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

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

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

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

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

Shear bond strength of bis-acryl resin provisional material repaired using a flowable composite

This study investigated the shear bond strength of a bis-acryl composite repaired with a flowable composite after different surface treatments. Sixty standardized cylindrical silicone molds were filled with bis-acryl resin provisional material and then divided into six groups (n = 10 per group) to undergo different surface treatments. After a surface treatment had been performed, the flowable composite was injected directly into the cylinder of each specimen, and the specimens were then cured over a 10-mm-thick glass slide for 20 s. The shear bond strength was determined using a universal testing machine at a crosshead speed of 1.0 mm/min by placing a knife-edged blade immediately adjacent and parallel to the adhesive interface between the repair material (flowable composite) and the bis-acryl resin provisional material. The mean shear bond strengths ranged from 8.98 to 17.14 MPa. The highest mean shear bond strength corresponded to the bonding group (17.14 MPa), whereas the air-particle abrasion group exhibited the lowest mean shear bond strength (8.98 MPa). Surface treatment of bis-acryl resins with bonding appears to be a promising approach for improving repair bond strength, and the bonding group exhibited the highest levels of bond strength.     

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.     

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

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

Effect of ceramic surface treatments on the bond strength of different composite resins

This study was aimed to observe the relationship between the different surface treatments and the bond strength of both composite based adhesive cement and zirconia ceramic. Thirty-two zirconia ceramic discs were fabricated by following the instructions of manufacturer (5 × 5 × 1.5 mm). Four subgroups were obtained from the specimens according to the specified surface treatments respectively: (a) C: control groups: no treatment; (b) SB: sandblasting with 125 μm aluminum oxide particles for 10 s; (c) SC: silica coating for 10 s; (d) Nd :YAG laser . The composite resin specimens Panavia F and Clearfil SA were introduced and polymerized to the treated bonding areas. Afterwards the specimens were stored in distilled water at 37 °C during 24 h, and the shear test was applied. The data were statistically analyzed by ANOVA and Duncan tests. The bond strength was stated significantly higher in silica coating/Panavia F group (23.35 MPa). The lowest bond strength was stated in control groups cemented with Clearfil SA (12.25 MPa). As a result it was determined that the bond strength has affected the both surface treatments and cement types (p < 0.001). The silica coating –treated zirconia ceramic recorded a significant increase in mean bond strength values.     

The effect of different bonding protocols on the repair microshear bond strength of water-stored CAD/CAM resin composite

This study evaluated the repair microshear bond strength (μSBS) of water stored CAD/CAM resin composite under eight different surface treatments using a silane-containing universal adhesive in etch-and-rinse and self-etching modes. In total, 48 CAD/CAM resin composite slices were prepared from Lava Ultimate CAD/CAM blocks and stored in water for 6 months. The slices were assigned into 8 main groups, according to surface treatments (no treatment, no-treatment/silane, surface grinding, surface grinding/silane, sandblasting, sandblasting/silane, silica coating and silica coating/silane). Each main group was divided according to the universal adhesive application mode (either the etch-and-rinse mode or the self-etch mode). Each slice received 6 resin composite micro-cylinders (0.8 × 1 mm). Micro-shear bond strength was run at 0.5 mm/min crosshead speed until failure. Treated surfaces were examined using SEM. Bond strength data were statistically analyzed using Two-Way ANOVA/Tukey HSD post hoc test. Only ‘surface treatment’ significantly affected the repair μSBS (p ? 0.001). Parameters ‘Adhesive application mode’ and ‘surface treatment × adhesive mode’ showed no significant effect on μSBS (p = 0.458 and p = 0.286 respectively). Regardless of the adhesive application mode, silica coating showed the highest μSBS (21.6 ± 6.8 MPa), while sandblasting/silane showed the lowest μSBS (13.0 ± 6.1 MPa). Regardless of adhesive application mode, the use of silica coating to treat the water-stored CAD/CAM resin composite surfaces is crucial to improve the repair bond strength.     

