Resumen
Objetivo: Revisar el estado del arte sobre las distintas estrategias de adhesión de la zirconia dental a los tejidos dentarios, así como los agentes adhesivos empleados y las técnicas disponibles en la práctica clínica. Material y métodos: Se llevó a cabo una revisión narrativa de la literatura mediante la consulta de las bases de datos PubMed y BVS Odontología. Resultados: La búsqueda inicial arrojó un total de 1556 registros. 35 registros cumplieron con los criterios de inclusión y fueron incorporados al análisis cualitativo. Para el acondicionamiento interno de la superficie de zirconia se han propuesto diversos tratamientos mecánicos como el arenado con partículas de óxido de aluminio, el recubrimiento triboquímico con sílice, la irradiación láser, el grabado químico y la aplicación de porcelana de baja fusión. También se ha reportado el uso de agentes limpiadores destinados a eliminar contaminantes superficiales tras la prueba intraoral. Por otro lado, se han evaluado distintos imprimadores que contienen monómeros fosfatados funcionales. Finalmente, los cementos resinosos de activación dual y química parecen ser los más utilizados en la práctica clínica para la cementación adhesiva a zirconia. Conclusiones: Actualmente, no existe un consenso definitivo respecto al protocolo adhesivo ideal para restauraciones de zirconia. Sin embargo, diversos estudios proponen el protocolo ALPC (Arenado, Limpieza, Primer y Cemento resinoso) como una estrategia eficaz para lograr una fijación adhesiva confiable de este tipo de restauraciones.
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Derechos de autor 2026 Maria Clara Rodriguez Dohir, Matias Mederos , Guillermo Grazioli