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Wu S, Sun Y, Zhang Q, Si W, Gao P, Lu L, Deng Z, Xu L, Shen X, Liu J. Elytra-inspired zirconium phosphate nanonetwork: Toward high-quality osseointegration and physical-chemical-mechanical bond at the interface for zirconia-based dental materials. Bioact Mater 2025; 50:116-133. [PMID: 40242506 PMCID: PMC12002964 DOI: 10.1016/j.bioactmat.2025.03.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/25/2024] [Revised: 03/26/2025] [Accepted: 03/27/2025] [Indexed: 04/18/2025] Open
Abstract
Yttria-stabilized zirconia (YSZ) is widely used in dental implants and prostheses due to its excellent aesthetic and restorative properties. However, its bio-inert surface limits early osseointegration and weakens bonding strengths with porcelain veneer/resin cement. Inspired by the structure of beetle elytra, this work proposes a novel strategy involving a self-assembled trabecular-honeycomb biomimetic zirconium phosphate (ZrP) nanonetwork to modify YSZ surfaces. This approach simultaneously enhances energy dissipation, interfacial bonding, and osseointegration. The pore size of ZrP nanonetwork was precisely controlled by adjusting reaction temperatures (120 °C and 160 °C) and phosphoric acid concentrations (1.0 wt% and 2.5 wt%). Compared to conventional YSZ, the ZrP nanonetworks achieved remarkable improvements in bond strength, showing increases of 111 % with porcelain veneer and 336 % with resin cement. These enhancements are attributed to multiscale physical-chemical-mechanical interactions, including micromechanical anchoring, chemical bonding via phosphate groups, and energy dissipation through topological optimization. In vitro studies demonstrated that large-pore-size nanonetworks promote osteogenic differentiation of osteoblasts and modulate macrophage polarization toward the M2 phenotype, fostering an immune environment conducive to bone regeneration. In vivo experiments further validated the superior osseointegration and bone regeneration capacities of the large-pore-size ZrP nanonetwork. Collectively, this biomimetic ZrP nanonetwork-modified YSZ, with its exceptional physical-chemical-mechanical bonding properties, osseointegration potential, and immune-modulating capabilities, represents a groundbreaking advancement in zirconia-based material for dental implants and prostheses.
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Affiliation(s)
- Shuyi Wu
- School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, 325027, China
| | - Yingyue Sun
- School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, 325027, China
| | - Qihong Zhang
- School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, 325027, China
| | - Wen Si
- School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, 325027, China
| | - Peng Gao
- School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, 325027, China
| | - Lei Lu
- School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, 325027, China
| | - Zhennan Deng
- School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, 325027, China
| | - Lihua Xu
- Department of General Medicine, First Affiliated Hospital, Wenzhou Medical University, Wenzhou, 325000, China
| | - Xinkun Shen
- Ningbo Key Laboratory of Skin Science, Ningbo College of Health Sciences, Ningbo, 315000, China
| | - Jinsong Liu
- School and Hospital of Stomatology, Wenzhou Medical University, Wenzhou, 325027, China
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Seyedi D, Valizadeh S, Ghodsi S, Salimi K, Atri F. Effect of Nonthermal Plasma on Shear Bond Strength of Translucent Zirconia in Layering Ceramic. Int J Dent 2023; 2023:6639030. [PMID: 37223394 PMCID: PMC10202598 DOI: 10.1155/2023/6639030] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/16/2023] [Revised: 03/26/2023] [Accepted: 04/24/2023] [Indexed: 05/25/2023] Open
Abstract
Background Today, various methods are used to increase the bond strength of zirconia in layering ceramics. This study evaluated the effects of nonthermal argon plasma on zirconia shear bond strength to layering porcelain. Materials and Method. In this experimental study, 42 square blocks of zirconia were prepared and randomly divided into three groups (n = 14) according to the applying surface treatment: (1) the control group (without any surface treatment), (2) the plasma-treated group with argon nonthermal plasma, and (3) the air abrasion group with 50 µm Al2O3 particles. All samples were layered with porcelain. One sample from each group was evaluated by electron microscopy (SEM) to examine the cross-sectional area of the zirconia-ceramic bond. The rest of the specimens were subjected to thermocycling with 5,000 baths to imitate the aging process in the mouth and then were tested for shear bond strength. The failure pattern of the samples was examined by stereomicroscope. Bond strength data were analyzed by one-way ANOVA test in three groups and Tamhane post hoc test in pairs. The significance level of p-value was considered 0.05. Results The shear bond strength of the plasma-treated group was significantly higher than the control group (p = 0.032) but the shear bond strength between the sandblast and the plasma-treated group was not significantly different (p = 0.656). The shear bond strength between the sandblast and the control group was also not significant (p = 0.202). Regarding the mode of failure, failures were mostly adhesive and then mixed. Examination of the samples under SEM showed that the bond area is the thickest in the sandblast group and also the surface roughness is the highest in the sandblast group and the lowest in the control group. Conclusion This study demonstrated that the use of nonthermal argon plasma treatment is an effective way to enhance the quality and quantity of shear bond strength between layering porcelain and zirconia.
