Effects of core-to-dentin thickness ratio on the biaxial flexural strength, reliability, and fracture mode of bilayered materials of zirconia core (Y-TZP) and veneer indirect composite resins.

STATEMENT OF PROBLEM: Indirect composite resins (ICR) are promising alternatives as veneering materials for zirconia frameworks. The effects of core-to-dentin thickness ratio (C/Dtr) on the mechanical property of bilayered veneer ICR/yttria-tetragonal zirconia polycrystalline (Y-TZP) core disks have not been previously studied. PURPOSE: The purpose of this in vitro study was to assess the effects of C/Dtr on the biaxial flexural strength, reliability, and fracture mode of bilayered veneer ICR/ Y-TZP core disks. MATERIAL AND METHODS: A total of 180 bilayered 0.6-mm-thick composite resin disks in core material and C/Dtr of 2:1, 1:1, and 1:2 were tested with either core material placed up or placed down for piston-on-3-ball biaxial flexural strength. The mean biaxial flexural strength, Weibull modulus, and fracture mode were measured to evaluate the variation trend of the biaxial flexural strength, reliability, and fracture mode of the bilayered disks with various C/Dtr. One-way analysis of variance (ANOVA) and chi-square tests were used to evaluate the variation tendency of fracture mode with the C/Dtr or material placed down during testing (α=.05). Light microscopy was used to identify the fracture mode. RESULTS: The mean biaxial flexural strength and reliability improved with the increase in C/Dtr when specimens were tested with the core material either up and down, and depended on the materials that were placed down during testing. The rates of delamination, Hertzian cone cracks, subcritical radial cracks, and number of fracture fragments partially depended on the C/Dtr and the materials that were placed down during testing. CONCLUSION: The biaxial flexural strength, reliability, and fracture mode in bilayered structures of Y-TZP core and veneer ICR depend on both the C/Dtr and the material that was placed down during testing.

[Effects of different surface conditioning agents on the bond strength of resin-opaque porcelain composite].

The objective of this research is to evaluate the effects of different silane coupling agents on the bond strength between Ceramco3 opaque porcelain and indirect composite resin. Five groups of Co-Cr metal alloy substrates were fabricated according to manufacturer's instruction. The surface of metal alloy with a layer of dental opaque porcelain was heated by fire. After the surface of opaque porcelain was etched, five different surface treatments, i.e. RelyX Ceramic Primer (RCP), Porcelain Bond Activator and SE Bond Primer (mixed with a proportion of 1:1) (PBA), Shofu Porcelain Primer (SPP), SE bond primer (SEP), and no primer treatment (as a control group), were used to combine P60 and opaque porcelain along with resin cement. Shear bond strength of specimens was tested in a universal testing machine. The failure modes of specimens in all groups were observed and classified into four types. Selected specimens were subjected to scanning electron microscope and energy disperse spectroscopy to reveal the relief of the fracture surface and to confirm the failure mode of different types. The experimental results showed that the values of the tested items in all the tested groups were higher than that in the control group. Group PBA exhibited the highest value [(37.52 +/- 2.14) MPa] and this suggested a fact that all of the specimens in group PBA revealed combined failures (failure occurred in metal-porcelain combined surface and within opaque porcelain). Group SPP and RCP showed higher values than SEP (P < 0.05) and most specimens of SPP and RCP performed combined failures (failure occurred in bond surface and within opaque porcelain or composite resin) while all the specimens in group SEP and control group revealed adhesive failures. Conclusions could be drawn that silane coupling agents could reinforce the bond strength of dental composite resin to metal-opaque porcelain substrate. The bond strength between dental composite resin and dental opaque porcelain could meet the clinical requirements.

[Nitric oxide and prostaglandin E2 secretion in osteocytes induced by intermittent cyclic compressive force].

This paper is aimed to investigate the effect of rest-inserted loading on the mechanosensitivity of osteocytes. In the investigation, cultured MLO-Y4 osteocyte-like cells were strained on cyclic compressive force (CCF) by the self-made compressive loading device. Then we observed the effect of different rest periods-inserted loading (5 s, 15 s, 30 s, respectively) on the mechanosensitivity of osteocytes. We then determined the levels of secreted nitric oxide (NO) and prostaglandin E2 (PGE2) by Griess method and enzyme linked immunosorbent assay (ELISA), respectively. We then stained the cytoskeleton F-actin using immunofluorescence. We found that the expressions of NO and PGE2 in rest-inserted strained groups (> 15 s) were significantly increased compared to those in the continuous strained group. And rest-inserted loading promoted the parallel alignment of stress fibers. It indicates that rest-inserted loading could promote the mechanosensitivity of osteocytes, and this might be related to the parallel alignment of stress fibers.

