Original Article

Fracture Resistance, Surface Roughness, and Microtensile Bond Strength of Monolithic Zirconia to Resin Cements after Plasma Treatment

Abstract

Objectives: This study aimed to assess the effect of surface treatment with plasma on surface roughness (SR) and fracture resistance (FR) of monolithic zirconia, and its microtensile bond strength (MTBS) to resin cements.

Materials and Methods: This in vitro, experimental study was conducted on 40 monolithic zirconia crowns for FR test, 100 zirconia rods for MTBS test, and 40 zirconia blocks for profilometry. According to the surface treatment type, the samples were randomly assigned to 4 groups of (I) control (no surface treatment), (II) argon-oxygen plasma (AOP), (III) argon plasma (AP), and (IV) sandblasting (SB). FR of crowns and MTBS of zirconia rods to Allcem Dual and Panavia SA resin cements were measured by a universal testing machine, surface texture was evaluated by atomic force microscopy (AFM), and SR was measured by a profilometer. Data were analyzed by one-way and two-way ANOVA, Tukey’s test, and independent t-test (alpha=0.05).

Results: There was a significant difference in SR among the groups (P=0.003). The AP group had significantly lower SR than other groups (P=0.01). FR was not significantly different among the four groups. The MTBS in the SB and AOP groups was significantly higher than that in the control and AP groups for both resin cements. MTBS was not significantly different between the two resin cements within each group.

Conclusion: None of the surface treatments affected the FR of zirconia crowns. AOP and sandblasting techniques increased the MTBS of zirconia to resin cements with unnoticeable change in SR.

