Bond strength to crown and root dentin

PURPOSE: To investigate (1) the tensile bond strengths of four commercial dentin bonding systems to bovine crown and root dentin and (2) the structure of the hybrid layers for each system bonded to the two dentin substrates. MATERIALS AND METHODS: Superficial surfaces were exposed in bovine crown and root dentin. The teeth were embedded in plaster and a 3 mm diameter bonding area was demarcated. The four bonding systems used were All-Bond 2, Super-Bond D-Liner Plus, Clearfil Liner Bond II, and ProBond. Bonding procedures followed the manufacturers' instructions with the exception of Super-Bond D-Liner Plus where the primer was left in situ for 60 seconds. Tensile bond strengths were tested after 24-hour storage in 37 degrees C deionized water. Specimens were also prepared for SEM observation of the hybrid layer, after treatment with 10% phosphoric acid, and 10% phosphoric acid and 5% sodium hypochlorite. RESULTS: Statistically lower bond strengths to crown dentin when compared with root dentin were observed for All-Bond 2, whereas Liner Bond II showed the opposite (P < 0.01). Both ProBond and Super-Bond D-Liner Plus showed no statistical differences between crown and root dentin (P > 0.05). Hybrid layers could be observed for All-Bond 2, Liner Bond II and Super-Bond D-Liner Plus, with no apparent differences between the hybrid layers of crown and root dentin. In the case of ProBond, where the smear layer was not removed during the priming stage, it appeared that the primer had infiltrated and caused hybridization of the smear layer. The differences in bond strength were thought to be related to the different bonding mechanisms of each material, as well as possible variations in the crown and root dentin substrates.     

Shear bond strength of amalgam adhesives to dentin

Recent studies have suggested that failure of pentamidine prophylaxis against Pneumocystis carinii pneumonia (PCP) may be due to reduced deposition of pentamidine in the upper lobes. In this study, we performed bronchoalveolar lavage from the apical segment of the upper lobe and the middle lobe in 51 HIV-positive patients, all of whom were receiving prophylaxis with aerosolized pentamidine, who had presented with acute respiratory symptoms. Lavage fluid from each lobe was assayed for pentamidine using high-performance liquid chromatography (HPLC). The number of clusters of P carinii were counted after staining with a Wright-Giemsa stain. The patients were subclassified as PCP-positive (32 patients) and PCP-negative (19 patients) on the basis of the presence/absence of P carinii clusters in their BAL fluid. The concentration of pentamidine in the upper lobe compared with the middle lobe was no different (using paired Student's t tests) for either PCP-positive patients or PCP-negative patients. In comparing the positive with the negative subjects, using unpaired Student's t test, there was no difference in the concentration of pentamidine in the upper lobe or the middle lobe. For PCP-positive patients, the numbers of P carinii clusters were on average higher in the upper lobes (mean +/- SD: upper = 14.9 +/- 16.6, middle 7.5 +/- 10.8, p = 0.013, paired Student's t test), but there was no correlation between lobar P carinii cluster counts and pentamidine levels. We conclude that the absence of a relationship between cluster count and pentamidine level, the similarity in regional pentamidine levels between upper and middle lobes, as well as the similarity in pentamidine levels between the PCP-positive and PCP-negative groups indicate that the regional dose of pentamidine is not the determining factor as to whether aerosolized pentamidine prophylaxis will succeed or fail.     

The effect of air abrasion on shear bond strength to dentin with dental adhesives

This study compared the effects of different dentin surface treatments on the shear bond strengths of three adhesive systems. The adhesive systems included a resin-modified glass ionomer, Fuji II LC, and two dentin bonding systems, One Step and Scotchbond Multi-Purpose Plus. The surface treatments compared for each adhesive system were as follows: 1) the controls, which were conditioned, 2) air abrasion at 120 psi without conditioning, 3) air abrasion at 160 psi without conditioning, 4) air abrasion at 120 psi with conditioning, and 5) air abrasion at 160 psi with conditioning. The KCP 1000 Whisperjet was used for all air-abrasive specimens. Controls for each adhesive material (Fuji II LC, One Step, Scotchbond Multi-Purpose Plus) were bonded using manufacturers' recommendations. Results showed that air abrasion significantly lowered bond strength of the resin-modified glass ionomer, conditioned or nonconditioned (P < 0.01). Air abrasion alone significantly lowered bond strengths of the dentin bonding agent systems (P < 0.01). However, air abrasion plus conditioning of the dentin surface resulted in bond strengths that were similar to the conditioned-only specimens (P < 0.01).     

