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a
Assistant Professor, Department of Dental Prosthetics, Medical University of Lodz, Poland.
b
Professor, Department of Materials Research, Institute of Materials Science and Engineering; Professor and Chairman, Department of Dental Technology, Medical
University of Lodz, Poland.
This agent contains the adhesive phosphate monomer HF, hydrofluoric acid.
Figure 1. SEM image of surface of specimen untreated at ×500 Figure 2. SEM image of surface of specimen after HF etching with 40%
magnification. HF concentrations after 15 minutes at ×500 magnification.
Figure 4. CLSM images of surfaces of specimens after HF etching with 5%, 9.5%, and 40% HF concentrations after 1 minute, 5 minutes, and 15 minutes
at ×500 magnification.
Table 2. Mean arithmetic roughness parameters Ramean and Rzmean for Table 3. Mean arithmetic roughness parameters Ramean and Rzmean for
baseline specimens and specimens etched with 40% HF concentration baseline specimens and specimens etched with 9.5% HF concentration
40% HF (mm) 9.5% HF (mm)
Baseline Surface Surface Treated Baseline Surface Surface Treated
Etching Etching
Time Ramean SD Rzmean SD Ramean SD Rzmean SD Time Ramean SD Rzmean SD Ramean SD Rzmean SD
1 min 0.002 0.000 0.013 0.003 0.005 0.001 0.026 0.003 1 min 0.002 0.000 0.013 0.002 0.002 0.000 0.011 0.002
5 min 0.003 0.000 0.022 0.003 0.007 0.002 0.040 0.014 5 min 0.002 0.000 0.012 0.002 0.002 0.000 0.013 0.002
15 min 0.001 0.000 0.008 0.002 0.007 0.001 0.039 0.005 15 min 0.002 0.000 0.013 0.003 0.003 0.000 0.017 0.002
Ramean, mean arithmetic profile deviation; Rzmean, mean maximum height of profile; Ramean, mean arithmetic profile deviation; Rzmean, mean maximum height of profile;
HF, hydrofluoric acid. HF, hydrofluoric acid.
greater surface enhancement, although the size, which is Table 4. Mean arithmetic roughness parameters Ramean and Rzmean for
expressed in nanometers, is most likely not sufficient to baseline specimens and surfaces etched with 5% HF concentration
ensure an effective bond between the luting cement and 5% HF (mm)
900 600
800
HF40% HF9.5% HF5%
HF40% HF9.5% HF5% 500
600 400
500
300
400
300 200
200
100
100
0 0
0 1 5 15 0 1 5 15
Etching time (min) Etching time (min)
Figure 5. Percentage change in roughness parameter Ramean in relation Figure 6. Percentage change in roughness parameter Rzmean in relation
to duration of etching. to duration of etching.
Statistically significant differences (t=-9.69, P<.001) and the surface etched with 9.5% HF concentration after 15
were observed in the Rzmean results between the baseline minutes, with higher results observed for the etched sur-
surface and the surface etched with 40% HF concentra- face. Higher Ramean and Rzmean results were observed for
tion after 1 minute, with higher results observed for the etched surfaces with 9.5% HF concentration for 15
the etched surface. Statistically significant differences minutes and were statistically significant (P<.01) compared
(t=-3.97, P=.003) were also observed in the Rzmean results with baseline surfaces.
between the baseline surface and the surface etched with No significant differences (t=0, P=1.000) were
40% HF concentration after 5 minutes, with the higher observed in the Ramean results between the baseline
results noted for the etched surface. Statistically signifi- surface and the surface etched with 5% HF concentration
cant differences (t=-18.20, P<.001) were also observed in after 1 minute. Also, no significant differences (t=-2.24,
the Rzmean results between the baseline surface and the P=.038) were found in Ramean results between the
surface etched with 40% HF concentration after 15 mi- baseline surface and the surface etched with 5% HF
nutes, with higher results noted for the etched surface. In concentration after 5 minutes, with higher results
summary, etching with 40% HF concentration produced observed for the baseline surface. No significant differ-
significantly higher (P<.01) Ramean and Rzmean results for ences (t=-2.24, P=.038) in Ramean results were observed
the etched surfaces in relationship to the baseline between the baseline surface and the surface etched with
surfaces. 5% HF concentration after 15 minutes.
