Airborne-particle abrasion with niobium phosphate bioactive glass on caries-affected dentin: effect on the microtensile bond strength

This study evaluated the effect of airborne-particle abrasion with niobium phosphate bioglass (NbG) microparticles on the bond strength (μTBS) and longevity of an adhesive system to different dentin substrates. In this study, 18 Caries-free molars were used, of which 12 were microbiologically processed for caries induction. The dentin surfaces were evaluated in three groups: (1) Control – Healthy Dentin; (2) Partial removal of carious tissue; (3) complete removal of carious tissue. Half the teeth in each group were submitted to airborne-particle abrasion with NbG microparticles (15 s/1 cm/5 bar). After this, the adhesive Clearfil S³ was applied and composite buildups were constructed incrementally; and specimens were longitudinally sectioned to obtain bonded sticks (1.0 mm²) to be tested in tension (0.5 mm/min) immediately or after 6 months of storage in water. The fracture patterns were evaluated by stereomicroscope (40×) and then by scanning electron microscopy. The data were analyzed by the Kruskal-Wallis (post hoc Dunn) and Mann-Whitney tests (α = 0.05). Healthy dentin showed the highest bond strength (μTBS). Airborne-particle abrasion with NbG increased the μTBS values in the Group with complete caries removal. The bond strength values in the 24-h period were higher than those at 6 months. In the majority of the specimens the fracture mode was adhesive/mixed. The authors concluded that airborne-particle abrasion on dentin with NbG particles increased the μTBS in the group in which carious dentin was completely removed.     

Assessment of the initial and aged dentin bond strength of universal adhesives

This study evaluated the effect of mechanical loading on microtensile bond strengths (μTBS) of universal adhesives to dentin and quantified adhesive dentin penetration using micro-Raman spectroscopy. Human molars had occlusal dentin exposed and were allocated into eight groups: All-Bond Universal and Scotchbond Universal using etch-and-rinse and self-etch approaches, Adper Prompt L-Pop, Adper Single Bond Plus, Clearfil SE Bond, and Optibond FL. Following bonding procedures and build-ups, specimens were either stored in water at 37 °C for 24 h or mechanically loaded (50,000 cycles, 50 N) prior to μTBS test. Additional teeth were prepared for micro-Raman analysis of adhesive penetration and FE-SEM. Data were analyzed by two-way ANOVA and Tukey׳s post hoc test (P<0.05). Mechanical loading had no deleterious effect on μTBS with the exception of Adper Prompt L-Pop. Incomplete infiltration of the demineralized dentin was noticed for adhesives using the etch-and-rinse approach and for Scotchbond Universal in the self-etch approach.     

Influence of storage time on bond strength of self-etching adhesive systems to artificially demineralized dentin after a papain gel chemical–mechanical agent application

ObjectivesThe aim of this study was to evaluate the influence of storage time on the bond strength of self-etching adhesive systems to artificially demineralized dentin submitted to application of a papain-based chemical mechanical agent for carious tissue removal.Materials and MethodsTwenty-four blocks of human coronal dentin were randomly divided into 2 groups: (1) restored with a two-step self-etching adhesive system (Clearfil SE Bond); (2) restored with a one-step self-etching adhesive system (One-Up Bond F Plus). After artificial caries induction, the specimens were treated with papain-based gel, received an application of the adhesive system according to the respective group, and blocks of microhybrid resin composite measuring 5.0 mm high and 5.0 mm wide were fabricated incrementally on the tooth, which would later be cut to obtain sticks with a bond area of around 1 mm², for use in the microtensile tests. After this, half of the sticks obtained from each tooth were submitted to the microtensile test 24 h later, while the other half were stored in water, in an oven at 37° C for a period of 180 d. The specimens were submitted to the microtensile test in a Universal Test Machine at a speed of 0.5 mm/min. The surfaces of the fractured test specimens were examined visually under a stereoscopic loupe in order to classify the fracture type. After exploratory analysis of the data, the two-way Analysis of Variance (ANOVA) and the Tukey test were applied. The data on the fracture types were analyzed by the Exact Fisher test.ResultsNo statistically relevant differences were verified among the means of the microtensile bond strength values of the adhesive systems evaluated in the different storage times. Mixed and adhesive fractures types were observed for both groups.ConclusionStorage time did not influence the bond strength of the two-step or one-step self-etching adhesive systems to artificially demineralized dentin submitted to application of a papain-based chemical mechanical agent for carious tissue removal. Both adhesive systems provided similar bond strength at different storage times.     