1. Alghazzawi TF. Advancements in CAD/CAM technology: Options for practical implementation. J Prosthodont Res. 2016 Apr;60(2):72-84.
2. Blatz MB, Chiche G, Holst S, Sadan A. Influence of surface treatment and simulated aging on bond strengths of luting agents to zirconia. Quintessence int. 2007 Oct;38(9):745-53.
3. Zhang F, Spies BC, Vleugels J, Reveron H, Wesemann C, Müller WD, et al. High-translucent yttria-stabilized zirconia ceramics are wear-resistant and antagonist-friendly. Dent Mater. 2019 Dec;35(12):1776-90.
4. Øilo M, Schriwer C, Flinn B, Gjerdet NR. Monolithic zirconia crowns–wall thickness, surface treatment and load at fracture. Biomater Investig Dent. 2019 Dec;6(1):13-22.
5. Aboushelib MN, Feilzer AJ, Kleverlaan CJ. Bonding to zirconia using a new surface treatment. J Prosthodont. 2010 Jul;19(5):340-6.
6. Tabari K, Hosseinpour S, Mohammad-Rahimi H. The Impact of Plasma Treatment of Cercon® Zirconia Ceramics on Adhesion to Resin Composite Cements and Surface Properties. Lasers Med Sci. 2017;8(Suppl 1):S56-61.
7. Zhao P, Yu P, Xiong Y, Yue L, Arola D, Gao S. Does the bond strength of highly translucent zirconia show a different dependence on the airborne-particle abrasion parameters in comparison to conventional zirconia? J Prosthodont Res. 2019;64(1):60-70.
8. Mahrous A, Radwan MM, Emad B. Effect of non-thermal air plasma treatment on sShear bond strength of adhesive resin cement to zirconia. Egypt Dent J. 2018 Jul;64(3-July (Fixed Prosthodontics, Dental Materials, Conservative Dentistry & Endodontics)):2879-88.
9. Lee MH, Min BK, Son JS, Kwon TY. Influence of Different Post-Plasma Treatment Storage Conditions on the Shear Bond Strength of Veneering Porcelain to Zirconia. Materials. 2016 Jan;9(1):43.
10. Canullo L, Micarelli C, Bettazzoni L, Koçi B, Baldissara P. Zirconia-composite bonding after plasma of argon treatment. Int J Prosthodont. 2014 May;27(3):267-9.
11. Ito Y, Okawa T, Fukumoto T, Tsurumi A, Tatsuta M, Fujii T, et al. Influence of atmospheric pressure low-temperature plasma treatment on the shear bond strength between zirconia and resin cement. J Prosthdont Res. 2016 Oct;60(4):289-93.
12. Balkenhol M, Nothdurft FP, Hannig M, Schindler A, Lehmann A, Arnold T, et al. Bonding to zirconia ceramic: The effect of cold plasma treatment and 4-META. Clin Plasma Med. 2017 Jun;5:8-13.
13. Kim DS, Ahn JJ, Bae EB, Kim GC, Jeong CM, Huh JB, et al. Influence of non-thermal atmospheric pressure plasma treatment on shear bond strength between Y-TZP and self-adhesive resin cement. Materials. 2019 Oct;12(20):3321.
14. Sevilla P, Lopez-Suarez C, Pelaez J, Tobar C, Rodriguez-Alonso V, Suarez MJ. Influence of Low-Pressure Plasma on the Surface Properties of CAD-CAM Leucite-Reinforced Feldspar and Resin Matrix Ceramics. Appl Sci. 2020 Dec;10(24):8856.
15. Vechiato-Filho AJ, Matos AO, Landers R, Goiato MC, Rangel EC, De Souza GM, et al. Surface analysis and shear bond strength of zirconia on resin cements after non-thermal plasma treatment and/or primer application for metallic alloys. Mater Sci Eng C. 2017;72:284-92.
16. Park C, Park SW, Yun KD, Ji MK, Kim S, Yang YP, et al. Effect of plasma treatment and its post process duration on shear bonding strength and antibacterial effect of dental zirconia. Materials. 2018 Nov;11(11):2233.
17. Inokoshi M, Shimizu H, Nozaki K, Takagaki T, Yoshihara K, Nagaoka N, et al. Crystallographic and morphological analysis of sandblasted highly translucent dental zirconia. Dent Mater. 2018;34(3):508-18.
18. Kim HK, Ahn B. Effect of Al2O3 sandblasting particle size on the surface topography and residual compressive stresses of three different dental zirconia grades. Materials. 2021;14(3):610.
19. de Mendonça BC, Negreiros WM, Giannini M. Effect of aluminum oxide sandblasting, plasma application and their combination on the bond strength of resin cement to zirconia ceramics. Braz Dent Sci. 2019 Apr;22(2):275-80.
20. Pott PC, Syväri TS, Stiesch M, Eisenburger M. Influence of nonthermal argon plasma on the shear bond strength between zirconia and different adhesives and luting composites after artificial aging. J Adv Prosthodont. 2018 Aug;10(4):308-14.
21. Valverde GB, Coelho PG, Janal MN, Lorenzoni FC, Carvalho RM, Thompson VP, et al. Surface characterisation and bonding of Y-TZP following non-thermal plasma treatment. J Dent. 2013;41(1):51-9.
22. Negreiros WM, de Souza VTFS, dos Santos Noronha M, Lopes BB, Eng M, Giannini M. Adhesion of resin cement to zirconia using argon plasma and primer. Int J Prosthodont. 2021;34(6):796–800.
23. Bozogullari HN, Yucel HC, Ustun O, Akan T, Ozer F. The effect of nonthermal argon plasma surface treatment on the fracture resistance of monolithic zirconia restorations containing tetragonal and cubic grains. J Oral Sci. 2022;64(2):124-8.
24. Negreiros WM, Cotta MA, Rueggeberg FA, Bonvent JJ, Nascimento FD, Giannini M. Effects of argon plasma and aging on the mechanical properties and phase transformation of 3Y-TZP zirconia. Braz Dent J. 2022;33(5):100-7.
25. Henningsen A, Smeets R, Heuberger R, Jung OT, Hanken H, Heiland M, et al. Changes in surface characteristics of titanium and zirconia after surface treatment with ultraviolet light or non-thermal plasma. Eur J Oral Sci. 2018 Apr;126(2):126-34.
IssueVol 21 (Continuously Published Article-Based) QRcode
SectionOriginal Article
DOI https://doi.org/10.18502/fid.v21i37.16594
Keywords
Plasma Gases Resin Cements Zirconium
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How to Cite
1.
Vafaei M, Alaghemand H, Ahmadizenous G, Sohbatzadeh F, Mokhtarpour F. Fracture Resistance, Surface Roughness, and Microtensile Bond Strength of Monolithic Zirconia to Resin Cements after Plasma Treatment. Front Dent. 2024;21.