Microstructure and mechanical properties of glass-infiltrated Al2O3/ZrO2 nanocomposites.

This work was to investigate the effect of zirconia nanoparticles content on microstructure and mechanical properties of glass-infiltrated alumina/zirconia composites (AZGs). A series of slip-cast zirconia-toughened alumina (ZTA) compacts containing 10, 20, 30 wt% nano-zirconia, respectively, were partially sintered at 1,250°C for 2 h, then infiltrated with lanthanum borosilicate glass of lower thermal expansion at 1,180°C for 4 h. A porosity ranging from 21 to 25% mainly with submicron pore size was demonstrated in the partially-sintered ZTAs. Homogeneous distribution and micro-crystallization of intergranular glass phase was showed in the AZGs. The mechanical strength and fracture toughness of AZGs increased with zirconia content, the maximum (633.5 ± 41.7, 6.7 ± 0.6 MPa m(0.5)) were obtained in 30 wt% zirconia group, which were significantly higher than those in 10 wt% zirconia group (P < 0.05). The improved mechanical performance of AZGs containing 30 wt% zirconia was attributed to their larger zirconia content as well as thinner intergranular glass film.

Evaluation of a conditioning method to improve core-veneer bond strength of zirconia restorations.

STATEMENT OF PROBLEM: The high strength and fracture toughness of zirconia have supported its extensive application in esthetic dentistry. However, the fracturing of veneering porcelains remains one of the primary causes of failure. PURPOSE: The purpose of this study was to evaluate, with shear bond strength testing, the effect of a simple and novel surface conditioning method on the core-veneer bond strength of a zirconia ceramic system. MATERIAL AND METHODS: The shear bond strength of a zirconia core ceramic to the corresponding veneering porcelain was tested by the Schmitz-Schulmeyer method. Thirty zirconia core specimens (10 × 5 × 5 mm) were layered with a veneering porcelain (5 × 3 × 3 mm). Three different surface conditioning methods were evaluated: polishing with up to 1200 grit silicon carbide paper under water cooling, airborne-particle abrasion with 110 µm alumina particles, and modification with zirconia powder coating before sintering. A metal ceramic system was used as a control group. All specimens were subjected to shear force in a universal testing machine at a crosshead speed of 0.5 mm/min. The shear bond strength values were analyzed with 1-way ANOVA and Tukey's post hoc pairwise comparisons (α=.05). The fractured specimens were examined with a scanning electron microscope to observe the failure mode. RESULTS: The mean (SD) shear bond strength values in MPa were 47.02 (6.4) for modified zirconia, 36.66 (8.6) for polished zirconia, 39.14 (6.5) for airborne-particle-abraded zirconia, and 46.12 (7.1) for the control group. The mean bond strength of the control (P=.028) and modified zirconia groups (P=.014) was significantly higher than that of the polished zirconia group. The airborne-particle-abraded group was not significantly different from any other group. Scanning electron microscopy evaluation showed that cohesive fracture in the veneering porcelain was the predominant failure mode of modified zirconia, while the other groups principally fractured at the interface. CONCLUSIONS: Modifying the zirconia surface with powder coating could significantly increase the shear bond strength of zirconia to veneering porcelain.

[Zoledronic acid incorporated in chitosan/calcium phosphate ceramic: characterization and in vitro response of osteoblast cells].

OBJECTIVE: To develop a new local delivery system, zoledronic-acid-loaded chitosan/calcium phosphate ceramic, and to determine its characterization and in vitro response of osteoblast cells. METHODS: Zoledronic-acid-loaded chitosan/calcium phosphate ceramic were prepared by solution casting method at a concentration of 10(-5), 10(-4), and 10(-3) mol/L, respectively. The physicochemical properties of the resulting materials were determined using SEM and FTIR. Drug absorbance was measured using CCK-8 colorimetric assay and alkaline phosphatase assay to detect the effect of drug-loaded materials on the proliferation and differentiation of osteoblasts. RESULTS: After ZOL loading, SEM showed that porous calcium phosphate ceramic was coated with chitosan evenly. The IR spectra indicated that drug absorption peaks were shifted and a new one was formed for the drug-loaded biomaterials. The material at the highest concentration could inhibit the proliferation and alkaline phosphatase activities of osteoblast cells, but no such effect was found at a drug-loading concentration of 10(-4)-10(-5) mol/L. CONCLUSION: We confirmed that the local delivery system in this study has ability of loading ZOL. The biomaterial with high drug concentrations inhibits the proliferation and differentiation of osteoblasts, but not when the drug concentrations are low.