Which is effective on bond strength of resin-based sealers: incorporation of powdered dentin to primer or adhesive?

The aim of this study was to investigate the effect of adding powdered dentin to primer or adhesive in a self-etch system on the shear bond strength of three resin-based sealers. Seventy-two premolars were sectioned buccolingually, and 144 root halves were divided into three groups according to the sealer used: epoxy resin-based sealer (AH Plus), methacrylate resin-based (RealSeal, Hybrid Root SEAL) n = 48. The surfaces were irrigated with 5% NaOCl, 17% EDTA, distilled water for 5 min. Four subgroups were created (n = 12): control group; Clearfil Liner Bond 2 V treated group; powdered dentin added to the primer of Clearfil Liner Bond 2 V (40 wt.%); and powdered dentin added to the adhesive of Clearfil Liner Bond 2 V (20 wt.%). Dentin powder was prepared. Three mm high buildups with a constant surface area of 3.45 mm² were created using the sealers and allowed to set (37 ºC, 100% humid, 72 h). The samples were tested to failure for shear bond strength (1 mm/min). The data were calculated (MPa) and analyzed using two-way ANOVA, one-way ANOVA, and Tukey HSD tests. Adhesive use decreased the bonding performance of AH Plus (p = 0.00). Mean bond strength of the other sealers was found similar to control. Primer or adhesive resin with powdered dentin did not increase the adhesive performance of the self-etch system used. The shear bond strength of RealSeal was significantly increased when powdered dentin was added to primer or adhesive (p = 0.00). The effect of adding powdered-dentine to primer or adhesive in a self-etch system on the shear bond strength was sealer-dependent .     

The Effect of Decalcified Root Surfaces on Dentinal Bond Strength

Microtensile bond strengths of current dentin adhesives to intact and decalcified root surfaces were evaluated. Two hundred and twenty-four extracted human incisors were divided into two groups as intact (IRD) and decalcified (DRD). The roots of DRD teeth were placed in a demineralization solution to produce artificial carious-like lesions. Root surfaces were slightly ground and treated with either Scotchbond Multi-Purpose (SMP), Adper Single Bond Plus (SBP), Adper Easy Bond (AEB), Scotchbond SE (SSE), Clearfil SE Bond (CSE), Clearfil Protect Bond (CPB), Clearfil Tri-S Bond (CTS), FL-Bond II (FLB), XP Bond (XPB), iBond (IB), AdheSE Bond (ASE), Optibond Solo Plus (OSP), Prelude Dental Adhesive (PDA), and G-Bond (GB). Composite build-ups were formed on the bonded surfaces. After thermocycling, hour-glass shaped specimens with an area of 1 mm² at the bonded interface were subjected to microtensile testing. Resin–dentin interfaces were observed with SEM. Kruskal Wallis and Mann Whitney-U tests were used for statistical analysis. There was not significant difference between bond strengths to intact and decalcified dentin, with the exception of ASE and CSE, which had higher values to IRD (p < 0.05). SSE and CTS were the adhesives that showed higher bond strengths to DRD than to IRD, however the difference was not significant (p > 0.05). The self-etch adhesives performed better on both IRD and DRD surfaces than etch-and-rinse systems.     

