Zircônia: desafio do processo de tratamento de superfície

  • Rodrigo Furtado de Carvalho Departamento de Odontologia, Universidade Federal de Juiz de Fora, Campus de Governador Valadares, Brasil
  • Murilo Rocha Rodrigues Departamento de Materiais Dentários e Prótese, Instituto de Ciência e Tecnologia, Universidade Estadual de São Paulo, Brasil
  • Caroline Cotes Marinho Departamento de Materiais Dentários e Prótese, Instituto de Ciência e Tecnologia, Universidade Estadual de São Paulo, Brasil
  • Guilherme Siqueira Ferreira Anzaloni Saavedra Departamento de Materiais Dentários e Prótese, Instituto de Ciência e Tecnologia, Universidade Estadual de São Paulo, Brasil
  • Tarcísio José de Arruda Paes Junior Departamento de Materiais Dentários e Prótese, Instituto de Ciência e Tecnologia, Universidade Estadual de São Paulo, Brasil
  • Estevão Tomomitsu Kimpara Departamento de Materiais Dentários e Prótese, Instituto de Ciência e Tecnologia, Universidade Estadual de São Paulo, Brasil
Palavras-chave: Cerâmica, Materiais dentários, Pesquisa em odontologia

Resumo

Introdução: As cerâmicas odontológicas têm sido utilizadas como materiais restauradores desde 1770 por apresentarem propriedades estéticas semelhantes aos dentes naturais. A busca por procedimentos que visem aumentar a adesão entre zircônia, uma cerâmica policristalina, e agente cimentante, é um desafio e tem estimulado o desenvolvimento de diversos estudos. Objetivo: O objetivo deste estudo é discutir os diferentes tipos de tratamentos de superfície preconizados para zircônia estabilizada com ítria (Y-TZP), bem como as vantagens e desvantagens descritas na literatura. Materiais e métodos: O presente estudo trata-se de uma revisão de literatura realizada de artigos científicos publicados entre 2003 e 2019, indexados nas bases de dados MEDLINE, PubMed e Scielo. Foram utilizados os seguintes termos de pesquisa: “tratamento de superfície da zircônia”, “tratamento de superfície Y-TZP”, “agente cimentante para zircônia”, “agente cimentante para Y-TZP”, “adesão à zircônia” e “adesão à Y-TZP”. Resultados: Foram encontrados 413 artigos que contemplavam pelo menos um dos critérios de inclusão registrados. No entanto, foram utilizados os dados de um total de 69 artigos que contemplavam todos os critérios de inclusão. Conclusão: Os protocolos de tratamento de superfície relatados ainda apresentam limitações quanto ao comportamento de longo prazo da resistência de união. No entanto, quando as características do preparo não são favoráveis à retenção, o jateamento com partículas de Al2O3 revestidas com sílica (30μm) deve ser utilizado, sendo menos agressivo à cerâmica que outros protocolos de jateamento descritos. Quanto ao agente cimentante, recomenda-se sempre o uso de cimentos resinosos que apresentem MDP em sua composição, uma vez que proporcionam ligações químicas estáveis e comportamento adesivo duradouro.

Referências

Anusavice KJ. Phillips' science of dental materials. 11. ed. St. Louis: Elsevier Health Science; 2003.

Komine F, Fushiki R, Koizuka M, Taguchi K, Kamio S, Matsumura H. Effect of surface treatment on bond strength between an indirect composite material and a zirconia framework. J Oral Sci. 2012; 54:39-46.

Melo RM De, Dursun E, Descartes P, Valandro LF, Maria S. Surface treatments of zirconia to enhance bonding durability. Operative Dentistry. 2015; 40:636-46.

Ishii R, Tsujimoto A, Takamizawa T, Tsubota K, Suzuki T, Shimamura Y. Influence of surface treatment of contaminated zirconia on surface free energy and resin cement bonding. Dent Mater J. 2015; 34:1-7.

Goyatá F, Galvão Y, Simões T, Goyatá L, Arruda J. Effect of surface treatments with acid solutions on the surface roughness of an yttrium-tetragonal zirconia polycrystal. J Clin Exp Dent. 2018; 10:10-3.

Skienhe H, Habchi R, Ounsi H, Ferrari M, Salameh Z. Evaluation of the effect of different types of abrasive surface treatment before and after zirconia sintering on its structural composition and bond strength with resin cement. Biomed Res Int. 2018; 1-12.

Maruo Y, Nishigawa G, Irie M, Yamamoto Y, Yoshihara K, Minagi S. Effects of irradiation with a CO 2 laser on surface structure and bonding of a zirconia ceramic to dental resin cement. PLoS One. 2011; 6:174-9.