Effects of sintering temperature and particle size on the translucency of zirconium dioxide dental ceramic.

The aim of this study was to evaluate the effects of sintering temperature and particle size on the translucency of yttrium stabilized tetragonal zirconia polycrystals (Y-TZP) dental ceramic. Eighty disc-shaped and cylindrical specimens were fabricated from zirconia powers of particle size 40 and 90 nm. These specimens were sintered densely at the final sintering temperature 1350, 1400, 1450 and 1500°C, respectively. The visible light transmittance, sintered density and microstructure of the sintered block were examined. The results showed that the sintered densities and transmittances increased with the temperature from 1,350 to 1,500°C. Y-TZP could gain nearly full density and about 17-18% transmittance at the final sintering temperature of 1,450-1,500°C. The 40-nm powders had higher sintered density and transmittance than the 90-nm. The translucency of Y-TZP dental ceramic could be improved by controlling the final sintering temperature and primary particle size.

Healing of acute alveolar bone dehiscence following treatment with porous biphasic calcium phosphate in beagle dogs.

The purpose of the present study was to evaluate histologically in beagle dogs the healing in acute dehiscence type defects following treatment with open flap debridement (OFD) with or without porous biphasic calcium phosphate (PBCP). Alveolar bone dehiscence defects were surgically created bilaterally at the labial aspects of maxillary third incisors in 12 beagle dogs. After root conditioning with ethylenediaminetetraacetate, PBCP was filled in the defects and the contralaterals were cured with OFD. Two fluorochrome labelings were administered at the 7th and 11th weeks, respectively. Four dogs were killed at the 12, 16, and 24 weeks, respectively. Histological observations were processed through microcomputed tomographic imaging, fluorescence microscope, and light microscopy. The formation of new regenerated tissues was assessed histomorphometrically. The results revealed the healing after treatments with PBCP evidenced a new attachment apparatus and that with OFD supported periodontal repair. In PBCP groups, the amount of new bone varied from 1.15 to 3.86 mm (23-77.2% of the original defect size), while only 0.3 to 1.04 mm (6-20.8%) in OFD group. The amount of new cementum in PBCP varied from 1.18 to 4.16 mm (23.6-82.3%), while only 0.67 to 1.15 mm (13.4-23%) in OFD group. The amount of periodontal ligament in PBCP varied from 1.03 to 4.12 mm (20.6-82.4%), while only 0 to 0.93 mm (0-18.6%) in OFD group. There was significantly more regenerated tissue in PBCP groups compared to OFD procedures (p < 0.01). The present results indicate that PBCP may enhance periodontal regeneration in acute-type labial dehiscence defects.

[A preliminary study of application of the antibacterial solution containing silver ion to the surface of soft lining material].

We tried to find the effects of the application of the antibacterial solution containing silver ions on the surface of the denture soft lining material. We selected the right concentration of the silver-containing solution and coated a soft lining material with the solution so that the soft lining material could be antibacterial. The antibacterial solution containing silver ions was prepared by sol-gel method. MIC of C. a and S. a were tested by broth dilution test. The surface property and thickness were tested after coated. The in vitro antibacterial ratio against C. a and S. a were demonstrated by the method of plate-counting. A film was formed after coating, while the adequacy was not changed. Antibacterial ratio of 0.64 mg/ml group against C. a was 90.82%, and that against S. a was 94.96% in 24 hours, respectively. It was found that the antibacterial property of the soft lining material can be acquired by coating this antibacterial solution with silver ion, without changing the adequacy.

The Injectable Woven Bone-Like Hydrogel to Perform Alveolar Ridge Preservation With Adapted Remodeling Performance After Tooth Extraction.

