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

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

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

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

Influence of the ER,CR:YSGG laser and different irrigation methods on push-out bond strength of fiber post

Er,Cr:YSGG lasers are currently being investigated for disinfecting the root canal treatment. The aim of this study was to compare the effects of various irrigation protocols on push-out bond strength of fiber posts. Fifty maxillary anterior teeth were divided into five groups (n = 10) according to the protocol that applied into the post space. Group-1: distilled water, Group-2: 5% NaOCl, Group-3: 2% CHX, Group-4: Er,Cr:YSGG laser (1.5 W, 20 Hz, 85 air, 75 water, 26.7 J/cm²), Group-5: Er,Cr:YSGG laser (1.25 W, 50 Hz, 34 air, 24 water, 12.7 J/cm²). Fiber posts were cemented with resin cement. The remaining part of the root, three slices were obtained from each specimen and push-out test was performed. One-way ANOVA and Duncan’s test at a 5% level of significance were used for the statistical analysis. Post space irradiation with Er,Cr:YSGG laser (1.5 W 20 Hz, 85 air, 75 water, 26.7 J/cm²) increases push-out bond strength of fiber post to root canal dentin. Further investigations are needed to establish and optimize ER,Cr:YSGG laser parameters to increase the push-out bond strength of fiber posts.     

Effect of the frequency of mechanical pulses for fatigue aging testing on push-out bond strength between glass fiber posts and root dentin

The aim of this study was to evaluate the influence of the frequency of mechanical pulses during mechanical fatigue aging on bond strength between glass fiber posts and root dentin. Fiber posts were adhesively cemented in 30 bovine roots and the core was built up with composite. All specimens were subjected to mechanical cycling (45° angle; 37 °C; 50 N; 2×10⁶ pulses) at different frequencies: 2, 4, and 8 Hz. After the fatigue, each specimen was submitted to push out test. The bond strength was calculated for data analysis (one-way ANOVA, p = 0.05). The frequency did not affect the push-out (p = 0.7). The main failure mode was between dentin and cement in all groups. The mechanical pulses were not influenced by the bond strength between root dentin and fiber posts. Thus, it is possible to decrease the time-consuming in vitro tests involving posts without damaging the reliability of the test.     

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.     

Effect of the interfacial area measurement parameters on the push-out strength between fiber post and dentin

PurposeTo verify the influence of different instruments and operators on the bonding interfacial area and on the push-out bond strength values.Material and methodsFifteen anterior human teeth (n=15) were selected, cleaned and standardized to 15 mm length. Root canals were prepared in 12 mm and the fiber posts were cemented using the RelyX U-100 cement. Three slices were obtained per tooth (N=45) and submitted to the push-out bond strength test. The bonding interfacial area (mm²) of each specimen was calculated based on the disc slice dimensions: coronal and apical diameter and height. The bonding area of each specimen was used to calculate the bond strength (Mpa). The dimensions were analyzed by different operators, using two instruments: G1 – Operator A with a digital caliper; G2 – Operator A with a stereomicroscope; G3 – Operator B with a digital caliper; G4 – Operator B with a digital stereomicroscope; G5 – Operator C with a digital caliper; G6 – Operator C with a stereomicroscope. The mean area was submitted to inter-operator and intra-operator analyses, while the mean area and mean of bond strength were submitted to the 2-way ANOVA with repeated measures and the Tukey test (α=0.05).ResultsThe inter-operator kappa was 0.83 to the digital caliper and 0.91 to the stereomicroscope, while the intra-operator kappa was 0.76. The operator and the measurement instrument influenced the interfacial bonding area (p=0.000 and p=0.001) and the push-out bond strength values (p=0.000 and p=0.000, respectively) of the disc slices.ConclusionThe final push-out bond strength values are influenced by the measuring instrument and by the measurer operator.     

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.     

