Bonding to zirconia — clinical protocol

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inlay zirconio

Protocol on ZIRCONIA (internal surface)

  1. Cleaning
    • specific cleaner (Ivoclean — Ivoclar Vivadent)
    • Air dry

  1. Airborne-particle abrasion (sandblasting)
    • Aluminum oxide (Al₂O₃)
    • 30–50 µm
    • Pressure: ~1–2 bar

  1. Post-abrasion cleaning
    • Air or rinse + dry

  1. MDP primer / adhesive — according to manufacturer
    • Apply
    • Air dry

Protocol on the TOOTH

If enamel

  • Phosphoric acid etching — 15–30 s
  • Rinse — 15 s
  • Dry — 15 s
  • Adhesive — according to manufacturer
    • Light curing depends on the system; in many indirect protocols it is avoided to prevent thickness

If dentin

  • Etching (if total-etch) — 10–15 s
  • Rinse — 15 s
  • Keep dentin moist
  • Adhesive — according to manufacturer
    • Active application
    • Air drying 10–15 s
    • Follow manufacturer instructions
    • Generally do not light cure before cementation

Cementation

  • Resin cement:
    • Dual-cure (recommended)
    • Self-adhesive (valid option)
  • Seat restoration
  • Remove excess
  • Light cure

Key points

  • Zirconia must not be etched with hydrofluoric acid
  • Bonding is based on:
    • Mechanical retention (sandblasting)
    • Chemical bonding (MDP)

Common mistakes

  • Using hydrofluoric acid
  • Not sandblasting
  • Not using MDP
  • Contamination without proper cleaning
  • Light-curing adhesive creating thickness

Expected result

  • Stable bonding
  • High strength
  • Clinical longevity