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Affiliation(s)
- Dorsa Seyedi
- Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | - Sara Valizadeh
- Department of Operative Dentistry, Dental Research Center, School of Dentistry, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Safoura Ghodsi
- Department of Prosthodontics, Dental Research Center, School of Dentistry, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran
| | - Kimia Salimi
- Department of Prosthodontics, School of Dentistry, Tehran University of Medical Sciences, Tehran, Iran
| | - Faezeh Atri
- Department of Prosthodontics, Dental Research Center, School of Dentistry, Dentistry Research Institute, Tehran University of Medical Sciences, Tehran, Iran
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Komar D, Bago I, Negovetić Vranić D, Kranjčić J, Brkić B, Carek A. Influence of Different Surface Pretreatments of Zirconium Dioxide Reinforced Lithium Disilicate Ceramics on the Shear Bond Strength of Self-Adhesive Resin Cement. Acta Stomatol Croat 2021; 55:264-279. [PMID: 34658373 PMCID: PMC8514231 DOI: 10.15644/asc55/3/4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/10/2021] [Accepted: 08/22/2021] [Indexed: 11/16/2022] Open
Abstract
Aim To analyze the influence of different surface pretreatments of zirconium dioxide reinforced lithium disilicate ceramics on the shear bond strength of self-adhesive resin cement. Materials and methods Eighty-four zirconium reinforced lithium disilicate disc Vita suprinity (Vita Zahnfabrick, Bad Säckingen, Germany) 14x12x2 mm specimens were fabricated according to the manufacturer's recommendations. The specimens were embedded in acrylic resin blocks and randomly divided in seven groups (n=12/each) accorrding to the treatment: Group 1- 10% hydrofluoric acid; Group 2- silane; Group 3- hydrofluoric and silane; Group 4- sandblasting with silane; Group 5- Er: YAG laser+ silane; Group 6- Nd: YAG laser + silane; and the control group, in which the specimens were not treated. Round shape composite discs (Filtek Bulk fill, 3M ESPE, St.Paul, Minnesota, USA) with 3.5 mm diameter, were made for shear bond strength testing, and then cemented to the ceramic sample surface using composite cement (RelyX U200 Automix, 3M ESPE, Neuss, Germany). After cementing the composite disc on the sample, the samples were subjected to shear bond strength test of 10 N with a “stress rate” of 1 MPa / s. To determine the nature of the fracture (adhesive, cohesive or adhesive-cohesive), the broken samples were examined under a stereomicroscope. The ANOVA test and the Tukey test were used to compare the values of the bond strength characteristics between different types of materials. All tests were performed with a significance level of α = 0.05. Results There was a significant difference in the shear bond strength of self-adhesive cement to dental lithium-disilicate ceramics reinforced with zirconium dioxide after different preparation protocols (p<0, 05). The treatment of lithium disilicate ceramics reinforced with zirconium dioxide by silanization, sandblasting + silanization, Nd: YAG + silanization resulted in significantly higher bond strength compared to the control group. There was statistically higher bond strength of self-adhesive cement after pretreatment of lithium disilicate ceramics Nd: YAG + silanization compared to Er: YAG + silanization (p <0.05). Adhesive fracture dominated in the control group, sandblasting + silanization group, and in the laser groups, while mixed fracture dominated in other groups. Conclusion Under the limitations of this study, the Nd:YAG irradiation with silanization could be used as pretreatment for providing greater shear bond strength of self-adhesive resin cement to zirconium reinforced lithium disilicate.
