Effects of mixing techniques and dentin moisture conditions on push-out bond strength of ProRoot MTA and Biodentine

Objective: To evaluate the influence of manual and mechanical mixing techniques as well as the effects of moisture on the push-out bond strength of ProRoot MTA (Dentsply Tulsa Dental, Tulsa, OK, USA) and Biodentine (Septodont, Saint Maur des Fosses, France) to radicular dentin.

Material and methods: Two hundred and forty dentin discs were assigned into three groups with respect to the moisture condition tested: (1) dry, (2) paper points, (3) wet. The discs were further divided into four subgroups according to the calcium silicate cements (CSCs) and mixing techniques used: (1) ProRoot MTA mixed manually, (2) ProRoot MTA mixed mechanically, (3) Biodentine mixed manually, and (4) Biodentine mixed mechanically. Bond strengths of the cements to root canal dentin were measured using a push-out test setup. The data were statistically analyzed using three-way ANOVA and Bonferroni post hoc test p = 0.05.

Results: The data indicated that the push-out bond strength values were significantly affected by CSCs, mixing techniques, and moisture conditions (p < 0.001). Dry conditions caused a significant decrease in bond strength values for both CSCs (p < 0.001). The mean bond strength of Biodentine was significantly higher than that of ProRoot MTA, regardless of the mixing techniques and moisture conditions (p < 0.001). Mechanical mixing favored bond strength values statistically compared to manual mixing (p < .001).

Conclusion: The mixing techniques and moisture conditions have an effect on the push-out bond strengths of ProRoot MTA and Biodentine. Dry samples and manual mixing of cements deteriorate the push-out bond strengths values.     

The effect of intracanal placement of various medicaments on the bond strength of three calcium silicate-based cements to root canal dentin

This study aimed to evaluate the effect of intracanal placement of various medicaments on the bond strength of ProRooT MTA, Biodentine, and Endosequence root repair material (ERRM) putty. Ninety extracted human mandibular premolar teeth were decoronated and instrumented using Protaper Next rotary system and #1 to #6 Peeso reamers. The prepared teeth were randomly divided into six groups according to the intracanal medicaments: Group 1: double antibiotic paste (DAP) consisting of metronidazole and ciprofloxacin; Group 2: Triple antibiotic paste (TAP) with cefaclor; Group 3: TAPwith clindamycin; Group 4: amoxicillin and clavulanic acid (Augmentin®); Group 5: calcium hydroxide (CH); Group 6: control (no medicament) (n = 15). Parallel transverse sections were obtained in the coronal to the apical direction (4 slices/ tooth) and were divided into three subgroups according to the cements: Group A: ProRoot MTA; Group B: Biodentine; Group C: ERRM (n = 20 slices/subgroup). A push-out test was used to measure bond strength. Data were analyzed using two-way analysis of variance and Tukey’s post hoc test. The bond strength was significantly lower for DAP and TAPs than for Augmentin®, CH, or the control (p < 0.05). Biodentine and ERRM had significantly higher bond strength values than ProRooT MTA (p < 0.05) regardless of the intracanal medicaments tested, while no significant difference existed between Biodentine and ERRM (p > 0.05). While the application of DAP or TAPs decreased the bond strength, application of CH or Augmentin® did not. ERRM and Biodentine had higher bond strength values than ProRoot MTA.     

Effect of caries removal techniques on bond strength to caries affected dentin on gingival wall: AFM observation of dentinal surface

Objective: The purpose of this study was to evaluate the effect of different caries removal techniques on the bond strength of two adhesive systems. Materials and Methods: Seventy human molar teeth that had proximal carious lesions were randomly divided into four groups according to the technique used to remove the caries: a conventional steel bur, an Er:YAG laser, a chemomechanical Carisolv^® gel, and air polishing. The groups were then divided into two subgroups according to the adhesives used: Clearfil S³ (Kuraray Co., Ltd, Tokyo, Japan) and Adper SE Plus (3 M ESPE, St Paul, MN, USA). The enamel and superficial dentin of the crown was flattened and caries were removed using different methods. Teeth were restored with composite and three 1 mm² stick-shaped microtensile specimens were prepared from each tooth. For each removal technique, the surface roughness of one dentin sample was analyzed using atomic force microscopy (AFM). The microtensile bond strength data were then analyzed using a two-way ANOVA, Kruskal–Wallis and Mann–Whitney U tests, and multiple comparison tests (p = 0.05). Results: The two-way ANOVA showed that the effects of the cavity preparation techniques and adhesive systems and their interaction were statistically significant (p < 0.05). The μTBS values were highest when bonding with Adper SE Plus to cavities prepared with the steel bur (37.20 ± 11.65 MPa) and lowest when bonding with Clearfil S³ Bond to cavities prepared with the Er:YAG laser (16.74 ± 6.95 MPa). Conclusion: The caries removal techniques affected the bond strength values of the self-etch adhesive systems.     

