Shear Bond Strength of Two Repair Systems to Zirconia Ceramic by Different Surface Treatments

Abstract

Introduction: Intraoral repair has been suggested as a treatment option to repair the chipping or fracture of veneered zirconia; the success of the procedure is mainly determined by the bonding between zirconia and composite resin. The present study aimed to investigate and compare the shear bond strength (SBS) of two intraoral repair systems to zirconia ceramic treated with a laser or air-abrasion surface modification. Methods: Ninety tube-shaped samples (diameter of 10 mm and height of 4 mm) were divided into three main groups: Group I (zirconia 100%, n=30); Group II (veneer ceramic 100% n=30); Group III (zirconia with a veneer ceramic n=30). Each main group was subdivided into two subgroups (n=15): Subgroup A: samples repaired with Ceramic Repair N; Subgroup B: samples repaired with the Cimara Repair System. The subgroup samples were further subdivided based on the treated surface (n=5 samples): Control (no surface modification), Er,Cr:YSGG laser surface modification, and air-abrasion surface modification. The SBS was employed using a universal testing machine. The mode of failure was observed using a stereomicroscope. Results: Significant differences were observed in the mean SBS values between the different surface modifications (P˂0.05). Tukey’s post hoc test showed that the air-abrasion surface modification of the veneer ceramic repaired with the Ceramic repair N system had the highest mean value (13.74 MPa) among the different groups, while no surface modification of zirconia repaired with the Cimara repair system had the lowest mean value (2.84 MPa). The control group (no surface modification) had the lowest mean value among all the treated groups. Conclusion: The SBS is surface modification-dependent, and higher SBS is obtained by air-abrasion than Er, Cr:YSGG laser surface modifications with the selected parameters. The Ceramic repair N system had significantly higher SBS for all surface-treated substrates than the Cimara repair system.