Guazzato M, Proos K, Quach L, Swain MV. Strength, reliability and mode of fracture of bilayered porcelain/zirconia (Y-TZP) dental ceramics. Biomaterials. 2004; 25:5045-52.

Sundh A, Molin M, Sjogren G. Fracture resistance of yttrium oxide partially-stabilized zirconia all-ceramic bridges after veneering and mechanical fatigue testing. Dental materials. 2005; 21:476-82.

Tsalouchou E, Cattell MJ, Knowles JC, Pittayachawan P, McDonald A. Fatigue and fracture properties of yttria partially stabilized zirconia crown systems. Dental materials. 2008; 24:308-18.

Uludamar A, Aykent F. Bond strength of resin cements to zirconia ceramics with different surface treatments. Balk J Stom. 2012; 16:173-8.

Lee J, Lee C. Effect of the surface treatment method using airborne-particle abrasion and hydrofluoric acid on the shear bond strength of resin cement to zirconia. Dent. J. 2017; 5:23.

Atsu SS, Kilicarslan MA, Kucukesmen HC, Aka PS. Effect of zirconium-oxide ceramic surface treatments on the bond strength to adhesive resin. J Prosthet Dent. 2006; 95:430-6.

Amaral R, Ozcan M, Bottino MA, Valandro LF. Microtensile bond strength of a resin cement to glass infiltrated zirconia-reinforced ceramic: the effect of surface conditioning. Dent Mater. 2006; 22:283-90.

Hallmann L, Ulmer P, Wille S, Polonskyi O. Effect of surface treatments on the properties and morphological change of dental zirconia. J Prosthet Dent. 2016; 115:341-9.

Saleh NE, Guven MC, Yildirim G, Erol F. Effect of different surface treatments and ceramic primers on shear bond strength of self-adhesive resin cement to zirconia ceramic. Níger J Clin Pract. 2019; 22:335-41.

Kunt GE, Duran I. Effects of laser treatments on surface roughness of zirconium oxide ceramics. BMC Oral Health. 2018; 18:1-7.

Wang H, Aboushelib MN, Feilzer AJ. Strength influencing variables on CAD/CAM zirconia frameworks. Dent Mater. 2008; 24:633-8.

Inokoshi M, Zhang F, Vanmeensel K. Residual compressive surface stress increases the bending strength of dental zirconia. Dent Mater. 2017. 33:147-54.

Oyague RC, Monticelli F, Toledano M, Osorio E, Ferrari M, Osorio R. Effect of water aging on microtensile bond strength of dual-cured resin cements to pre-treated sintered zirconium-oxide ceramics. Dent Mater. 2009; 25:392-9.

Inokoshi M, Vanmeensel K, Zhang F, Munck J De, Eliades G, Minakuchi S, et al. Aging resistance of surface-treated dental zirconia. Dent Mater. 2014; 31:182-94.

Cho JH, Kim SJ, Shim JS, Lee K. Effect of zirconia surface treatment using nitric acid-hydrofluoric acid on the shear bond strengths of resin cements. J Adv Prosthodont. 2017; 9:77-84.

Curtis AR, Wright AJ, Fleming GJ. The influence of surface modification techniques on the performance of a Y-TZP dental ceramic. J Dent. 2006; 34:195-206.

Casucci A, Osorio E, Osorio R, Monticelli F, Toledano M, Mazzitelli C et al. Influence of different surface treatments on surface zirconia frameworks. J Dent. 2009; 37:891-7.

Casucci A, Mazzitelli C, Monticelli F, Toledano M, Osorio R, Osorio E, et al. Morphological analysis of three zirconium oxide ceramics: Effect of surface treatments. Dent Mater. 2010; 26:751-60.

Casucci A, Monticelli F, Goracci C, Mazzitelli C, Cantoro A, Papacchini F, Ferrari M. Effect of surface pre-treatments on the zirconia ceramic–resin cement microtensile bond strength. Dent Mater. 2011; 27:1024-30.

Matinlinna JP, Heikkinen T, Ozcan M, Lassila LV, Vallittu PK. Evaluation of resin adhesion to zirconia ceramic using some organosilanes. Dent Mater. 2006; 22:824-31.

Matinlinna JP, Vallittu PK. Bonding of resin composites to etchable ceramic surfaces: an insight review of the chemical aspects on surface conditioning. J Oral Rehabil. 2007; 34:622-30.

Della Bona U, Borba H , Benetti P , Cecchetti D. Effect of surface treatments on the bond strength of a zirconia-reinforced ceramic to composite resin. Braz Oral Res. 2007; 21:10-5.

