Ex vivo evaluation of the retention of procera® zirconia-yttria systems with different cements


  • Richard Milton Mejía-Bravo University of Antioquia
  • Carlos Bernardo Caparroso-Pérez University of Antioquia
  • Xiomara Cristina Ruiz-Restrepo University of Antioquia
  • José Fernando Espitia-Mesa University of Antioquia
  • Yenny Alexandra Moreno-Castillo University of Antioquia
  • Andrés Felipe Montoya-Sepúlveda University of Antioquia




Dental porcelain, Dental cements, Denture retention


Introduction: since the specialized literature does not report reliable protocols for cementing zirconia-yttria restorations, the purpose of this study was to perform an ex vivo assessment of the retention by frictional strength of Procera® zirconia-yttria systems cemented with four materials: Ketac Cem (3M) ESPE), Multilink Automix (Ivoclar Vivadent), Panavia F 2.0 (Kuraray), and RelyX U100 (3M ESPE) on natural teeth. Methods: We gathered 40 recently extracted third molars, which were disinfected with 0.5% NaOCl and stored in saline solution, embedded in acrylic resin, and cut at a 10° convergence angle per wall with an axial carving of 1.5 mm in depth and 4 mm in height. Impressions were taken with Aquasil Ultra® Dentsply and cast with type IV plaster, obtaining 40 Procera AllZircon (Nobel Biocare) structures. 10 samples per material were cemented and thermocycled x 5,000 cycles of 15 s. They were then tractioned with a universal testing machine and failure types at the different interfaces were analyzed. One-way multiple-range ANOVA statistical analysis was performed. Results: average retention values in Newtons were 440 N for Ketac Cem, 698 N for Multilink Automix, 686 N for Panavia F 2.0, and 551 N for RelyX U100. Dentin adhesion failure occurred in 53.8% of cases, followed by mixed failure, with 12.82%. Conclusions: resinous cements with acid phosphate monomers reported higher retention values in comparison with conventional acid-base cements. Adherence to dentin and cement handling can affect the final result.

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Author Biographies

Richard Milton Mejía-Bravo, University of Antioquia

Dentist, Specialist in Comprehensive Dentistry for Adults with a focus on Prosthodontics. Associate Professor, School of Dentistry, Universidad de Antioquia

Carlos Bernardo Caparroso-Pérez, University of Antioquia

raduate students, Comprehensive Dentistry for Adults with a focus on Prosthodontics. School of Dentistry, Universidad de Antioquia

Xiomara Cristina Ruiz-Restrepo, University of Antioquia

Graduate students Comprehensive Dentistry of Adults with emphasis in Prosthodontics, School of Dentistry, Universidad de Antioquia

José Fernando Espitia-Mesa, University of Antioquia

Graduate students Comprehensive Dentistry of Adults with emphasis in Prosthodontics, School of Dentistry, Universidad de Antioquia

Yenny Alexandra Moreno-Castillo, University of Antioquia

Undergraduate students, School of Dentistry, Universidad de Antioquia

Andrés Felipe Montoya-Sepúlveda, University of Antioquia

Undergraduate students, School of Dentistry, Universidad de Antioquia


Anusavice KJ. Dental Ceramics. En: Phillips. The science of dental material. 11.a ed. España: Elsevier; 2004. p. 660-662.

Raigrodski AJ, Chiche GJ, Potiket N, Hochstedler JL, Mohamed SE, Billiot S. The efficacy of posterior three-unit zirconium-oxide based ceramic fixed partial dental prostheses: A prospective clinical pilot study. J Prosthet Dent 2006; 96(4): 237-244.

May KB, Russell MM, Razzoog ME, Lang BR. Precision of fit: the procera all ceram crowns. J Prostht Den 1998; 80(4): 394-404.

Snyder MD, Hogg KD. Load-to-fracture value of different All-ceramic crown systems. Jour Comt Dent Pract 2005; 15; 6(4): 54-63.

Odman P, Andersson B. Procera All Ceram crowns followed for 5 to 10.5 years: a prospective clinical study. Int J Prosthodont 2001; 14(6): 504-509.

