Bonding ability of self-adhesive resin-cements after dentin biomodification with hyaluronic acid

Purpose: The present study evaluated the influence of the hyaluronic acid (HA) on the bonding ability of self-adhesive resin cements to dentin regarding the bond strength. Eighty bovine incisors were ground flat to obtain a 2-mm thick slices which received conical preparations. The specimens were randomly distributed into 4 groups (n = 15) according to the dentin pretreatment (1 – control: untreated dentin; 2 – application of HA) and the evaluation time (1 – control: immediate evaluation; 2 – hydrolytic degradation: 6 months of storage in water at 37 °C). Preparations received the application of a self-adhesive resin cement (RelyX U200 or MaxCem Elite). Push-out bond strength test was conducted (0.5 mm/min). The bond strength data was submitted to two-way ANOVA/Tukey’s test (α = 0.05). For U200, no significance was observed when comparing the immediate (24 h) and 6 months means for the control groups (unexposed specimens). Previous application of HA to dentin significantly reduced the bond strength of U200 to dentin in both evaluation times (p < 0.05). HA had no significant influence on the push-out bond strength means for the cement MAX in both evaluation times (p > 0.05). The type 1 failure mode (adhesive mode) occurred in 100% of the specimens, irrespective of the dentin treatment or evaluation times. Pretreatment of dentin with HA produces a material-dependent influence on the push-out bond strength. The bonding ability of RelyX U200 is negatively influenced by the pretreatment of dentin with HA, whereas the biomodification of dentin with this bioactive agent causes no impact for the cement MaxCem Elite.     

An investigation of atomic force microscopy,surface topography and adhesion of luting cements to zirconia: effect of silica coating,zirconia primer and laser

This study evaluated the effect various surface conditioning methods on the surface topography and adhesion of luting cements to zirconia. Zirconia blocks (N?=?25) were randomly assigned to five groups according to the surface conditioning methods: (a) No conditioning, control (CON), (b) tribochemical silica coating (TSC), (c) MDP-based zirconia primer (ZRP), (d) coating with nano aluminum nitride (ALN) (e) etching with Er: YAG laser (LAS). The conditioned zirconia blocks were further divided into five subgroups to receive the luting cements: (a) MDP-based resin cement (Panavia F2.0) (PAN), (b) 4-META-based cement (Super Bond) (SUB), (c) UDMA-based (GCem) (GCE), (d) bis-GMA based (Bifix QM) (BIF) and (e) polycarboxylate cement (Poly-F) (POL). Cements were applied in polyethylene moulds (diameter: 3?mm; height: 2?mm). The bonded specimens were first thermocycled for 5500 cycles (5–55?°C) and then adhesive interface was loaded under shear (0.5?mm/min). The data (MPa) were analyzed using 2-way ANOVA, Tukey’s and Bonneferroni tests (alpha?=?0.05). Regardless of the cement type, TSC resulted in significantly higher bond strength (p???0.05) (13.3?±?4.35–25.3?±?6.3) compared to other conditioning methods (2.96?±?1.5–5.4?±?5.47). Regardless of the surface conditioning method, no significant difference was found between MDP, 4-META and UDMA based cements (p?>?0.05) being significantly higher than those of bis-GMA and polycarboxylate cements (p???0.05). Failure types were frequently adhesive in all groups. Tribochemical silica coating provided superior bond results compared to other conditioning methods tested on zirconia especially in conjunction with UDMA- and 4-META-based resin cements.     

Effect of hot-etching treatment on shear bond strength of zirconia to resin cement

ABSTRACT

The purpose of this study was to evaluate the effect of hot-etching surface treatment on the shear bond strength between zirconia ceramics and resin cement. Ceramic cylinders were divided randomly into 10 groups (n?=?10) according to different surface treatments (blank control; airborne particle abrasion; hot-etching for 10?min; hot-etching for 30?min; hot-etching for 60?min) and whether or not performed thermal cycling fatigue test. Flat enamel surfaces, were prepared from human permanent incisors and were bonded to the zirconia discs. All specimens were subjected to shear bond strength test by a universal testing machine. All data were statistically analysed using one-way analysis of variance and multiple comparison least significant difference tests (α?=?0.05). Hot-etching for 60?min treatment produced higher bond strengths than the other treatment. Surface treatment of zirconia with a hot-etching solution might enhance surface roughness and bond strength between zirconia and resin cement.     

