How to Bond Zirconia: The APC Concept
Markus B Blatz1, Marcela Alvarez2, Kimiyo Sawyer3
1Professor of Restorative Dentistry, Chair, Department of Preventive and Restorative Sciences, School of Dental Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.
Summary
Achieving durable cementation for high-translucent zirconia restorations is crucial. The APC zirconia-bonding concept (air-particle abrasion, zirconia primer, adhesive composite resin) offers a reliable method for strong, long-lasting bonds in dental applications.
Area of Science:
- Dental Materials Science
- Biomaterials Engineering
- Ceramic Restorations
Background:
- High-translucent zirconia ceramics are increasingly popular in dentistry due to their aesthetic and mechanical properties.
- These materials are used for monolithic full-contour restorations in both anterior and posterior teeth.
- Reliable cementation protocols are essential for the long-term clinical success of indirect zirconia restorations.
Purpose of the Study:
- To discuss the development of high-translucent zirconia and the importance of proper cementation.
- To explain the scientific rationale behind a simplified zirconia-bonding concept.
- To present a clinical case illustrating the application of the bonding concept.
Main Methods:
- Review of the history and development of high-translucent zirconia.
- Explanation of the APC zirconia-bonding concept: Air-particle abrasion, Zirconia primer, Adhesive composite resin.
- Clinical case presentation demonstrating the bonding protocol.
Main Results:
- The APC zirconia-bonding concept is presented as a practical, three-step protocol.
- The concept aims to achieve high and long-term durable bond strengths to high-strength ceramics.
- Clinical application demonstrates the feasibility and effectiveness of the protocol.
Conclusions:
- Proper cementation is fundamental for the clinical success of indirect zirconia restorations.
- The APC zirconia-bonding concept provides a scientifically-backed, simplified approach to achieving durable resin bonds.
- This protocol supports ceramic restorations, essential for various dental prostheses.


