The Effect of Surface Treatment on Shear Bond Strength between Y‐TZP and Veneer Ceramic: A Systematic Review and Meta‐Analysis

• Published in: Journal of prosthodontics Vol. 27; no. 7; pp. 624 - 635
• Main Authors: Mello, Caroline Cantieri, Bitencourt, Sandro Basso, dos Santos, Daniela Micheline, Pesqueira, Aldiéris Alves, Pellizzer, Eduardo Piza, Goiato, Marcelo Coelho
• Format: Journal Article
• Language: English
• Published: United States Wiley Subscription Services, Inc 01.08.2018
• Subjects: Bond strength; Ceramics - chemistry; Dental Bonding - methods; Dental prosthesis; Dental Veneers; Dentistry; Humans; Literature reviews; Materials Testing; Meta-analysis; Reviews; Shear Strength; Statistical analysis; Surface Properties; Systematic review; Yttrium - chemistry; Y‐TZP ceramic; Zirconia; Zirconium - chemistry; meta-analysis; Dental prosthesis; Y-TZP ceramic
• ISSN: 1059-941X; 1532-849X
• DOI: 10.1111/jopr.12727

Purpose The objective of this systematic review with meta‐analysis was to evaluate surface treatment in yttria‐stabilized tetragonal zirconia polycrystal ceramic (Y‐TZP) on the shear bond strength (SBS) values between Y‐TZP (core ceramic) and veneer ceramic, compared to untreated specimens. Materials and Methods This review was registered at PROSPERO platform under the number CRD42016036493. The systematic review of the extracted publications was performed to compare the effect of surface treatment on SBS between Y‐TZP ceramic and veneering ceramic. A comprehensive review of the literature from the earliest available dates through January 2017 was performed in the PubMed/Medline, Embase, Scopus, and Cochrane Library databases. Results A total of 15 studies were identified for the inclusion of data, with only in vitro studies. A random‐effect model found statistically significant differences between untreated and treated surfaces of Y‐TZP (p < 0.00001; MD: 2.84; 95% CI: 2.19 to 3.49). In another analysis, a random‐effect model found statistically significant differences between the groups that only performed the associations of treatments and control group (p < 0.00001; MD: 3.19; 95% CI: 2.11 to 4.28). Conclusions Surface treatment in Y‐TZP improved the values of SBS between the Y‐TZP and veneer ceramic. The associations between two or more treatments also showed positive effect on the bond strength due the cumulative effect of the treatments.