Effect of different ceramic primers on shear bond strength of resin-modified glass ionomer cement to zirconia

Purpose: This study evaluated and compared the effect of different ceramic primers on the shear bond strength of RMGIC to zirconia with and without air-particle abrasion. Material and Methods: 120 zirconia square specimens (5 mm × 5 mm × 2 mm) were fabricated. Half of the specimens were air-particle abraded (A) and the other half were left untreated (NA). Both groups were further divided into six subgroups (n = 10). Composite cylinders (2.9 mm × 3.0 mm) were fabricated and bonded to the zirconia samples with RMGIC (RelyX Plus) after different priming methods: no ceramic primer (group NS); Z-Prime (group ZP); Clearfil ceramic primer (group CP); cleaned with Ivoclean then Monobond plus (IV/MS); Monobond plus (group MS); and Rely X ceramic primer (group RX). Specimens were rinsed, stored in distilled water, and thermocycled (TC) for 10,000 cycles between 5 and 60 °C with a dwell time of 15s. Data were analyzed with two-way ANOVA and the Tukey–Kramer method test (a = .05). Results: air-particle abrasion significantly affected bond strength of RMGIC to zirconia regardless of the primer used (p < 0.001 for all primers and the control). After TC, A-ZP (11.1 ± 0.6 MPa), A-CP (11.9 ± 0.6 MPa), and A-MS (11.9 ± 0.5 MPa) revealed the highest shear bond strength values, while NA-NS (2.9 ± 0.3 MPa) and NA-RX (4.7 ± 0.5 MPa) had the lowest. Failure modes were primarily adhesive. Conclusion: air-particle abrasion with aluminum oxide and application of MDP-based ceramic primers provide the highest bond strength of RMGIC to zirconia.     

Correlation between sealer penetration into dentinal tubules and bond strength of two new calcium silicate-based and an epoxy resin-based,endodontic sealer

The relationship between sealer penetration into dentinal tubules and the bond strength of two new calcium silicate-based and epoxy resin-based endodontic sealers was evaluated. Thirty recently extracted human maxillary incisors were instrumented and divided into three groups according to the sealer used: (1) AH Plus; (2) iRoot SP; and (3) MTA Fillapex. Sealer penetration into dentinal tubules was measured using CLSM. Then, a universal testing machine was used to compare the push-out bond strengths of the sealers to the root canal dentin. AH Plus and MTA Fillapex exhibited significantly higher sealer penetration than iRoot SP did (p > .05). The push-out bond strengths of AH Plus and iRoot SP were higher than that of MTA Fillapex. We concluded that greater penetration of the sealer into the dentinal tubules was not associated with higher bond strength among the three sealers tested.     

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 .     

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.     

Effect of root canal sealers on the push-out bond strengths of tooth-colored posts to root dentine

Objectives: This study evaluated the effect of different root canal sealers on the push-out bond strength of tooth-colored posts to root dentin. Material and methods: Eighty human mandibular premolar teeth with single roots were decoronated and randomly divided into two groups according to post material: G1–G5: Cytec blanco; G6–G10: Cosmopost. In each group, the specimens were further subgrouped according to the filling material plus sealer (n = 8): G1, G6: Gutta-percha + AH Plus; G2, G7: Resilon + Epiphany SE; G3, G8: Gutta-percha + Sealite; G4, G9: Gutta-percha + iRoot SP; and G5, G10: control (unobturated). Cytec blanco and Cosmopost of 1.4 mm diameter were adhesively luted to samples using Variolink II. Push-out test was performed in a universal testing machine, and failure modes were examined under stereomicroscope. Data were analyzed with the two-way ANOVA and post hoc Tukey’s tests. Statistical significance was set to 0.05. Results: Roots obturated with AH Plus (3.48 ± 1.41 MPa), Sealite (3.47 ± 0.65 MPa), and Resilon (3.36 ± 1.23 MPa) had the lowest bond strength (p < 0.005). iRoot SP and control group samples showed the highest bond strength values (7.38 ± 0.89 MPa and 6.43 ± 1.16 MPa, respectively) (p < 0.05). Significant differences were observed among tooth-colored posts and sealers (p < 0.05). Adhesive failures were predominant in all groups (48%). Conclusions: When the resin cement Variolink II was used, the types of root canal filling materials and sealers could affect the retentions of the fiber/zirconium posts; the fiber post revealed the higher bond values than the zirconium post; and the calcium silicate-based sealer (iRoot SP) revealed the highest bond strengths.     

