Influence of hydrogen peroxide-based bleaching agents on the bond strength of resin–enamel/dentin interfaces

This study evaluated the effect of different bleaching techniques on the bond strength of pre-existing adhesive restorations in enamel and dentin. Hydrogen peroxide-based bleaching gels with different concentrations (7.5% and 35%) were used on composite restorations of Adper Single Bond 2 (3M/ESPE, St. Paul, USA) and Filtek Z250 (3M/ESPE, St. Paul, USA). Twenty human third molars were randomly divided into 8 groups: GE—enamel control; GE7.5—bleaching using 7.5% hydrogen peroxide; GE35—bleaching using 35% hydrogen peroxide; GE 7.5+35—bleaching using 7.5% and 35% hydrogen peroxide; GD—dentin control; GD7.5—7.5% hydrogen peroxide; GD35—35% hydrogen peroxide; and GD 7.5+35—7.5% and 35% hydrogen peroxide. Bleaching was performed using long clinical application-time to low concentration gel, and short clinical application-time to high concentration gel. Unbleached specimens were stored in artificial saliva for 14 days. Specimens subject to micro-shear testing and data were analyzed by Analysis of Variance and Tukey's test (p=0.05). Enamel micro-shear bond strength was reduced after 7.5% hydrogen peroxide and after association of 7.5% and 35% hydrogen peroxide. Bleaching treatment altered dentin bond strength only when using 7.5% hydrogen peroxide. The results suggest that the bond strength of the restorations was influenced by the clinical extent of bleaching-gel application time and was not dependent on bleaching-gel concentration.     

Antimicrobial activity,effects on Streptococcus mutans biofilm and interfacial bonding of adhesive systems with and without antibacterial agent

ObjectivesThis study evaluated the antimicrobial activity (by agar disk diffusion test, AD), viability of S. mutans biofilm (VB), and effect on resin-dentin interface (RDI) of six adhesive systems.MethodsThree adhesives containing antibacterial components (Gluma 2Bond (G2B)/glutaraldehyde, Clearfil SE Protect (CSP)/MDPB and Peak Universal Bond (PUB)/chlorhexidine) and the corresponding adhesives with similar composition, but without antibacterial agents (Gluma Comfort Bond, GCB; Clearfil SE Bond, CSB and Peak LC Bond, PLB) were evaluated. AD was determined measuring the extent of halo formation following application of adhesives and control groups (light cured or not) to cultures of four strict anaerobic and four facultative bacteria. For VB, a UA159 biofilm was grown on adhesive-coated hydroxyapatite discs for five days, collected and processed to count the number of viable cells. For RDI analysis, adhesives were applied according to manufacturers' recommendations and teeth were restored with resin composite, sectioned to obtain bonded slices and visualized by SEM.ResultsAn inhibition halo was observed for G2B (strict anaerobic/light cured and not light cured), CSP (strict anaerobic and facultative/light cured and not light cured) and PUB (strict anaerobic and facultative/not light cured). PUB when light cured produced an inhibition halo on L. casei and S. mutans only. G2B and CSP significantly reduced the viability of S. mutans. Adhesives containing antimicrobial compounds had no detectable effect on RDI.ConclusionThe MDPB-containing bonding agent showed better results of inhibition for all oral pathogens tested and a decrease of viability of Streptococcus mutans biofilm, among the adhesives tested.     

Evaluation of resin/dentin bonded interfaces formed by different adhesive strategies and exposed to NaOCl challenge

This study evaluated the importance of encapsulated collagen on resin/dentin interface created by different adhesive strategies. Composite build-ups were bonded to dentin using one of the following adhesive systems: Scotchbond Multi-Purpose (SBMP), Adper Scotchbond 2 (SB2), Clearfil SE (CSE) and Scotchbond SE Plus (SBSE), and cut into non-trimmed dentin–composite beams. Half of those beams were deproteinized using 10% NaOCl for 1 h and the other half was stored in water. Beams were pulled to failure and data were statistically analyzed by a two-way ANOVA and Tukey for multi-comparison test (α=0.05). Additional dentin disks were stained with Masson׳s trichrome acid and processed with light microscopy in order to identify the exposed collagen zones. All groups showed a significant reduction on bond strength after proteolytic challenge (p<0.05). Adhesive systems were ranked in the following order: SBMP>SB2=CSE>SBSE (p<0.05) for control and treated groups. Microscopy analysis showed different collagen exposed zones in relation with the adhesive strategy used. It can be concluded that collagen encapsulation affects the quality of bond interface, which is related to the adhesive system used.     