Effect of 2% chlorhexidine digluconate application and water storage on the bond strength to superficial and deep dentin

The aim of the present in vitro study was to evaluate the effect of chlorhexidine, applied before a self-etching adhesive system (Clearfil SE Bond) on microtensile bond strength to superficial and deep dentin (DD), immediately and after six months of water storage (WS). Forty dentin specimens were divided into two groups according to dentin depth: superficial and deep. The specimens were then divided according to the solution to be applied (n = 10): CLX: 2% chlorhexidine (passively applied for 60 s) and NT (no treatment). A self-etching adhesive system was applied according to the manufactures instructions, with composite restorative placed on the dentin surface. After 24 h, dentin–resin blocks were sectioned into beam-shaped specimens that were submitted to microtensile bond strength testing either immediately or after six months of WS. Data were submitted to three-way ANOVA (α = 0.05). Bond strength values for the deep dentin group were significantly lower than those observed for superficial dentin (SD) (p = 0.002), whether chlorhexidine solution had been applied or not. There was no statistical difference in bond strength for specimens tested after 24 h and 6 months of WS. The application of chlorhexidine did not affect immediate and long-term bond strength to dentin. Bond strength in deep dentin was lower than in SD.     

A novel chemical aging method for evaluating degradation of resin-dentin bond: a preliminary study

Purpose: to investigate the use of NaOH solution as storage medium on dentin micro-tensile bond strengths (MTBS) and the micromorphology of resin–dentin interfaces. Materials and Methods: mid-coronal dentin was exposed for 45 human third molars. One of five dentin adhesives investigated was applied to each dentin surface, followed by placement of a resin composite from the same manufacturer (Clearfil S3 Bond + Clearfil Majesty, Clearfil SE Bond + Clearfil Majesty, Kuraray Co. Ltd; Adper Easy One + Z250, Adper Single Bond 2 + Z250, 3M ESPE; Gluma Comfort Bond + Charisma, Heraeus Kulzer). Bonded specimens were sectioned through resin–dentin interfaces into multiple beams with a cross-sectional area of about 1 mm². The beams were kept in 10 wt% NaOH solution at 37 °C for 0, 2, 4, 6, 8, 10, or 12 h respectively prior to MTBS evaluation. The MTBS data were analyzed statistically. Failure modes were determined by stereomicroscopy. Representative fractured surfaces and resin–dentin interfaces were examined by scanning electron microscopy. Resin–dentin interfaces were also analyzed by transmission electron microscopy (TEM). Results: dentin MTBS decreased significantly with increased storage time in NaOH. Micro-gaps appeared along the resin–dentin interfaces after NaOH treatment and became wider over time. An electron-dense hybrid layer was observed by TEM in the control group, while an electron-lucent band was detected at the resin–dentin interfaces of specimens treated with NaOH for 8 h. Conclusion: aging of resin–dentin bonds in NaOH solution may be used as an expedited chemical aging method for evaluating degradation of dentin bond.     

Incorporation of EGCG into an etch-and-rinse adhesive system: mechanical properties and bond strength to caries affected dentin

This study evaluated how a matrix metalloproteinase (MMP) inhibitor (EGCG) incorporated into an etch-and-rinse adhesive system (AS) affects the long-term microtensile bond strength (MTBS) to caries affected dentin (CAD) and flexural strength (FS) of AS. Forty CAD surfaces received acid conditioning and were randomly divided into four groups (n?=?10): EGCG-PRE – dentin treatment with 200?μg/mL EGCG solution; EGCG-INC – 200?μg/mL EGCG solution incorporated into SA; CHX-PRE – dentin treatment with 2% digluconate solution; NT – no treatment. The AS (Adper Single Bond 2, 3M ESPE) was applied and resin composite blocks were built on the dentin. Beam-shaped specimens (0.8?mm²) were obtained submitted to MTBS testing following 24?h, 6 months or 1 year of water storage (WS). Adhesive interface was analyzed by SEM. FS testing was performed by preparing specimens with the adhesive system, with or without the EGCG solution (200?μg/mL) (n?=?10). Tests were carried out in a universal machine (0.5?mm/min). MTBS data were submitted to two-way ANOVA and Tukey’s test, whereas FS data, to the Student’s t-test (α?=?0.05). MTBS values were not affected by EGCG application, either incorporated or used as a dentin treatment agent, regardless of the WS period; however, CHX negatively affected MTBS to CAD (p?<?0.001). WS significantly reduced MTBS values (p?<?0.001) from the 6-months time point. FS was not affected by EGCG incorporation into the SA (p?=?0.2527). EGCG incorporation into AS was unable to maintain bond stability to CAD over time, whereas it did not compromise adhesive’s property.     