Aboushelib MN, Mirmohamadi H, Matinlinna JP, Kukk E, Ounsi HF, Salameh Z. Innovations in bonding to zirconia-based materials. Part II: focusing on chemical interactions. Dent Mater. 2009; 25:989-93.

Piascik JR, Swift EJ, Thompson JY, Grego S, Stoner BR. Surface modification for enhanced silanation of zirconia ceramics. Dent Mater. 2009; 25:1116-21.

Attia A, Lehmann F, Kern M. Influence of surface conditioning and cleaning methods on resin bonding to zirconia ceramic. Dent Mater. 2011; 27:207-13.

Kern M. Resin bonding to oxide ceramics for dental restorations. J Adhes Sci Technol. 2009; 23:1097-111

Thompson JY, Stoner BR, Piascik JR, Smith R. Adhesion/cementation to zirconia and other non-silicate ceramics: where are we now? Dent Mater. 2011; 27:71-82.

Borges GA, Sophr AM, de Goes MF, Sobrinho LC, Chan DC. Effect of etching and airborne particle abrasion on the microstructure of different dental ceramics. J Prosthet Dent. 2003; 89:479-88.

Gülce M, Demir N, Kara Ö, Ozturk AN, Özel F. Mechanical properties of zirconia after different surface treatments and repe ated firings. J Adv Prosthodont. 2014; 6:462-7.

Santos RLP, Silva FS, Nascimento RM, Souza JCM, Motta F V. Shear bond strength of veneering porcelain to zirconia : effect of surface treatment by CNC-milling and composite layer deposition on zirconia. J Mech Behav Biomed Mater. 2016; 60:547-56.

Kaimal A, Ramdev P, Shruthi CS. Evaluation of effect of zirconia surface treatment, using plasma of argon and silane, on the shear bond strength of two composite resin cements. J Clin Diagn Res. 2017; 11:39-43.

Aboushelib MN, Kleverlaan CJ, Feilzer AJ. Selective infiltration-etching technique for a strong and durable bond of resin cements to zirconia-based materials. J Prosthet Dent. 2007; 98:379-88.

Martins ARM, Gotti VB, Shimano MM, Borges GA, Gonçalves LS. Improving adhesion between luting cement and zirconia-based ceramic with an alternative surface treatment. Braz Oral Res. 2015; 29:1-7.

Hjerppe J, Närhi TO, Vallittu PK, Lassila LVJ. Surface roughness and the flexural and bend strength of zirconia after different surface treatments. J Prosthet Dent. 2016; 116:577-83.

Hallmann L, Ulmer P, Lehmann F. Effect of surface modifications on the bond strength of zirconia ceramic with resin cement resin. Dent Mater. 2016; 32:631-9.

Akgungor G, Sen D, Aydin M. Influence of different surface treatments on the short-term bond strength and durability between a zirconia post and a composite resin core material. J Prosthet Dent. 2008; 99:388-99.

Kern M, Barloi A, Yang B. Surface conditioning influences zirconia ceramic bonding. J Dent Res. 2009; 88:817-22.

Smith RL, Villanueva C, Rothrock JK, Garcia-Godoy CE, Stoner BR, Piascik JR et al. Long-term microtensile bond strength of surface modified zirconia. Dent Mater. 2011; 27:779-85.

Güngör MB, Yılmaz H, Nemli SK, Bal BT, Cemal Aydın C. Effect of surface treatments on the biaxial flexural strength, phase transformation, and surface roughness of bilayered porcelain/zirconia dental ceramics. J Prosthet Dent. 2015; 113:585-95.

Ohlmann B, Rammelsberg P, Schmitter M, Schwarz S, Gabbert O. All-ceramic inlay-retained fixed partial dentures: preliminary results from a clinical study. J Dent. 2008; 36: 692-6.

Sailer I, Gottner J, Känel S, Hämmerle CHF. Randomized controlled clinical trial of zirconia-ceramic and metal-ceramic posterior fixed dental prostheses: a 3-year follow-up. Int J Prosthodont. 2009; 22:553-60.

Abou Tara M, Eschbach S, Wolfart S, Kern M. Zirconia ceramic inlay-retained fixed dental prostheses-first clinical results with a new design. J Dent. 2011; 39:208-11.

Sasse M, Eschbach S, Kern M. Randomized clinical trial on single retainer all-ceramic resin-bonded fixed partial dentures: Influence of the bonding system after up to 55 months. J Dent. 2012; 40:783-6.

Hallmann L, Ulmer P, Reusser E, Hämmerle CHF. Surface characterization of dental Y-TZP ceramic after air abrasion treatment. J Dent. 2012; 40:723-35.