Effect of calcium hydroxide removal techniques on the bond strength of root canal sealers

To evaluate the influence of calcium-hydroxide(CH) with different vehicles on the push-out bond strength of different canal sealers to radicular dentin. 152 decrowned single-rooted human teeth were used. After preparation of root canals with nickel-titanium rotary files, 8 roots served as control groups. Then, the roots were divided as follows: (1) Calasept and (2) Surepaste (n = 72). Roots were further subgrouped according to the CH removal techniques: (1) %17 ethylenediaminetetraacetic acid (EDTA) + rotary file, (2) %17EDTA + hand file, and (3) %17EDTA (n = 24). Eight roots from each group sectioned longitudinally, divided into two pairs and photographed by stereomicroscope (n = 16). The remaining 16 roots in CH intracanal dressing groups were further divided into 2 subgroups according to the sealer used: (1) AH-Plus-jet and (2) Apexit-Plus (n = 8). Bond strengths of the root canal sealers to root canal dentin were measured using a push-out test setup. The data were statistically analyzed using multivariate analysis of variance p = 0.05. The push-out bond strength values were significantly affected by type of vehicle and the removal techniques (p < 0.05). The mean bond strength of AH-Plus-jet was significantly higher than Apexit-Plus, regardless of type of vehicle and the removal techniques (p < 0.05). There was no difference between vehicles on CH removal (p > 0.05). When examining the removal techniques, only irrigation with %17 EDTA left significantly larger amount of residue (p < 0.05). AH-Plus-jet showed better dislocation resistance than Apexit-Plus. Type of vehicle does not play a fundamental role in the degree of persistence of CH residues on the dentin walls. Instrumentation improves the removal efficiency of CH from root canal.     

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.     

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.     

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

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

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.     

Mechanical properties of flared root canals restored with fiber post and chemically activated resin: study using push-out bond strength and fracture load tests

This study aimed to evaluate the fracture load and push-out bond strength of flared root canals restored with different procedures, including a technique with a fiber post and a chemically activated resin composite. Eighty human canines were selected and treated endodontically. Two methodologies were used: push-out and fracture load. The teeth were divided into four groups: Cast metal core (CMC); PAN (direct anatomic post); PAC (fiber post and accessory posts); and PE (fiber post with chemically activated resin composite). For the fracture load test, the samples were submitted to load application in a universal testing machine. The fracture mode was evaluated visually. Forty other samples were submitted to the push-out test. The fracture load (n = 10) and the bond strength (n = 10) were analyzed by analysis of variance and Tukey tests (α < 0.05). CMC presented the highest fracture load (p < 0.05), and no significant differences were observed in the fracture load values for Groups PAN, PAC, and PE. CMC presented 90% of unfavorable failures; PAN and PAC, the remaining 10% of these failures. PE presented only favorable failures. PAC presented lower push-out bond strength values. The fracture load for CMC procedure was higher than that of the others, but presented 90% unfavorable fractures, indicating the use of any of the glass fiber post techniques evaluated for restoring flared root canals due to favorable fracture modes.     

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 .     

Adhesion of orthodontic brackets to indirect laboratory-processed resin composite as a function of surface conditioning methods and artificial aging

This study compared the shear bond strength of orthodontic brackets to laboratory-processed indirect resin composites (IRC) after different surface conditioning methods and aging. Specimens made of IRC (Gradia Indirect, GC) (thickness: 2 mm; diameter: 10 mm) (N = 80) were randomly assigned to one of the following surface conditioning methods: C – Control: no treatment; AA – Air-abrasion (50 μm Al₂O₃ particles); DB – Diamond bur and HF – Etching with hydrofluoric acid (9.6%). After adhesive primer application (Transbond XT), orthodontic brackets were bonded to the conditioned IRC specimens using adhesive resin (Transbond XT). Following storage in artificial saliva for 24 h at 37 °C, the specimens were thermocycled (×1000, 5–55 °C). The IRC–bracket interface was loaded under shear in a Universal Testing Machine (0.5 mm/min). Failure types were classified using modified adhesive remnant index criteria. Data were analyzed using two-way ANOVA and Tukey`s HSD (α = 0.05). Surface conditioning method did not significantly affect the bond strength results (p = 0.2020), but aging significantly decreased the results (p = 0.04). Interaction terms were not significant (p = 0.775). In both non-aged and aged conditions, non-conditioned C group presented the lowest bond strength results (MPa) (p < 0.05). In non-aged conditions, surface conditioning with DB (8.03 ± 0.77) and HF (7.87 ± 0.64) showed significantly higher bond strength results compared to those of other groups (p < 0.05). Thermocycling significantly decreased the mean bond strength in all groups (2.24 ± 0.36–6.21 ± 0.59) (p < 0.05). The incidence of Score 5 (all adhesive resin remaining on the specimen) was the highest in HF group without (80%) and with aging (80%) followed by DB (40, 70%, respectively). C groups without and with aging showed exclusively Score 1 type (no adhesive resin on the specimen) of failures indicating the least reliable type of adhesion.     

