Effects of saliva contamination on bonding performance of self-etching adhesives

Purpose: This study investigated the effects of saliva contamination on bonding performance of two self-etching adhesives. Materials and Methods: Forty caries-free extracted human third molars’ cusps were cut off to expose mid-coronal dentin surfaces. Two one-step self-etching adhesives and the respective resin composite from the same manufacturer (Adper Easy One?+?Filtek Z350 (3?M ESPE); Clearfil S3 Bond?+?Clearfil Majesty (Kuraray Co.)) were applied onto the dentin surfaces for micro-tensile bond strength (MTBS) test. The dentin surfaces were not contaminated (A), were contaminated with saliva before/after priming (B/C), or they were water-sprayed after saliva contamination occurred before/after priming (D/E). The resin–dentin interfaces were analyzed by scanning electron microscopy. After the two adhesives were polymerized on saliva-contaminated or uncontaminated conditions, they were determined by Fourier transform infrared spectroscopy for degree of conversion (DC), and analyzed by AFM spectroscopy for spatial homogeneity of the adhesives. The data were analyzed using factorial design ANOVA and one-way ANOVA. Results: Compared with control group (A), the saliva contamination after priming significantly reduced both dentin MTBS (p?<?0.05). Thorough water-spraying could significantly improve the MTBS of the saliva-contaminated dentin (p?<?0.05) or completely restore it. Saliva contamination deteriorated the resin–dentin adaptation, DC, and spatial homogeneity of adhesives. Conclusions: Saliva contamination had a negative effect on bonding performance of self-etching adhesives regarding their dentin MTBS, resin–dentin adaptation, DC, and spatial homogeneity. However, the effect of saliva contamination on the dentin MTBS was related to the individual adhesive used and the time point of contamination.     

Prime-and-rinse approach for improving the enamel micro-tensile bond strengths of self-etch adhesives

The study investigated the effects of prime-and-rinse approach using 15% MDP (10-methacryloyloxydecyl dihydrogen phosphate)-containing primer on the enamel micro-tensile bond strengths (MTBS) of (ultra-) mild self-etch adhesives, enamel surfaces and enamel-resin interfaces. The buccal enamel surfaces of 69 human third molars were polished and randomly assigned to three groups: Group A (control, self-etch approach): Polished enamel surfaces were not further pre-treated. The enamel surfaces were acid-etched (Group B, (selective) enamel etching) or primed with 15% MDP-containing primer (Group C, prime-and-rinse approach) for 15?s and thoroughly water-sprayed. The enamel surfaces were applied with self-etch adhesives and placed with composite resins (Adper Easy One?+?Filtek Z350 (3?M ESPE); Clearfil S3 Bond?+?Clearfil Majesty (Kuraray-Noritake Co.); G Bond?+?Gradia Direct (GC); iBond?+?Charisma (Heraeus-Kulzer)), respectively. The specimens were prepared for MTBS test and scanning/transmission electron microscopy observations. Compared with group A, groups B and C produced significantly higher enamel MTBS (p?<?.01), regardless of the adhesives used. Groups B and C possessed similar enamel MTBS (p?>?.05). The SEM findings showed that smear layer remained on the polished enamel surface was completely removed by acid etching and almost completely removed by prime-and-rinse approach. The TEM microphotographs reveal that smear layer was detectable at the resin-enamel interface in group A, not in groups B and C. The novel prime-and-rinse approach using MDP-containing primer before the application of (ultra-) mild self-etch adhesives could greatly increase the enamel MTBS. That might be an alternative to selective enamel etching.     

Do phosphoric acid esters affect the immediate enamel bond strengths?

Purpose: To investigate the effects of phosphoric acid esters (PAEs)-containing primers on the micro-tensile bond strengths (MTBS) of etched enamel, the micro-morphologies of the resin–enamel interfaces, and the enamel surfaces.

