In dentistry, root canal treatment reduces support of the tooth, making it necessary to insert a cylindrical body into the treated tooth to strengthen the crown. In the past, metal or fiberglass was often used. However, metal is too different in color from teeth, so the esthetics are poor, and fiberglass is not as strong as metal. Therefore, an alternative is zirconia, which has the characteristics of high light transmittance, esthetics, good biocompatibility, and high breaking strength. The surface morphology and composition of zirconia ceramics are the key to their bond strength with teeth. Therefore, in this study, the surface characteristics of different brands of zirconia commonly used in clinical practice were evaluated in terms of their surface morphology and surface elements. The surface was modified by sandblasting, and its effect on the bonding strength was discussed. Finally, the stability of the material was evaluated through artificial aging. The results showed that the surface roughness of the zirconia specimens increased after sandblasting, whereas the surface microhardness decreased. The shear test results showed that the 3D shape of the zirconia surface could help improve the bonding strength. The bonding strength of DeguDent increased the most after sandblasting. After 20,000 cycles of aging treatment, the shear strength of each specimen decreased. Field emission scanning electron microscopy results showed that the adhesive remained intact on the surface of zirconia, indicating that adhesion failure occurred between the adhesive and the teeth. This confirms that sandblasting can improve the bonding strength of zirconia. Based on the results obtained, it was concluded that the surface roughness of zirconia is the main factor affecting the bond strength.
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