No significant (t=0, P=1.000) differences were No significant differences (t=0.94, P=.363) were
observed in the Ramean results between the baseline observed in the Rzmean results between the baseline
surface and the surface etched with 9.5% concentration surface and the surface etched with 5% HF concentration
after 1 minute. Also, no significant (t=0, P=1.000) dif- after 1 minute. There were still no significant differences
ferences were found in the Ramean results between the (t=-1.58, P=.149) in Rzmean results between the baseline
baseline surface and the surface etched with 9.5% HF surface and the surface etched with 5% HF concentration
concentration after 5 minutes. However, after 15 mi- after 5 minutes. There were no significant differences
nutes, significant (t=-2.24, P<.038) differences were (t=0, P=1.000) in Rzmean results between the baseline
observed in the mean Ramean results between the base- surface and surface etched with 5% HF concentration
line surface and the surface etched with 9.5% HF con- after 15 minutes. Taken together, no significant (P>.05)
centration, with higher results observed for the etched differences were observed when the surfaces were etched
surface. with 5% HF concentration. Figures 5, 6 show the per-
Significant differences (t=-2.24, P=.038) were observed centage change in the increase in roughness parameters
in the Rzmean results between the baseline surface and the Ramean and Rzmean compared with the duration of the
surface etched with 9% HF concentration after 1 minute, etching.
with higher results observed for the etched surface. No When etching was done with a 40% HF concentration,
significant differences (t=-1.11, P=.278) were found in the the mean increase in parameters DRamean and DRzmean(t)
Rzmean results between the baseline surface and the surface achieved significantly higher (P<.01) values over time.
etched with 9.5% HF concentration after 5 minutes. Sta- Nevertheless, despite the increase in roughness, these
tistically significant differences (t=-3.51, P=.003) were parameters still remained at the level of several to a dozen
observed in Rzmean results between the baseline surface nanometers and may have resulted in less bonding with
the luting cement. However, at HF 9.5% and HF 5%, minutes and 0.003 after 15 minutes. However, etching
these changes were slight or nonexistent. with a 5% HF solution achieved Ramean parameter values
of 0.002 after 60 seconds, 0.001 after 5 minutes, and 0.002
after 15 minutes.
DISCUSSION
The majority of authors have reported that the
To ensure high retention, prevention of microleakage, application of a 9.5% or 5% HF concentration to a zir-
and increased fracture/fatigue resistance, bonding tech- conia surface does not cause any morphologic changes in
niques for zirconia-based systems must be improved. its structure and does not increase surface roughness and
Strong resin bonding relies on micromechanical inter- that the roughness is less compared with conventional
locking and adhesive chemical bonding to the ceramic ceramics.4,5,10,17 We obtained similar conclusions for our
surface and requires surface activation for chemical study.
adhesion. In some instances, high-strength ceramic res- Significantly higher (P<.01) Ramean and Rzmean results
torations do not require adhesive bonding to a tooth on the etched surfaces compared with the baseline sur-
structure and can be placed using conventional cements, faces were achieved with 40% HF concentration, and the
which rely on micromechanical retention alone. How- mean increase in parameters DRamean and DRzmean(t)
ever, resin bonding is desirable when the prepared tooth achieved statistically significant (P<.01) values over time.
structure is unusually short or tapered.23 Adhesion is The data obtained in this study were detectable on a
dependent on the type of luting cement used and its nanometric scale, which indicates that the quality of
bonding capacity between a suitably prepared ceramic surface enhancement may be insufficient to improve
surface and the enamel and dentin.5,8 bond strength with luting cements. Etching zirconia with
Many studies have focused on the problem of HF has limited effectiveness because of the dense crystal
selecting the appropriate cement to achieve the network and the small amount of glass matrix and is
optimal retention of crowns and partial fixed dental not recommended as a treatment method for this
prosthesis. Another factor of importance for strong and material.5,13,21,23
long-term bonding is appropriate surface treatment.9 A
rough and irregular surface of 3Y-TZP creates micro- CONCLUSIONS
retentive depressions for the bonding systems. Thus,
Within the limitations of this in vitro study, the following
not only is the bonding surface greater, but the wetting
conclusions were drawn:
and surface energy are also greater.23 Airborne-particle
abrasion has been used in an attempt to enhance the 1. An increase in etching time has a positive effect on
surface area available for bonding: although an the quality of the treated zirconia surface, although
improvement in the average surface roughness has it is also dependent on the concentration of acids
been recorded on a micrometer scale, the treatment used for etching.
appeared to be inadequate to establish reliable 2. Etching with a 5% HF solution is not recommended
ceramic/cement bonds.19,20 as a method for roughening zirconia surfaces.
Alternative technologies are advocated to change
these high-strength ceramic cores into more retentive
REFERENCES
substrates. SIE has recently been proposed because it
has achieved promising results in terms of bond 1. Borchers L, Stiesch M, Bach FW, Buhl JC, Hubsch C, Kellner T, et al. Influ-
ence of hydrothermal and mechanical conditions on the strength of zirconia.
strength values at the zirconia-resin cement interfaces. Acta Biomater 2010;6(12):4547-52.
The use of SIE improved nanomechanical retention of 2. Zhang Y, Lawn B. Fatigue sensitivity of Y-TZP to microscale sharp-contact
flaws. J Biomed Mater Res Appl Biomater 2005;72 B:388-92.
zirconia by increasing the surface area available for 3. Denry I, Kelly JR. State of the art of zirconia for dental applications. Dent
bonding.24 Mater 2008;24:299-307.
