
Abstract Purpose This study assesses the impact of Cold Atmospheric Pressure Plasma (CAP) pretreatment on the bond strength of two-piece hybrid ceramic abutment crowns in implant dentistry. The objective is to ascertain whether CAP can be employed as an alternative or complementary technique to conventional methods. Methods 80 titanium bases and 80 VITA ENAMIC® polymer-infiltrated ceramic network (PICN) crowns were divided into 8 groups (n = 10) based on different surface pretreatments of the crowns before cementation: no treatment (A), hydrofluoric acid (HF) (B), HF and silane (C), silane (D), CAP (AP), HF and CAP (BP), HF, CAP, and silane (CP), and CAP and silane (DP). Bond strength (BS) was measured after thermocycling (5000 cycles at 5 °C/55 °C), and statistical analysis was performed using three-way ANOVA. Results The highest bond strength (BS) was recorded in the conventionally pretreated group C. Both HF and silane alone had significant effects (p < 0.0001), but CAP alone did not (p = 0.9377). Significant interactions were found between silane and CAP (p = 0.0222), and HF and CAP (p = 0.0046). The combined effects exceeded individual effects. Although group C showed the highest BS, no significant interaction was found between HF and silane (p = 0.6270). Three-factor interactions were significant (p < 0.0001). Conclusion In the setting used, CAP could not replace conventional pretreatment. The highest BS of a group without HF was achieved by combining silane with CAP. However, BS of this pretreatment was approximately 24% lower than that of the conventional pretreatment. Graphical Abstract
Dental Stress Analysis, Ceramics, Plasma Gases, Surface Properties, 610 Medizin, In Vitro Techniques, Hybrid ceramic, Hydrofluoric Acid, Plasma, 610 Medical sciences, Materials Testing, Hybrid ceramic ; Ceramics/chemistry [MeSH] ; Humans [MeSH] ; Silane ; Atmospheric Pressure [MeSH] ; Hydrofluoric acid ; In Vitro Techniques [MeSH] ; Silanes/chemistry [MeSH] ; Dental Stress Analysis [MeSH] ; Hydrofluoric Acid/chemistry [MeSH] ; Materials Testing/methods [MeSH] ; Surface Properties [MeSH] ; Pull-off bond strength ; Research ; Computer-Aided Design [MeSH] ; Plasma Gases/chemistry [MeSH] ; Plasma ; Dental Bonding/methods [MeSH] ; Titanium/chemistry [MeSH] ; Crowns [MeSH], Humans, Silane, Pull-off bond strength, Hydrofluoric acid, Titanium, Crowns, Research, Dental Bonding, Silanes, Atmospheric Pressure, Computer-Aided Design
Dental Stress Analysis, Ceramics, Plasma Gases, Surface Properties, 610 Medizin, In Vitro Techniques, Hybrid ceramic, Hydrofluoric Acid, Plasma, 610 Medical sciences, Materials Testing, Hybrid ceramic ; Ceramics/chemistry [MeSH] ; Humans [MeSH] ; Silane ; Atmospheric Pressure [MeSH] ; Hydrofluoric acid ; In Vitro Techniques [MeSH] ; Silanes/chemistry [MeSH] ; Dental Stress Analysis [MeSH] ; Hydrofluoric Acid/chemistry [MeSH] ; Materials Testing/methods [MeSH] ; Surface Properties [MeSH] ; Pull-off bond strength ; Research ; Computer-Aided Design [MeSH] ; Plasma Gases/chemistry [MeSH] ; Plasma ; Dental Bonding/methods [MeSH] ; Titanium/chemistry [MeSH] ; Crowns [MeSH], Humans, Silane, Pull-off bond strength, Hydrofluoric acid, Titanium, Crowns, Research, Dental Bonding, Silanes, Atmospheric Pressure, Computer-Aided Design
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