Meta Analysis
10-Methacryloyloxydecyl dihydrogen phosphate in resin-to-zirconia bonding durability: a systematic review and meta-analysis
Su Chen, Lu Zhicen, Yu Hao
Published 2023-12-09
Cite as Chin J Stomatol, 2023, 58(12): 1281-1290. DOI: 10.3760/cma.j.cn112144-20230915-00158
Abstract
ObjectiveTo systematically assess the durability of the 10-methacryloyloxydecyl dihydrogen phosphate (10-MDP) pretreated resin-to-zirconia bonding and conducted a meta-analysis to provide clinical guidance on zirconia bonding strategies.
MethodsA comprehensive search was conducted on PubMed, Scopus, Web of Science, CNKI, and Wanfang database to identify relevant studies on the resin-to-zirconia bonding after surface pretreatment with 10-MDP. Strict inclusion and exclusion criteria were applied to select appropriate literature and extract essential information and data. The included studies were categorized based on aging methods (water storage, thermocycling, or both), 10-MDP application methods (within primer, adhesive, resin cement, or both), and additional surface treatments (alumina sandblasting, tribochemical silica coating, acid etching, laser etching, and plasma treatment) and were analyzed by Review Manager 5.4. The evaluation indicator was the bonding strength of zirconia after surface pretreatment with 10-MDP.
ResultsA total of 72 studies were included in the systematic review, with 68 studies eligible for the meta-analysis. The bonding strength of zirconia decreased significantly after aging [P<0.001; mean difference (MD): 5.58; 95%CI: 5.11-6.05]. No significant differences in bonding strength of zirconia were observed after aging when employing various application methods of 10-MDP (all P>0.05). The bonding strength of zirconia was significantly enhanced after aging when 10-MDP was applied in conjunction with additional surface treatments, as compared to the application of 10-MDP alone (P<0.001; MD: 10.17; 95%CI: 8.20-12.14).
ConclusionsThe bonding strength of zirconia pretreated with 10-MDP exhibited a reduction after undergoing water storage or thermocycling. The application of 10-MDP with additional surface treatments enhanced the bonding strength of zirconia after aging, while the application methods of 10-MDP did not exert an influence.
Key words:
Resin cements; Meta-analysis; Zirconia ceramics; Surface treatment; Aging; 10-methacryloyloxydecyl dihydrogen phosphate
Contributor Information
Su Chen
Department of Prosthodontics, School and Hospital of Stomatology, Fujian Medical University &
Fujian Key Laboratory of Oral Diseases &
Fujian Provincial Engineering Research Center of Oral Biomaterial &
Stomatological Key Laboratory of Fujian College and University &
Institute of Stomatology, Fujian Medical University &
Research Center of Dental Esthetics and Biomechanics, Fujian Medical University, Fuzhou 350002, China
Lu Zhicen
Department of Prosthodontics, School and Hospital of Stomatology, Fujian Medical University &
Fujian Key Laboratory of Oral Diseases &
Fujian Provincial Engineering Research Center of Oral Biomaterial &
Stomatological Key Laboratory of Fujian College and University &
Institute of Stomatology, Fujian Medical University &
Research Center of Dental Esthetics and Biomechanics, Fujian Medical University, Fuzhou 350002, China
Yu Hao
Department of Prosthodontics, School and Hospital of Stomatology, Fujian Medical University &
Fujian Key Laboratory of Oral Diseases &
Fujian Provincial Engineering Research Center of Oral Biomaterial &
Stomatological Key Laboratory of Fujian College and University &
Institute of Stomatology, Fujian Medical University &
Research Center of Dental Esthetics and Biomechanics, Fujian Medical University, Fuzhou 350002, China
