Non-Cochrane · intervention · PM42037895

Influence of Plasma Treatment on the Bonding Strength and Hydrophilicity of Zirconia: A Systematic Review and Meta-Analysis.

Shaikh Sahil, Chauhan Manish R, Gangurde Arti P, et al. · Cureus · 2026 · PubMed · doi:10.7759/cureus.105752

Findings

Population Dental zirconia specimens (in vitro)

4 findings

Plasma surface treatment of zirconiaUntreated zirconia (control)Shear bond strength (MPa) to resin cement
In vitro laboratory · Values as displayed in Figure 2 forest plot
SMD 3.12 [1.76, 4.48]
GRADE not reported
9 studies · 260 participants
Plasma surface treatment of zirconiaUntreated zirconia (control)Shear bond strength (MPa) to resin cement
In vitro laboratory
SMD 3.04 [1.76, 4.32]
GRADE not reported
9 studies · 260 participants
Plasma surface treatment of zirconiaAlumina sandblasting of zirconiaShear bond strength (MPa) to resin cement
In vitro laboratory
SMD 0.89 [-0.41, 2.19]
GRADE not reported
6 studies · 160 participants
Plasma surface treatment of zirconiaAlumina sandblasting of zirconiaShear bond strength (MPa) to resin cement
In vitro laboratory · Sensitivity analysis excluding Kim et al. 2024
SMD 1.49 [0.34, 2.63]
GRADE not reported
5 studies · 150 participants

Included primary studies 13

Open in Studies
StudyYearAlso included byOutcomes it informs hereTrial data
Liu 2016
Evidence for structural homology between human red cell phosphoglycerate mutase and 2,3-bisphosphoglycerate synthase.
PMID:201624
19782 other reviewsShear bond strength (MPa) to resin cementnot extracted yet
Alalawi 2024
matched by author and year (probable)
NRthis review onlyShear bond strength (MPa) to resin cementnot extracted yet
Bunz 2021
Shear bond strength of veneering composite to high performance polymers
DOI:10.4012/dmj.2019-300
2021this review onlynot statednot extracted yet
da Silva 2018
matched by author and year (probable)
NRthis review onlyShear bond strength (MPa) to resin cementnot extracted yet
Ito 2016
Influence of atmospheric pressure low-temperature plasma treatment on the shear bond strength between zirconia and resin cement
DOI:10.1016/j.jpor.2016.02.001
2016this review onlyShear bond strength (MPa) to resin cementnot extracted yet
Jiang 2024
Effects of different plasma treatments on bonding properties of zirconia
DOI:10.1016/j.heliyon.2024.e32493
2024this review onlyShear bond strength (MPa) to resin cementnot extracted yet
Kim 2024
Impact of Different Surface Treatments on Shear Bond Strength between Two Zirconia Ceramics and a Composite Material
DOI:10.3390/bioengineering11101003
2024this review onlyShear bond strength (MPa) to resin cementnot extracted yet
Mahrous 2018
matched by author and year (probable)
NRthis review onlyShear bond strength (MPa) to resin cementnot extracted yet
Miura 2024
Effects of plasma surface treatment on the bond strength of zirconia with an adhesive resin luting agent
DOI:10.4012/dmj.2024-051
2024this review onlyShear bond strength (MPa) to resin cementnot extracted yet
Salimi 2023
Influence of nonthermal argon plasma on the micro-shear bond strength between resin cement and translucent zirconia.
PMID:37398848
2023this review onlyShear bond strength (MPa) to resin cementnot extracted yet
Tabari 2017
The Impact of Plasma Treatment of Cercon® Zirconia Ceramics on Adhesion to Resin Composite Cements and Surface Properties
DOI:10.15171/jlms.2017.s11
2017this review onlynot statednot extracted yet
Ye 2022
Effects of cold atmospheric plasma treatment on resin bonding to high-translucency zirconia ceramics
DOI:10.4012/dmj.2022-068
2022this review onlynot statednot extracted yet
Yoda 2022
Resin Cement-Zirconia Bond Strengthening by Exposure to Low-Temperature Atmospheric Pressure Multi-Gas Plasma.
PMID:35057349
2022this review onlynot statednot extracted yet

Overlap with other reviews

Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match). Only the non-Cochrane dental reviews have study lists, so overlap with Cochrane reviews is not counted yet.

Review question

ElementPlanned (methods)Found (results)
PopulationZirconia-based dental materials used in restorative and prosthetic dentistryZirconia specimens (Y-TZP, 3Y-TZP, high-translucency, CAD/CAM zirconia) (14 studies)
InterventionPlasma surface treatment of zirconiaCold atmospheric plasma, APPJ, oxygen, argon, helium, air, nitrogen, mixed-gas and forming gas plasma (n=14)
ComparisonUntreated zirconia or zirconia with other surface modification methodsUntreated control (all studies), alumina sandblasting, MDP primers, combined treatments, HF etching with silane
OutcomesBonding strength (shear, tensile, microtensile) and hydrophilicity (contact angle, surface energy)Shear bond strength (12 studies), tensile bond strength (2 studies), contact angle and surface energy
Study designsIn vitro, in vivo and clinical trials, English language, full textIn vitro experimental studies (n=14)
TimingNot specified24 h water storage; some with thermocycling or aging