Fradeani M, D’Amelio M, Redemagni M, Corrado M. Five years follow-up with Procera all Ceramic crowns. Quintessence Int 2005; 36(2): 105-113.

Behr M, Rosentritt M, Loher H, Kolbeck C, Trempler C, Stemplinger B et al. Changes of cement properties caused by mixing errors: the therapeutic range of different cement types. Dent Mater 2008; 24(9): 1187-1193.

Attar N, Tam LE, McComb D. Mechanical and physical properties of contemporary dental luting agents. J Prosthet Dent 2003; 89(2): 127-134.

Hill EE. Dental cements for definitive luting: a review and practical clinical considerations. Dent Clin North Am 2007; 51(3): 643-658.

Mount GJ. Glass ionomers: a review of their current status. Oper Dent 1999; 24(2): 115-124.

Macchi RL. Ionómeros vítreos. En: Materiales dentales. 4.a ed. Argentina: Panamericana; 2007. p. 149-155.

Fruits TJ, Coury TL, Miranda FJ, Duncanson MG Jr. Uses and properties of current glass ionomers cements: a review. Gen Dent 1996; 44(5): 410-418.

Heintze SD. Crown pull-off test (crown retention test) to evaluate the bonding effectiveness of luting agents. Dent Mater 2010; 26(3): 193-206.

Peumans M, Kanumilli P, De Munck J, Van Landuyt K, Lambrechts P, Van Meerbeek B. Clinical effectiveness of contemporary adhesives: A systematic review of current clinical trials. Dent Mater 2005; 21(9): 864-881.

Irie M, Maruo Y, Nishigawa G, Suzuki K, Watts DC. Physical properties of dual-cured luting agents correlated to early no interfacial-gap incidence with composite inlay restorations. Dent Mater 2010; 26(6): 608-615.

Mirmohammadia H, Aboushelib MN, Salameh Z, Feilzer AJ, Kleverlaan CJ. Innovations in bonding to zirconia based ceramics: Part III. Phosphate monomer resin cements. Dent Mater 2010; 26(8): 786-792.

Ivoclar Vivadent. [Internet]. [Consultado 2008 Ago 19] Disponible en: http://www.ivoclarvivadent.es/content/products/detail.aspx?id=prd_t1_100955863&product=Multilink

Holderegger C, Sailer I, Schuhmacher C, Schläpfer R, Hämmerle C, Fischer J. Shear bond strength or resin cements to human dentin. Dent Mater 2008; 24(7): 944-950.

Wolfart M, Lehmann F, Wolfart S, Kern M. Durability of the resin bond strength to zirconia ceramic after using different surface conditioning methods. Dent Mater 2007; 23(1): 45-50.

Kuraray. [sitio en internet]. [Fecha de acceso 19 de agosto de 2008] URL disponible en: http://www.kuraraydental.com/viewproduct.php?pid=13

Quaas AC, Yang B, Kern M. Panavia F 2.0 bonding to contaminated zirconia ceramic after different cleaning procedures. Dent Mater 2007; 23(4): 506-512.

Moszner N, Sals U, Zirmmermann J. Chemical aspects of self-etching enamel-dentin adhesives: a systematic review. Dent Mater 2005; 21(10): 895-910.

M [Internet]. [Consultado 2008 Ago 19] Disponible en: http://solutions.3m.com/wps/portal/3M/en_US/3M-ESPE/dental-professionals/products/category/cement/relyx-unicem/

Gerth HU, Dammaschke T, Züchner H, Schäfer E. Chemical analysis and bonding reaction of RelyX Unicem and Bifix composites —a comparative study. Dent Mater 2006; 22(10): 934-941.

Frankenberger R, Lohbauer U, Schaible RB, Nikolaenko SA, Naumann M. Luting of ceramic inlays in vitro: marginal quality of self-etch and etch-and-rinse adhesive versus self-etch cements. Dent Mater 2008; 24(2): 185-191.

Vrochari AD, Eliades G, Hellwig E, Wrbas KT. Curing efficiency of four self-etching, self-adhesive resin cements. Dent Mater 2009; 25(9): 1104-1108.

