Effects of primer components of silane and 10-methacryloyloxydecyl dihydrogen phosphate on resin bonding to tribochemical silica-coated highly translucent zirconia.

Objectives: To assess the influence of different primer compositions-silane (S), 10-methacryloyloxydecyl dihydrogen phosphate (MDP), and the combination of silane and MDP (S + MDP)-on the bonding performance of MDP-free and MDP-containing resin cements to highly translucent zirconia.

Materials and methods: Tribochemical silica-coated zirconia plates were pretreated with one of three experimental primers, S, MDP, or S + MDP, with untreated specimens serving as controls. Subsequently, these plates were bonded to stainless-steel rods using either two MDP-free or two MDP-containing resin cements. Tensile bond strength was measured after 24 h (TC0) and following thermal cycling (4-60 °C for 10,000 cycles; TC10,000). Data were analyzed using a three-way analysis of variance (ANOVA), followed by one-way ANOVA and Tukey-Kramer post hoc tests (α = 0.05). X-ray photoelectron spectroscopy (XPS) assessed the elemental mass concentrations on the zirconia surfaces.

Results: For MDP-free resin cements, MDP-treated specimens exhibited significantly greater bond strengths than controls, regardless of the aging conditions. However, a significant reduction in bond strength was observed between TC0 and TC10,000 in most of the MDP-free resin cement groups, except for one S + MDP group. Conversely, for MDP-containing resin cements, the S + MDP group exhibited no statistically significant differences between aging conditions. Notably, XPS analysis detected silicon, zirconium, and aluminum on the zirconia surfaces.

Conclusions: No significant difference in tensile bond strength was observed between aging conditions for MDP-containing resin cements bonded to tribochemical silica-coated zirconia primed with S + MDP.

Clinical relevance: The combination of MDP-containing primers and resin cements demonstrated superior bonding performance to tribochemical silica-coated zirconia.