Effect of epigallocatechin gallate,green tea extract and chlorhexidine application on long-term bond strength of self-etch adhesive to dentin

This study evaluated the effect of dentin pretreatment with metalloproteinase inhibitors on long-term microtensile bond strength (μTBS) of self-etch adhesive (SEA) to dentin. Thirty-two dentin fragments received pretreatments (n=8): C: control (not treated); GT: 2% green tea extract; CLX: 2% chlorhexidine; EGCG: 2% epigallocatechin gallate. SEAs (Clearfil SE Bond) and resin composite were applied to dentin surface. After 24 h, resin-blocks were cut into sticks submitted to μTBS testing immediately or after 6 months of storage in water. Two-way ANOVA and Tukey test (α=5%) indicated that CLX group showed μTBS values statistically superior to the other groups at immediate testing, whereas those of EGCG group were the lowest (p=0.018). After 6 months, a significant increase in μTBS values was observed for all groups, except for CLX (p=0.018). In conclusion, μTBS increased in dentin pretreatment with EGCG and green tea groups, and in the non-treated group.     

Efficacy of accelerated aging methods to degrade the adhesive interface of dentin cavities bonded with etch-and-rinse adhesive systems

This study evaluated the bond durability produced by etch-and-rinse (E&R) adhesive systems in response to traditional and accelerated aging methods. Tridimensional dentin cavities were prepared on 80 bovine incisors, which were bonded with a 3-step E&R (Adper Scotchbond Multipurpose Plus – MP) and a 2-step E&R (Adper Single Bond 2 (SB) adhesive systems, and restored with composite. The samples were stored in water for 24 h, and then subjected to each of the aging methods (n = 10): control group – only 24-h storage (not exposed to additional aging), 6- and 12-month water storage, and 10% NaOCl storage. The push-out bond strength test was performed in a universal testing machine. Failure modes were evaluated by scanning electron microscopy. Data were analyzed by two-way ANOVA and Tukey tests (p < 0.05). Aging methods provided statistically similar bond strength for 3-step E&R adhesive system (p > 0.05). 10% NaOCl storage provides statistically similar bond strength values to 6- and 12-month water storage (p > 0.05), which were statistically lower than those provided by 24-h water storage (control group) (p < 0.05). Adhesive failures were more frequent. Aging methods provided different behaviors according to each adhesive system. The accelerated 10% NaOCl storage was effective to decrease bond strength only for 2-step E&R adhesive system.     

The effect of functional monomer chain spacer length on the bond strength of an experimental dental adhesive

The study evaluated the effect of the carbon-chain spacer of monomers on the bonding effectiveness of two-step self-etching adhesive systems (SES). We investigated three acrylamidophosphonic acid monomers which vary only by the length of the carbon chain, 2-(N-methylmethacrylamido)ethylphosphonic acid, 6-(N-methylmethacrylamido)hexylphosphonic acid and 10-(N-methylmethacrylamido)decylphosphonic acid, on their effect in bonding performance while formulated in a self-etching primer with dentin and enamel. The results correlated well with those obtained from Scanning Electron Microscopy (SEM) and Atomic Force Microscopy (AFM).It is concluded that there are no significant differences in terms of immediate Shear Bond Strength (SBS) on either enamel or dentin by using experimental self-etching primer (SEP) of different spacer chain length.     