Adhesion of dual-polymerized luting cement on superficial and deep dentin using different one-step self-etch mild adhesive systems

This study evaluated adhesion of dual-polymerized resin cement to superficial dentin (SD) and deep dentin (DD) using one-step self-etch adhesives at varying pH. After smear layer was created on third molars (N?=?60, n?=?15 per group), adhesive resins, 1- Clearfil S3 Bond Plus-CBP (Kuraray) (pH: 2.3), 2- Bisco All Bond Universal-BAU (Bisco) (pH: 3.2), 3- Single Bond Universal Adhesive-SBU (3M ESPE) (pH: 2.7), 4- Nova Compo-B Plus-NCBP (Imicryl) (pH: 2.5–3), were applied on SD and DD. Resin cement (Variolink II, Ivoclar Vivadent) was adhered incrementally on the SD surfaces using polyethylene molds and photo-polymerized for 40?s from 5 directions (output: 1200?mw/cm²). After macroshear and microshear test, in order to achieve DD specimens, SD were removed 1?mm in the pulp direction and the same bonding and test procedures were performed. The specimens were kept at 37?°C for 24?h. The adhesion tests were conducted in the Universal Testing Machine and failure types were analyzed. The data were analyzed using Univariate ANOVA, Tukey`s, Kruskal-Wallis and Mann-Whitney tests (α?=?.05). Test method, dentin level and the adhesive resin significantly affected the results (MPa) (p?<?.05). After macroshear test, more incidences of cohesive failures in DD were observed with NCBP Plus. On SD, NCBP presented the highest results followed by BAU using macroshear test. On DD, NCBP presented the highest results followed by SBU. Not only the pH but the chemical composition affected adhesion especially to SD while in DD, the difference between the adhesive resins was less significant.     

Adhesion to zirconia as a function of primers/silane coupling agents,luting cement types,aging and test methods

This study evaluated the adhesion of resin cements to zirconia with different primers/silane coupling agents using two test methods with and without aging. Zirconia discs (Cercon) (N = 900, n = 15 per group) were ground finished to 2000 grit silicone carbide and randomly divided into seven groups: (a) C: No treatment (Control), (b) SG: Signum, (c) CL: Clearfil Ceramic Primer, (d) AP: Alloy Primer, (e) Monobond Plus, (f) ES-R: ESPE-Sil after Rocatec and (g) ES-C: ESPE-Sil after CoJet. Methacrylate (Variolink II-VL) and MDP based (Panavia F2.0-PN) dual-polymerized and self-adhesive resin cements (RelyX Unicem-RX) were adhered and polymerized accordingly. The specimens were further randomly divided into two groups to be tested after (a) 24-h dry storage at 37 °C and (b) thermocycling (×5000, 5–55 °C). Macroshear (MSB) and macrotensile bond tests (MTB) were conducted in an universal testing machine (crosshead speed: 1 mm/min) and failure types were analyzed after debonding. Data were analyzed using Univariate analysis and Tukey’s tests (α = 0.05). Two-parameter Weibull modulus, scale (m) and shape (0) were calculated. While primer/silane (p < 0.001), cement type (p < 0.001) and aging (p < 0.001) significantly affected the bond results, test method did not show significant difference (p = 0.237). In MSB test, Weilbul moduli were more favorable for MP-VL (4.2) and AP-PN (6) combinations and after aging for MP-VL (4.2) and AP-PN (5.66). In MTB test, after aging, Weilbul moduli were more favorable for AP-PN (5.41). Bond strength results mostly decreased with SG (24–92%) after aging. Cohesive failures in the cement were more frequent with PN (252) compared to VL (83).     

Effect of cyclic loading and resin cement type used for luting fiber posts on bond strength at different root levels of crown-restored human teeth

Objective: This study aimed to evaluate the bond strength (BS) of glass fiber posts (GFP) at different root levels when luted with conventional or self-adhesive cements in crown-restored human premolars subjected, or not, to cyclic mechanical loading.

Materials and Methods: Sixty lower premolar roots were endodontically treated and prepared for a GFP system. Half of the roots (n = 30) had their posts cemented with a self-adhesive resin cement, while the remaining roots followed a three-step conditioning method: acid etch, bonding agent, and a conventional resin cement. Metal crowns were luted onto the post-core preparations and the specimens were embedded to simulate the periodontium. Half of the specimens from each group (n = 15) were submitted to cyclic loading simulations (130 N; 2.0 Hz) and then sections were obtained from each root for the pushout BS test.

