Influence of Grit-Blasting and Hydrofluoric Acid Etching Treatment on Surface Characteristics and Biofilm Formation on Zirconia

The objective of this study was to investigate the effect of hydrofluoric acid etching treatment on the surface characteristics of zirconia and Streptococcus sanguinis (S. sanguinis) and Porphyromonas gingivalis (P. gingivalis) biofilm formation on zirconia. Zirconia specimens were prepared with different treatments, including being polished with 1000-grit SiC abrasive paper as the control group (Group C), grit-blasted with 110 m silica-coated alumina particles (Group GB), etched with 40% hydrofluoric acid for 25 min at 100 degrees C (Group HF), and grit-blasted with 110 m silica-coated alumina particles and then etched with 40% hydrofluoric acid for 25 min at 100 degrees C (Group GBHF). The highest surface roughness values and hydrophilicity were shown in Group HF and Group GBHF. Scanning electron microscopy (SEM) showed that hydrofluoric acid can create a crater-like appearance on the zirconia surface. An energy-dispersive X-ray (EDX) analysis demonstrated similar element concentration (wt %) in Group C, Group HF, and Group GBHF, but not for Group GB with higher concentrations of Al and Si element. Colony forming unit (CFU) counts showed that a similar amount of S. sanguinis biofilm and significantly lower P. gingivalis biofilm were formed on zirconia surfaces in Group HF and Group GBHF compared to that in Group C after three days of bacteria culture (p < 0.05). These results indicate that hydrofluoric acid etching on zirconia may not increase S. sanguinis and P. gingivalis mature biofilm formation on zirconia.