Objectives: The purpose of this study was to evaluate zirconia-reinforced lithium silicate ceramic surface treatment on their shear bond strength to dentine following immediate dentin sealing.
Methods : One hundred sixty extracted molars were initially divided into two main groups each counting eighty molars: based on dentine sealing protocols (without immediate dentin sealing S- and with immediate dentin sealing S+), those groups were further subdivided into four subgroups each counting twenty based on the ceramic surface treatment protocol. Each were further subdivided into two subdivisions to evaluate the bonding durability after thermodynamic aging process each counting ten specimens. All restorations were adhesively bonded using a light curing resin cement. The thermo-mechanical group were subjected to 10,000 thermal cycles between (5-55ºC) with a 30-s dwell time, 20 seconds transfer time. specimens were then subjected to maximum vertical load of 10 kg with cyclic frequency of 1.7 Hz for 240,000 cycles, which corresponds to one year of clinical service. Specimens were tested for shear bond strength using Instron testing machine. Data were statistically analyzed using two-way ANOVA and Tukey's post-hoc tests.
Result: A significantly higher shear bond strength of restorations (p ≤ 0.001) was obtained when immediate dentin sealing was followed regardless of the surface treatments of ceramics with a maximum value of 10.50±0.412 MPa. Both ceramic surface treatment and artificial aging had a statistically significant effect on the shear bond strength.
Conclusion: Immediate dentin sealing protocol is recommended and HF surface treatment is recommended for ceramic restorations adhesion to achieve better durability.