Results: Independently of the cyclic loading and the root level tested, the conventional resin cement provided significantly higher values of BS (p = 0.002). For either cement or either root level, cyclic loading caused a significant decrease in BS values (p = 0.023). The Tukey test indicated that, regardless of the resin cement used or the cyclic loading, BS was highest at the middle and cervical thirds of the root (p = 0.026), and their values did not differ between themselves.

Conclusions: When used for luting GFP, self-adhesive resin cement resulted in lower pushout BS than the conventional counterpart, with cyclic loading causing a decrease in BS of the GFP to dentin for both resin cements.     

Effect of different air-abrasion protocols on topography,surface wettability and adhesion of MDP monomer-based resin cement to zirconia

This study evaluated the effect of air-abrasion protocols on the topography, surface wettability and adhesion of resin cement to zirconia. Ceramic specimens (N?=?49; n?=?7) (15?mm × 2?mm) were randomly allocated to seven groups to be treated with: (1) Air-abrasion with 45?μm Al₂O₃ (A45), (2) 80?μm Al₂O₃ (A80), (3) 30?μm Al₂O₃ coated with SiO₂ (CoJet) (C30), (4) 30?μm Al₂O₃ coated with SiO₂ (Rocatec Soft) (R30), (5) 110?μm Al₂O₃ coated with SiO₂ (Rocatec Plus) (R110); (6) R110R30 (Rocatec) (R110R30) and (7) control, no conditioning (NC). Air-abrasion was performed using a chairside air-abrasion device (2.5?bar, 10?mm, 90?s). Contact angle measurements were performed using goniometry (n?=?5). MDP-based dual resin cement (Panavia F2.0) was bonded on four locations after air-abrasion protocols (n?=?20 per group). Half of the specimens were tested after 24?h and the other half after thermal cycling (×3000, 5–55?°C). Data were analyzed using 1-, 2-way ANOVA and Tukey’s test (alpha = 0.05). Significantly lower contact angle values were observed for groups C30 (62.6?±?0.91), R30 (61.91?±?1.05) and R110R30 (61.54?±?1.02) compared to those of other groups (65.5?±?0.9–110.61?±?0.9) (p?<?0.05). In dry conditions, surface conditioning methods tested did not show significant effect on bond strength (MPa) (10.57?±?1.42–16.86?±?2.54) (p?=?0.238). After thermocycling, bond strength results decreased significantly (p?<?0.05) (12.6–51.2%). R110 (7.18?±?1.34) and A80 (4.92?±?1.53) showed significantly higher bond strength compared to other groups (2.13?±?0.73–4.16?±?1.34) (p?<?0.05). The best wettability and adhesion results with MDP-based resin cement to zirconia was achieved with A80 and R110 air-abrasion.     

Effectiveness of different surface cleaning methods on the shear bond strength of resin cement to contaminated zirconia: an in vitro study

The purpose of this in vitro study was to evaluate and compare the effectiveness of different surface cleaning methods on the shear bond strength (SBS) of zirconia ceramic surfaces. Seventy polished and cleaned zirconia disk specimens of 8 mm in diameter and 3.4 mm in thickness were immersed in fresh saliva. They were then pressed into a freshly mixed silicone disclosing medium. Six different cleaning methods were applied to the tested groups; they were airborne-particle abraded (AA), covered with a cleaning paste (Ivoclean®) (IV), etched with orthophosphoric acid (PA), immersed in alcohol (AL), rinsed with tap water only (WA), or cleaned with steam (SC). No surface cleaning was done after saliva immersion and silicone disclosing medium contamination to the control group (CC). The specimens were then bonded to an adhesive resin cement using polyethylene tubes. SBS was determined using a universal testing machine at a crosshead speed of 1 mm/min. The specimens were also examined with a scanning electron microscope and a stereomicroscope. Group AA yielded the highest SBS value (7.01 ± 1.4 MPa) among the groups, while Group WA had the lowest SBS value (3.03 ± 0.8 MPa). The SBS values of Group AA (7.01 ± 1.4 MPa) and IV (6.2 ± 1.7 MPa) were also significantly higher than those of the remaining four groups (p < 0.05). Within the limitations of this in vitro study, it was concluded that among the various cleaning methods tested, airborne-particle abrasion and Ivoclean® paste were effective in cleaning the zirconia surface.     