Effect of self-etching dual-curing universal adhesive system application on bond strength of dentin resinous liners dentin

Purpose: The aim of this study was to evaluate the influence of previous application of an adhesive system on bond strength of resinous liner materials to dentin. Methods: Ninety bovine incisors crowns had a 6 × 6 mm area of dentin exposed, with minimum of 2 mm thickness. They were embedded in acrylic resin, and the dentin was polished with P600 SiC sandpaper for 30 s to standardize the smear layer. The specimens were divided into 6 groups (n = 15) according to the application or not of a self-etching system (Futurabond U – Voco) and the type of resinous liner used: A+Ionoseal (adhesive and Ionoseal – Voco); Ionoseal (Ionoseal only); A+Vitrebond (adhesive and Vitrebond – 3M/ESPE); Vitrebond (Vitrebond only); A+Ionosit (adhesive and Ionosit – DMG) and Ionosit (Ionosit only). Adhesives were used following manufacturer’s instructions, and the liner materials were applied inside a 2-mm-depth matrix and light-cured for 20 s. The bond strength was measured by microtensile test, using a universal testing machine with a cross-speed of 1 mm/min. Data were analyzed using one-way ANOVA and Tukey’s test (p < 0.05). Results: The adhesive system application increased bond strength of all liners tested. Ionoseal presented the highest bond strength when the adhesive system was used and exhibited similar performance to Vitrebond without adhesive. Ionosit without adhesive showed the smallest bond strength compared with the other liners tested. Conclusion: The application of an adhesive system prior to the use of the resinous liners improved the bond strength to dentin and should be preconized.     

Cytotoxicity,genotoxicity and antibiofilm activity on Streptococcus mutans of an experimental self-etching adhesive system containing natural Butia capitata oil

This study evaluated the biocompatibility and antibiofilm effects on Streptococcus mutans of an experimental self-etching adhesive system formulated with a natural vegetable product. The cytotoxicity of Clearfil Protect Bond (CPB), Clearfil SE Bond (CSEB), Adper SE Plus (AP), an experimental adhesive containing Butia capitata oil (EA) and an oil-free experimental adhesive as control (CA) was tested on 3T3/NIH mouse fibroblasts. Genotoxicity was indicated by micronuclei formation, and cell alterations were analyzed using light microscopy. To evaluate the effect of the adhesives on S. mutans biofilm, biomass samples were collected for dry weight and bacterial viability analyses, and the pH of the culture media was determined daily as an indicator of biofilm acidogenicity. The CA primer and EA uncured bond adhesive were the least toxic. No statistical difference was observed between EA and the untreated control, and EA showed similar effect to CPB. These findings suggest EA is biocompatible and presents activity against S. mutans biofilm.     

The bonding effect of adhesive systems and bulk-fill composites to sound and caries-affected dentine

Purpose: To investigate the influence of adhesive type and increment thickness on shear bond strength of flowable bulk-fill resin composites compared with a flowable conventional resin composite, in both sound and caries-affected dentine.

Methods: Shear bond strength was tested in 100 extracted human molars with coronal dentine caries. Half of the teeth were restored with Adper? Easy Bond and the other half with Adper? Single Bond Plus. Bonded surfaces were restored with Filtek? Ultimate Flow and two bulk-fill composites (SDR and X-tra base) (n = 10 teeth for each subgroup). Restorations of 4 mm were performed with incremental or bulk-fill technique. The shear bond was determined and statistically analysed using three-way ANOVA and Bonferroni multiple comparison post hoc tests (p ≤ 0.05). Dentine–resin interfaces were evaluated by scanning electron microscopy.

Results: For both adhesives, the highest shear bond strength values were obtained for sound dentine. In sound dentine, the highest bond strength observed with Easy Bond when used in 2-mm increments of SDR. In caries-affected dentine, Single Bond in combination with SDR displayed significantly lower bond strength.

Conclusion: There was no significant difference in shear bond strength between the incremental and bulk-fill groups for molars with sound dentine when the etch-and-rinse adhesive system was used; however, for the self-etch adhesive system, incremental application caused higher bond strength than bulk application.     