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 novel cleansing agent for the decontamination of lithium disilicate ceramics: a shear bond strength study

Purpose: To investigate the efficacy of Ivoclean as a ceramic cleansing agent, by assessing shear bond strength of pre-etched lithium disilicate (LD) ceramic to resin cement.

Materials and Methods: Seventy LD discs (10 × 10 × 4 mm) were fabricated and etched using 5% hydrofluoric acid (HF) for 20 s. Ten specimens were not exposed to saliva and silicone disclosing medium (negative control). The other 60 specimens, divided into six groups (n = 10), were exposed to saliva for 20 s and silicone disclosing medium for 3 min. Following contamination, 10 specimens were not cleansed (positive control). The remaining five groups were exposed to one of the five different cleansing agents: 96% isopropanol, 37% phosphoric acid-30 s, 5% HF acid- 20 s, 5% HF acid- 120 s, and Ivoclean paste-20 s. All specimens were treated with primer and bonded to a self-curing resin cement. Before shear bond strength testing, all specimens were thermocycled (3000 cycles; 5–55°).

Results: Contamination of pre-etched LD ceramic specimens significantly reduced the shear bond strength values from 22.39 ± 0.38 MPa (negative control) to 6.54 ± 0.90 MPa (positive control) (p < 0.05). Cleansing of contaminated ceramic specimens with 5% HF acid [20 s (19.28 ± 1.06 MPa) and 120 s (20.04 ± 1.09 MPa)] and Ivoclean (18.30 ± 0.97) provided significantly higher bond strength values than other cleansing methods with 37% phosphoric acid and 96% isopropanol (p < 0.05).

Conclusion: Ivoclean and 5% HF acid were found to be effective in cleansing of LD ceramic surface by demonstrating maximum increase in shear bond strength values as compared to contaminated LD ceramics.     

The effects of chelation on the adhesion of two different root canal sealers

Objective: This study aims to evaluate alterations in the root canal dentin after irrigation with EDTA, HEBP, and Chitosan in order to determine the push-out bond strengths of the different root canal sealers on altered dentin surfaces. Materials And Methods: Crowns of 70 maxillary single-rooted teeth were removed to obtain a standardized length of 16 mm. The canals were instrumented using rotary files and the step back technique. The master apical file used in this study was #40. The subgroups were determined based on the chelation agent and the material of the root canal sealer that was used (17% EDTA, 18% HEPB, 0.2% Chitosan, Well Root ST (WRST) or AH Plus). Three slices with 1 mm thickness were cut from the root thirds of each tooth and subjected to a push-out test. The data (MPa) were analyzed using a one-way ANOVA and a Duncan’s multiple comparison test at a level of α = 0.05. Finally, scanning electron microscope (SEM) photographs were taken. Results: Groups that used WRST exhibited significantly higher push-out bond strength values in all subgroups independent of the irrigant that was used (ANOVA, p < 0.05). Group 1 showed higher push-out bond strength than the other AH Plus subgroups. Conclusion: The EDTA improved the push-out bond strength of the AH Plus. The WRST root canal sealer had the highest push-out bond strength and did not depend on the irrigant used.     

Evaluation of the bond strengths of two novel bioceramic cement using a modified thin-slice push-out test model

OrthoMTA (OrthoMTA, BioMTA, Korea) and RetroMTA (OrthoMTA, BioMTA, Korea) have been newly developed bioceramic cements or tricalcium silicate cements (TCSs). The aim of this study was to examine the dislocation resistance of these two novel TCSs from radicular dentin, using a modified thin slice push-out test design that simulated canal spaces of uniform dimensions. Twenty-five single-rooted human canine teeth were used. Longitudinal slabs were obtained from each tooth using a diamond saw. Standardized canal-like holes were created using size #2 Peeso Reamer along the coronal, middle and apical thirds of longitudinal tooth slabs. The cavities were filled with OrthoMTA or RetroMTA. The slabs were kept at 37°C for 14-day in 100% humidity before push-out evaluation (MPa). Failure modes were examined with stereomicroscopy. Data were calculated using unpaired t test (P < 0.05). Location of the TCS-filled cavities did not affect push-out strengths. OrthoMTA (9.809 ± 2.176 MPa) had significantly higher push-out bond strength values than ProRoot MTA (7.103 ± 2.145 MPa) (P < 0.0001). The leaf-like bodies were seen in the fractured specimens of both TCS groups. Failure modes were predominantly adhesive in both TCS groups. It can be concluded 14-day push-out bond strength of OrthoMTA is higher than that of RetroMTA.     