4. Ozcan M, Vallittu PK. Effect of surface conditioning methods on the bond
Casucci et al25 have shown that a hot chemical strength of luting cement to ceramics. Dent Mater 2003;19:725-31.
etching solution produces a surface roughness that is 5. Blatz MB, Sadan A, Kern M. Resin-ceramic bonding: a review of the
literature. J Prosthet Dent 2003;89:268-74.
significantly greater than when SIE is used. This tech- 6. Lúty H, Loeffel O, Hammerle CHF. Effect of thermocycling on bond
nique could possibly enhance the mechanical retention of strength of luting cements to zirconia ceramic. Dent Mater 2006;
22:195-200.
ZrO2 and increase the Ramean roughness parameter of 7. Kern M, Wegner SM. Bonding to zirconia ceramic: adhesion methods and
the 3Y-TZP surface from 26 nm after 10 minutes to 103 their durability. Dent Mater 1998;14:64-71.
8. Burke FJ, Fleming GJ, Nathanson D, Marquis PM. Are adhesive technologies
nm after 60 minutes. In the same studies, etching with needed to support ceramics? An assessment of the current evidence. J Adhes
9.5% HF also achieved a parameter value of Ramean 5 nm Dent 2002;4:7-22.
9. Blatz MB, Chiche G, Holst S, Sadan A. Influence of surface treatment and
after 90 seconds. simulated aging on bond strengths of luting agents to zirconia. Quintessence
In the studies presented here, the value of the Ramean Int 2007;38:745-53.
10. Bottino MA, Valandro LF, Scotti R, Buso L. Effect of surface treatments
parameter after etching with 9.5% HF was 0.002 after 60 on the resin bond to zirconium-based ceramic. Int J Prosthodont 2005;18:
seconds, and the same result was achieved after 5 60-5.
11. Blatz MB, Sadan A, Martin J, Lang B. In vitro evaluation of shear bond 20. Sato H, Yamada K, Pezzotti G, Nawa M, Ban S. Mechanical properties of
strengths of resin to densely-sintered high-purity zirconium-oxide dental zirconia ceramics changed with sandblasting and heat treatment. Dent
ceramic after long-term storage and thermal cycling. J Prosthet Dent 2004;91: Mater 2008;27:408-14.
356-62. 21. Blixt M, Richter C, Sadan A, Chiche GJ. Bonding to densely sintered alumina
12. Piwowarczyk A, Lauer HC, Sorensen JA. In vitro shear bond strength of surfaces: effect of sandblasting and silica coating on shear bond strength of
cementing agents to fixed prosthodontics restorative materials. J Prosthet luting cements. Int J Prosthodont 2000;13:221-6.
Dent 2004;92:265-73. 22. Atsu S, Lilicarslan MA, Kucukesmen HC, Aka PS. Effect of zirconium-oxide
13. Blatz MB, Phark JH, Ozer F, Mante FK, Saleh N, Bergler M, et al. In vitro ceramic surface treatments on the bond strength to adhesive resin. J Prosthet
comparative bond strength of contemporary self-adhesive resin cements to Dent 2006;95:430-6.
zirconia ceramic with and without air-particle abrasion. Clin Oral Invest 23. Thompson JY, Stoner BR, Piascik JR, Smith R. Adhesion/cementation to
2010;14(2):187-92. zirconia and other non-silicate ceramics: where are we now? Dent Mater
14. Blatz MB, Sadan A, Kern M. Resin-ceramic bonding: a review of literature. 2011;27:71-82.
J Prosthet Dent 2003;89:268-74. 24. Aboushelib MN, Kleverlaan CJ, Feilzer AJ. Selective infiltration-etching
15. Piwowarczyk A, Lauer HC, Sorensen JA. The shear bond strength between technique for a strong and durable bond of resin cements to zirconia-based
luting cements and zirconia ceramics after two pre-treatments. Oper Dent materials. J Prosthet Dent 2007;98:379-88.
2005;30:382-8. 25. Casucci A, Osorio E, Osorio R, Monticelli F, Toledano M, Mazzitelli C, et al.
16. Guzzato M, Albakry M, Ringer SP, Swain MV. Strength, fracture toughness Influence of different surface treatments on surface zirconia framework.
and microstructure of a selection of all-ceramic materials. Part II. Zirconia- J Dent 2009;37:891-7.
based dental ceramics. Dent Mater 2004;20:449-56.
17. Kosmac T, Oblak C, Jevnikar P, Funduk N, Marion L. The effect of surface
Corresponding author:
grinding and sandblasting on flexural strength and reliability of Y-TZP
zirconia ceramic. Dent Mater 1999;15:426-33. Dr Beata Smielak
18. Huang H. Machining characteristics and surface integrity of yttria stabilized The Medical University of Lodz
tetragonal zirconia in high speed deep grinding. Mater Sci Eng A Struct Pomorska 251, 92-213 Lodz
2003;345:155-63. POLAND
19. Guazzato M, Quach L, Albakry M, Swain MV. Influence of surface and Email: bsmielak@hotmail.com
heat treatments on the flexural strength of Y-TZP dental ceramic. J Dent
2005;33:9-18. Copyright © 2015 by the Editorial Council for The Journal of Prosthetic Dentistry.