Different surface modifications combined with universal adhesives: the impact on the bonding properties of zirconia to composite resin cement

  • Nina Lümkemann
  • Marlis Eichberger
  • Bogna StawarczykEmail author
Original Article



The purpose of this study was to analyze the impact of plasma treatment and (universal adhesives) UAs on the bonding properties of zirconia.

Material and methods

Zirconia specimens (N = 744; n = 186/pretreatment) were prepared, highly polished, and pretreated: (i) plasma (oxygen plasma, 10s, 5 mm), (ii) airborne-particle abrasion (alumina, 50 μm, 0.05 MPa, 5 s, 10 mm), (iii) airborne-particle abrasion + plasma, and (iv) without pretreatment (highly polished surface). Surface roughness (Ra) and surface free energy (SFE) were measured (n = 6/pretreatment). Tensile bond strength (TBS) specimens (n = 180/pretreatment) were further divided (n = 18/conditioning): Clearfil Ceramic Primer (PCG), All-Bond Universal (ABU), Adhese Universal (AU), Clearfil Universal Bond (CUB), G-Premio Bond (GPB), Futurabond U (FBU), iBond Universal (IBU), One Coat 7 Universal (OCU), Scotchbond Universal (SBU), and no conditioning. PCG was luted with Panavia F2.0 and the remaining groups with DuoCem. After storage in distilled water (24 h; 37 °C) and thermocycling (5000×; 5 °C/55 °C), TBS was measured and fracture types (FTs) were determined. Data were analyzed using univariate ANOVA with a partial eta square (ƞP2), the Kruskal–Wallis H, the Mann–Whitney U, and the Chi2 test (P < .05).


Plasma treatment resulted in an increase of SFE but had no impact on Ra. Airborne-particle abrasion resulted in the highest Ra and a higher TBS when compared with plasma and non-treatment. SBU and AU obtained a higher TBS when compared with PCG. OCU, FBU, ABU, IBU, and GPB indicated comparable TBS to PCG. CUB revealed the lowest TBS.


Plasma treatment cannot substitute airborne-particle abrasion when bonding zirconia but MDP-containing adhesives are essential for successful clinical outcomes.

Clinical relevance

Airborne-particle abrasion with a low pressure (0.05 MPa) in combination with UAs promotes the clinical success of adhesively bonded zirconia restorations.


Zirconia Surface pretreatment Oxygen plasma Air-particle abrasion Universal adhesives Tensile bond strength Surface roughness Surface free energy 



The authors appreciate the material support given by 3M, Kuraray Medical and Coltène/Whaledent AG.


This study was partially financed by research grant ZF4052001MU5 AiF Projekt GmbH, ZIM-Kooperationsprojekte, Projektträger des BMWi.

Compliance with ethical standards

Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

This article does not contain any studies with human participants or animals performed by and of the authors. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

Informed consent

For this type of study, formal consent is not required.


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Copyright information

© Springer-Verlag GmbH Germany, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Research Associate of Dental Material Unit, Department of Prosthetic Dentistry, University HospitalLudwig-Maximilians-UniversityMunichGermany
  2. 2.Dental Technician of Dental Material Unit, Department of Prosthetic Dentistry, University HospitalLudwig-Maximilians-UniversityMunichGermany
  3. 3.Scientific Head of Dental Material Unit, Department of Prosthetic Dentistry, University HospitalLudwig-Maximilians-UniversityMunichGermany
  4. 4.Department of Prosthetic Dentistry, University HospitalLudwig-Maximilians-University MunichMunichGermany

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