Surface modification effect on the repair bond strength of hybrid and non-hybrid ceramics

Abstract Background This study investigated the appropriate surface treatment protocols for repairing various hybrid and non-hybrid ceramics. Methods Ceramic samples with a thickness of 2 mm were prepared from two resin-hybrid CAD/CAM blocks (Vita Enamic (hybrid-VE) and Lava Ultimate (hybrid-LU)) an...

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Main Authors: Naeeme Naderi, Sara Majidinia, Mohammad Javad Moghaddas, Zahra Shooshtari, Melika Hoseinzadeh
Format: Article
Language:English
Published: BMC 2025-07-01
Series:BMC Oral Health
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Online Access:https://doi.org/10.1186/s12903-025-06527-9
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author Naeeme Naderi
Sara Majidinia
Mohammad Javad Moghaddas
Zahra Shooshtari
Melika Hoseinzadeh
author_facet Naeeme Naderi
Sara Majidinia
Mohammad Javad Moghaddas
Zahra Shooshtari
Melika Hoseinzadeh
author_sort Naeeme Naderi
collection DOAJ
description Abstract Background This study investigated the appropriate surface treatment protocols for repairing various hybrid and non-hybrid ceramics. Methods Ceramic samples with a thickness of 2 mm were prepared from two resin-hybrid CAD/CAM blocks (Vita Enamic (hybrid-VE) and Lava Ultimate (hybrid-LU)) and two non-hybrid ceramics (VITABLOCS Mark II (non-hybrid-VM) and zirconia). The samples underwent 10,000 thermocycles. Their surfaces were then subjected to the following treatments before silanization and repair with resin composite using Tygon tubes with 1 mm diameter (n = 12): (1) no surface treatment, (2) grinding with silicon carbide, (3) sandblasting, and (4) etching with 9% hydrofluoric acid (HF). Then, ceramics were repaired using a universal adhesive agent (Clearfill Universal Bond; Kuraray, Tokyo, Japan) and composite resin. The microshear bond strength (µSBS) was measured and compared among the groups using two-way ANOVA and Tukey tests (α = 0.05). Results The type of ceramic and the surface treatment significantly influenced the repair µSBS (P < 0.05). The highest µSBS values for hybrid-VE, hybrid-LU, and non-hybrid-VM were respectively associated with surface preparation using silicon carbide grinding, sandblasting, and 9% HF etching (P < 0.05). For zirconia ceramics, the µSBS value was highest when treated with sandblasting, though this difference was not statistically significant. When no surface treatment was applied, or the samples were sandblasted, hybrid-LU and non-hybrid-zirconia showed the highest µSBS values (P < 0.05). When the surface was etched with 9% HF or ground with silicon carbide paper, hybrid-VE, and non-hybrid-VM demonstrated the lowest repair µSBS values, respectively (P < 0.05). Conclusion The optimal surface treatments for repairing hybrid-VE, hybrid-LU, and non-hybrid-VM ceramics were silicon carbide grinding, sandblasting, and 9% HF etching, respectively. However, surface treatments did not significantly affect the performance of zirconia ceramics.
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publishDate 2025-07-01
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series BMC Oral Health
spelling doaj-art-c9836d09a5cd4d3aa70087f9aafdb5852025-08-20T03:46:16ZengBMCBMC Oral Health1472-68312025-07-012511710.1186/s12903-025-06527-9Surface modification effect on the repair bond strength of hybrid and non-hybrid ceramicsNaeeme Naderi0Sara Majidinia1Mohammad Javad Moghaddas2Zahra Shooshtari3Melika Hoseinzadeh4Department of Operative Dentistry, School of Dentistry, Babol University of Medical SciencesDepartment of Operative Dentistry, School of Dentistry, Mashhad University of Medical SciencesDepartment of Operative Dentistry, School of Dentistry, Mashhad University of Medical SciencesDentist, Research Assistant, Dental Research Center, Mashhad University of Medical SciencesDentist, Research Assistant, Dental Research Center, Mashhad University of Medical SciencesAbstract Background This study investigated the appropriate surface treatment protocols for repairing various hybrid and non-hybrid ceramics. Methods Ceramic samples with a thickness of 2 mm were prepared from two resin-hybrid CAD/CAM blocks (Vita Enamic (hybrid-VE) and Lava Ultimate (hybrid-LU)) and two non-hybrid ceramics (VITABLOCS Mark II (non-hybrid-VM) and zirconia). The samples underwent 10,000 thermocycles. Their surfaces were then subjected to the following treatments before silanization and repair with resin composite using Tygon tubes with 1 mm diameter (n = 12): (1) no surface treatment, (2) grinding with silicon carbide, (3) sandblasting, and (4) etching with 9% hydrofluoric acid (HF). Then, ceramics were repaired using a universal adhesive agent (Clearfill Universal Bond; Kuraray, Tokyo, Japan) and composite resin. The microshear bond strength (µSBS) was measured and compared among the groups using two-way ANOVA and Tukey tests (α = 0.05). Results The type of ceramic and the surface treatment significantly influenced the repair µSBS (P < 0.05). The highest µSBS values for hybrid-VE, hybrid-LU, and non-hybrid-VM were respectively associated with surface preparation using silicon carbide grinding, sandblasting, and 9% HF etching (P < 0.05). For zirconia ceramics, the µSBS value was highest when treated with sandblasting, though this difference was not statistically significant. When no surface treatment was applied, or the samples were sandblasted, hybrid-LU and non-hybrid-zirconia showed the highest µSBS values (P < 0.05). When the surface was etched with 9% HF or ground with silicon carbide paper, hybrid-VE, and non-hybrid-VM demonstrated the lowest repair µSBS values, respectively (P < 0.05). Conclusion The optimal surface treatments for repairing hybrid-VE, hybrid-LU, and non-hybrid-VM ceramics were silicon carbide grinding, sandblasting, and 9% HF etching, respectively. However, surface treatments did not significantly affect the performance of zirconia ceramics.https://doi.org/10.1186/s12903-025-06527-9AdhesivesCeramicsDental porcelainDental bondingHydrofluoric acidShear strength
spellingShingle Naeeme Naderi
Sara Majidinia
Mohammad Javad Moghaddas
Zahra Shooshtari
Melika Hoseinzadeh
Surface modification effect on the repair bond strength of hybrid and non-hybrid ceramics
BMC Oral Health
Adhesives
Ceramics
Dental porcelain
Dental bonding
Hydrofluoric acid
Shear strength
title Surface modification effect on the repair bond strength of hybrid and non-hybrid ceramics
title_full Surface modification effect on the repair bond strength of hybrid and non-hybrid ceramics
title_fullStr Surface modification effect on the repair bond strength of hybrid and non-hybrid ceramics
title_full_unstemmed Surface modification effect on the repair bond strength of hybrid and non-hybrid ceramics
title_short Surface modification effect on the repair bond strength of hybrid and non-hybrid ceramics
title_sort surface modification effect on the repair bond strength of hybrid and non hybrid ceramics
topic Adhesives
Ceramics
Dental porcelain
Dental bonding
Hydrofluoric acid
Shear strength
url https://doi.org/10.1186/s12903-025-06527-9
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AT mohammadjavadmoghaddas surfacemodificationeffectontherepairbondstrengthofhybridandnonhybridceramics
AT zahrashooshtari surfacemodificationeffectontherepairbondstrengthofhybridandnonhybridceramics
AT melikahoseinzadeh surfacemodificationeffectontherepairbondstrengthofhybridandnonhybridceramics