Bonding effectiveness of self-adhesive and conventional-type adhesive resin cements to CAD/CAM resin blocks. Part 1: Effects of sandblasting and silanization.

The present study assessed the effect of sandblasting and silanization on resin cement bond strengths to CAD/CAM resin blocks. Twenty four blocks (KATANA AVENCIA BLOCK) were divided into two resin cement groups (PANAVIA V5 [PV5] and PANAVIA SA CEMENT HANDMIX [PSA]), and further divided into four subgroups representing different surface treatment methods: no treatment (Ctl), silanization (Si), sandblasting (Sb), and Sb+Si. After resin application, microtensile bond strengths (muTBSs) were measured immediately, 1, 3 and 6 months after water storage. In addition, surfaces resulting from each of the treatment methods were analyzed by scanning electron microscopy (SEM). Three-way analysis of variance revealed a statistically significant effect for the parameters 'surface treatment' (p<0.001, F=370), 'resin cement' (p<0.001, F=103, PSA<PV5), and 'water aging' (p<0.001, F=18). Control treatment yielded significantly lower muTBS values compared to other treatment subgroups (p<0.001). The highest bond strength was achieved with Sb+Si treatment. SEM revealed that sandblasting roughened surfaces.