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Comparative adhesive cementation of lithium disilicate and zirconia crowns: two clinical case reports
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1
Department of Dental anatomy, Monastir, Tunisia, 1: University of Monastir, Faculty of dental medicine,Research Laboratory of Occlusodontics and Ceramic Prostheses LR16ES15, 5000, Monastir, Tunisia
 
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Department of fixed prosthodontics, Monastir, Tunisia, 1: University of Monastir, Faculty of dental medicine,Research Laboratory of Occlusodontics and Ceramic Prostheses LR16ES15, 5000, Monastir, Tunisia
 
 
Data nadesłania: 18-02-2026
 
 
Data ostatniej rewizji: 19-03-2026
 
 
Data akceptacji: 05-06-2026
 
 
Data publikacji: 14-06-2026
 
 
Autor do korespondencji
Malek Abidi   

Department of Dental anatomy, Monastir, Tunisia, 1: University of Monastir, Faculty of dental medicine,Research Laboratory of Occlusodontics and Ceramic Prostheses LR16ES15, 5000, Monastir, Tunisia
 
 
Prosthodontics 2026;76(2):173-181
 
SŁOWA KLUCZOWE
DZIEDZINY
STRESZCZENIE
Adhesive bonding is the reference approach for luting all ceramic crowns because it creates micromechanical and chemical interaction between the tooth substrate and the restoration. This interaction increases retention, limits microleakage, improves marginal adaptation, and supports esthetic integration. The bonding strategy depends on the ceramic microstructure. Glass ceramics such as lithium disilicate can be etched with hydrofluoric acid to create surface porosities, followed by silane application to promote chemical coupling with resin cement. Zirconia does not respond to acid etching and requires air particle abrasion combined with a phosphate monomer containing primer and adhesive resin cement according to the APC concept. Two anterior clinical cases treated in the fixed prosthodontics department of the dental clinic of Monastir Tunisia illustrate these protocols. A maxillary anterior teeth restored with a lithium disilicate crown received hydrofluoric acid etching, silanization, and adhesive resin cementation. Another anterior tooth restored with a zirconia crown underwent air abrasion, application of an MDP containing primer, and composite resin cementation. Both approaches achieved accurate marginal fit, stable retention, and satisfactory esthetic integration. Material specific adhesion remains decisive for long term clinical performance. Hydrofluoric acid etching with silane ensures durable bonding to lithium disilicate as demonstrated in laboratory and clinical studies that report high bond strength and survival rates. The APC concept improves zirconia bonding through micromechanical retention and chemical interaction between MDP and zirconium oxide. Correct selection and execution of these protocols determine the functional stability and esthetic durability of anterior ceramic crowns.
eISSN:2391-601X
ISSN:0033-1783
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