Available online 3 November 2018
Research and Education
Available online 3 November 2018

 
Abstract
Statement of problem
How contamination, cleaning, and artificial aging affect the 
bond strength of self-adhesive resin cements to zirconia ceramics is unclear.
 
Purpose
The purpose of this 
in vitro
 study was to assess the durability and bond strength of different 
self-adhesive resin cements to zirconia ceramics subjected to 
contamination, cleaning, and aging.
 
Material and methods
A total 192 zirconia ceramic squares were airborne-particle abraded with 50 μm Al2O3
 at a pressure of 100 kPa. The specimens were then divided into 4 main 
experimental groups (n=48) according to the type of self-adhesive resin.
 Specimens in the subgroups (n=16) were exposed to 3 different treatment
 methods: alcohol bath cleaning only, contamination with saliva and 
alcohol bath cleaning, and contamination with saliva and cleaning with 
Ivoclean followed by alcohol bath cleaning. Bonded specimens were stored
 in distilled water (37°C), either for 3 days with no thermocycling or 
for 150 days interrupted by 37 500 thermocycles between 5°C and 55°C. 
After storage, the bond strength was determined using a universal 
testing machine. Results were analyzed statistically, using 
nonparametric tests.
 
Results
After saliva contamination, the tensile bond strength for all specimens decreased significantly (P<.001).
 Furthermore, after saliva contamination and during 150 days of water 
storage with thermocycling, all specimens debonded spontaneously. 
However, use of the cleaning medium (Ivoclean) significantly increased 
the tensile bond strength for almost all specimens (P<.05).
 
Conclusions
Saliva
 contamination significantly negatively influenced the bond strength and
 durability to zirconia ceramic. Ceramic cleaning using Ivoclean 
significantly improved the bond strength to saliva contaminated zirconia
 ceramics.
 
 
 
 
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