Bhargava S, Doi H, Kondo R, Aoki H, Hanawa T, Kasugai S. Effect of sandblasting on the mechanical properties of Y-TZP zirconia. Biomed Matr Eng. 2012; 22:383-98.

Amaral R, Ozcan M, Valandro LF, Balducci I, Bottino MA. Effect of conditioning methods on the microtensile bond strength of phosphate monomer-based cement on zirconia ceramic in dry and aged conditions. J Biomed Mater Res B Appl Biomater. 2008; 85:1-9.

Della Bona A, Donassollo TA, Demarco FF, Barrett AA, Mecholsky JJ, Jr. Characterization and surface treatment effects on topography of a glass-infiltrated alumina/zirconia-reinforced ceramic. Dent Mater. 2007; 23:769-75.

Özcan M, Cura C, Valandro LF. Early bond strength of two resin cements to Y-TZP ceramic using MPS or MPS/4-META silanes. Odontology. 2011; 99:62-7.

Yoshida K, Tsuo Y, Atsuta M. Bonding of dual-cured resin cement to zirconia ceramic using phosphate acid ester monomer and zirconate coupler. J Biomed Mater Res B Appl Biomater. 2006; 77:28-33.

Valandro LF, Özcan M, Bottino MC, Scotti R, Bottino MA, Della Bona A. Bond strength of a resin cement to high-alumina and zirconia-reinforced ceramics: the effect of surface conditioning. J Adhes Dent. 2006; 8:175-81.

Lops D, Mosca D, Casentini P, Ghisolfi M, Romeo E. Prognosis of zirconia ceramic fixed partial dentures: a 7-year prospective study. Int J Prosthodont. 2012; 25:21-3.

White SN, Miklus VG, McLaren EA, Lang LA, Caputo AA. Flexural strength of a layered zirconia and porcelain dental all-ceramic system. J Prosthet Dent. 2005; 94:125-31.

Borba M, de Araujo MD, Fukushima KA, Yoshimura HN, Cesar PF, Griggs JA et al. Effect of the microstructure on the lifetime of dental ceramics. Dent Mater. 2011; 27:710-21.

Derand T, Molin M, Kvam K. Bond strength of composite luting cement to zirconia ceramic surfaces. Dent Mater. 2005; 21:1158-62.

Nobuaki A, Keiichi Y, Takashi S. Effects of air abrasion with alumina or glass beads on surface characteristics of CAD/CAM composite materials and the bond strength of resin cements. J Appl Oral Sci. 2015; 23:629-36.

Cavalcanti AN, Foxton RM, Watson TF, Oliveira MT, Giannini M, Marchi GM. Y-TZP ceramics: key concepts for clinical application. Oper Dent. 2009; 34:344-51.

Kitayama S, Nikaido T, Takahashi R, Zhu L, Ikeda M, Foxton RM, et al. Effect of primer treatment on bonding of resin cements to zirconia ceramic. Dent Mater. 2010; 26:426-32.

Magne P, Paranhos MP, Burnett LH, Jr. New zirconia primer improves bond strength of resin-based cements. Dent Mater. 2010; 26:345-52.

Arai M, Takagaki T, Takahashi A, Tagami J. The role of functional phosphoric acid ester monomers in the surface treatment of yttria-stabilized tetragonal zirconia polycrystals. Dent Mater. 2017; 36:190-4.

Tsukakoshi M, Shinya A, Gomi H, Lassila LV, Vallittu PK. Effects of dental adhesive cement and surface treatment on bond strength and leakage of zirconium oxide ceramics. Dent Mater J. 2008; 27:159-71.

Aboushelib MN, Matinlinna JP, Salameh Z, Ounsi H. Innovations in bonding to zirconia-based materials: Part I. Dent Mater. 2008; 24:1268-72.

Gomes AL, Castillo-Oyaguë R, Lynch CD, Montero J, Albaladejo A. Influence of sandblasting granulometry and resin cement composition on microtensile bond strength to zirconia ceramic for dental prosthetic frameworks. J Dent. 2013; 41:31-41.

Publicado
2020-04-08
Como Citar
1.
Furtado de Carvalho R, Rocha Rodrigues M, Cotes Marinho C, Siqueira Ferreira Anzaloni Saavedra G, José de Arruda Paes Junior T, Tomomitsu Kimpara E. Zircônia: desafio do processo de tratamento de superfície. hu rev [Internet]. 8º de abril de 2020 [citado 4º de junho de 2020];460:1-. Disponível em: https://periodicos.ufjf.br/index.php/hurevista/article/view/28976
Seção
Artigos de Revisão da Literatura