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

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

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

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

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

Effect of the Etching Duration and Ultrasonic Cleaning on Microtensile Bond Strength Between Feldspathic Ceramic and Resin Cement

This study assessed the effect of different etching durations of feldspathic ceramic with hydrofluoric acid (HF) and ultrasonic cleaning of the etched ceramic surface on the microtensile bond strength stability of resin to a feldspathic ceramic. The research hypotheses investigated were: (1) different etching times would not affect the adhesion resistance and (2) ultrasonic cleaning would improve the adhesion. Ceramic blocks (6 × 6 × 5 mm) (N = 48) were obtained. The cementations surfaces were duplicated in resin composite. The six study groups (n = 8) were: G1—Etching with 10% aqueous HF (30 s) + silane; G2—10% HF (1 min) + silane; G3—10% HF (2 min) + silane; G4—10% HF (30 s) + ultrasonic cleaning (4 min) in distilled water +silane; G5—10% HF (1 min) + ultrasonic cleaning + silane; G6—10% HF (2 min) ultrasonic cleaning + silane. The cemented blocks were sectioned into microbars for the microtensile test. The etching duration did not create significant difference among the groups (p = .156) but significant influence of ultrasonic cleaning was observed (p = .001) (Two-way ANOVA and Tukey's test, p > 0.05). All the groups after ultrasonic cleaning presented higher bond strength (19.38–20.08 MPa) when compared with the groups without ultrasonic cleaning (16.21–17.75 MPa). The bond strength between feldspathic ceramic and resin cement was not affected by different etching durations using HF. Ultrasonic cleaning increased the bond strength between ceramic surface and resin cement, regardless of the etching duration.     

Influence of chlorhexidine in cavities prepared with ultrasonic or diamond tips on microtensile bond strength

This study evaluated the effect of chlorhexidine (CLX) in cavities prepared with either ultrasound-mounted CVDentUS diamond tips or conventional diamond burs on dentin bond strength after 24 h and 180 days. Forty-eight dentin surfaces from sound third molars were flattened and divided into four groups (n = 12), according to the type of cavity preparation (CVDentUS ultrasound tip or conventional diamond) and with or without 2% CLX (Consepsis) treatment. After application of the adhesive system (Clearfil SE Bond), microhybrid composite resin blocks (Charisma) were made on the dentin surface in increments. After 24 h, the specimens were sectioned into stick-shaped samples with an adhesive interface of approximately 1 mm². From each tooth, half of the sticks were evaluated after 24 h of storage in distilled water and the other half after 180 days, using a universal testing machine. Three-way analysis of variance showed no significant triple interactions (p = 0.722) or double interactions between factors. Higher bond strength values were observed with the use of ultrasonic tips (p = 0.019), irrespective of whether or not CLX was applied in either time period. No difference in bond strength values was observed in terms of CLX application (p = 0.581). No significant difference in bond strength values was shown after storage for 24 h or 180 days (p = 0.302). In conclusion, the ultrasonic tips promoted greater bond strength to dentin, irrespective of whether or not CLX was applied, and storage time.     

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 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.