) : 413-7. J. Am. Dent. Assoc. Kimmich M. 144 31 2013 10.14219/jada.archive.2013.0011 Kimmich M, Stappert CF. Intraoral treatment of veneering porcelain chipping of fixed dental restorations: A review and clinical application. J Am Dent Assoc 2013; 144 (1) : 31-44. J. Investig. Clin. Dent. Sattabanasuk V. 8 e12220 2017 10.1111/jicd.12220 Sattabanasuk V, Charnchairerk P, Punsukumtana L, Burrow MF. Effects of mechanical and chemical surface treatments on the resin-glass ceramic adhesion properties. J Investig Clin Dent 2017; 8 (3) : e12220. J. Adhes. Dent. Meng X. 13 71 2011 Meng X, Yoshida K, Taira Y, Kamada K, Luo X. Effect of siloxane quantity and ph of silane coupling agents and contact angle of resin bonding agent on bond durability of resin cements to machinable ceramic. J Adhes Dent 2011; 13 (1) : 71-8. J. Adhes. Dent. Venturini A.B. 17 313 2015 Venturini AB, Prochnow C, Rambo D, Gundel A, Valandro LF. Effect of hydrofluoric acid concentration on resin adhesion to a feldspathic ceramic. J Adhes Dent 2015; 17 (4) : 313-20. Gen. Dent. Söderholm K.J. 44 296 1996 Söderholm KJ, Reetz EA. Factors affecting reliability of a resin-based cement joint. Gen Dent 1996; 44 (4) : 296-298, 300, 302. Int. Dent. J. Staxrud F. 65 311 2015 10.1111/idj.12188 Staxrud F, Dahl JE. Silanising agents promote resin-composite repair. Int Dent J 2015; 65 (6) : 311-5. Oper. Dent. Torres S.M.P. 34 399 2009 10.2341/08-87 Torres SMP, Borges GA, Spohr AM, Cury AADB, Yadav S, Platt JA. The effect of surface treatments on the micro-shear bond strength of a resin luting agent and four all-ceramic systems. Oper Dent 2009; 34 (4) : 399-407. Eur. J. Dent. Anand S. 9 224 2015 10.4103/1305-7456.156832 Anand S, Ebenezar AV, Anand N, Rajkumar K, Mahalaxmi S, Srinivasan N. Microshear bond strength evaluation of surface pretreated zirconia ceramics bonded to dentin. Eur J Dent 2015; 9 (2) : 224-7. Dent. Mater. Kern M. 14 64 1998 10.1016/S0109-5641(98)00011-6 Kern M, Wegner SM. Bonding to zirconia ceramic: Adhesion methods and their durability. Dent Mater 1998; 14 (1) : 64-71. Dent. Mater. Chuang S.F. 33 923 2017 10.1016/j.dental.2017.04.027 Chuang SF, Kang LL, Liu YC, et al. Effects of silane- and MDP-based primers application orders on zirconia-resin adhesion-A ToF-SIMS study. Dent Mater 2017; 33 (8) : 923-33. Dent. Clin. North Am. Zhang Y. 61 797 2017 10.1016/j.cden.2017.06.005 Zhang Y, Kelly JR. Dental ceramics for restoration and metal veneering. Dent Clin North Am 2017; 61 (4) : 797-819. Braz. Dent. J. Tostes B.O. 28 97 2017 10.1590/0103-6440201701035 Tostes BO, Guimarães RB, Noronha-Filho JD, Botelho GD, Guimarães JG, Silva EM. Characterization of conventional and high-translucency Y-TZP dental ceramics submitted to air abrasion. Braz Dent J 2017; 28 (1) : 97-104. J. Prosthet. Dent. Atsu S.S. 95 430 2006 10.1016/j.prosdent.2006.03.016 Atsu SS, Kilicarslan MA, Kucukesmen HC, Aka PS. Effect of zirconium-oxide ceramic surface treatments on the bond strength to adhesive resin. J Prosthet Dent 2006; 95 (6) : 430-6. J. Adhes. Dent. Wandscher V.F. 18 435 2016 Wandscher VF, Fraga S, Pozzobon JL, et al. Tribochemical glass ceramic coating as a new approach for resin adhesion to zirconia. J Adhes Dent 2016; 18 (5) : 435-40. J. Prosthet. Dent. Aboushelib M.N. 98 379 2007 10.1016/S0022-3913(07)60123-1 Aboushelib MN, Kleverlaan CJ, Feilzer AJ. Selective infiltration-etching technique for a strong and durable bond of resin cements to zirconia-based materials. J Prosthet Dent 2007; 98 (5) : 379-88. Laser Ther. Gamal A.E. 27 48 2018 10.5978/islsm.18-OR-05 Gamal AE, Medioni E, Rocca JP, Fornaini C, Brulat-Bouchard N. CO2 laser dentin surface treatment most effectively increased ceramic shear bond strength. Laser Ther 2018; 27 (1) : 48-54. J. Dent. Amaral M. 42 90 2014 10.1016/j.jdent.2013.11.004 Amaral M, Belli R, Cesar PF, Valandro LF, Petschelt A, Lohbauer U. The potential of novel primers and universal adhesives to bond to zirconia. J Dent 2014; 42 (1) : 