The use of MDP-based materials for bonding to zirconia.

STATEMENT OF PROBLEM: A strong and stable bond between the luting resin and overlying ceramic restoration is critical to longevity, but no technique has been established for how to provide such a bond when the core material is zirconia. PURPOSE: The purpose of this study was to evaluate the effect of different materials containing 10-methacryloyloxydecyl dihydrogen phosphate (MDP) on the bond strength to yttria-tetragonal zirconia polycrystal (Y-TZP) ceramic. MATERIAL AND METHODS: Forty Y-TZP slices (Lava) were cemented to substrates (8 groups; n=5 in each) with or without the previous application of an experimental primer (0.5% MDP) or an MDP-based adhesive (Clearfil S3 Bond Plus or Scotchbond Universal) with either an MDP (Clearfil SA) or a non-MDP (RelyX Ultimate) luting resin. Specimens were cut, stored in distilled water, and microtensile tested (5 beams per specimen) at 48 hours and again at 6 months after luting procedures. The data were analyzed by 4-way ANOVA (α=.05) and the Tukey test (α=.05). The mode of failure was classified with a stereomicroscope, and the treated surfaces were analyzed with energy-dispersive x-ray spectroscopy. RESULTS: Both adhesive (P<.001) and time (P<.001) significantly affected bond strength. The interaction of any of the factors was not significant. The use of an MDP-containing adhesive and the shorter storage time were associated with higher bond strengths. At 48 hours, an overall incidence of 50.5% of Type 1 mode of failure (adhesive at ceramic/resin interface) occurred, as opposed to 68% after 6 months of water storage. Energy-dispersive x-ray spectroscopy results showed peaks of carbon and phosphorus when MDP-based materials were used. CONCLUSIONS: The application of an MDP-based adhesive may improve bond strength to zirconia. However, microtensile bond strength results for all groups did not remain stable over 6 months.

Cell Adhesion on Surface-Functionalized Magnesium.

The biocompatibility of commercially pure magnesium-based (cp Mg) biodegradable implants is compromised of strong hydrogen evolution and surface alkalization due to high initial corrosion rates of cp Mg in the physiological environment. To mitigate this problem, the addition of corrosion-retarding alloying elements or coating of implant surfaces has been suggested. In the following work, we explored the effect of organic coatings on long-term cell growth. cp Mg was coated with aminopropyltriehtoxysilane + vitamin C (AV), carbonyldiimidazole (CDI), or stearic acid (SA). All three coatings have been previously suggested to reduce initial corrosion and to enhance protein adsorption and hence cell adhesion on magnesium surfaces. Endothelial cells (DH1+/+) and osteosarcoma cells (MG63) were cultured on coated samples for up to 20 days. To quantify Mg corrosion, electrochemical impedance spectroscopy (EIS) was measured after 1, 3, and 5 days of cell culture. We also investigated the speed of initial cell spreading after seeding using fluorescently labeled fibroblasts (NIH/3T3). Hydrogen evolution after contact with cell culture medium was markedly decreased on AV- and SA-coated Mg compared to uncoated Mg. These coatings also showed improved cell adhesion and spreading after 24 h of culture comparable to tissue-treated plastic surfaces. On AV-coated cp Mg, a confluent layer of endothelial cells formed after 5 days and remained intact for up to 20 days. Together, these data demonstrate that surface coating with AV is a viable strategy for improving long-term biocompatibility of cp Mg-based implants. EIS measurements confirmed that the presence of a confluent cell layer increased the corrosion resistance.