The bonding effect of adhesive systems and bulk-fill composites to sound and caries-affected dentine

Purpose: To investigate the influence of adhesive type and increment thickness on shear bond strength of flowable bulk-fill resin composites compared with a flowable conventional resin composite, in both sound and caries-affected dentine.

Methods: Shear bond strength was tested in 100 extracted human molars with coronal dentine caries. Half of the teeth were restored with Adper? Easy Bond and the other half with Adper? Single Bond Plus. Bonded surfaces were restored with Filtek? Ultimate Flow and two bulk-fill composites (SDR and X-tra base) (n = 10 teeth for each subgroup). Restorations of 4 mm were performed with incremental or bulk-fill technique. The shear bond was determined and statistically analysed using three-way ANOVA and Bonferroni multiple comparison post hoc tests (p ≤ 0.05). Dentine–resin interfaces were evaluated by scanning electron microscopy.

Results: For both adhesives, the highest shear bond strength values were obtained for sound dentine. In sound dentine, the highest bond strength observed with Easy Bond when used in 2-mm increments of SDR. In caries-affected dentine, Single Bond in combination with SDR displayed significantly lower bond strength.

Conclusion: There was no significant difference in shear bond strength between the incremental and bulk-fill groups for molars with sound dentine when the etch-and-rinse adhesive system was used; however, for the self-etch adhesive system, incremental application caused higher bond strength than bulk application.     

Effect of surface conditioning methods,adhesive systems and resin composite on repair strength of dimethacrylate and silorane resin composites

This study evaluated the effect of surface conditioning methods and adhesive systems on the repair bond strength of resin composites. Specimens (FLS: Filtek LS) (N = 144) were prepared using a silicone matrix. The specimens were stored in distilled water and then were randomly divided into the twelve groups (n = 12) according to the surface conditioning method (unground or diamond bur) and adhesive system (no adhesive, LS: Filtek LS, AS: Adper Scotchbond SE Plus) and resin composite (FLS: Filtek LS; FS: Filtek Supreme). The specimens were fixed in an hourglass-shaped silicone matrix and the other half of the specimen was restored. Hourglass-shaped specimens (n = 12) were used as positive control to measure the cohesive strength of the resin composite (Filtek LS). Microtensile bond test was performed (0.5 mm/min) and failure types were analyzed. Data were analyzed using two-way analysis of variance, Tukey’s and Dunnett’s tests (α = 0.05). Adhesive protocol and resin composite significantly affected the results (p < 0.05). For the FS composite, the highest results were obtained using LS adhesive with (18.4 ± 7.7) and without (18.8 ± 4.8) bur roughening. For FLS composite, the highest results were obtained using AS adhesive with (33.2 ± 7.1) and without (25.7 ± 3.6) bur roughening. Without the use of adhesive resin, significantly lower bond strength results were observed with both LS (5 ± 2.1, 4.5 ± 1.5) and FLS (2.2 ± 1.2, 4.4 ± 1.1) for unground and diamond bur roughened groups, respectively (p < 0.0001). Cohesive strength of the FLS (52.3 ± 7.6) was significantly higher than any of the repaired groups (p < 0.0001). FS–LS combination and the groups repaired without adhesive presented more adhesive (Type I) failures.     

