Cementation Protocol for Bonding Zirconia Crowns to Titanium Base CAD/CAM Abutments

Author(s)

Zahoui, Abbas ; Bergamo, Edmara T. P. ; Marun, Manoela M. ; Silva, Kimberly P. ; Coelho, Paulo G. ; Bonfante, Estevam A.

• Document type: Journal article
• Source: International Journal of Prosthodontics; v. 33, n. 5, p. 9-pg., 2020-09-01.

Abstract

Purpose: To establish the most effective cementation protocol for bonding zirconia crowns to Ti-Base CAD/CAM abutments in terms of abutment height, cement type, and surface pretreatment. Materials and Methods: Zirconia crowns were designed to fit abutments of 2.5-mm (short) and 4.0-mm (tall) height. The retention of conventional resin cement with a universal adhesive (RelyX Ultimate, 3M ESPE) was compared to self-adhesive resin cement (RelyX U200, 3M ESPE) following different surface pretreatments (n = 10/group): (1) no treatment (NT); (2) Ti-Base abutment surface blasting with alumina particles (SB); (3) zirconia crown tribochemical surface blasting with silica-coated alumina particles (TBS); and (4) a combination of SB + TBS. Pull-out testing was performed in a universal testing machine. Data were statistically evaluated using a linear mixed model following least significant difference post hoc test. Results: Pull-out data as a function of Ti-Base height demonstrated higher retention for tall compared to short abutments (P < .001). Ultimate outperformed U200 cement (data collapsed over height and pretreatment) (P < .001). Analysis of pretreatment depicted higher retention for SB + TBS, followed by SB, TBS, and NT (P < .04). The interaction between Ti-Base height and cement type highlighted the superior adhesive strength of Ultimate compared to U200 for both heights (P < .001). Irrespective of type of pretreatment, surface pretreatment improved the retention for U200 cement and short Ti-Base (P < .03 compared to NT). In contrast, higher retention was demonstrated for SB + TBS, followed by SB, TBS, and NT, for Ultimate cement combined with tall Ti-Base (P < .02) (data collapsed over height and cement, respectively). Conclusion: There was a direct relationship among Ti-Base height, micromechanical and/or chemical pretreatment, and conventional adhesive bonding in improving the retention of zirconia crowns. (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