Aboushelib MN, Mirmohamadi H, Matinlinna JP, Kukk E, Ounsi HF, Salameh Z. Innovations in bonding to zirconia-based materials. Part II: Focusing on chemical interactions. Dent Mater 2009; 25(8): 989-993.

Rosentritt M, Behr M, Thaller C, Rudolph H, Feilzer A. Fracture performance of computer-aided manufactured zirconia and alloys crowns. Quintessence Int 2009; 40(8): 655-662.

Blatz MB, Sadan A, Kern M. Resin-ceramic bonding: a review of the literature. J Prosthet Dent 2003; 89(3): 268-274.

Huheey JE, Keiter EA. Inorganic chemistry-principles of structure and reactivity. New York: Harper & Row. Harper Collins; 1993.

Matinlinna JP, Heikkinen T, Ozcan M, Lassila LV, Vallittu PK. Evaluation of resin adhesion to zirconia ceramic using some organosilanes. Dent Mater 2006; 22(9): 824-831.

Wegner SM, Kern M. Long-term resin bond strength to the zirconia ceramic. J Adhes Dent 2000; 2(2): 139-147.

Atsu SS, Kilicarslan MA, Kucukesmen HC, Aka PS. Effect of zirconium-oxide ceramic surface treatments on the bond strength to adhesive resin. J Prosthet Den 2006; 95(6): 430-436.

Palacios RP, Johnson GH, Phillips KM, Raigrodski AJ. Retention of zirconium oxide ceramic crowns with three types of cement. J Prosthetic Dent 2006; 96(2): 104-114.

Ernst CP, Cohnen U, Stender E, Willershausen B. In vitro retentive strength of zirconium oxide ceramic crowns using different luting agents. J Prosthet Dent 2005; 93(6): 551-558.

Shahin R, Kern M. Effect of air-abrasion on the retention of zirconia ceramic crowns luted with different cements before and after artificial aging. Dent Mater 2010; 26(9): 922-928.

Ernst CP. Influence of different luting concepts on long term retentive strength of zirconia crowns. Am J Dent 2009; 22(2): 122-128.

Piwowarczyk A, Lauer HC. Mechanical properties of luting cements after water storage. Oper Dent 2003; 28(5): 535-542.

Oyagüe RC, Monticelli F, Toledano M, Osorio E, Ferrari M, Osorio R. Effect of water aging on microtensile bond strength of dual-cured resin cements to pre-treated sintered zirconium-oxide ceramics. Dent Mater 2009; 25(3): 392-399.

Yang B, Barloi A, Kern M. Influence of air-abrasion on zirconia ceramic bonding using an adhesive composite resin. Dent Mater 2010; 26(1): 40-50.

Thompson JY, Stoner BR, Piascik JR, Smith R. Adhesion/cementation to zirconia and other non-silicate ceramics: where are we now? Dent Mater 2011; 27(1): 71-82.

Viotti R, Kasaz A, Pena CE, Alexandre RS, Arrais CA, Reis AF. Microtensile bond strength of new self-adhesive luting agents and conventional multistep systems. J Prosthet Den 2009; 102(5): 306-312.

Attia A, Lehmann F, Kern M. Influence of surface conditioning and cleaning methods on resin bonding to zirconia ceramic. Dent Mater 2011; 27(3): 207-213.

Moustafa N, Kleverlaan CJ, Feilzer AJ. Selective infiltration-etching technique for a strong and durable bond of resin cements to zirconia-based materials. J. Prosthet Dent 2007; 98(5): 379-388.

Phark H, Duarte S Jr, Blatz M, Sadan A. An in vitro evaluation of the long-term resin bond to a new densely sintered high-purity zirconium-oxide ceramic surface J Prosthet Dent 2009; 101(1): 29-38.



How to Cite

Mejía-Bravo, R. M., Caparroso-Pérez, C. B., Ruiz-Restrepo, X. C., Espitia-Mesa, J. F., Moreno-Castillo, Y. A., & Montoya-Sepúlveda, A. F. (2014). Ex vivo evaluation of the retention of procera® zirconia-yttria systems with different cements. Revista Facultad De Odontología Universidad De Antioquia, 26(1), 44–61. https://doi.org/10.17533/udea.rfo.11295

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