Grafting bone substitute is paramount to prevent the alveolar ridge resorption after tooth extraction and facilitate the subsequent implant treatment. An ideal bone substitute should acquire the excellent osteogenic property, more importantly, possess the suitable remodeling rate in balance with bone formation and desirable clinical manageability. However, none of bone substitute is simultaneously characterized by these features, and currently, the limited remodeling property leads to the excessive waiting time before implantation. Enlightened by woven bone, the transitional tissue that is able to induce osteogenesis during bone healing could be easily remodeled within a short period and depend on the favorable injectability of hydrogel, an injectable woven bone-like hydrogel (IWBLH) was constructed in this study to address the above problems. To mimic the component and hierarchical structure of woven bone, amorphous calcium phosphate (ACP) and mineralized collagen fibril were synthesized and compounded with alginate to form IWBLHs with various ratio. Screened by physiochemical characterization and in vitro biological assays, an optimal IWBLH was selected and further explored in rat model of tooth extraction. Compared with the most widely used bone substitute, we showed that IWBLH could be easily handled to fully fill the tooth socket, perform a comparable function to prevent the alveolar bone resorption, and completely remodeled within 4 weeks. This IWBLH stands as a promising candidate for alveolar ridge preservation (ARP) in future.

In-vivo histocompatibility and osteogenic potential of biodegradable PLDLA composites containing silica-based bioactive glass fiber.

The purpose of this two-year study was to evaluate the histocompatibility and osteogenic properties of a composite material consisting of poly(l-co-d,l lactide) (PLDLA) and silica-based bioactive glass fibers in vivo. PLDLA and PLDLA/silica-based bioactive glass fibers pins were implanted into the erector spinae muscles and femurs of beagles. Muscle and bone tissue samples were harvested 6, 12, 16, 26, 52, 78, and 104 weeks after implantation. Histology analysis was used to assess the histocompatibility, angiogenesis, and bone-implant contact. Micro-computed tomography was used to evaluate bone formation around the pins. Immunohistochemistry and western blotting revealed the expression level of the osteogenesis-related proteins. Addition of bioactive glass was demonstrated to possess better histocompatibility and reduce the inflammatory reactions in vivo. Moreover, PLDLA/silica-based bioactive glass fibers pins were demonstrated to promote angiogenesis and increase osteogenesis-related proteins expression, and thus played a positive role in osteogenesis and osseointegration after implantation. Our findings indicated that a composite of PLDLA and silica-based bioactive glass fiber is a promising biodegradable material for clinical use.

Mechanical and degradative properties of PLDLA biodegradable pins with bioactive glass fibers in a beagle model.

The present study aimed to evaluate the mechanical and degradative properties of poly(L-co-D,L-lactic acid)/silicate bioactive glass fibers (PLDLA/SGFs) composite pins in vivo. Both PLDLA and PLDLA/SGFs pins were inserted into the erector spinae muscles and femurs of beagle dogs and were harvested 6, 12, 16, 26, 52, 78, and 104 weeks after insertion. Bone formation around the pins was evaluated by micro-computed tomography. Mechanical properties were measured by the shear strength test. Thermogravimetric analysis, differential scanning calorimetry, and gel permeation chromatography were used to assess the degradation of these materials. The surface and cross-sectional morphology of both pins were observed using a scanning electron microscope. The experimental data demonstrated that PLDLA/SGFs pins can support new bone formation due to the influence of bioactive glass fibers. PLDLA/SGFs composite pins had higher initial shear strength and were relatively stable for at least 26 weeks. The addition of bioactive glass fibers accelerated the degradation rate of the composite pins. Thus, PLDLA/SGFs composite pins have promising potential for bone fixation applications.

[Microdiffraction measurements of natural tooth by high resolution X-ray diffraction equipment].

The main mineral component of natural tooth was determined as calcium apatite many years ago; most of them exist in the form of hydroxyapatite with different crystallites. If a tooth decayed, the crystalline of hydroxyapatite would be changed and decomposed. In our experiment, a natural tooth with caries was measured by high resolution XRD equipment: X'pert Pro. Three spots which included normal enamel, normal dentin and caries tissue were analyzed. The results showed that tooth was a kind of biological mixed crystal composed of many crystal phases, the main crystal phase was hydroxyapatite. From normal enamel to normal dentin and to caries tissue, the length of the a-axis of hydroxyapatite crystallite increased, the length of the c-axis of hydroxyapatite crystallite remained unchanged. The crystal sizes were: normal enamel D002 = 27.600 nm; normal dentin D002 = 16.561 nm; caries tissue D002 = 13.163 nm. Crystallinity: normal enamel>normal dentin>caries tissue. According to our experiment, tooth could be conveniently studied by high resolution microdiffracion XRD equipment.

Shrinkage and strength characterization of an alumina-glass interpenetrating phase composite for dental use.