Materials and Methods: Thirty-three bovine incisors were used in this study. After the labial enamel surfaces were highly polished, they were etched, water sprayed, and air-dried. Afterward, the enamel surfaces were treated with or without (control) one of three PAEs-containing primers (40%MDP, Ivoclar Vivadent; Resulcin AquaPrime A + B, DMG; Xeno V, Dentsply), water sprayed, and air-dried. Subsequently, an adhesive Heliobond (Ivoclar Vivadent) was applied and resin composite (Core Build-up, Bisco) was placed incrementally. They were prepared into multiple beams of about 1 × 1 × 8 mm for MTBS tests. The enamel surfaces and resin–enamel interfaces were analyzed by SEM and TEM. The data were analyzed by two-way ANOVA and LSD test.

Results: Using PAEs-containing primers could increase the enamel MTBS (p < 0.05). The primer MDP produced higher MTBS than the primer Resulcin AquaPrime A + B and Xeno V. The SEM findings revealed the primed enamel surfaces were covered with a thin or glue-like layer of monomer-calcium salts of PAEs and the residual enamel crystallites, and various micro-porosities were detected within the hybrid layers. The TEM findings revealed the hydroxyapatite crystallites were tightly covered by the adhesive, the adhesive mixed with resin composite, or sparse irregular enamel crystallites.

Conclusion: The application of PAEs-containing primers on the etched enamel substrate could significantly increase the immediate enamel bond strengths. However, this effect was dependent on the individual PAEs-containing primer used.     

Effect of Etching Time on Resin-Primary Dentin Adhesion and Degradation of Interfaces

Abstract

The purpose of this research was to evaluate the resin–dentin bond degradation in primary teeth after reducing the etching time. The dentin surfaces were bonded with: an etch and rinse adhesive (single bond-SB); a two step self-etching adhesive (Clearfil self etching bond-CSEB); and a one-step self-etching adhesive (one up bond F-OUB). For half the specimens, the recommended etching time was used (the manufacturer’s instructions); for the other half the etching time was reduced by 50%. The bonded teeth were divided according to different challenging procedures: (a) 24 h storage in distilled water and sectioned into beams (1.0 mm2); (b) immersion of the bonded beams in 10% NaOCl aqueous solution for 5 h; (c) load cycled (5000 cycles, 90 N) and then sectioned into beams. The micro-tensile bond strength (MTBS) was measured and fractographic analysis performed. The data were statistically analyzed using an analysis of variance (ANOVA) technique, together with multiple comparisons tests. The results showed that the OUB produced the lowest MTBS values, regardless of the challenging procedure. After NaOCl immersion, the MTBS decreased in all groups, with the Clearfil self etching bond (immersed for half the time) attained the highest MTBS. Following the instructions for each of the adhesive systems, after load cycling, no differences in MTBS were observed in the samples after 24 h. However when the etching time was shortened, a decrease in MTBS were observed for all groups. In conclusion, shortening the etching/conditioning time caused a significant change to the bond strength which was material dependent. The OUB produced the lowest bond strengths, regardless of other variables; and a reduced conditioning time resulted in an increased bond strength for CSEB adhesive.     

Polymerization shrinkage/stress and dentin bond strength of silorane and dimethacrylate‐based dental composites

This study was designed to determine whether a new dedicated adhesive system using a silorane composite exhibits better bonding performance to human dentin than conventional dimethacrylate‐based composites. The materials were used included: Adper? Easy Bond‐Z250 (AE‐Z250), iBond‐Venus (IB‐VE), XenoIII‐TPH (XE‐TPH), Clearfil S3‐Clearfil Majesty (S3‐CM), and the Filtek silorane system (SA‐FS). Polymerization volumetric shrinkage and stress development were measured using a micro‐CT instrument and universal testing machine. The push out strength of the bonds produced using the corresponding self‐etching adhesive systems were also measured. The volumetric shrinkage of the resin composite/adhesive combinations ranged from 1.05% (SA‐FS) to 3.38% (XE‐TPH) 30 min after light curing. SA‐FS had the lowest volumetric shrinkage (P < 0.05), followed by S3‐CM, EA‐Z250, IB‐VE, and XE‐TPH. The polymerization stress of the materials ranged from 1.54 (SA‐FS) to 3.49 MPa (S3‐CM). The lowest stress was also observed in SA‐FS at 30 min during the stress test (P < 0.05). Push‐out bond strength testing revealed that IB‐VE had significantly lower bond strength than other combinations (P < 0.05). The silorane composite and dedicated adhesive system exhibited excellent characteristics of low volumetric shrinkage and stress development compared to conventional dimethacrylate‐based composites. However, the silorane composite resin system possessed similar push‐out bond strength as the other materials, with the exception of the Venus/iBond combination. © 2011 Wiley Periodicals, Inc. J Appl Polym Sci, 2012     

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.     

