Within the limitations of the present study, the internal spaces of zirconia ceramic copings may decrease as the convergence angles of abutments increase. The computer-fixed cement space might influence the marginal adaptation of zirconia ceramic copings. The internal and marginal adaptation of zirconia ceramic copings obtained was within the range of clinical acceptance.

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The present study evaluated the marginal and internal adaptation of single-tooth zirconium dioxide (ZrO2) ceramic copings or crowns with three different finish line designs. Twenty-four steel dies were prepared for maxillary central incisor crowns with the following finish line designs: shoulder (S), rounded shoulder (RS), and chamfer (C) preparations. Twenty-four standardized ZrO2 ceramic copings were manufactured with a CAD/CAM system (Cercon Smart Ceramics), and the crowns were finalized by veneering with a feldspathic ceramic. Measurements for marginal and internal adaptation were performed at two stages: the copings and the completed crowns. No significant differences were observed between the three groups in terms of marginal discrepancy median value: S, 73/69; RS, 61/60; C, 64/55 (μm). However, significant differences in internal adaptation were widely found among all groups: S, 117/111; RS, 72/75; C, 56/57 (μm). As for intra-group comparisons of marginal and internal adaptation values for all groups, the differences were not significant. It was found that the finish line design seemingly wielded no influence on marginal adaptation of single-tooth ZrO2 ceramic copings and crowns. It was also observed that the marginal and internal adaptation values in the present study were all within the clinically acceptable range.

The present study evaluated the shear bond strength between an indirect composite material and zirconium dioxide (zirconia) ceramics after thermocycling. A total of 80 zirconia (Katana) discs were divided into five groups and primed with one of following agents: All Bond 2 Primer B (ABB), Alloy Primer (ALP), AZ Primer (AZP), Estenia Opaque Primer (EOP), and Porcelain Liner M Liquid A (PLA). An indirect composite material (Estenia C&B) was then bonded to the primed zirconia. One-half of the specimens (n = 8) in each group were stored in distilled water at 37 degrees C for 24 h, and the remaining eight specimens were thermocycled 5,000 times before shear bond strength testing. Mean bond strengths before thermocycling varied from 10.1 to 15.6 MPa; bond strengths after thermocycling ranged from 4.3 to 17.6 MPa. The ALP group had the highest strengths after thermocycling; there were no significant differences among the PLA, AZP, and EOP groups. The bond strength values for PLA, AZP, EOP, and ALP did not decrease with thermocycling. The application of an acidic functional monomer containing carboxylic anhydride (4-META), phosphonic acid (6-MHPA), or phosphate monomer (MDP) provided durable bond strength between Estenia C&B indirect composite and Katana zirconia.

Application of a combination of hydrophobic phosphate monomer (MDP) and initiator results in a durable long-term bond between Katana zirconia and Estenia C&B composite material.