Efficacy of different surface treatments and universal adhesives on the microtensile bond strength of bulk-fill composite repair

Abstract

The purpose of this in vitro study was to evaluate the influence of different surface treatments and aging on the microtensile bond strength (μTBS) of bulk-fill composite resins. Bulk-fill composites (Filtek One; 3M ESPE) randomly received five different surface treatments: (1) no treatment, control, (2) 37% phosphoric acid etching (PA), (3) 9% hydrofluoric acid etching (HF), (4) air-borne particle abrasion with 50-μm alumina particles (Al₂O₃), (5) tribochemical silica coating (CoJet). Following, the specimens were divided into three subgroups according to universal adhesive applied: Clearfil Universal Bond (CU; Kuraray), Prime&Bond Universal (PBU; Dentsply Sirona), or Single Bond Universal (SBU; 3M ESPE). A nanofill composite (Filtek Ultimate; 3M ESPE) was employed as a repair. Bonded specimens were stored in water for 24?h at 37?°C or thermal aged, then subjected to the μTBS test. Additionally, specimens were analyzed with a contact profilometer and were evaluated with scanning electron microscopy. Control and PA treatments were showed the lowest µTBS (p?<?0.05), and there was no significant difference between these two groups (p?>?0.05). Al₂O₃ and CoJet treatments generally exhibited a similar influence on µTBS values. In addition, a correlation was found between surface roughness and bond strength (r?=?0.831). CoJet resulted in significantly higher repair µTBS values when compared to the other surface treatments. In addition, the use of silane-containing universal adhesive was increased the cohesive failure rate and maintained the repair µTBS values after thermocycling.     

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

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

Effect of polymerization protocol on the degree of conversion of photo- and dual-polymerized self-etch adhesives

This study investigated the effect of different polymerization protocols on the degree of conversion (DC%) of various photo-polymerized and dual-polymerized self-etch adhesive resins. Five different photo-polymerized (All-Bond Universal, Bisco; G-ænial Bond, GC; Futurabond M+ LC, VOCO; Single Bond Universal LC, 3M ESPE and Peak Universal Bond, Ultradent) and four dual-polymerized self-etch adhesives (Futurabond U, VOCO; Gradia Core SE, GC; Futurabond M+ DC, VOCO and Single Bond Universal DC, 3 M ESPE) were tested. All adhesives were applied on potassium bromide pellets (KBr) following the manufacturer’s instructions. The KBr pellets were divided into 10 experimental groups for the photo-polymerized adhesives and 12 experimental groups for the dual-polymerized adhesives according to the two levels of the study, Level 1: polymerization protocol and Level 2: adhesive system. For the photo-polymerized adhesives, the adhesives were polymerized either at 1 or 10 mm from the KBr pellets. For the photo-polymerized adhesives, the adhesives were photo-polymerized either at 1 or 10 mm distance or polymerized chemically. The DC% of the unpolymerized and polymerized adhesives was assessed using Fourier transform infrared spectroscopy. Data were analyzed using two-way ANOVA to evaluate the effect of polymerization protocol, adhesive system, and their interaction on the DC% of the self-etch adhesives. For the photo-polymerized and dual-polymerized adhesives, one-way ANOVA and Tukey HSD post hoc test was used to evaluate the effect of adhesive system within each polymerization protocol and the effect of polymerization protocol within each adhesive for the dual-polymerized adhesives (p = 0.05). Student t-test was used to compare the effect of polymerization distances within each photo-polymerized adhesive. For both photo- and dual-polymerized adhesives, the polymerization protocol and adhesive system had a significant effect on the DC (p = 0.000). The interaction between the two factors (polymerization protocol and adhesive system) revealed also a significant effect on the DC% of the different adhesives (p = 0.000). Polymerization distance of 1 mm showed significantly higher DC% compared to 10 mm distance. When the dual-polymerized adhesives were left to set chemically, they showed the lowest DC% among all polymerization protocols. DC varied depending on the chemical composition of the self-etch adhesives. The tip of the polymerization device should be positioned as close as possible to the surface to achieve higher DC% of the tested adhesives. Photo-polymerization of the dual-polymerized self-etch adhesives is a mandatory step to improve their DC.     

Effects of cavity disinfectants on bond strength of an etch-and-rinse adhesive to water- or ethanol-saturated sound and caries-affected dentin

Objective: To evaluate the effect of cavity disinfectants on the immediate microtensile bond strength (μTBS) of an etch-and-rinse adhesive to water- and ethanol-saturated sound and caries-affected dentin (CAD). Material and Methods: Thirty-six human molars were sectioned to expose 1/3 of the mid-coronal dentin surface. Sound (n = 18) and CAD (n = 18) specimens were divided into six groups each (n = 3): one positive control (sound), one negative control (CAD), and five experimental groups each. In the control group, dentin surfaces were bonded using an etch-and-rinse adhesive with a traditional water-wet bonding technique. In the experimental groups, ozone was applied before etching and chlorhexidine after etching. In the ethanol-wet bonding groups, acid-etched dentin surfaces were treated with ethanol. Following adhesive application and composite buildups, bonded specimens were sectioned to form sticks. Failure modes were analyzed using a stereomicroscope. Results: The water-wet bonded sound control group yielded the highest μTBS among all groups (p < 0.001). The lowest μTBS values were observed in the ozone groups (p < 0.05). The ethanol-wet bonded CAD group exhibited a higher μTBS than the water-wet bonded negative controls. Although compared to the positive control, chlorhexidine decreased the μTBS (p < 0.05), an increase with no significant difference was observed in the negative control (p > 0.05). Conclusions: The μTBS values of CAD were lower than those of sound dentin. Ethanol-wet bonding improved the μTBS of CAD. Ozone application reduced the μTBS in both sound and CAD; chlorhexidine improved the immediate μTBS after etching in CAD.     

