Adhesion of veneering resins to polymethylmethacrylate-based CAD/CAM polymers after various surface conditioning methods

Abstract

Objectives. The aims of this study were to test whether the bond strength of a hybrid composite and a PMMA-based veneer to CAD/CAM polymers would improve after pre-treatment and to evaluate the failure types after debonding. Materials and methods. Three types of PMMA-based (CAD-Temp, artBloc Temp and TelioCAD) CAD/CAM blocks were obtained (N = 360, n = 15 per test group). They were divided into four groups to be conditioned with the following methods: (a) no-treatment, (b) air-abrasion (50 μm Al₂O₃), (c) air-abrasion (50 μm Al₂O₃) + MPS-Silane (Monobond S) + Adhesive resin (StickResin) (for Gradia)/MMA (for Integral Esthetic Press) application, (d) Silica coating and silanization (CoJet-System). The conditioned surfaces were veneered with a hybrid composite (Gradia) or a PMMA-based resin (Integral esthetic press). After water storage (1 week, 37°C), the bond strength was measured. Data were analyzed using 3-way ANOVA and post-hoc Scheffé test (α = 0.05). Results. Surface-conditioning method, veneer type and CAD/CAM polymers significantly affected the results. Hybrid composite did not bond to non-conditioned CAD/CAM polymers. Regardless of the conditioning method, PMMA-based resin showed significantly higher bond strength to all CAD/CAM polymers compared to hybrid composite. Air-abrasion increased the bond strength in all tested groups. Additional silane application after air-abrasion did not significantly increase the bond strength of hybrid composite. While exclusively adhesive failures were observed between the hybrid composite and the CAD/CAM polymers, PMMA veneer demonstrated cohesive failures in the CAD/CAM polymers. Conclusion. CAD/CAM polymers could be veneered with only a PMMA-based veneer with and without air-abrasion.

Key Words::

• polymeric block
• CAD/CAM polymers
• bond strength
• veneering resin
• hybrid composite

Acknowledgments

The authors thank Merz Dental, Vita Zahnfabrik, Ivoclar Vivadent and GC Europe for their support with study materials. The authors are grateful to Mrs Jacqueline Hofmann, Center of Dental Medicine, University of Zurich, for performing the scanning electron microscopy.

Declaration of interest: The authors report no conflicts of interest. The authors alone are responsible for the content and writing of the paper.