OBJECTIVE: The aim of the study was to investigate the influence of temperature and time during partial-sintering (i.e. initial-stage sintering) on the shrinkage and strength of an alumina-glass dental composite. METHODS: The alumina slip and infiltrating glass were prepared for fabrication of an interpenetrating phase composite by melt-infiltration technology. Partial-sintering temperatures for the alumina body ranged from 1050 to 1200 degrees C (2 h) and at 1125 degrees C, the time was varied from 2 to 8 h. Partially sintered alumina preform were then infiltrated with melted glass at 1125 degrees C for 6h except for one group treated at 1100 degrees C for 6 h. RESULT: The composite demonstrated shrinkage not only during initial-stage sintering of the alumina but also during infiltration of glass into the alumina preform. Higher temperatures and longer times for alumina sintering led to greater shrinkage for the alumina preform and overall for the alumina-glass infiltrated composite. However, shrinkage during the infiltration stage was lower for alumina compacts having the highest initial-stage sintering shrinkage (1200 degrees C for 2 h or at 1125 degrees C for 6 and 8 h). Strength of the composite was not influenced when sintering temperatures and times were increased. SIGNIFICANCE: Shrinkage during both alumina sintering and glass infiltration must be taken into account for the overall shrinkage of the alumina-glass interpenetrating phase composite. Strength does not appear to be influenced by the changes in density or preform microstructure occurring during more extensive initial-stage sintering.

[The experimental study on biodegradable gel membrane applied to prevention of postoperative adhesion of abdominal cavity surgery].

OBJECTIVE: To develop a new type of anti-adhesion gel membrane and explore its applying technique. METHODS: 24 adult New Zealand white rabbits were used for the experiment research project, the animals were divided into two groups: the experiment group (18 adult New Zealand white rabbits) and the control group (6 adult New Zealand white rabbits). The animal models were established via the abdominal cavity. The biodegradable gel membrane was covered to the surface of the operating region in experimental animal group, while the 0.9% NaCL was directly rinsing the operating region in the controlled group. The specimens were collected at postoperatively week 2, 4 or 8 respectively. The samples were evaluated by global and histological observation. RESULTS: In the experiment group, a few adhed zones were observed in 2 and 4 weeks after operation, but in 8 weeks after operation, the adhesion zone was disappeared. In the control group, a few adheol zones were founded in 2 weeks after operation. In 4 weeks after operation, the adhed zone become conspicuously emerged. In 8 weeks after operation, the cicatri band was occurred. CONCLUSION: The biodegradable gel membrane usd into the postoperative abdominal cavity is effective and easy to manipulate, and it could be used as a high-effect, cheap drug of anti-adhesion in operation for surgeons.

[Effects of fluid shear stress on bone resorption in rat osteoclasts].

This study was aimed to assess the effects of fluid shear stress on the bone resorption in rat osteoclasts. The osteoclasts were derived from the lumbar vertebrae marrow cells which were isolated from the 6-month-old female Sprague Dawley rats, cultured on the slide at 1 x 10(6) cell/ml, and induced with 1, 25 (OH)2 Dihydroxyvitamin D3. The slide containing osteoclasts was taken out on day 7 after culture and then put into the flow chamber. The loads of fluid shear stress applied to the osteoclasts were 5.97, 11.36, 16.08 and 20.54 dyne/cm2, respectively, for 30 minutes. The osteoclasts unloading fluid shear stress were used as control. The bone resorptive pits were studied by light microscopy and scanning electron microscopy. The tartrate-resistant acid phosphatase (TRAP) secreted by osteoclasts was detected with ultraviolet spectrophotometry. The results showed that fluid shear stress can increase the activity of TRAP and significantly increase the number and area of bone resorptive pits made by osteoclasts,and the effect of fluid shear stress on the bone resorption of osteoclasts is the same as that on the activity of TRAP. The reaction of the osteoclasts to the fluid shear stress in this study also suggested that the bone resorption of osteoclasts be increased in a magnitude of fluid shear stress-dependent manner, and that the changes of TRAP activity be closely related to the changes of the number and area of resorptive pits of the osteoclasts.

[Study on the expansion properties of homemade fast investment material for the IPS-Empress2 castable ceramic].