90-8. J. Prosthet. Dent. Tzanakakis E.G. 115 9 2016 10.1016/j.prosdent.2015.09.008 Tzanakakis EG, Tzoutzas IG, Koidis PT. Is there a potential for durable adhesion to zirconia restorations? A systematic review. J Prosthet Dent 2016; 115 (1) : 9-19. Dent. Mater. Pilo R. 32 353 2016 10.1016/j.dental.2015.11.031 Pilo R, Kaitsas V, Zinelis S, Eliades G. Interaction of zirconia primers with yttria-stabilized zirconia surfaces. Dent Mater 2016; 32 (3) : 353-62. Dent. Mater. Xie H. 32 403 2016 10.1016/j.dental.2015.12.014 Xie H, Li Q, Zhang F, et al. Comparison of resin bonding improvements to zirconia between one-bottle universal adhesives and tribochemical silica coating, which is better? Dent Mater 2016; 32 (3) : 403-11. Braz. Dent. J. Araújo A.M.M. 29 275 2018 10.1590/0103-6440201801862 Araújo AMM, Januário ABDN, Moura DMD, Tribst JPM, Özcan M, Souza ROA. Can the application of multi-mode adhesive be a substitute to silicatized/silanized Y-TZP ceramics? Braz Dent J 2018; 29 (3) : 275-81. J. Esthet. Restor. Dent. Perdigão J. 27 331 2015 10.1111/jerd.12185 Perdigão J, Swift EJ Jr. Universal adhesives. J Esthet Restor Dent 2015; 27 (6) : 331-4. J. Dent. Res. Yoshida Y. 83 454 2004 10.1177/154405910408300604 Yoshida Y, Nagakane K, Fukuda R, et al. Comparative study on adhesive performance of functional monomers. J Dent Res 2004; 83 (6) : 454-8. J. Adhes. Dent. Pereira L de L. 17 169 2015 Pereira L de L, Campos F, Dal Piva AM, Gondim LD, Souza RO, Özcan M. Can application of universal primers alone be a substitute for airborne-particle abrasion to improve adhesion of resin cement to zirconia? J Adhes Dent 2015; 17 (2) : 169-74. J. Prosthet. Dent. Seabra B. 112 182 2014 10.1016/j.prosdent.2013.10.008 Seabra B, Arantes-Oliveira S, Portugal J. Influence of multimode universal adhesives and zirconia primer application techniques on zirconia repair. J Prosthet Dent 2014; 112 (2) : 182-7. J. Adhes. Dent. Lopes G.C. 18 239 2016 Lopes GC, Spohr AM, De Souza GM. Different strategies to bond Bis-GMA-based resin cement to zirconia. J Adhes Dent 2016; 18 (3) : 239-46. Am. J. Dent. Chen L. 25 103 2012 Chen L, Suh BI, Brown D, Chen X. Bonding of primed zirconia ceramics: Evidence of chemical bonding and improved bond strengths. Am J Dent 2012; 25 (2) : 103-8. J. Adhes. Dent. Koizumi H. 14 385 2012 Koizumi H, Nakayama D, Komine F, Blatz MB, Matsumura H. Bonding of resin-based luting cements to zirconia with and without the use of ceramic priming agents. J Adhes Dent 2012; 14 (4) : 385-92. J. Prosthet. Dent. de Souza G. 112 895 2014 10.1016/j.prosdent.2014.01.016 de Souza G, Hennig D, Aggarwal A, Tam LE. The use of MDP-based materials for bonding to zirconia. J Prosthet Dent 2014; 112 (4) : 895-902. Dent. Mater. Lung C.Y.K. 28 467 2012 10.1016/j.dental.2012.02.009 Lung CYK, Matinlinna JP. Aspects of silane coupling agents and surface conditioning in dentistry: An overview. Dent Mater 2012; 28 (5) : 467-77. Dent. Mater. Magne P. 26 345 2010 10.1016/j.dental.2009.12.005 Magne P, Paranhos MP, Burnett LH Jr. New zirconia primer improves bond strength of resin-based cements. Dent Mater 2010; 26 (4) : 345-52. J. Adhes. Dent. Maeda F.A. 16 261 2014 Maeda FA, Bello-Silva MS, de Paula Eduardo C, Miranda Junior WG, Cesar PF. Association of different primers and resin cements for adhesive bonding to zirconia ceramics. J Adhes Dent 2014; 16 (3) : 261-5. Dent. Mater. Breschi L. 24 90 2008 10.1016/j.dental.2007.02.009 Breschi L, Mazzoni A, Ruggeri A, Cadenaro M, Di Lenarda R, De Stefano Dorigo E. Dental adhesion review: Aging and stability of the bonded interface. Dent Mater 2008; 24 (1) : 90-101. J. Dent. Res. Kern M. 88 817 2009 10.1177/0022034509340881 Kern M, Barloi A, Yang B. Surface conditioning influences zirconia ceramic bonding. J Dent Res 2009; 88 (9) : 817-22. Dent. Mater. Kern M. 28 1280 2012 10.1016/j.dental.2012.09.010 Kern M, Lehmann F. Influence of surface conditioning on bonding to Polyetheretherketon (PEEK). Dent Mater 2012; 28 (12) : 1280-3.