Evidence map›Paper›PMID 42597383›Full record

ArticleInternational journal of dentistry2026

Comparative Evaluation of Novel and Conventional Acid Etchants on the Surface Roughness of Lithium Disilicate and Zirconia Ceramics.

Silvia Rojas-Rueda, Franciele Floriani, Fabio Andretti, Hamad Algamaiah, Carlos A Jurado, Mark Adam Antal, Abdulrahman Alshabib

Abstract read
In one paragraph

Article in International journal of dentistry, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Silvia Rojas-RuedaSchool of Dental Medicine, Ponce Health Sciences University, Ponce 00732, Puerto Rico, psm.edu.ORCID https://orcid.org/0009-0003-3245-5245
Franciele FlorianiDepartment of Prosthodontics, College of Dentistry, University of Iowa, Iowa City 52242, Iowa, USA, uiowa.edu.ORCID https://orcid.org/0000-0001-7237-4886
Fabio AndrettiDivision of Operative Dentistry, Department of General Dentistry, College of Dentistry, University of Tennessee Health Science Center, Memphis 38103, Tennessee, USA, tennessee.edu.ORCID https://orcid.org/0000-0002-3075-6250
Hamad AlgamaiahDepartment of Restorative Dental Science, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia, ksu.edu.sa.ORCID https://orcid.org/0000-0001-9088-8813
Carlos A JuradoSchool of Dental Medicine, Ponce Health Sciences University, Ponce 00732, Puerto Rico, psm.edu.
Mark Adam AntalDepartment of Operative and Esthetic Dentistry, Faculty of Dentistry, University of Szeged, Szeged 6720, Hungary, u-szeged.hu.ORCID https://orcid.org/0000-0002-4109-9356
Abdulrahman AlshabibDepartment of Restorative Dental Science, College of Dentistry, King Saud University, Riyadh 11545, Saudi Arabia, ksu.edu.sa.ORCID https://orcid.org/0000-0001-8890-8707

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Establishing a durable bond to high-strength dental ceramics, especially zirconia (Zir), is a clinical challenge. This is due to the material's chemical inertness and its resistance to conventional etching methods. Zir lacks silica, making it unresponsive to traditional hydrofluoric acid (HF) treatments effective for glass ceramics like lithium disilicate (LiDi). This study assesses the efficacy of a novel multiacid etchant in modifying the surface roughness of LiDi and 5 mol% yttria-stabilized Zir (5Y-TZP), comparing its performance against three commercial HF-based etchants. Methods: Four etchants were tested: Zircos-E (EDOS [ZiE]), 9.5% porcelain etchant (Bisco [BIS]), 9% porcelain etch (Ultradent [ULT]), and IPS Ceramic Etching Gel (Ivoclar [IPS]). Each was applied for 20 s, 1 min, and 30 min to LiDi (Amber Mill) and 5Y Zir (IPS e.max ZirCAD Prime MT) specimens ( Results: On 5Y Zir, Zircos-E produced significantly higher surface roughness than all other etchants, reaching 0.378 µm at 30 min ( Conclusions: The novel multiacid etchant is highly effective for treating 5Y Zir, creating a favorable microretentive surface for bonding. However, its aggressive action makes it unsuitable for LiDi, where overetching can compromise structural integrity. Selection of etching agents should be material-specific to optimize clinical outcomes while preserving ceramic quality.

Identifiers

PMID42597383
PMCPMC13469175

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.