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.     

Bond Strength and Interfacial Ultramorphology of Current Adhesive Systems

This study evaluated the bond strength and ultramorphology of the resin-dentin interfaces produced by current dental adhesive systems. Nine dentin bonding agents were investigated. Restored teeth were vertically, serially sectioned to obtain bonded slices for interfacial TEM analysis or to produce bonded beams for the microtensile bond strength test. The one-step self-etching adhesives (Futurabond® NR and Hybrid Bond®) showed lower bond strength values than the three-step etch-&-rinse adhesive system All-Bond 3. Most bonding agents presented statistically similar mean bond strength values, which ranged from 41.3 ± 17.9 to 35.0 ± 5.3 MPa. The thickness of the hybrid layer varied according to the type of adhesive system used. While the etch and rinse adhesives with alcohol as organic solvent showed bond strength means higher than 40 MPa, the self-etching systems showed bond strength lower than 40 MPa. Resin-dentin interdifusion zone and resin tags were noted in all bonded interfaces.     

The effect of bulk-fill flowable composites on the fracture resistance and cuspal deflection of endodontically treated premolars

The aim of this study was to evaluate the effect of bulk-fill flowable composites on cuspal deflection and fracture resistance of endodontically treated teeth. Forty-two maxillary premolars were subjected to endodontic treatment followed by the preparation of mesioocclusodistal cavities. Teeth were divided into six groups according to restorative materials as follows: Group 1: Clearfil Majesty Flow and Clearfil Majesty Posterior; Group 2: Venus Bulk Fill and Clearfil Majesty Posterior; Group 3: Clearfil Majesty Posterior; Group 4: Vertise Flow and Clearfil Majesty Posterior; Group 5: SDR and Clearfil Majesty Posterior; and Group 6: x-tra base and Clearfil Majesty Posterior. A single-step self-etch adhesive (OptiBond All-in-One) was applied to all groups, except Group 4. The cavities were restored with a centripetal incremental insertion technique and flowable composites using a 2-mm-thick base material, except for Group 3. The distance between cusp tips was measured before and after the cavity preparations, after the restorations, and after thermal cyclus with a digital micrometer. After measuring, each tooth was subjected to compressive loading with a stainless steel ball (4 mm diameter) perpendicular to the occlusal surface with a crosshead speed of 1 mm/min, and mean loads necessary to fracture were recorded in Newtons. The data were statistically analyzed by Kruskal–Wallis test. No statistically significant differences were found between groups in fracture strength or cuspal deflections (p > 0.05). Bulk-fill flowable composite bases did not change the cuspal deflection or fracture resistance of endodontically treated teeth, compared with that of a conventional flowable base and conventional resin composite.     

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.     

Influence of desensitizing procedures on adhesion of resin cements to dentin

This study evaluated the effect of two desensitizer agents with different contents and Nd:YAG laser irradiation on the shear bond strength (SBS) of adhesive resin cements to dentin. New treatment options of Nd:YAG laser irradiation and tetracalcium phosphate-containing agent applications were compared with routinely used glutaraldehyde-containing agents. One hundred and twenty human, caries-free premolars were embedded in acrylic resin blocks 2 mm below the cementoenamel junction. Buccal surfaces of the teeth were ground to expose dentin. The specimens were randomly assigned into three different surface treatments (desensitizing agents, Nd:YAG laser) and the control, then into three different adhesive resin cement applications (n = 10). Resin cements (Panavia SA cement (PA), Panavia SA cement with Clearfil Universal Bond (PACU), and Multilink N (MN)) were applied to the conditioned teeth surfaces using Teflon tubes. The specimens were thermocycled (5000 cycles, 5–55 ± 1 °C, dwell time 30 s). The SBS test was performed in all groups. The results were submitted to two-way ANOVA and Tukey HSD tests (p < .05). Further, SEM analysis was performed on the dentin surfaces. SBS values were significantly difference among the surface treatment groups and also among adhesive resin cement groups (p < .05). The specimen cemented with PA showed lower SBS values than PACU- and MN-applied specimens. The highest SBS value was obtained in the Nd:YAG laser group which was cemented with PACU cement. The lowest SBS value was obtained in the control group which was cemented with PA cement. In addition, SEM evaluation revealed that desensitizing agents and Nd:YAG laser occluded dentin tubules.     