Microtensile versus microshear bond strength between dental adhesives and the dentin substrate

This study evaluated the performance of different bonding tests on the bond strength of three adhesive systems to dentin. Forty-eight bovine incisors were used in the study, which were allocated in two groups according to the bond strength test performed: microtensile (µTBS) or microshear (µSBS). Also, each group was divided in three subgroups according to the adhesive system applied: Single Bond (SB), Prime & Bond (PB) and XP Bond (XPB) (n=8). The teeth were prepared according to each bond strength test protocol, and then the specimens were tested in an universal testing machine (EMIC). The data were submitted to two-way ANOVA (bond strength test and adhesive system type factors) and Tukey's post hoc test (α=0.05). The µTBS results were higher for all the adhesives when compared to the µSBS ones. Within the µTBS results, SB showed higher bond strength than PB and XPB, which showed similar adhesive performance among each other; within the µSBS results, all the adhesives presented similar bond strength values to dentin. The µTBS test detected differences between the adhesive systems evaluated; in contrast, the µSBS test was less discriminating in evaluating the adhesive performance of the materials tested.     

Role of dentin cross-linking agents in optimizing dentin bond durability

The present work compared the effects of 1-ethyl-3-(3-dimethylaminopropyl) carbodiimide hydrochloride (EDC-HCl) and ultraviolet (UV)- or blue light-activated riboflavin cross-linking agents on resin–dentin micro-tensile bond strength and nanoleakage in bonds produced using a two-step, etch-and-rinse adhesive after three storage intervals (24 h, 6 months, and 12 months). Forty eight extracted human third molars were used to investigate micro-tensile bond strength and interfacial nanoleakage in resin–dentin bonds created using Adper Single Bond 2, with or without pretreatment of acid-etched dentin surfaces. Either 0.5 M EDC-HCl or 1% riboflavin-5-phosphate activated by blue or UV light were used as cross-linking agents. Samples were evaluated after storage for 24 h, 6 months, or 12 months in distilled water at 37 °C. Statistical analyses revealed that 12 months of storage resulted in significant decreases in the bond strength of the controls (p < 0.003), with significant increases in their silver nanoleakage (p < 0.05), compared with the groups subjected to dentin pretreatment with either EDC-HCl or light-activated 1% riboflavin. Despite the significant drop in bond strength after 6 months’ storage in all experimental groups compared with the 24-h bond strength (p < 0.05), there was a further non-significant drop in bond strength after 12 months in samples treated with EDC-HCl and UV-activated 1% riboflavin (p > 0.05). Dental collagen cross-linking induced by UV- or blue light-activated 1% riboflavin or EDC-HCl enhanced the durability and strength of the resin–dentin bond.     

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 adhesive air-drying time on bond strength to dentin: A systematic review and meta-analysis

ObjectiveThe objective of this review was to evaluate the effect of air-drying time on the adhesion (bond) strength of adhesives to dentin in previously published studies and to conduct a meta-analysis to quantify the differences in the bond strength obtained after the different air-drying times.MethodsAn electronic search was performed using the Medline, Cochrane library, and Scopus databases. The included studies were laboratory studies that investigated the effect of adhesive air-drying time on adhesion (bond) strength of resin-based adhesives to coronal dentin. Studies which evaluated the effect of adhesives air-drying time on physical and mechanical properties of adhesives, interfacial properties, bond strength to root dentin, enamel, or bond strength of indirect composite restoration or orthodontic bracket, were excluded. The methodological quality of included studies was assessed. Meta-analysis was performed using Comprehensive Meta-Analysis software, version 2.0 (Biostat, Englewood, NJ, USA). The results of the meta-analysis were subjected to a further one-way analysis of variance, followed by the Tukey post hoc multiple comparison using R-software, version 3.4.3 (R Foundation for Statistical Computing, Vienna, Austria).ResultsThirteen studies fulfilled the inclusion criteria of this review, while only five studies were included in meta-analysis. The effect of adhesive air-drying time on the bond strength was significant in eight studies (61.5%), material-dependent in four studies (30.8%), and not significant in one study (7.7%). Eight studies (61.54%) presented a medium-risk of bias, three studies (23.08%) presented a low-risk of bias, and two studies (15.38%) presented a high-risk of bias. The analysis of micro-tensile bond strength (μTBS) of adhesives showed statistically significant difference between different air-drying times (p<0.05). The highest mean μTBS values were: 52.9 ± 11.38 MPa (obtained after air-drying of adhesives for 30 s), followed by 48.26 ± 9.77 MPa (15 s), and 37.76 ± 1.45 (25 s), while the lowest mean μTBS was 33.98 ± 2.30 MPa and 35.79 ± 6.63 MPa (5 s) obtained after 10 s and 5 s respectively.ConclusionThe air-drying time of adhesives is crucial to the adhesion strength to coronal dentin. Adhesive air-drying for shorter durations (5–10 s) may be insufficient to obtain adequately durable bonding to dentin, instead, Air-drying should be performed for longer durations (15–30 s), considering the pressure and distance of air-drying source.     