Microtensile bond strength of composite-to-composite repair with different surface treatments and adhesive systems

Objectives: The purpose was to investigate the effect of different surface treatments and bonding agents on the repair bond strength of different resin-based restorative materials by microtensile bond strength (μTBS) testing protocol. Materials and Methods: 24 Grandio SO(VOCO) and 24 Filtek Z250(3?M) resin composite blocks were prepared. Half of the samples (N?=?12) were diamond bur-roughened and the other half (N?=?12) were sandblasted by 50?μm aluminum oxide particles. They were further divided into four sub-groups (n?=?3) and received the following: Sub-Group1: Adper Single Bond2 (Etch&Rinse) (3?M); Sub-Group2: Clearfil SE (Self-etch) (Kuraray); Sub-Group3: Beauty Bond (HEMA-free all-in-one) (Shofu); Sub-Group4: All Bond3 (HEMA-free, hydrophobic, etch&rinse) (Bisco). The samples were repaired by Filtek Z250 to form a block. All of the resultant sub-groups combinations consisted of one of the composite type, surface treatment type, and adhesive systems. A total of 18 groups were prepared including 2 homogeneous blocks. They were thermocycled and μTBS measurements were performed. Data were statistically analyzed with Kruskall–Wallis and Mann–Whitney U tests. Results: The experimental regroups’ μTBS reached to 34.67–66.36% and 43.44–95.52% of the cohesive bond strength for Grandio SO and Z250, respectively. The pre-existing composite type is found to be statistically important. When the surface is bur-finished Grandio performed better; when air-abrasion is considered Z250 showed higher bond strength. All-in-one adhesive system produced the weakest bond strength at all parameters. Conclusion: It may be suggested that when the pre-existing composite is unknown, air-abrasion may be performed with etch&rinse or two-step self-etch adhesives.     

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

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

Effects of simulated pulpal pressure,mechanical and thermocycling challenge on the microtensile bond strength of resin luting cements

This study aimed at comparing the microtensile bond strength (µTBS) of three simplified luting strategies after different aging processes. Sixty human molars were prepared to expose flat middle dentin surfaces which received the following luting procedures: (i) SB+ARC – two-step etch-and-rinse adhesive+conventional resin cement (Adper Singlebond 2+RelyX ARC, 3M-ESPE); (ii) S3+PAN – one-step self-etch adhesive+conventional resin cement (Clearfil S3+Panavia F2.0, Kuraray Medical); (iii) U200 – self-adhesive resin cement (RelyX U200,3M-ESPE). The specimens were finally restored by indirect resin composite procedures (Filtek Z100,3M-ESPE). The aging regimens were water storage at 37 °C for one week (control), one week of 20 cm H₂O simulated pulpal pressure (SPP), 200,000 mechanical loading (ML) cycles, or 5000 thermal cycles (TC). The µTBS data was analyzed by two-way ANOVA and Tukey's test (α=0.05). SB+ARC showed significantly higher µTBS for control and all aging processes (p<0.001). Nevertheless, TC had no effect on the bond strength of SB+ARC. No difference in µTBS was observed between S3+PAN and U200 after SPP (p=0.251), but significant lower values were found for U200 after ML (p=0.010) besides being superior in the control groups (p<0.001). For U200, all ageing regimens induced significant reductions in the bond strength (p<0.001) with a more pronounced negative effect after ML. S3+PAN showed significant lower bond strength (p=0.010) only after ML aging. Two-step etch-and-rinse adhesive associated with dual-curing conventional resin cement may present the highest overall µTBS. However, the use of S3 one-step self-etch adhesive along with conventional resin cements may provide the most stable luting performance under the tested aging strategy.     