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Affiliation(s)
- Danijel Komar
- - Dental Polyclinic Zagreb, Department of Prosthodontics, Zagreb
| | - Ivona Bago
- - School of Dental Medicine, University of Zagreb, Department of Endodontics and Restorative Dentistry
| | - Dubravka Negovetić Vranić
- - School of Dental Medicine, University of Zagreb, Department of Children's and Preventive Dentistry
| | - Josip Kranjčić
- - School of Dental Medicine, University of Zagreb, Department of Fixed
| | - Bruna Brkić
- - Split-Dalmatia County Health Center, Split, Croatia
| | - Andreja Carek
- - School of Dental Medicine, University of Zagreb, Department of Fixed
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Toyoda K, Taniguchi Y, Nakamura K, Isshi K, Kakura K, Ikeda H, Shimizu H, Kido H, Kawaguchi T. Effects of ytterbium laser surface treatment on the bonding of two resin cements to zirconia. Dent Mater J 2021; 41:45-53. [PMID: 34408119 DOI: 10.4012/dmj.2021-036] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Monolithic zirconia crowns bonded to zirconia abutments have become more commonly used in the construction of cement-retained implant superstructures. The present study aimed to examine the effects of laser surface treatments on the bond strength of two resin cements to zirconia. Three types of surfaces were examined: untreated, alumina blasted, and ytterbium laser treated; and two types of resin cements: 4-META/MMA-TBB resin cement and composite resin cement. Half of the specimens were subjected to a thermocycling process. Subsequently, a shear bond test was carried out. In addition, surface roughness was measured for each surface type. The results showed that laser treatment increased zirconia surface roughness and that laser treatment significantly increased shear bond strength after the thermocycling of both cement types compared to no treatment. Our experimental results suggested that ytterbium laser surface treatment of zirconia increased the bond strength of resin cements.
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Affiliation(s)
- Keita Toyoda
- Division of Oral Implantology, Department of Oral Rehabilitation, Fukuoka Dental College
| | - Yusuke Taniguchi
- Division of Oral Implantology, Department of Oral Rehabilitation, Fukuoka Dental College
| | | | - Kota Isshi
- Central Dental Laboratory, Fukuoka Dental College Hospital
| | - Kae Kakura
- Division of Oral Implantology, Department of Oral Rehabilitation, Fukuoka Dental College
| | - Hiroshi Ikeda
- Division of Biomaterials, Department of Oral Functions, Kyushu Dental University
| | - Hiroshi Shimizu
- Division of Biomaterials, Department of Oral Functions, Kyushu Dental University
| | - Hirofumi Kido
- Division of Oral Implantology, Department of Oral Rehabilitation, Fukuoka Dental College
| | - Tomohiro Kawaguchi
- Division of Removable Prosthodontics, Department of Oral Rehabilitation, Fukuoka Dental College
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Moon W, Park JH, Lee HA, Lim BS, Chung SH. Influence of Additive Firing on the Surface Characteristics, Streptococcus mutans Viability and Optical Properties of Zirconia. MATERIALS 2021; 14:ma14051286. [PMID: 33800321 PMCID: PMC7962646 DOI: 10.3390/ma14051286] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 01/24/2021] [Revised: 03/05/2021] [Accepted: 03/05/2021] [Indexed: 11/17/2022]
Abstract
The purpose of this study was to observe whether the repetitive firing of dental zirconia caused changes in surface characteristics, S. mutans viability, and optical properties of zirconia. Dental zirconia blocks were sintered and randomly distributed into seven experimental groups: F0–F6. Except for F0, which only went through sintering, the additive firing was performed in order for F1–F6. Surface roughness, contact angle, S. mutans viability by fluorescence, and translucency parameter were measured. They were all highest after sintering (F0) and decreased after additive firings (F1–F6). The additive firing of zirconia after sintering decreased surface roughness, contact angle, S. mutans viability, and translucency. The number of firings after the first firing was not found to be critical in surface characteristics, S. mutans viability, and optical property. Changes in surface characteristics might have led to a decrease in S. mutans viability, while the change of translucency was not clinically significant. This implies that additive firing may prevent secondary caries under zirconia restorations, not compromising esthetic appearance.
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Affiliation(s)
| | | | | | - Bum-Soon Lim
- Correspondence: (B.-S.L.); (S.H.C.); Tel.: +82-2-740-8692 (B.-S.L.); +82-2-740-8694 (S.H.C.)
| | - Shin Hye Chung
- Correspondence: (B.-S.L.); (S.H.C.); Tel.: +82-2-740-8692 (B.-S.L.); +82-2-740-8694 (S.H.C.)
