Influence of surface airborne-particle abrasion and bonding agent application on porcelain bonding to titanium dental alloys fabricated by milling and by selective laser melting

Abstract

Statement of problem: Computer-aided design and computer-aided manufacturing (CAD-CAM) technologies have provided alternatives to lost-wax casting for the fabrication of titanium frameworks in metal-ceramic fixed dental prostheses (FDPs). The findings on varying metal surface characteristics resulting from application of different fabrication technologies indicate a need to reevaluate the traditional titanium surface conditioning protocols.

Purpose: The purpose of this in vitro study was to investigate the effects of surface airborne-particle abrasion (APA) and bonding agent application on the porcelain bond to titanium dental alloys fabricated by subtractive computer numerical controlled (CNC) milling and by additive selective laser melting (SLM) methods.

Material and methods: Eight groups of Ti-6Al-4V substrates (n=11) were fabricated-half of them by CNC milling and half by SLM. The groups represented a fully crossed experimental protocol of APA with 110-μm Al₂O₃ particles under a pressure of 0.2 MPa (intact-controls or abraded) and bonding agent application (with or without bonding agent) for the CNC milled and SLM titanium substrates. Ultra-low fusing dental porcelain was applied to the differently prepared titanium substrates, and the titanium-ceramic bond strength was determined by a 3-point bend test according to the International Organization for Standardization (ISO) standard 9693-1:2012. Average profile roughness (R_a) values were obtained for intact and APA titanium substrates fabricated by CNC milling and by SLM. Representative titanium-ceramic interfaces were analyzed by using a field emission scanning electron microscope (FE-SEM) and energy dispersive spectroscopy (EDS). Titanium-ceramic bond strength data were analyzed statistically by 3-way ANOVA and the Tukey HSD test. Ra data were analyzed by 2-way ANOVA, followed by regression analyses (α=.05).

Results: The method applied for the digital fabrication of titanium (either subtractive CNC milling or additive SLM) did not affect the titanium-ceramic bond (P=.247). APA (P<.001), as well as the application of a bonding agent (P<.001), increased the titanium-ceramic bond strength. When these 2 procedures were combined, the porcelain bond strength to CNC milled titanium was 37.3 ±4.1 MPa and that to SLM titanium was 36.7 ±4.9 MPa. APA increased the surface roughness of CNC milled titanium (P=.002) but decreased the roughness of the SLM substrates (P<.001).

Conclusions: A protocol comprising APA and application of a bonding agent ensures the highest porcelain bond strength to both CNC milled and SLM titanium, with the obtained values being well above the minimal value for metal-ceramic systems as specified by ISO 9693-1:2012.