Retention of zirconia crowns to Ti-base abutments: effect of luting protocol, abutment treatment and autoclave sterilization

Author(s)

Bergamo, Edmara T. P. ^[1] ; Zahoui, Abbas ^[1] ; Amorin Ikejiri, Larissa Luri ^[1] ; Marun, Manoela ^[1] ; da Silva, Kimberly Peixoto ^[1] ; Coelho, Paulo G. ^[2] ; Soares, Simone ^[1] ; Bonfante, Estevam A. ^[1]

Affiliation

^[1] Univ Sao Paulo, Bauru Sch Dent, Dept Prosthodont & Periodontol, 9-75 Octavio Pinheiro Brisolla, BR-17012901 Bauru, SP - Brazil

^[2] NYU, Dept Biomat & Biomimet, Dept Biomed Engn, Hansjorg Wyss Dept Plast Surg, Tandon Sch Engn Bro, New York, NY - USA

• Document type: Journal article
• Source: JOURNAL OF PROSTHODONTIC RESEARCH; v. 65, n. 2, p. 171-175, 2021.
• Web of Science Citations: 0

Abstract

Purpose: To evaluate the influence of resin cement type, surface pretreatment and autoclave sterilization on the retention of Y-TZP crowns to Ti-base abutments. Methods: Y-TZP crowns were designed and milled to fit Ti-base abutments. Crowns were cemented using either a conventional resin cement (conventional) with a universal adhesive or a self-adhesive resin cement (self-adhesive), both following no surface pretreatment (No) or Ti-base abutment sandblasting (SB) (n=20/group). Half of the cemented samples were subjected to in-office autoclave sterilization. Pullout testing was performed in a universal testing machine at a speed of 1 mm/min until crown displacement. Data were statistically evaluated through a linear mixed model following post hoc comparisons by LSD test. Results: Pullout data as a function of cement type demonstrated higher retention for conventional relative to self-adhesive cement (p<0.001). Ti-base sandblasting (SB) favored crown retentiveness over No pretreatment (p<0.001). Sterilized crowns exhibited higher pullout values than non-sterile (p=0.036). All the two- and three-factor interaction analyses corroborated with the superior adhesive strength of conventional compared to self-adhesive cement (all, p<0 .011), as well as, SB relative to No pretreatment (all, p<0.024). While autoclave sterilization maximized bond strength when self-adhesive cement (data collapsed over surface pretreatment, p<0.050) and No pretreatment were evaluated (data collapsed over surface pretreatment. p<0.013), no significant difference was observed for conventional resin cement (p=0.280) and SB (p=0.878) groups. Conclusions: Conventional resin cement and/or Ti-base sandblasting increased Y-TZP crown retentiveness, with no significant influence of autoclave sterilization. Autoclaving increased retentiveness when self-adhesive cement andlor no Ti-base pretreatment were used. (AU)

• FAPESP's process: 12/19078-7 - Development and processing of Al2O3-ZrO2 translucent composite for CAD/CAM monolithic prostheses: the effect of aging on biaxial flexural strength
• Grantee: Estevam Augusto Bonfante
• Support Opportunities: Research Grants - Young Investigators Grants
• FAPESP's process: 19/08693-1 - Experimental glass-infiltrated alumina-zirconia composites: characterization of microstructure, optical and mechanical properties.
• Grantee: Edmara Tatiely Pedroso Bergamo
• Support Opportunities: Scholarships in Brazil - Post-Doctoral
• FAPESP's process: 16/18818-8 - Multi-User Equipment approved in grant 2012/19078-7: ElectroPuls E3000 Linear-Torsion All-Electric dynamic test instrument package
• Grantee: Estevam Augusto Bonfante
• Support Opportunities: Multi-user Equipment Program