Analysis of the specimen shape and aging protocols in the adhesive strength between dentin and resin composite

The objective of this study was to evaluate the aging protocols and the specimen shape (sticks and dumbells) in the adhesive strength between dentin and resin composite during micro-tensile stress. The specimens were submitted to no aging protocol, mechanical cycling (using macro and micro-rotation methods), thermal cycling and micro-tensile test. The stress distribution for the two specimen shapes was performed by finite elements analysis. Data were submitted to 3-way ANOVA and Tukey Test (α = 0.05). There is no statistical difference considering the interactions among the factors: specimen shape, thermal cycling, and mechanical cycling. Also, the mechanical cycling, for both methods, micro or macro-rotation, and the thermal cycling did not affect the adhesive strength of the samples. However, the specimen with the dumbbell shape showed higher adhesive strength (16 ± 3 MPa) than the stick shape specimen (11 ± 2 MPa). The stress distribution in dumbbell shape was more homogeneous than in the sticks. It can be concluded that the aging protocols tested were not enough to degrade the adhesive interface and the dumbbell shape specimen is better to predict the real adhesive strength developed in the interface.     

Selection of an adhesive for bonding FRP automotive panels

A four-phase programme was undertaken to evaluate adhesives for bonding fibre-reinforced plastic (FRP) to itself and to steel in automotive applications. Through initial screening of lap-shear specimens, four adhesives were selected from 17 candidates for bonding automobile hoods on a production-type bonding fixture. Evaluation of these sample hoods and of additional lap-shear specimens, including environmental testing, demonstrated the superior performance of a one-component urethane adhesive.A two-component modified epoxy demonstrated comparable performance on FRP to FRP assemblies, but not for FRP to steel applications.     

Development of a two-component structural adhesive for bonding of metals and polymeric composites

To minimize the structure distortion and potential de-bonding in adhesive bonding of dissimilar materials (e.g., metals and polymeric composites), a two-component (2 K) low temperature cure modified adhesive consisting of 93.5 wt% commercial Henkel 5089 adhesive, 2.5 wt% N-(2-Hydroxyethyl) ethylenediamine (AEEA) and 4.0 wt% 2-ethyl-4-methylimidazole (2,4-EMI) was formulated. Experimental results showed that the use of the modified adhesive lowered the curing temperature from recommended 177 °C (for 20 min) for Henkel 5089 to 100 °C (for 20 min) or 120 °C (for 10 min) for AA6061-AA6061 joint, and 120 °C (for 20 min) or 130 °C (for 10 min) for AA6061-C_f/PA6 (Nylon 6) and C_f/PA6-C_f/PA6 joints, respectively, due to the faster curing reaction caused by the combined addition of AEEA and 2,4-EMI. It took 5, 3, and 2 days to cure the adhesive-bonded AA6061-AA6061, AA6061-C_f/PA6, and C_f/PA6-C_f/PA6 joints made with the modified adhesive and cured at ambient temperature, respectively. In addition, the modified adhesive had sound working life (5 h) at ambient temperature. The static strengths of all adhesive-bonded AA6061-AA6061, AA6061-C_f/PA6, and C_f/PA6-C_f/PA6 joints with the modified adhesive were hardly affected by thermal exposure cycle (i.e., exposure to 82 °C for 30 min). These results indicated that the modified adhesive possesses the promising characteristics for joining of similar and dissimilar materials.     

