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This document discusses current protocols for resin-bonding dental ceramics. It explains that the clinical outcomes of resin-bonded ceramics depend on the type and microstructure of the ceramic as well as the adhesive protocol used. Successful resin-bonding methods differ significantly for silica-based and metal-oxide ceramics. Long-term durable adhesion relies on both micromechanical interlocking between the resin and ceramic surface as well as true chemical bonds. Surface pretreatment creates microretention to aid bonding while priming and bonding agents form chemical bonds between the resin and ceramic. Understanding the ceramic's composition is critical for selecting the proper resin-bonding protocol.

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Mark Jako
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74 views1 page

First Pagee PDF

This document discusses current protocols for resin-bonding dental ceramics. It explains that the clinical outcomes of resin-bonded ceramics depend on the type and microstructure of the ceramic as well as the adhesive protocol used. Successful resin-bonding methods differ significantly for silica-based and metal-oxide ceramics. Long-term durable adhesion relies on both micromechanical interlocking between the resin and ceramic surface as well as true chemical bonds. Surface pretreatment creates microretention to aid bonding while priming and bonding agents form chemical bonds between the resin and ceramic. Understanding the ceramic's composition is critical for selecting the proper resin-bonding protocol.

Uploaded by

Mark Jako
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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Download as PDF, TXT or read online on Scribd
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C u r ren t P ro t o c o l s f o r R e s i n -

Bonded Dental Ceramics


a, a b
Markus B. Blatz, DMD, PhD *, Julian Conejo, DMD, MSc , Amirah Alammar, BDS ,
Jose Ayub, DDSa

KEYWORDS
 Ceramics  Resin bonding  Surface treatment  Resin cements  Longevity

KEY POINTS
 Clinical outcomes of resin-bonded dental ceramics depend on the type and microstruc-
ture of the ceramic and the respective adhesive protocol.
 Understanding the composition and microstructure of dental ceramics is critical for se-
lecting the proper resin-bonding protocol: successful methods differ significantly for
silica-based and metal-oxide ceramics.
 Long-term durable adhesion to dental ceramics relies on a dual bond: micromechanical
interlocking and true chemical bonds to the substrate.
 Surface pretreatment methods create a surface topography that facilitates micromechan-
ical interlocking and decontaminate the bonding substrate.
 Material-dependent priming and bonding agents form chemical bonds to the ceramic.

INTRODUCTION

Clinical success of resin-bonded ceramic restorations is influenced by the ceramic


material physical and optical properties, tooth preparation design, impression tech-
nique, fabrication process, and definitive insertion protocol.1,2 Proper bonding proto-
cols facilitate adhesion of the restorative material to the tooth,3 enhance marginal
adaptation,4 prevent microleakage,5 and increase fracture resistance of the prepared
tooth and the restoration itself.6 There are two distinctly different interfaces to
consider: the one to the tooth and the other one to the restorative material. The ideal
bonding protocol should provide a dual bond: micromechanical interlocking and true
chemical bonds to various types of dental ceramics.7–9 Micromechanical interlocking
is created through infiltration of priming agents, silane coupling agents, and cements
into microretentive bonding surfaces. In addition, resin cements should have

a
Department of Preventive and Restorative Sciences, University of Pennsylvania School of
Dental Medicine, 240 South 40th Street, Philadelphia, PA 19104, USA; b Sijam Medical Center,
Northern Ring Road, Alghadeer District, Riyadh, Saudi Arabia
* Corresponding author.
E-mail address: [email protected]

Dent Clin N Am 66 (2022) 603–625


https://doi.org/10.1016/j.cden.2022.05.008 dental.theclinics.com
0011-8532/22/ª 2022 Elsevier Inc. All rights reserved.

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