Bond strengths of bulk-fill resin composite repairs: effect of different surface treatment protocols in vitro

To evaluate the effect of different surface treatment protocols on the microtensile bond strength (μTBS) of bulk-fill resin composite repairs. Thirty-five bulk-fill resin composite samples (Filtek Bulk Fill) were prepared (5 × 5 × 5 mm) and aged by thermocycling (X5000). Samples were randomly divided into five groups (n = 7): a control (no treatment) and four surface treatment groups (Single Bond Universal [SBU]; phosphoric acid (37%) + SBU; Er,Cr:YSGG laser + SBU; aluminum oxide sandblasting + SBU). Filtek Ultimate Universal composite was used as a repair material. After storage for 24 h in distilled water (37 °C), sticks were obtained and subjected to a μTBS test. The data (MPa) were analyzed by one-way ANOVA with a post hoc test (α = 0.05). Failure mode was evaluated using a light microscope (10×). There were significant differences between the groups (p < 0.05). The lowest bond strength values were obtained in the control group (p < 0.05). No significant difference was observed between Group II (universal adhesive) and Group III (acid etch + universal adhesive) (p > 0.05). The bond strength of Group II was significantly lower than that of the other surface treatment groups (p < 0.05). While Group III showed significantly lower values than those of the laser treatment group (Group IV), similar values were obtained with Al₂O₃ sandblasting group (Group V). The highest repair bond strength was obtained in Group IV (p < 0.05) which was not significantly different from the Al₂O₃ sandblasting group (p > 0.05). The predominant failure mode was adhesive. Treatment of aged bulk-fill resin composite surfaces with laser and Al₂O₃ sandblasting provided higher repair bond strength values.     

The effect of different cementing strategies and adhesive interface aging on microtensile bond strength (μTBS) of lithium disilicate ceramics to dentin

This study evaluated the effect of different cementing strategies and adhesive interface aging on microtensile bond strength (μTBS) of lithium disilicate ceramic (IPS e.max CAD) to dentin. Forty coronal dentin fragments were randomly assigned to four groups according to the cementing strategy used to bond lithium disilicate ceramic to coronal dentin surface (n = 10): U200 (self-adhesive resin cement (RC) RelyX U200®/3 M ESPE), SBU (single-step self-etching adhesive system (AS) Single Bond Universal®/3 M ESPE + RelyX ARC®/3 M ESPE RC), AdperSB (two-step etch-and-rinse AS Single Bond 2®/3 M + RelyX ARC®/3 M ESPE RC) and Scotchbond (three-step etch-and-rinse AS Scotchbond Multi-Purpose®/3 M + RelyX ARC®/3 M RC). After 48 h, the ceramic-tooth blocks were sectioned perpendicular to the adhesive interface in the form of sticks and randomly subdivided into two groups according to when they were to be submitted to μTBS testing: immediately or 6 months after storage in water. Some sticks were kept for analysis of the adhesive interface by scanning electron microscopy (SEM). The μTBS test was performed in a universal testing machine (0.5 mm/min). The data (MPa) were analyzed using split-plot ANOVA and Tukey’s test (α = 0.05). Water storage decreased μTBS in all cementing strategies. The μTBS was greatest in the Scotchbond group and lowest in the U200 group, at both storage times. No signs of interface degradation were detected under SEM after water storage. In conclusion, water storage decreased bond strength, regardless of the adhesive cementation strategy, and that the three-step adhesive system/dual-cure resin cement ultimately performed better in terms of bond strength.     

Two-step vs. one-step conditioning systems and adhesive interface of glass ceramic surface and resin systems

The effect of two-step and one-step ceramic surface conditioning/priming, and subjecting to exposure with boiling water on adhesion strength of resin cements was evaluated. Rectangular shaped specimens were cut from CAD blocks of E-max (Ivoclar Vivadent) and Mark II (VITA Zahnfabrik) and randomly assigned to two main study groups. Group one specimens’ surfaces were conditioned using the two-step conditioning/priming procedure and group two specimens were treated using the one-step conditioning/priming system. After treating, 3 mm thick resin cement layer was applied onto the surface using a split stainless steel mold. Each group was further divided into four subgroups (n = 10) depending on type of resin cement applied and subjecting to exposure in boiling water. Adhesion strength of all the specimens was measured using the universal material testing machine, results were tabulated and subjected to statistical analysis at a significance level of p < 0.05. Adhesive resin showed higher values of 22.05 and 18.65 MPa with E-max and Mark II respectively, and resin composites showed 18.13 and 15.13 MPa with E-max and Mark II respectively, when two-step conditioning system was employed. Majority of the adhesive resin specimens showed cohesive failure in cement. Subjecting the specimens to exposure in boiling water for 24 h not only showed adhesive failure but also significantly reduced adhesion strength of adhesive resin and resin composite. The significance of the study is that, the traditional two-step ceramic surface conditioning is more effective than the one-step conditioning and unfilled adhesive resin provides better adhesion strength.     