Long-term bond strength of fiber posts cement to dentin with self-adhesive or conventional resin cements

The aim of this study was to evaluate the immediate and the long-term push-out bond strength of glass fiber posts (GFP) cemented with conventional or self-adhesive dual-curing resin cements, at different root depths. Prior to cementation, the GFP (Reforpost #3, Angelus) were etched with 37% phosphoric acid for 30 s followed by silane for 1 min. Thirty canine roots were divided into two groups (n = 15) according to resin cement type: ARC – dual resin cement (RelyX ARC/3M ESPE) combined with an three-step etch-and-rinse adhesive (Adper Scotch Bond Multi-Purpose Plus 3M/ESPE) or U200 – self-adhesive resin cement (RelyX U200/3M ESPE). The manufacturer’s instructions were followed. After 48 h, the roots were cross-sectioned at three different depths, resulting in serial slices corresponding to the cervical, middle, and apical root thirds. Slices were randomly divided into two groups, according to the period of water storage prior to push-out bond strength analysis: 48 h or 180 days. The data (MPa) were analyzed using three-way ANOVA for randomized blocks (p < 0.05), which showed no significant interaction between the three factors (p = 0.716). The main study factors were also proven not significant (cement: p = 0.711; time: 0.288; root third: p = 0.646). In conclusion, root depth, cement type (self-adhesive or conventional), and storage in water for 180 days did not influence the bond strength of GFP to intracanal dentin.     

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 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.     

Enhanced resin zirconia adhesion with carbon nanotubes-infused silanes: A pilot study

This laboratory study aimed to enhance the adhesion strength of resin cement to zirconia by infusing carbon nanotubes (CNTs) in experimental silane primers. Eighteen ZrO₂ blanks were pretreated with Rocatec? Soft, and divided into six groups: Group 1: Monobond^® S silane (control); Group 2: 0.5 wt.% single-walled CNTs blended Monobond^® S; Group 3: 0.5 wt.% multiple-walled CNTs blended Monobond^® S; Group 4: a blend of 1.0 vol.% 3-acryloxypropyltrimethoxysilane (ACPS) + 0.5 vol.% bis-1,2-(triethoxysilyl)ethane (BTSE); Group 5: 0.5 wt.% single-walled CNTs blended in 1.0 vol.% ACPS + 0.5 vol.% BTSE; and Group 6: 0.5 wt.% multiple-walled CNTs blended in 1.0 vol.% ACPS + 0.5 vol.% BTSE. Next, resin composite stubs were prepared on treated ZrO₂ surfaces. The specimens were stored in distilled water at 37°C ± 2°C for 2 months and 4 months. According to analysis of variance (ANOVA) and Tukey’s post hoc test (n = 10, α = 0.05), the highest enclosed mold shear bond strength (EM-SBS) value was observed in Group 5 (20.5 MPa ± 8.0 MPa) at the end of 4 months. Experimental silane primer containing a blend of 1.0 vol.% ACPS and 0.5 vol.% BTSE with infused single-walled CNTs might significantly enhance resin cement adhesion to silica-coated ZrO₂.     

Effect of an Er,Cr:YSGG laser preparation on dentin bond strength of a universal adhesive

The aim of this study was to evaluate the bond strength of a universal adhesive system to dentin prepared with SiC paper or an Er,Cr:YSGG laser using different bonding strategies (etch-and-rinse versus self-etch mode). Ninety-six extracted caries-free, sound human molars were used. The teeth were longitudinally sectioned in the mesiodistal direction and were wet polished with 600-grit SiC paper to obtain a standardized flat dentin surface. All prepared teeth were randomly divided into two groups, according to the surface preparation method: GroupI:an erbium, chromium:yttrium,scandium, gallium, garnet laser; Group II: silicon carbide paper[SiC] (n = 48). Each group was then assigned into three subgroups according to the universal adhesive’s (Single Bond Universal) bonding strategies: (a) etch-and-rinse mode with phosphoric acid, (b) etch-and-rinse mode with a laser, (c) self-etch mode (n = 16). For surface preparation, the Er,Cr:YSGG laser was used at 3 W, 30 Hz with 140 μs pulse duration for 25 s. For etching mode, the laser was used at 1.5 W (60% air, 70% water). Cylinders of composite were fabricated on the bonding area and shear bond strength was determined using a universal testing machine. Failure modes were evaluated using a stereomicroscope. The data were analyzed using two-way ANOVA followed by the Bonferroni test (p < 0.05). Bonding strategies showed statistically significant differences in both the SiC-and laser-prepared groups (p < 0.05).Universal adhesive used in etch-and-rinse mode with acid showed significantly higher bond strength values than in self-etch mode (p < 0.05). The bond strength values did not differ according to the surface preparation method (p > 0.05). Irrespective of preparation method, using universal adhesive in etch-and-rinse mode with acid might improve dentin bond strength. Laser preparation did not affect the bond strength of the universal adhesive tested.     