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.     

Effect of dentinal surface preparation on the bonding of self-adhesive luting cements

The purpose of the present study was to evaluate the bond strength and the interaction morphology of self-adhesive resin luting cements (SLCs) to dentin prepared with different methods. Four SLCs were used: RelyX U100^®, RelyX U200^®, Clearfil SA Luting^®, and SmartCem2^®. A flat dentin surface of 40 human molars was exposed and each tooth was sectioned in four tooth-quarters, which were distributed into four groups according to the SLC used to cement indirect resin composite restorations. The tooth-quarters of each group were then distributed in four subgroups according to the method used for dentin preparation: flat-ended cylindrical fine-grit diamond, flat-ended cylindrical median-grit diamond, flat-ended cylindrical plain-cut tungsten carbide, or abraded with #600-grit SiC paper (control). The restored tooth-quarters were sectioned to obtain beams (0.8?mm²) and submitted to the microtensile bond strength test (n?=?10). The results were analyzed using two-way ANOVA/Tukey (α?=?0.05). Forty-four additional teeth were used for micromorphological investigation of the SLC/dentin interface and of the topographic aspect of the dentin surfaces after application of the SLCs. Only the bond strength of RelyX U200 was significantly influenced by the surface preparation. No interference was identified on the micromorphological aspect of the bonding interfaces. The topographic investigation of the dentinal surfaces showed that the SLCs were not able to effectively remove the smear layer and etch the underlying dentin, irrespective of the preparation method. So, the interference of the dentin preparation on the bond strength of SLCs is material dependent, but don’t influence the micromorphologic aspect of the interaction zone.     

Long-term microleakage trends in access cavities conditioned with phosphoric acid and deproteinizing agent for root-canal-treated teeth: an investigation of fluid filtration and microscopy analysis

This study evaluated the long-term microleakage of access cavities conditioned with phosphoric acid and deproteinizing agents for root-canal-treated teeth using fluid filtration and microscopical analysis. Occlusal surfaces of extracted human mandibular premolars (N = 90) were removed leaving a 4 mm coronal length from the cemento-enamel junction. After root canal treatment, the specimens were randomly divided into four experimental groups (n = 21) and the remaining teeth were used for positive control group (n = 6): SB: 35% H₃PO₄ + Adper Single Bond 2; SSB: 35% H₃PO₄ + 5.25% NaOCl + 10% Sodium ascorbate (C₆H₇NaO₆) + Adper Single Bond 2; XP: 35% H₃PO₄₊XP Bond; SXP: 35% H₃PO₄₊5.25% NaOCl + 10% Sodium ascorbate + XP Bond. All cavities were restored with a resin composite (Filtek Z250). After removing the root filling from the apical side, teeth were subjected to fluid filtration test for 1 week, 6 and 12 months followed by ×2500 thermocycling after 1st week and 6th months each. Data were analyzed using one-way ANOVA and Dunnet T3 tests (α = 0.05). SEM analyses were carried out after each microleakage evaluation in two random teeth from all groups. Microleakage values in groups SB and XP presented no significant difference in any of the evaluated period (p > 0.05). Microleakage results of SXP (0.01665) group showed significant difference compared to XP (0.03377) and SB (0.03049) groups after 12 months. SSB group (0.00901) showed significantly less microleakage among all other groups (0.01665–0.03377) (p < 0.05). Prior to endodontic treatment, in access cavities, acid etching with 35% H₃PO₄ followed by the application of NaOCl and sodium ascorbate completely destroyed the collagen layer, reducing the microleakage and resin–dentin interface degradation up to 12 months.     