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Abdullah AO, Yu H, Pollington S, Muhammed FK, Xudong S, Liu Y. Effect of repeated laser surface treatments on shear bond strength between zirconia and veneering ceramic. J Prosthet Dent 2019; 123:338.e1-338.e6. [PMID: 31839330 DOI: 10.1016/j.prosdent.2019.10.007] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2019] [Revised: 10/09/2019] [Accepted: 10/09/2019] [Indexed: 02/04/2023]
Abstract
STATEMENT OF PROBLEM Delamination failure may occur between ceramic frameworks and veneering ceramics, shortening the lifetime of fixed dental prostheses in load-bearing areas. PURPOSE The purpose of this in vitro study was to compare the effect of different repeating CO2 laser treatment methods and conventional approaches on the shear bond strength of zirconia frameworks and veneering ceramics. MATERIAL AND METHODS Zirconia disks (N=110) were prepared and divided into 5 groups: milling without surface treatment (group M), airborne-particle abrasion (group APA), single laser treatment (group LX1), 2 laser treatments (group LX2), and 3 laser treatments (group LX3). The specimens in the first 2 groups were treated before the framework was coated using the spraying technique. Specimens in the remaining groups were coated with veneering ceramic using the spraying process, and then subjected to laser treatment. Surface roughness and topography, interface properties, phase transformation, shear bond strength, and fracture modes were investigated. Outcomes were analyzed using a profilometer, a scanning electron microscope (SEM) equipped with energy dispersive spectroscopy (EDS), X-ray diffractometry (XRD), a stereomicroscope, and a universal testing machine for mechanical testing. RESULTS The XRD showed that phase transformation from tetragonal to monoclinic occurred after airborne-particle abrasion. This phenomenon was not observed in laser-treated specimens. Groups LX2 and LX3 had the highest surface roughness values, 1.18 ±0.23 μm and 1.21 ±0.22 μm, among all groups, and group LX3 had the highest shear bond strength values for unaged and aged conditions, 32.08 ±2.45 MPa and 31.43 ±2.07 MPa. The mixed-fracture mode was the most common type of fracture observed. CONCLUSIONS The results indicated that the shear bond strength between the zirconia framework and veneering ceramic was higher after laser surface treatments than after milling alone or after airborne-particle abrasion. Laser treatment methods, particularly LX2 and LX3, could be considered reliable approaches for zirconia surface treatment.
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Affiliation(s)
- Adil O Abdullah
- Graduate student, Dental Research Center, School and Hospital of Stomatology, China Medical University, Shenyang, PR China; Assistant Lecturer, Prosthodontics Department, Erbil Polytechnic University, Erbil, Kurdistan Region Government, Iraq
| | - Hui Yu
- Lecturer, School of Environmental and Chemical Engineering, Dalian University, Dalian, PR China
| | - Sarah Pollington
- Clinical Lecturer, Restorative Department, School of Clinical Dentistry, The University of Sheffield, Sheffield, United Kingdom
| | - Fenik K Muhammed
- Graduate student, Dental Research Center, School of Stomatology, China Medical University, Shenyang, PR China
| | - Sun Xudong
- Professor, School of Environmental and Chemical Engineering, Dalian University, Dalian, PR China
| | - Yi Liu
- Professor, School of Stomatology, China Medical University, Shenyang, PR China.
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Comparative Effectiveness of Multiple Laser Scanning and Conventional Techniques on Zirconia Shear Bond Strength. COATINGS 2019. [DOI: 10.3390/coatings9070422] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
This study aimed to compare the impact of different laser scanning with that of conventional methods on zirconia surface treatment through evaluation of shear bond strength (SBS) values. One hundred and thirty-two sintered zirconia cubic-samples were prepared and randomly divided into six study groups: milling control (without surface treatment); grinding; sandblasting; and three-times, four-times, and five-times laser scanning groups. The treatment process for the first three groups was performed before the zirconia coating, while the last three groups were treated after zirconia coating with veneer slurry through a spraying technique. In the current study, the surface roughness Ra, contact angle measurement, phase transformation, topography and interfaces, SBS in unaged and aged conditions, and fracture mode patterns of zirconia cores were investigated. The results were analyzed using laser confocal scanning microscopy, drop analyzer, X-ray diffractometry (XRD), scanning electron microscope (SEM) equipped with energy dispersive spectroscopy (EDS), universal testing machine and stereomicroscope. The results indicated that three-times laser scanned specimens presented higher Ra values than the other studied groups. The minimum contact angle value was detected in the mentioned group, while the control group presented the highest value. The XRD showed phase transformation from tetragonal to monoclinic t–m following grinding and sandblasting. However, the laser scanned specimens and the control group preserved the structural integrity of the zirconia core, presenting the tetragonal phase only. The highest SBS values were recorded in specimens treated with three-times laser scanning in the unaged and aged conditions. A mixed fracture was a common fracture pattern among the studied groups. The results confirmed that SBS could be optimized through three-times laser scanning and it provided better adhesion between zirconia and the veneer ceramic material. Multiple scanning processes of more than three times are not recommended for zirconia surface treatment.
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