Effect of liners and primers on tensile bond strength between zirconia and resin-based luting agent.

Purpose: The effect of silica-based glass-ceramic liners on the tensile bond strength between zirconia and resin-based luting agent was evaluated and compared with the effect of 10-methacryloyloxydecyl dihydrogen phosphate (MDP)-containing primers.

Materials And Methods: Titanium abutments and zirconia crowns (n = 60) were fabricated, and the adhesive surfaces of the specimens were treated by airborne-particle abrasion. The specimens were divided into 5 groups based on surface treatment: a control group, 2 primer groups (MP: Monobond Plus; ZP: Z Prime Plus), and 2 liner groups (PL: P-containing Liner; PFL: P-free Liner). All specimens were cemented with self-adhesive resin-based luting agent. After 24-hour water storage and thermocycling (5,000 cycles, 5℃/55℃), the tensile bond strength was measured using a universal testing machine. Failure mode analysis and elemental analysis on the bonding interface were performed. The data were analyzed using Kruskal-Wallis test, Dunn's post hoc test, and Fisher's exact test.

Results: The liner groups and primer groups showed significantly higher tensile bond strengths than that of the control group (<.05). PFL showed a significantly higher tensile bond strength than the primer groups (<.05). The percentage of mixed failure was higher in the primer groups than in the control group (<.001), and all the specimens showed mixed failure in the liner groups (<.001). A chemical reaction area was observed at the bonding interface between zirconia and liner.

Conclusion: The application of liner significantly increased the tensile bond strength between zirconia and resin-based luting agent. PFL was more effective than MDP-containing primers in improving the tensile bond strength with the resin-based luting agent.