The Role of a MDP/VBATDT-Primer Composition on Resin Bonding to Zirconia

Abstract

Yttria-tetragonal zirconia polycrystal (Y-TZP) is a difficult substrate to bond to due to the absence of a glass phase and the material’s chemical inertness. This study evaluated the effect of two monomers for metal, MDP (10-methacryloyloxydecyl dihydrogen phosphate) and VBATDT (6-(4-vinylbenzyl-n-propyl)amino-1,3,5-trizaine-2,4-dithiol) on bond strength to Y-TZP. Seven combinations with different concentrations of MDP and VBATDT-monomers (0.0, 0.1, 0.5, or 1.0 wt %) in acetone solution were developed and applied to the surface of Y-TZP slabs, which were bonded to composite resin substrates using a resin cement under standard loading. Non-primed samples were used as controls. Bonded specimens were cut for microtensile testing and tested after either 48 h or 180 days in water storage at room temperature. All samples from control group (no primer) and MV5 group (0% MDP/0.5% VBATDT) debonded spontaneously. Two-way ANOVA showed that the primer had a significant effect (p < 0.001) on bond strength to zirconia, whilst storage time did not (p = 0.203). Tukey HSD (honest significant difference) test indicated that groups with at least 0.5% of each monomer resulted in higher initial bond strength values. Although chemical bonding to zirconia is credited to MDP, a correct balance between MDP and VBATDT may imply in better bond strength results. The minimum concentration of each monomer should not be lower than 0.5 wt %.