IPS-Empress2 is a successful all-ceramic restoration system. To lower its cost, and promote its application, a kind of homemade fast investment material has been developed. The aim of this study was to evaluate the expansion properties of this investment material. The setting expansion, thermal expansion and total expansion of the homemade fast investment material were tested. The same properties of the IPS special fast investment material were also tested as control. Then the SPSS statistics software was used to evaluate the differences between the homemade material and the special material. The results show that the setting expansion rate, thermal expansion rate and total expansion rate of the special investment material for IPS-Empress2 are 0.858%, 1.11% and 1.17% respectively, while the same parameters of the homemade investment material are 0.798%, 1.09% and 1.16% respectively. There is no statistically significant difference in these expansion properties between the two investment materials. In conclusion, the expansion properties of homemade fast investment material are comparable to those of the special fast investment material, so it can compensate for the cast contraction of IPS-Empress2 castable ceramic precisely.

[Fracture resistance of the all-ceramic posts in post-and-core system].

OBJECTIVE: To make a comparative study on the fracture resistance of the all-ceramic posts in post-and-core system where the ceramic core was combined with the post by direct sintering and by two other methods. METHODS: A total of 15 all-ceramic posts fabricated by alumina-zirconia nano-composite infiltrated ceramics were randomly divided into three groups. They were given the following treatments: Group A: forming and combining the ceramic core with the post by direct sintering; group B: combining the ceramic core with the post by use of 3M RelyX for adhesion; group C: forming composite resin core onto the post. Each specimen was placed into a special jig and subjected to a load perpendicular to the post axis on INSTRON 4302 universal testing instrument until failure. ANOVA was used for statistical analysis. RESULTS: There was no statistically significant difference between the groups (P>0.05). CONCLUSION: The findings indicate that the strength of the post remains uninfluenced during the combination of the core with the post by direct sintering.

[Effect of erosion on strength of dental infiltrated Al2O3 ceramics].

The objective of the research is to investigate the elements of routine sandblast technique on the evolution of bending strength of dental infiltrated Al2O3 ceramics and the underlying erosion mechanism. The plane specimens of an infiltrated ceramic were manufactured, polished and then tested under the modified pen-like sandblasting apparatus (90 degrees erosive angle and 10 mm sandblasting distance), with different grit sizes, working pressure and disposing time. Half of samples were selected randomly and sintered subsequently with Vitadur alpha veneering porcelain. Before and after sintering, the three-point-bending strengths was measured, and the surfaces of dental porcelain were observed with SEM and LCSM. The bending strength of ceramics decreased significantly after sandblast as compared with that of empty control group. After the procedure of sintering the veneering porcelain, the descending evolution of bending strength slowed down. Under the present manufacturing conditions, grit size effect is prominent among those correlative elements of sand grit size, working pressure and disposing time. And fatigue cracking characterizes the mechanism of erosion of dental infiltrated Al2O3 ceramics.

The effect of various sandblasting conditions on surface changes of dental zirconia and shear bond strength between zirconia core and indirect composite resin.

PURPOSE: To measure the surface loss of dental restorative zirconia and the short-term bond strength between an indirect composite resin (ICR) and zirconia ceramic after various sandblasting processes. MATERIALS AND METHODS: Three hundred zirconia bars were randomly divided into 25 groups according to the type of sandblasting performed with pressures of 0.1, 0.2, 0.4 and 0.6 MPa, sandblasting times of 7, 14 and 21 seconds, and alumina powder sizes of 50 and 110 µm. The control group did not receive sandblasting. The volume loss and height loss on zirconia surface after sandblasting and the shear bond strength (SBS) between the sandblasted zirconia and ICR after 24-h immersion were measured for each group using multivariate analysis of variance (ANOVA) and Least Significance Difference (LSD) test (α=.05). After sandblasting, the failure modes of the ICR/zirconia surfaces were observed using scanning electron microscopy. RESULTS: The volume loss and height loss were increased with higher sandblasting pressure and longer sandblasting treatment, but they decreased with larger powder size. SBS was significantly increased by increasing the sandblasting time from 7 seconds to 14 seconds and from 14 seconds to 21 seconds, as well as increasing the size of alumina powder from 50 µm to 110 µm. SBS was significantly increased from 0.1 MPa to 0.2 MPa according to the size of alumina powder. However, the SBSs were not significantly different with the sandblasting pressure of 0.2, 0.4 and 0.6 MPa. The possibilities of the combination of both adhesive failure and cohesive failure within the ICR were higher with the increases in bonding strength. CONCLUSION: Based on the findings of this study, sandblasting with alumina particles at 0.2 MPa, 21 seconds and the powder size of 110 µm is recommended for dental applications to improve the bonding between zirconia core and ICR.