Effect of different application techniques on microshear bond strength of self-etch adhesives to dentin

Objectives: To investigate the effect of different self-etch adhesive systems application techniques: active or passive in a single or double layer on adhesive–dentin microshear bond strength.

Methods: Occlusal surfaces of 48 extracted human molars were ground to expose flat superficial dentin surfaces. Specimens were randomly divided into two main groups according to the tested self-etch adhesive system either: One-step self-etch (Adper^TM easy-one) or two-step self-etch (Adper^TM SE Plus). Each adhesive system was applied on the prepared dentin surfaces followed one of these techniques: (1) Passive application of a single layer, (2) Active application of single layer, (3) Passive application of double adhesive layer (with light curing in between), and (4) Active application of double adhesive layers. Resin composite was packed inside micro-tubes fixed on the bonded dentin surfaces and light cured for 40 s. All specimens were stored in artificial saliva either for 24 h or 3 months before testing. Microshear bond strength test was employed using a universal testing machine at a crosshead speed of 0.5 mm/min.

Results: Adper^TM SE Plus showed higher significant microshear bond strength in compared with Adper^TM easy-one. For both adhesive systems active application showed higher significant microshear bond strength to dentin than passive application. Double application of adhesive systems showed lower microshear bond strength than single application.

Conclusion: Active application of self-etch adhesives could improve the dentin microshear bond strength. Double application with curing in between the layers did not improve the bond strength to the tested adhesive.     

Efficacy of accelerated aging methods to degrade the adhesive interface of dentin cavities bonded with etch-and-rinse adhesive systems

This study evaluated the bond durability produced by etch-and-rinse (E&R) adhesive systems in response to traditional and accelerated aging methods. Tridimensional dentin cavities were prepared on 80 bovine incisors, which were bonded with a 3-step E&R (Adper Scotchbond Multipurpose Plus – MP) and a 2-step E&R (Adper Single Bond 2 (SB) adhesive systems, and restored with composite. The samples were stored in water for 24 h, and then subjected to each of the aging methods (n = 10): control group – only 24-h storage (not exposed to additional aging), 6- and 12-month water storage, and 10% NaOCl storage. The push-out bond strength test was performed in a universal testing machine. Failure modes were evaluated by scanning electron microscopy. Data were analyzed by two-way ANOVA and Tukey tests (p < 0.05). Aging methods provided statistically similar bond strength for 3-step E&R adhesive system (p > 0.05). 10% NaOCl storage provides statistically similar bond strength values to 6- and 12-month water storage (p > 0.05), which were statistically lower than those provided by 24-h water storage (control group) (p < 0.05). Adhesive failures were more frequent. Aging methods provided different behaviors according to each adhesive system. The accelerated 10% NaOCl storage was effective to decrease bond strength only for 2-step E&R adhesive system.     

Efficacy of multi-mode adhesive systems on dentin wettability and microtensile bond strength of resin composite

Purpose: To evaluate the wetting ability and the microtensile bond strength of adhesive systems in various depths of dentin. Materials and Method: 48 extracted human molars cut in half in buccolingual direction. Buccal and lingual surfaces were used to obtain deep (n = 48) and superficial (n = 48) dentin. Groups were divided into 4 subgroups: Self-etch (CSE), etch&rinse (SB), multi-mode self-etch (SAU) and multimode etch&rinse (EAU) adhesive systems. 3 consecutive contact-angle measurements were obtained: T0- 3 μl drop of distilled water on dentin; T1-Droplet of the adhesive; T2- Distilled water after polymerization of the adhesive. After composite build-ups, microtensile measurements were performed. Contact angle data were analysed with analysis of variance for repeated measures. Bond strength data were analyzed by repeated measures analysis of variance, comparisons were made according to the logarithmic values (p < 0.05). Results: The difference between groups was not significant regardless of dentin depth for all measurements (p < 0.05). All groups except CSE enhanced the wetting ability of the adhesive but reduced the wetting ability of distilled water after application of the adhesive (p < 0.05). Regarding adhesive systems, the groups showed no significant difference between bond strengths to various depths of dentin except SAU (p > 0.05); in SAU, bond strength to deep dentine were significantly higher than superficial dentin (p < 0.05). Regarding adhesives’ bond strength, CSE showed significantly greater values than the other groups (p < 0.05). Conclusion: The cavity depth does not affect the bonding ability for all adhesive systems; self-etch adhesive systems might be a better choice since different adhesives may influence the wetting ability and microtensile bond strength of the dentin substrates.     