Post-treatment with high-power lasers to improve bond strength of adhesive systems to bleached dentin

To assess the effect of Er:YAG and diode lasers on the shear bond strength (SBS) of adhesive systems to bovine dentin submitted to bleaching with a high concentration agent. One hundred and twenty bovine dentin fragments were used. Fragments were distributed into 12 groups (n = 10) considering the bleaching (present or not), surface post-treatment (untreated, Er:YAG laser or diode laser) and adhesive system (total-etching or self-etching). Specimens received two applications of 38% hydrogen peroxide. Er:YAG laser (2940 nm, 200 mJ, 4 Hz) and diode laser (980 nm, 1.5 W) were applied for 15 s on bleached dentin surface. Restoration was performed with resin using split matrix. Specimens were submitted to SBS test and data (MPa) were analyzed by ANOVA and Tukey’s test (α = 0.05). SBS of bleached specimens decreased in comparison with non-bleached (p < 0.05). The highest values were obtained for the post-treatment with Er:YAG laser (p < 0.05). Total-etching adhesive was superior to self-etching system (p < 0.05). The irradiation of bleached dentin with Er:YAG laser followed by the application of the total-etching adhesive had similar SBS to unbleached dentin with no post-treatment (control) (p > 0.05). Er:YAG laser post-treatment followed by the total-etching adhesive system improve the bond strength of restorative material to bleached dentin.     

Influence of Different Solvents on the Morphology of the Hybrid Layer Using Two-Step Etch-and-Rinse Adhesives

To evaluate if different etch-and-rinse adhesive solvents influenced the hybrid layer's morphology.

Four one-bottle etch-and-rinse adhesive systems containing different solvents—Group A: Scotchbond 1XT?– 3 M ESPE, Group B: XP – Bond? – Dentsply, Group C: Prime&;Bond NT® – Dentply, and Group D: One Coat Bond® - Coltène Whaledent—were applied onto 32 dentin discs which were thermocycled, prepared, and examined using field-emission scanning electron microscopy. Micrographs were scanned and the data were processed using Statistical Package for Social Sciences. The mean value and standard deviation were calculated and the Anova Multivariant Test was used.

The hybrid layer thickness average found was 3.23 µm (±0.53) in Group A, 3.13 µm (±0.73) in Group B, 2.53 µm (±0.50) in Group C, and 1.84 µm (±0.27) in Group D. Prime&;Bond NT® presented a more inconsistent hybrid layer.

The solvent seems to play a significant role in hybrid layer structure and thickness.     

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.     

One-year bonding performance of one-bottle etch-and-rinse adhesives to dentin at different moisture conditions

Abstract

This study aimed to investigate the one-year bond strengths to dentin of one-bottle etch-and-rinse adhesive systems applied under different moisture conditions. Class V cavities were prepared in bovine incisors and randomly allocated (n?=?8) according to the type of adhesive system used – SB (Adper? Single Bond 2); PB (Prime & Bond 2.1); and XPB (XP Bond) – and the moisture condition kept in the cavity – moist, over-wet, and over-dry. Filtek? Z250 was used for teeth restoration. Specimens for microtensile bond strength (µTBS) test were obtained and stored in water for 24?h or 1?year, and submitted to mechanical testing. Data were analyzed using t-tests, ANOVA and the Holm–Sidak post hoc test (α?=?0.05). Weibull analysis was used to verify the reliability of specimens. The type of adhesive and the moisture condition of the substrate affected the µTBS. At 24?h, SB performed better under the moist and over-wet conditions. At 1?year, SB, PB, and XPB showed the greatest percentage reduction at the moist (～38%), over-wet (100%), and over-dry (100%) conditions, respectively. The reliability of adhesives was affected by the variable factors tested. In conclusion, the solvent composition of adhesives and the moisture condition of the substrate play an important role in the bond strength and bonding stability of resin-based restorations, as well as on the reliability of the adhesive interfaces over time.