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 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.     

A novel bioactive agent improves adhesion of resin-modified glass-ionomer to dentin

Bioactive glasses are surface-active and able to induce remineralization of dentin. Two resin-modified glass-ionomer cements (RMGICs) doped with bioactive glass (Biosilicate^®) were used as restorative materials in dentin. Experimental powders were made by incorporating 2, 5, and 10 wt% of Biosilicate^® in Vitremer^® (VT) and Fuji II LC^® (FL) powders. Commercial FL and VT were used as control materials. Six cylinders of each material were tested for failure in compression (1.0 mm/min), after 24 h storage in distilled water at 37 °C. For microtensile bond strength (MTBS) test, cavity preparations were performed on 30 noncarious human molars and restored with the tested materials. Teeth were stored in water (37 °C) for 24 h or 7 days, sectioned into beams and tested for failure in tension (0.5 mm/min). Data were analyzed by analysis of variance and multiple-comparison tests (p < 0.05). Analysis of debonded specimens was performed by scanning electron microscopy. Only incorporation of 2 wt% of Biosilicate^® did not decrease compressive strength of the RMGICs. Two weight percent of Biosilicate^® into RMGICs produced an increase in MTBS after 24 h for FL and after 24 h and 7 days for VT. Two weight percent of Biosilicate^® particles into RMGICs did not affect compressive strength and improved MTBS to dentin.     

Does 2% chlorhexidine digluconate cavity disinfectant or sodium fluoride/hydroxyethyl methacrylate affect adhesion of universal adhesive to dentin?

The objectives of this study were to investigate the adhesion of a universal adhesive used either in total-etch (TE) or self-etch (SE) mode with and without 2% chlorhexidine digluconate cavity disinfectant (CHX) or sodium fluoride/hydroxyethyl methacrylate (NaF/HEMA) to dentin. Dentin surfaces of extracted human non-carious third molar teeth (N = 18) were exposed and randomly assigned to two groups. Half of the teeth were conditioned with TE and the others with SE adhesive mode. The teeth were then randomly divided into two groups where half were cleaned with 2% CHX (Cavity Cleanser, Bisco, CC) and the other half with NaF/HEMA (Aqua Prep F, Bisco, APF). Control groups in TE (C1) and SE (C2) adhesive system did not receive any cavity disinfectant. Dentin surfaces were conditioned with universal adhesive (Single Bond Universal, SBU) and resin composite blocks (3 M Z550) were bonded incrementally on the conditioned dentin using a mold. The teeth were stored in water for 48 h, and from each tooth, beam-shaped specimens (1 mm²) were prepared (n = 14, per group). Microtensile bond strength (MBS) was measured using a universal testing machine (1 mm/min). Data (MPa) were analyzed using one-way ANOVA and Tukey’s test (α = 0.05). Two-parameter Weibull distribution values including the Weibull modulus, scale (m), and shape (₀) values were calculated. Mean MTBS results (MPa) showed significant difference between the experimental groups (p = 0.001) and were in descending order as follows: C1-CC (32.8 ± 6.4)a?b < C2 (21.1 ± 4.8)^b < C1-APF (19.3 ± 4.4)b < C2-CC (14.1 ± 4.1)^c < C2-APF (8.1 ± 2.1)^d. C1 and C2 presented non-significant bond strength of the resin composite bonded with SBU (p > 0.05). CC application significantly increased the bond strength in TE mode, but significant reduction was observed when used in SE mode (p < 0.05). The use of APF did not significantly decrease the bond strength in TE mode, but significant reduction was observed when used in SE mode. Considering Weibull parameters, characteristics of adhesion seem to be less reliable for C2-CC (m = 3.86) and more reliable for C1-CC (m = 6.77). Failure types were predominantly adhesive between the dentin and the adhesive resin. Mixed failures were more common for both C1 and C2 and total etch-CC combination.     

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%).     

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 .