The role of surface-sealant application on bond effectiveness of all-in-one self-etch adhesives

Purpose: To examine microleakage around Class-V restorations bonded with 3 current all-in-one adhesive systems in the presence or absence of surface-sealant in different evaluation groups.

Materials and Methods: Clearfil S3 Bond, G-Aenial Bond, and Optibond All-in-One (AiO), were used in the Class-V cavities in accordance with the manufacturer’s instructions (control group) or were additionally combined with Fortify Plus surface-sealant (surface-sealant group). The two main treatment groups of the dentin adhesives were subdivided into four different evaluation groups (24 h, 6 months, 12 months, and 12 months with two applications); the teeth were immersed in 0.5% methylene blue dye solution for 24 h. Samples were then sectioned longitudinally in a bucco-lingual direction and evaluated for microleakage under a stereomicroscope. Dye penetration was scored at the enamel (occlusal) and dentin (gingival) margins.

Results: Microleakage scores were greater at the dentin margins compared with the enamel margins for Clearfil S3 Bond in all evaluation groups, whereas no difference was observed between enamel and dentin microleakage for Optibond AiO. Using Fortify Plus in the enamel margins decreased the microleakage scores of Clearfil S3 Bond. When the control and surface-sealant groups were compared in the G-Aenial Bond enamel margins, the application of surface-sealant significantly reduced microleakage after 6 and 12 months. For Optibond AiO, no statistically significant differences in enamel and dentin margins were observed between the control and surface-sealant application groups.

Conclusion: The application of surface-sealant could be considered appropriate for reducing microleakage in composite resin restorations, but this effect might depend on the dentin adhesive.     

The influence of retention hole and adhesive systems on the shear bond strengths of resin composite to amalgam

The aim of the study is to evaluate the influence of surface-treatment methods with and without the use of a retention hole on the shear bond strength of a resin composite adhered to amalgam using an adhesive system. Amalgam specimens were divided into six groups. Group 1 (Bur) specimens were roughened with a diamond bur, Group 2 (Al₂O₃) specimens were sandblasted with a 50?μm aluminum oxide powder, Group 3 (CoJet^®) specimens were sandblasted with 30?μm CoJet^® Sand, Group 4 (Bur?+?Rh) specimen surfaces were prepared with a retention hole 1?mm in diameter and 1?mm deep and roughened with a diamond bur, Group 5 (Al₂O₃?+?Rh) specimens were also prepared with a retention hole and sandblasted with 50?μm aluminum oxide powder, and Group 6 (CoJet^®?+?Rh) surfaces were prepared with a retention hole and sandblasted with 30?μm CoJet^® Sand. Resin composite cylinders were bonded onto the amalgam surfaces using Xeno^® IV, Optibond? All-In-One, Clearfil? SE Bond, Adper? Single Bond Plus, and Scotchbond? Multi-Purpose adhesive systems. In addition, silane (Monobond S) was used for Groups 5 and 6. The shear bond was determined and statistically analyzed using two-way analysis of variance and post hoc Tukey’s tests (p?≤?0.05). The surface treatment significantly affected the shear bond strengths of the adhesive systems. The shear bond strengths of Optibond? All-In-One (2.661?±?0.48?MPa) in Group 1 and Scotchbond Multi-Purpose (3.818?±?0.98) in Group 4 were significantly higher than those of the other adhesive systems. Silica coating of the amalgam surface significantly improved the shear bond strength of the resin composites. The addition of a retention hole on the amalgam affects the bonding strength of the composite adhesion.     

