Abstract

Reliable bonding between resin composite cements and zirconia ceramics is challenging to achieve because of their chemical inertness and lack of silica content that makes etching impossible. Many methods of zirconia surface treatment have been tested over the years, including various types of resin cement and the application of primers or adhesive. Here, we aimed to discuss the zirconia surface treatments that affect its bonding to determine a valid operative protocol for adhesive cementation. A web-based literature search using the advanced features of various databases such as PubMed, Scopus, Directory of Open Access Journals, Embase, Google Scholar, and Cochrane electronic databases was carried out. The present review concluded that chemical aand micromechanical are the two large categories included in the zirconia surface treatment.

Key words: Zirconia, bonding, chemical, micromechanical