Effect of Er,Cr:YSGG laser surface conditioning on the adhesion of fiber- reinforced composite and zirconia intraradicular posts to the root dentin

This study evaluated the influence of Er,Cr:YSGG laser surface conditioning on push-out bond strength of different root posts to the root dentin. Extracted (N = 27, n = 9 per group) and endodontically treated human mandibular premolars were prepared to receive the posts. Three types of posts, namely quartz fiber (D), glass fiber (S), and zirconium dioxide post (C) were luted with resin cement. The posts were randomly assigned to one of the surface conditioning method: (a) No conditioning, control (L0), (b) Er,Cr:YSGG laser at 175 mJ, 3.5 W for 60 s (L1), and (c) at 225 mJ, 4.5 W for 60 s, with 60 μs pulse duration and repetition rate was 20 Hz (L2) irradiation. Six sections (two coronal, two middle, and two apical) were made in each tooth yielding to 1 mm thick specimens. The specimens were stored in distilled water at 37?°C for 24 h and push-out bond strength (MPa) was tested in a Universal Testing Machine (1 mm/min). Data were analyzed using Kruskall–Wallis and Dunns`s post hoc tests (α = 0.05). In group D, both laser treated groups (L1:16.16 ± 19.89; L2:8.24 ± 9.26) presented significantly less bond strength compared to control group (L0:28.3 ± 16.8) (p < 0.001). Mean push-out bond strength values did not significantly differ according to the root segments (coronal, middle, and apical) (p = 0.106). Application of Er,Cr:YSGG laser, with the parameters tested, did not increase the bond strength of zirconium glass fiber and zirconium oxide posts. Laser surface conditioning decreased the bond strength of quartz fiber posts in the root canal.     

Influence of ceramic thickness and light-curing time on the long-term µTBS of silica-based ceramic to human dentin

To evaluate the influence of ceramic thickness, light-curing time and thermal cycling (TC) on the μTBS of a glass ceramic cemented to human dentin. Ninety-six human molars were embedded in acrylic resin and the occlusal surface was sectioned to exposure dentin. Blocks of feldspathic ceramic (Vita PM9) with different thickness (6 × 6 × 1 mm/2 mm/3 mm) were fabricated with wax pattern and sprue. The blocks and teeth were randomly distributed into 12 groups (n = 8) according to the ceramic thickness (V1: 1 mm, V2: 2 mm and V3: 3 mm), light-curing time (40s; 80s), and TC (yes; no). Dentin was etched, washed and dried. The adhesive (Excite, Ivoclar) was applied onto the dentin surface and light-cured (20s), and the ceramic surface was etched with 10% HF, washed, dried and silanized. The ceramic blocks were cemented to dentin (Variolink II, Ivoclar). The assembly ceramic/dentin was stored in distilled water (37 °C; 24 h) and sectioned in X and Y axes to get the sticks. Half of the samples were submitted to TC while the other half underwent micro-tensile bond testing. The data (MPa) were analyzed by 3-way ANOVA and Tukey test (5%). ANOVA revealed significant interaction among the factors (p = 0.0001). Tukey test showed significant higher bond strength for the 2 mm group (V280s = 17.0 ± 9.1 MPa) in comparison to the other groups. V340s TC (2.7 ± 6.3 MPa) presented lower bond strength, which was similar to the groups V180s TC (4.6 ± 4.9 MPa) and V240s TC (5.9 ± 4.4 MPa). Light-curing for 80s promoted significant higher bond strength of thicker ceramic (3 mm) than light-curing for 40s.     

Effects of chemical and physico-chemical surface conditioning methods on the adhesion of resin composite to different mineral trioxide aggregate based cements

This study investigated the adhesion of resin composite to mineral trioxide aggregate based cements after different chemical and physico-chemical surface conditioning methods. Mineral trioxide aggregate based cements (Biodentine, ProRoot MTA, Imicryl MTA) were embedded in Teflon disks (N?=?180). After storing at 37?°C at 100% humidity for 72?h, substrate surfaces were polished using silicon carbide papers. Specimens were allocated to 3 groups to be conditioned with one of the following (n?=?15 per group): a) Adhesive resin (Clearfil SE Bond, CSE), b) Adhesive resin (Adper Single Bond 2, SB2), c) air-abrasion with 30?μm alumina coated with silica?+?silane?+?adhesive resin (ALB), d) no surface conditioning, control group (CON). Microhybrid resin composite (Filtek Z250) was applied on the conditioned substrate surfaces and photo-polymerized. After storage at 37?°C at 100% humidity for 24?h, adhesive interfaces were loaded under shear (1?mm/min) in a universal testing machine. After debonding failure types were analyzed. Data were analyzed using 2-way ANOVA and Tukey’s test (alpha = 0.05). SBS results were significantly affected by surface conditioning (p?<?0.05) and materials (p?<?0.05). Interaction terms were significant (p?<?0.05). Biodentine-ALB resulted in significantly higher SBS values (3.96?±?1.24) compared to those of other combinations, while ALB and SB2 resulted in no significant difference for ProRoot MTA and Imicryl MTA (p?>?.05). CSE (1.36?±?0.5- 1.98?±?0.76) did not significantly increase SBS for all MTA materials compared to the control group (0.8?±?0.52 – 2?±?0.91) (p?>?9.05). While CON groups resulted in exclusively adhesive failures, ALB presented the highest incidence of mixed failures for all materials tested (60–100%).     

