Enhancing Shear Bond Strength in Lithium Silicate Glass Ceramics: Surface Treatment Optimization for Reseating Protocols

The rapid evolution of lithium silicate-based glass ceramics in the field of dental ceramics has led to the availability of different compositions in the market. This in vitro study was conducted to assess an effective protocol for recementing de-bonded lithium silicate-based glass ceramics by evaluating the shear bond strength of three reseating methods. The study included IPS e.max^® CAD, Vita Suprinity^®, Celtra Duo^®, and n!ce as lithium-based glass ceramics. The samples underwent a series of preparation steps, including embedding in acrylic resin, hand polishing, etching with 5% hydrofluoric acid, and application of universal primer and adhesive as per manufacturer instructions. Subsequently, adhesive resin cement was applied to the ceramic tablets, and shear bond strength was assessed using a standardized method. The findings revealed that no single method demonstrated significantly superior results compared to the others. However, it was observed that etching with 5% hydrofluoric acid for 20 s yielded favorable outcomes in terms of time efficiency and standardized results. Additionally, it was noted that although sandblasting increased surface area, it did not enhance bond strength due to unfavorable surface disturbance. In conclusion, the study suggests that etching with 5% hydrofluoric acid for 20 s is a favorable protocol for reseating de-bonded lithium disilicate-based glass ceramics, offering both time efficiency and consistent results for clinicians.