LAUSR

OBJECTIVE: This study aimed to investigate the long-term effectiveness of ceramic-resin bonding with universal adhesives in non-silane-pretreated and silane-pretreated modes after 10,000 cycles of thermal aging. METHODS AND MATERIALS: All Bond Universal, Adhese Universal, Clearfil Universal Bond, and Single Bond Universal were selected. Etched lithium disilicate glass ceramics were prepared, randomly assigned to groups, and pretreated with or without ceramic primer containing silane coupling agent prior to the application of universal adhesive (ie, silane-pretreated or non-silane-pretreated mode). The shear bond strength (SBS), microleakage, and field-emission scanning electron microscopy images of the ceramic-resin interfaces were examined after 24 hours of water storage or 10,000 thermal cycles. Light microscopy and confocal laser scanning microscopy (CLSM) were performed to analyze marginal sealing ability. RESULTS: SBS and microleakage percentage were significantly affected by bonding procedure (non-silane-pretreated or silane-pretreated mode) and aging (24 hours or 10,000 thermal cycles). After the universal adhesives in the non-silane-pretreated mode were aged, SBS significantly decreased and microleakage percentage increased. By contrast, the SBS of Adhese Universal, Clearfil Universal Bond, and Single Bond Universal decreased, and the microleakage percentage of all of the adhesives increased in the silane-pretreated mode. However, after aging, the SBS of the silane-pretreated groups were higher and their microleakage percentages lower than those of the non-pretreated groups. In the non-silane-pretreated mode, adhesive failure was dominant and gaps between composite resin and the adhesive layer were significant when observed with CLSM. CONCLUSIONS: The simplified procedure reduced the ceramic-resin bonding effectiveness of universal adhesives after aging, and additional silane pretreatment helped improve the long-term durability.