Bond durability of contemporary universal adhesives: effect of dentin treatments and aging

The aim of this in vitro investigation was to evaluate the effects of different dentin treatments on µTBS values of three different universal adhesives. Sixty extracted bovine incisors were used. The teeth were horizontally sectioned from the enamel-cement junction and embedded in an acrylic resin. Enamel was removed with 180-grit SiC paper to expose dentin. The exposed dentin surfaces were further polished with 600-grit SiC paper to provide a standardized smear layer. Teeth were randomly divided into three groups, according to the universal adhesives: All-Bond Universal, Single Bond Universal, and G-Bond Plus. Each group was then assigned into four subgroups, according to the dentin treatments: etch-and-rinse mode (ER), ER + 2% chlorhexidine (CHX), ER + %2.5 genipin (GE), and self-etch mode (SE). Samples were longitudinally sectioned across the bonded-interfaces to obtain resin-dentin beams. Beams were prepared from the same teeth were randomly and equally divided into two groups: immediate µTBS testing and µTBS testing after 6-month. The failure loads were recorded in MPa, and failure modes were evaluated at 30× magnification. The data were analyzed using a two-way ANOVA, to determine the effects of dentin treatment and storage time, and the interaction of these two factors on the µTBS of universal adhesives. Dentin treatments were showed significant differences (p?<?0.05). ER mode exhibited higher µTBS than SE mode. However, universal adhesives were more durable in the SE mode than ER mode. Also, chlorhexidine treatment significantly improved adhesive performance of all universal adhesives, while no significant improvement was detected with genipin treatment.     

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.     

Ultra-structural characterization of enamel–resin interface using FIB-TEM technology

This study evaluated the enamel–resin interface of three adhesive resins (ARs) by a transmission electron microscope (TEM) after milling with focused ion beam (FIB). Simple Class-I cavities (0.5?mm within enamel depth, 4?mm length, and 2?mm width) were prepared on human caries-free molars. The enamel of two groups was conditioned by one-step self-etch bonding system (Scotchbond^?/Single Bond Universal [SBU], and Xeno V^®+ [XV⁺]), while the enamel of the third group was etched by phosphoric acid, and then treated by two-step self-priming etch-rinse system (Prime&Bond^® NT [PBNT]). The application of the adhesive systems was carried out according to their respective manufacturer’s instructions. The cavities were restored by a nanofill resin composite (Filtek^? Z350 XT Universal; 3?M ESPE) in one bulk-fill, and cured for 40?s at 550?mW/cm² by a halogen light (Optilux 501, Demetron/Kerr, Danbury, USA). The specimens were milled by FIB into 100?nm thickness slices, and then observed under TEM. The transmission electron micrographs showed an adequate adhesion of both two-step etch-rinse (PBNT) and one-step self-etch (SBU) to enamel surface. The deeply etched enamel prisms were impregnated by the etch-rinse PBNT adhesive. A relatively inadequate adhesion associated with some areas of bond degradation underneath the hybrid layer and within the adhesive was noted for the XV⁺ AR. Apart from the mild acidic adhesives of one-step self-etch and two-step etch-rinse investigated, the highly hydrophilic and acidic water-based one-step self-etch adhesive (XV⁺) proved to be less effective enamel bond by ultra-structural characterization technique using FIB-TEM.     

EFFECTS OF SURFACE HYDRATION AND APPLICATION METHOD ON THE BOND STRENGTH OF SELF-ETCHING ADHESIVES TO DENTIN

The effect of application methods and dentin hydration on the bond strength of three self-etching adhesives (SEA) were evaluated; 195 extracted bovine incisors were used. The buccal surface was ground in order to expose the dentin, which remained 2-mm minimum thickness, measured by a thickness meter through an opening on the lingual surface. Adper Single Bond 2? was used for the control group. The SEA were applied following two modes of application: passive or active and two hydration states of the dentin surface—dry and wet. After light-curing, composite buildups were made using Grandio? composite. The specimens were sectioned and tested with a microtensile bond strength test. The application method and the hydration state resulted in statistical differences (p = 0.000) making the values of active application for μTBS to dentin higher than passive application. The wet surfaces showed higher μTBS to dentin ratios than dry surfaces. There were no statistical differences in μTBS among the SEA tested but there were differences regarding to control group.