Effect of self-etching dual-curing universal adhesive system application on bond strength of dentin resinous liners dentin

Purpose: The aim of this study was to evaluate the influence of previous application of an adhesive system on bond strength of resinous liner materials to dentin. Methods: Ninety bovine incisors crowns had a 6 × 6 mm area of dentin exposed, with minimum of 2 mm thickness. They were embedded in acrylic resin, and the dentin was polished with P600 SiC sandpaper for 30 s to standardize the smear layer. The specimens were divided into 6 groups (n = 15) according to the application or not of a self-etching system (Futurabond U – Voco) and the type of resinous liner used: A+Ionoseal (adhesive and Ionoseal – Voco); Ionoseal (Ionoseal only); A+Vitrebond (adhesive and Vitrebond – 3M/ESPE); Vitrebond (Vitrebond only); A+Ionosit (adhesive and Ionosit – DMG) and Ionosit (Ionosit only). Adhesives were used following manufacturer’s instructions, and the liner materials were applied inside a 2-mm-depth matrix and light-cured for 20 s. The bond strength was measured by microtensile test, using a universal testing machine with a cross-speed of 1 mm/min. Data were analyzed using one-way ANOVA and Tukey’s test (p < 0.05). Results: The adhesive system application increased bond strength of all liners tested. Ionoseal presented the highest bond strength when the adhesive system was used and exhibited similar performance to Vitrebond without adhesive. Ionosit without adhesive showed the smallest bond strength compared with the other liners tested. Conclusion: The application of an adhesive system prior to the use of the resinous liners improved the bond strength to dentin and should be preconized.     

Effect of irradiation source on the dentin bond strength of a one-bottle universal adhesive containing an amide monomer

One-bottle universal adhesives have been widely used because of their simplicity of bonding procedures for various dental materials. The present study evaluated the effect of the polymerization light source on the micro-tensile bond strengths of a universal adhesive (Clearfil Universal Bond Quick) to dentin in comparison with a one-bottle self-etch adhesive (Clearfil S³ Bond Plus) and two 2-step self-etch adhesives (Clearfil SE Bond and Clearfil SE Bond 2). The adhesives were applied to extracted human dentin according to the manufacturer’s instructions and irradiated using either a quartz-tungsten-halogen (QTH) or blue light-emitting diode (LED). Subsequently, a resin composite was incrementally built on each adhesive and light-cured using the QTH. The bonded specimens were sectioned and subjected to micro-tensile bond strength tests. Both the type of adhesive and the light source were found to statistically affect the bond strength, with no interactions. The LED gave greater bond strength than the QTH. The bond strengths of the two-step adhesives were significantly higher than those of the one-bottle products, irrespective of the light source. The Clearfil Universal Bond Quick exhibited significantly higher bond strength than the Clearfil S³ Bond Plus. LED curing improved the performance of Clearfil Universal Bond Quick, and this product generated bond strength superior to that of the existing one-bottle adhesive Clearfil S³ Bond Plus.     

Effect of adhesive type and composite viscosity on the dentin bond strength

Objectives: Evaluate the influence of composite resins viscosity and type of cure of the adhesive systems on the bond strength of composite resins submitted to artificial aging.

Methods: Dentin specimens (n = 240) were divided into 2 groups: Group GC: GrandioSO, and Group GF: GrandioSO Heavy Flow. These groups were subdivided into 6: FM: Futurabond M – light cured, FDCC: Futurabond Dual Cure – chemical cured, FDCL: Futurabond Dual Cure – light cured, CS3: Clearfil S3 – light cured, CDCC: Clearfil Dual Cure – chemical cured, and CDCL: Clearfil Dual Cure – light cured. Resin blocks were build up on the dentin surface. Half of samples on each group were cut to obtain resin/dentin sticks (1 × 1 mm). The other half was first submitted to thermomechanical aging. The dentin/resin sticks were submitted to microtensile bond strength test and the results were analyzed using three-way ANOVA and Tukey’s test (α = 5%).

