Adhesion mechanisms at the interface between Y-TZP and veneering ceramic with and without modifier.

Objective: This study investigated the mechanism of action at the interface between a commercially available Y-TZP and its veneering ceramic after final firing. Particular attention was paid, from a microstructural point of view, to evaluating the effects of different surface treatments carried out on the zirconia. Methods: In total, 32 specimens of presintered zirconia Y-TZP (LavaFrame, 3M ESPE, Germany) were cut with a low-speed diamond blade. The specimens were divided in two major groups, for testing after fracture or after mirror finishing, and were sintered following the manufacturer’s instructions. Each major group was then randomly divided into four subgroups, according to using or not using the dedicated framework modifier, with or without a preliminary silica coating (CoJet, 3 M ESPE). A suitable veneering ceramic was used for each group (Lava Ceram Overlay Porcelain, 3 M ESPE). A detailed microstructural study of the interfaces of the zirconia–veneering ceramic was performed using a scanning electron microscope equipped with an energy-dispersive X-ray spectrometer to evaluate chemical variation at the interfaces. Results: When the framework modifier was not applied on the Y-TZP surface, microdetachments, porosities, and openings in the ceramic layer were observed at the interlayers. A degree of diffusion of different elements through the interfaces from both the zirconia and veneering layers was detected. Conclusions: Application of the framework modifier can increase the wettability of the zirconia surfaces, allowing a continuous contact with the veneering layer. The microanalysis performed showed the presence of a reaction area at the interface between the different materials. Clinical significance: the increase of the wettability of the zirconia surface could improve the adhesion at interface with the veneering ceramic and reduce the clinical failure as chipping or delamination.