The Effect of Different Surface Conditioning Techniques on the Bonding between Resin Cement & Ceramic

Surface etching before cementation is a vital step that determines the clinical performance of ceramic restorations. Etching alters surface topography that contributes effective bonding between ceramic restoration and resin cement. This study aimed to compare etching techniques to determine the most effective etching method contributing the highest bond strength that helps in improving dental implants. Materials and methods: sixty discs of feldspathic ceramic measuring 10 mm diameter and 4 mm thickness were prepared. The 60 samples were divided into four equal groups based on the surface treatment technique used: group A: 9.6% hydrofluoric acid; group B: coarse diamond burs; group C: CO2 laser; and group D: no treatment. Ceramic disc specimens were examined under a Scanning Electron microscope (SEM) after surface treatment to characterize their surface morphology. Further, the specimens were luted with a resin luting agent and incubated for 24 h at a temperature of 37 degrees C simulating the oral environment. After 24 h, shear bond strength (SBS) and the nature of bond failure was determined for each specimen using a universal Instron testing machine. Results: significant change in surface morphology was noticed on hydrofluoric acid treatment forming larger irregular roughness (4.83 +/- 1.78 mu m) with multiple patterns of grooves and pores compared to other groups. Further, the highest SBS value was measured on hydrofluoric acid etching that display the highest bond strength due to the high surface roughness. In conclusion, our findings report a strong association between the surface roughness and bond strength upon hydrofluoric acid compared to other methods. Further work in this direction will enhance the utility of the etching technique on the improvement of dental implants.

Automated summary

This study compares different etching techniques and finds that hydrofluoric acid etching can create larger irregular roughness, resulting in the highest bond strength and improvement for dental implants.