Results: ANOVA showed significant influence for adhesive (p = 0.0000) and aging (p = 0.0001). No significant influence of the composite viscosity on bond strength was observed (ANOVA: p = 0.0861). For adhesive, the results of Tukey’s test (MPa) were CDCC: 13.44 (±5.13)a; FM: 14,01 (±2.71)a; CDCL: 14.51 (±4.98)a; FDCC: 18.66 (±7.13)b; CS3: 18.80 (±6.50)b; FDCL: 19.18 (±7.39)b. For aging: AGED: 14.99 (±6.32)a; NOT AGED: 17.87 (±5.97)b.

Conclusion: Composite resin viscosities did not influence on the bond strength. Type of cure of the adhesives had influence on the bond strength. Thermomechanical aging decreased the bond strength.     

NaOCl degradation of one-step one-bottle self-etch adhesives bonded to bovine dentine

Objective: The aim of the present study was to assess the influence of an in vitro aging regime (NaOCl storage) on dentine microtensile bond strength (μTBS) of five one-step one-bottle self-etch adhesives in comparison with bond strength of two-step self-etch adhesive.

Material and methods: Flattened dentine surfaces from 30 bovine incisors were bonded with five one-step one-bottle self-etch adhesives (iBond, Clearfil S3 Bond, AdheSE One F, G-Bond, Optibond all-in-one) and one two-step self-etching adhesive (Clearfil SE Bond). Composite buildups were done with microhybrid resin composite. Bonded samples were sectioned into resin–dentine sticks of 0.8 mm² cross section. Randomly selected 20 sticks were tested directly by microtensile bond strength testing machine, whereas another randomly selected 20 sticks were tested after being stored in solution of 10% NaOCl for 5 h. Data were analyzed by two-way analysis of variance (ANOVA) and Tukey’s honest significant difference (HSD) tests (p < 0.05).

Results: All adhesives exhibited similar dentine bond strength with exception of G-Bond. After NaOCl storage, μTBS reduced in all groups significantly. The lowest μTBS were found for G-Bond. Rest of one-step self-etch adhesives presented similar μTBS with two-step self-etch adhesive.

Conclusion: Interfaces of resin–dentine bonding are susceptible to NaOCl degradation. The amount of the destruction depends on adhesive system. NaOCl degradation of the nonresin encapsulated collagen fibers might decrease long-term stability of resin bonding with dentine.     

Post-treatment with high-power lasers to improve bond strength of adhesive systems to bleached dentin

To assess the effect of Er:YAG and diode lasers on the shear bond strength (SBS) of adhesive systems to bovine dentin submitted to bleaching with a high concentration agent. One hundred and twenty bovine dentin fragments were used. Fragments were distributed into 12 groups (n = 10) considering the bleaching (present or not), surface post-treatment (untreated, Er:YAG laser or diode laser) and adhesive system (total-etching or self-etching). Specimens received two applications of 38% hydrogen peroxide. Er:YAG laser (2940 nm, 200 mJ, 4 Hz) and diode laser (980 nm, 1.5 W) were applied for 15 s on bleached dentin surface. Restoration was performed with resin using split matrix. Specimens were submitted to SBS test and data (MPa) were analyzed by ANOVA and Tukey’s test (α = 0.05). SBS of bleached specimens decreased in comparison with non-bleached (p < 0.05). The highest values were obtained for the post-treatment with Er:YAG laser (p < 0.05). Total-etching adhesive was superior to self-etching system (p < 0.05). The irradiation of bleached dentin with Er:YAG laser followed by the application of the total-etching adhesive had similar SBS to unbleached dentin with no post-treatment (control) (p > 0.05). Er:YAG laser post-treatment followed by the total-etching adhesive system improve the bond strength of restorative material to bleached dentin.