Effect of different surface shapes formed by femtosecond laser on zirconia-resin cement shear bond strength

Objective: The purpose of this study was to evaluate the effect of different surface shapes formed by femtosecond (FS) laser on zirconia (Y-TZP)-resin cement shear bond strength (SBS). Background data: All ceramic restoration is used as an alternative to metal-ceramic restorations, due to its better aesthetics, strength, and toughness properties. However, bond strength of restoration to tooth and other materials is effective to long term success of the restoration, and to achieve it surface treatment is required on ceramic surface. Materials and methods: Forty square-shaped zirconia samples were prepared and assigned to four groups of 10. The details of the groups are as follows: Group A, square-shaped recessed surface; Group B, square-shaped projection surface; Group C, circular-shaped recessed surface; Group D, circular-shaped projection surface. The SBSs values were performed with a universal testing machine at a crosshead speed of 1 mm/min. The data were analyzed statistically using analysis of variance (ANOVA) and Tukey HSD multiple comparisons tests. Results: The one-way ANOVA results on SBSs of the zirconia material bonded with resin cement revealed significant differences among the groups (p < 0.05). The Tukey HSD test results revealed that Group B and D had significantly higher SBS values than other groups (p < 0.05), but there were no significant differences between each other (p > 0.05). Additionally, Group A and C had significantly lower values than other groups (p < 0.05). Conclusions: Different surface shapes formed by FS laser provided a significant increase in SBSs. The SBS values of projection surfaces of circular and square-shapes are greater than that of recessed surfaces of circular and square-shapes.     

Effect of femtosecond laser beam angle and formed shape on surface roughness and shear bond strength between zirconia and resin cement

Achieving adhesion between resin cement and zirconia requires pretreatment of the surface. This in vitro study aimed to evaluate the effect of femtosecond laser beam angle and the shape of the formed surfaces, on the roughness and shear bond strength (SBS) of resin cement to zirconia ceramic. Seventy Y-TZP ceramic specimens were divided into seven groups (n = 10). A femtosecond laser irradiation was performed on the ceramic surface of three shapes (spiral (SP), square (SQ) and circular (CI) and at two angles (30 and 90°) to give SP-30, SQ-30 and CI-30 and SP-90, SQ-90 and CI-90, respectively. After treatment, the surface roughness of all specimens was evaluated using a profilometer. One specimen from each group was analysed using a scanning electron microscope. The bonded specimens were thermocycled 5000 times and then an SBS test was performed. Kruskal-Wallis and Mann-Whitney U tests were used to analyse surface roughness and SBS values. The control group had statistically lower surface roughness (R_a) values than the treated groups (p < 0.05). SP-30 and SQ-30 laser treated specimens showed higher R_a values than the other specimens. Statistically significant SBS values (p = 0.000) were observed between the groups. All laser treated samples showed greater SBS compared to the control group. SP-30, SQ-30 and SQ-90 groups showed the highest SBS values. Within the limitations of this experimental study, the highest mean values for R_a and SBS were achieved with SP and SQ surfaces using a 30° angle laser beam.     

Removal of temporary cements following an immediate dentin hybridization approach: a comparison of mechanical and chemical methods for substrate cleaning

