Meta-analysis of Bonding Effectiveness to Zirconia Ceramics

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 zircon...

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Bibliographic Details
Published in:Journal of Dental Research 2014-04, Vol.93 (4), p.329-334
Main Authors: Inokoshi, M., De Munck, J., Minakuchi, S., Van Meerbeek, B.
Format: Article
Language:English
Subjects:
Aging
Bond strength
Cement
Cementation - methods
Ceramics
Ceramics - chemistry
Composite Resins - chemistry
Datasets
Dental Bonding
Dental cement
Dental Materials - chemistry
Dental restorative materials
Dentistry
Failure analysis
Humans
Materials Testing
Meta-analysis
Resin Cements - chemistry
Retention
Shear Strength
Stress, Mechanical
Studies
Tensile Strength
Time Factors
Zirconia
Zirconium - chemistry
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Summary: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.
ISSN:0022-0345
1544-0591
DOI:10.1177/0022034514524228