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.     

Bond strength of glass carbomer material to enamel and dentin following different surface pretreatments

Objective: Enamel and dentin bond strengths of restorative glass carbomer material were determined by shear bond strength (SBS) test after different surface treatments in this study.

Materials and methods: Flat enamel and dentin surfaces pre-treated with 37% phosphoric acid (15 s for enamel and dentin), or 20% polyacrylic acid (15 s for enamel and dentin). Glass carbomer applied to the treated and non-treated surfaces. Conventional glass ionomer without any surface treatment served as a control.

Results: Enamel and dentin SBSs of the conventional glass ionomer cement were significantly higher than those of the glass carbomer material bonded to enamel and dentin without any surface treatments. Acid-etching and polyacrylic acid pre-treatments yielded similar enamel bond strength to that of glass ionomer cement. For dentin bonding, only polyacrylic acid pre-treatment improved SBS of glass carbomer to dentin surface.

Conclusions: Clinicians may consider the use of polyacrylic acid conditioner prior to the use of glass carbomer material.     

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 self etching ceramic primer and universal adhesive on bond strength of lithium disilicate ceramic

The clinical success of ceramic restorations is affected by the ceramic bonding procedure. The objective of the study was to evaluate the effect of different surface treatments, including the use of self-etching ceramic primer (SECP), on resin cement-glass ceramic bond strength. Thirty lithium disilicate ceramic (LDC) rectangles (3 mm × 3 mm × 8 mm) were fabricated Specimens were randomly assigned into three experimental groups (n = 10) according to the surface treatment: Group 1-hydrofluoric acid [HF acid]+ silane + universal adhesive; Group 2-HF + universal adhesive; Group 3-SECP + universal adhesive. All specimens were stored in distilled water for 24 h at 37 °C and shear bond strength (SBS) was tested at a crosshead speed of 0.5 mm (Universal Testing machine-Instron). Failure modes were evaluated using a digital microscope for all specimens. Analysis of variance and the Tukey post hoc tests using SPSS (Version 22.0, IBM, New York, USA) were used to analyze data. The SBS of groups 1 (19.74 ± 1.28 MPa) and 3 (21.11 ± 2.07 MPa) were significant higher than group 2 (14.80 ± 1.94 MPa). The SBS values for specimens in groups 1 (19.74 ± 1.28 MPa) and 3 (21.11 ± 2.07 MPa) were comparable. Adhesive, mixed and cohesive failure modes were observed and mixed failure was the most common in all groups. Therefore, the use of SECP and universal adhesive is recommended as an alternative to the use of HF acid in combination with ceramic primer while bonding to LDC.     

Effect of intracanal medicaments on the push-out bond strength of Biodentine in comparison with Bioaggregate apical plugs

To evaluate the effect of intracanal medicaments on the push-out bond strength of Biodentine in comparison with DiaRoot BioAggregate (BA) when used as apical plugs. Forty single-rooted teeth were prepared using Peeso reamers. The samples were divided into four groups. The intracanal medicaments were applied to the root canals as follows: Group1: a combination of metronidazole–ciprofloxacin–cefaclor, Group2: a combination of metronidazole–ciprofloxacin, Group3: calcium hydroxide, and Group4: no medication. After 21 days, the medicaments were removed. The apical part of each root was horizontally sectioned into 1-mm thick slices. The samples were divided into two subgroups, and the following materials were placed: Biodentine, DiaRoot-BioAggregate. After 48-h incubation, the push-out bond strength was measured. The data were analyzed by a two-way ANOVA. Biodentine showed a significantly higher mean push-out bond strength value than DiaRoot-BioAggregate (P = 0.00). The medications have an effect on the push-out bond strength of both materials (P = 0.002). Biodentine showed better adhesive performance as an apical plug than DiaRoot-BioAggregate.