Meta-analysis of bonding effectiveness to zirconia ceramics.

Meta-analysis of bonding effectiveness to zirconia ceramics.

Journal of dental research (2014-02-25)

M Inokoshi, J De Munck, S Minakuchi, B Van Meerbeek

ABSTRACT

Dental zirconia can no longer be considered un-bondable to tooth tissue. In literature, an increasing number of papers indeed report on the bonding effectiveness of different luting techniques to zirconia. We aimed to disclose general trends in bonding to zirconia by systematically collecting zirconia bond-strength data. A search in PubMed and EMBASE revealed 1,371 bond-strength tests reported on in 144 papers. A macro-shear bond-strength protocol was most frequently used; it revealed significantly lower bond strengths and was less discriminative than the other test methods. Regarding luting technique, the combination of mechanical and chemical pre-treatment appeared particularly crucial to obtain durable bonding to zirconia ceramics. The cement choice was not revealed as a determining factor after aging conditions, as long as composite cement was used. Regarding test protocol, a tensile test appeared more discriminative, particularly when combined with 'water storage' aging.

MATERIALS

Product Number

Brand

Product Description

419141

Sigma-Aldrich

Zirconium, foil, thickness 0.1 mm, 99.98% trace metals basis

267724

Sigma-Aldrich

Zirconium, rod, diam. 6.35 mm, ≥99% trace metals basis

403296

Sigma-Aldrich

Zirconium, powder, −100 mesh

267651

Sigma-Aldrich

Zirconium, sponge, ≥99% trace metals basis

GF50035137

Zirconium, foil, 5m coil, thickness 0.025mm, annealed, 99.2%

GF20332505

Zirconium, foil, 2m coil, thickness 0.02mm, 99.2%

GF29795169

Zirconium, foil, not light tested, 100x100mm, thickness 0.004mm, 99.2%

GF38858057

Zirconium, foil, not light tested, 25x25mm, thickness 0.003mm, 99.2%

GF98201426

Zirconium, foil, light tested, 100x100mm, thickness 0.015mm, 99.2%

GF40871314

Zirconium, wire reel, 2m, diameter 0.05mm, as drawn, 99.2%

GF69666610

Zirconium, wire reel, 0.5m, diameter 0.05mm, as drawn, 99.2%

GF53330172

Zirconium, tube, 1000mm, outside diameter 12.7mm, inside diameter 9.5mm, wall thickness 1.6mm, annealed, 99.2%

GF44790846

Zirconium, rod, 200mm, diameter 12.7mm, centerless ground, 99.2%

GF99338743

Zirconium, rod, 200mm, diameter 2.0mm, centerless ground, 99.2%

GF07177912

Zirconium, tube, 200mm, outside diameter 2.0mm, inside diameter 1.6mm, wall thickness 0.2mm, annealed, 99.2%

GF84412762

Zirconium, rod, 500mm, diameter 6.0mm, centerless ground, 99.2%

GF18794201

Zirconium, wire reel, 5m, diameter 0.25mm, as drawn, 99.2%

GF92588967

Zirconium, rod, 200mm, diameter 3.0mm, centerless ground, 99.2%

GF84779612

Zirconium, tube, 1000mm, outside diameter 6.35mm, inside diameter 4.55mm, wall thickness 0.9mm, annealed, 99.2%

GF03237421

Zirconium, tube, 200mm, outside diameter 6.35mm, inside diameter 4.55mm, wall thickness 0.9mm, annealed, 99.2%

GF90246056

Zirconium, rod, 100mm, diameter 3.0mm, centerless ground, 99.2%

GF25691878

Zirconium, rod, 500mm, diameter 9.5mm, centerless ground, 99.2%

GF58945731

Zirconium, wire reel, 5m, diameter 0.28mm, annealed, 99.2%

GF19445519

Zirconium, tube, 100mm, outside diameter 1.6mm, inside diameter 1.1mm, wall thickness 0.25mm, hard, 99.2%

GF71701512

Zirconium, rod, 200mm, diameter 5.0mm, centerless ground, 99.2%

GF36130632

Zirconium, tube, 500mm, outside diameter 1.6mm, inside diameter 1.1mm, wall thickness 0.25mm, hard, 99.2%

GF22520258

Zirconium, rod, 50mm, diameter 19.0mm, centerless ground, 99.2%

GF88573618

Zirconium, rod, 100mm, diameter 5.0mm, centerless ground, 99.2%

GF00785752

Zirconium, wire reel, 10m, diameter 0.28mm, annealed, 99.2%

GF52371941

Zirconium, wire reel, 5m, diameter 0.5mm, as drawn, 99.2%