This study evaluated the microshear bond strength (μSBS) of a composite resin cement to a pre-hybridized dentinal substrate exposed to two kinds of temporary materials; the influence of different cleaning techniques was investigated. Dentinal surfaces were conditioned with an etch-and-rinse adhesive system to obtain an immediately-sealed (IDS) layer. Each surface was divided into quadrants and covered (1) with an eugenol-free (NE_Group) or (2) with a resin-based provisional agent (CL_Group). After storage, the temporary cement was removed by using one of the following methods: (1) Hand-scaler [S]; (2) Alumina air-abrasion [SB]; (3) Glycine-powder air-abrasion [Gly]; (4) D-Limonene chemical solvent [Or]. A new IDS layer was then created; polyethylene tubes were placed on dentin surfaces and filled with a dual-cure resin cement. A universal testing machine was used for the μSBS tests; conditioned surfaces were analyzed at SEM. Means and SD were calculated; a two-way ANOVA (a: 0.05) was performed to detect significant differences among groups. For NE groups, mean μSBS values (MPa) were: 21.6 ± 6.6 [NE_NoT]; 20.7 ± 4.5 [NE_Or]; 20.1 ± 6.6 [NE_SB]; 19.1 ± 5.3 [NE_S]; 17.8 ± 2.2 [NE_Gly]. No significant differences were found among tested treatments within NE (p: 0.5493). For CL groups, mean μSBS values (MPa) ranged from 15.8 ± 2.8 (CL_S50) to 19.4 ± 2.9 (CL_Gly). Cleaning of the substrate with glycine air-abrasion statistically improved μSBS values with respect to aluminum-oxide (CL_SB: 15.8 ± 2.8) or scaling (CL_S: 16.0 ± 2.4). The application of the IDS technique was effective for preservation of freshly-cut dentin from adverse effects of temporary materials. Glycine air-abrasion is suggested when a temporary resin cement is adopted.     

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 timing for core preparation,luting cement type and root level on adhesion of fiber posts to intraradicular dentin

This study assessed the effect of timing of core preparation and luting cement on adhesion of fiber-reinforced composite (FRC) posts on different levels of intraradicular dentin when cemented with either conventional dual-polymerized or self-adhesive resin cement. Single-rooted human teeth (N = 80) were endodontically treated and randomly divided into 2 groups (n = 40) according to resin cement: (a) Conventional dual resin cement (Variolink II, V) or (b) Self-adhesive resin cement (RelyX U200, R). They were further divided into two subgroups according to timing of core preparation (n = 20): (a) immediate (i) or (b) delayed (d). FRC posts (Cytec Blanco) were cemented and the roots were sliced into discs at the coronal, middle, and apical levels. Push-out tests were then performed in a Universal Testing Machine (1 mm/min). Data (MPa) were analyzed using three-way ANOVA and Tukey’s tests considering the factors ‘core preparation time’, ‘luting cement’, and ‘root level’ (α = 0.05). Type of luting cement (p < 0.001), time of core preparation (p < 0.001), and root level (p < 0.001) significantly affected the bond strength results. R cement was more significantly affected by core preparation time (Ri: 2.91 ± 1.1; Rd: 4.83 ± 1.68) compared to V cement (Vi: 2.92 ± 1.63; Vd: 2.65 ± 1.6) (p < 0.05). Coronal region demonstrated significantly higher bond strength values than those of middle and apical third in all groups (coronal: 4 ± 1.9; middle: 3.1 ± 1.4; apical: 2.4 ± 1.1) (p < 0.05). Adhesive failure between cement and dentin was the most frequent (64%) followed by adhesive failure between cement and post (18%). Delayed core preparation can improve bond strength of FRC posts to intraradicular dentin when cemented with self-adhesive cement compared to conventional dual-polymerized resin cement.     

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.     

Evaluation of different desensitizing agents effect on shear bond strength of adhesive resin cement to dentin

Desensitizing agents can inhibit the bonding strength between dentin and adhesive resin cement. This study evaluated the effects of different desensitizing agents on the shear bond strength of adhesive resin cement to dentin. Sixty freshly extracted and caries free teeth were classified into five experimental groups, randomly (n?=?12). Each group was treated with a different desensitizing agent (Teethmate, Shield Force Plus, Admira Protect and Ultra-Ez) respectively, except for an untreated control group. After desensitizing agents and adhesive resin cement were applied to each dentin surface, all specimens were stored in incubator at 37?°C for 24?h. The shear bond strength was tested with a Universal testing machine at a 0.5?mm/min crosshead speed. Data were analysed by using a statistical software (SPSS 22). The results of the measurements were analysed by Kruskal Wallis test with Bonferroni correction and multiple comparisons were made by Wilcoxon test (p???.01). Specimens were examined by a scanning electron microscope, additionally. The Shield Force Plus showed significantly the highest shear bond strength compared with other groups (p?<?.01). Ultra-Ez showed the lowest shear bond strength (p?>?.01). There was no significant difference among Teethmate and Admira Protect groups (p?>?.01). Desensitizing agents containing resin monomers increased the bonding strength, however desensitizers containing calcium phosphate, potassium nitrate and fluoride did not effect the bonding strength of resin cement to dentin.