Dentastic bond strength to dentin

PURPOSE: To evaluate the shear bond strength to the dentin of permanent teeth and failure site of Dentastic hydrophilic dentin bonding agent. MATERIALS AND METHODS: Forty permanent noncarious molar teeth stored in distilled water were obtained. The teeth were cleaned with pumice and a rubber cup. The mesio-buccal surface of the teeth was ground flat with hand pressure with a series of SiC paper ending with the 600 grit to provide a uniform surface on dentin to which the resin composite could be applied. After preparing the tooth surface, the teeth were stored in distilled water for 48 hours. They were then divided at random into four groups of 10 specimens each: Group 1: Dentastic, five coats of primer; Group 2: Dentastic, three coats of primer; Group 3: Dentastic, five coats of primer, light-cured adhesive before resin bonding; Group 4: Dentastic, three coats of primer, light-cured adhesive before resin bonding. All specimens were thermocycled (500x) and sheared in a testing machine. After shear testing, the debonded sites of all samples were examined with a stereomicroscope and a scanning electron microscope. RESULTS: The results in MPa were: Group 1: 22.63 +/- 6.24; Group 2: 23.35 +/- 5.14; Group 3: 23.58 +/- 5.66; Group 4: 27.26 +/- 8.22. ANOVA and Student-Newman-Keuls showed no statistically significant difference between the groups. In all groups, all specimens failed at the dentin (dentin cohesive failure = dentin fracture) or at the resin (resin cohesive failure = resin fracture). This means that the bond strength of the product is stronger than the cohesive strengths of the dentin and the resin.     

Scanning electron microscopic evaluation of different endodontic procedures on dentin morphology of human teeth

Four manual endodontic instruments, an ultrasonic and an endosonic system were studied with a view to evaluating the morphology of the smear layer and the amount of debris and pulpal residues in the apical third of human extracted straight teeth from 55- to 75-yr-old patients. The manual instruments were K files, Ergoflex files used with the step-back technique, Canal Master with its own technique, and Flex-R with the Roane technique. The ultrasonic system was Suprasson Piezo and the endosonic was Excalibur. Human extracted teeth with straight canals were used and examined under a scanning electron microscope. All manual instrumentations showed a homogeneous compact smear layer and no pulp residues. No statistical differences were observed among the four manual techniques. Ultrasonic technique showed the complete removal of the smear layer, leaving small amounts of pulp debris at the apical third, while the Excalibur showed an almost complete elimination of the smear layer, leaving a homogeneous layer of pulpal residues along the canal.     

Bond strength of composites to hybrid ionomers

Tensile bond strengths among three different hybrid ionomers and two different hybrid composites were evaluated. With one exception, bond strength to a high-modulus composite (Z-100) was higher than that to a low-modulus composite (Charisma). Thermocycling lowered the bond strength of Charisma, whereas storage for 3 months increased the bond strength of Z-100 compared to storage for 24 hours. Etching the hybrid ionomers with phosphoric acid had no effect on bond strength.     

Bond strength, interfacial characterization, and fracture surface analysis for a new stress-breaking bonding agent

Three commercial dentin bonding systems were analyzed by tensile bond testing, area analysis of fractured surfaces, and SEM analysis of the tooth-resin interfaces. Tensile bond strengths in megapascals(SD) were Tenure-Marathon V ([T-M]; 8.86[3.02]), new system with low-viscosity resin ([K-LVR-P]; 6.50[2.01]), and new system without low-viscosity resin ([K-P] = 7.28[1.75]), which were significantly greater than Scotch-bond 2-P50 ([SB-P50]; 3.96[1.02]). Gaps that ranged up to 5.6 microns (mean for the group) were observed around most of the restorations at dentin surfaces and less so at enamel surfaces, where some of the restorations remained free of gaps. The gaps near the dentin margin were significantly smaller for K-LVR-P than for SB-P50. The tensile test revealed mixed failure modes in all systems, and in the cross sections of class V restorations, the gaps were confined to the dentin-resin junction.     

Initial tensile bond strength of resin-modified glass ionomers and polyacid-modified resins on perfused primary dentin

The objective of this study was to evaluate the initial tensile bond strength of a resin-modified glass ionomer (Photac-Fil) and two polyacid-modified composite resins (Compoglass, Dyract) to primary dentin. A hybrid composite resin (Tetric) and two chemical cured glass ionomers (BaseLine, Hi-Dense) served as controls. Ninety caries-free dentinal discs were ground flat and perfused with Ringer's solution. Dentinal surfaces were conditioned (except for Base Line). From each material, fifteen standardized specimens were attached to the dentin. Light-curing of the respective materials followed (1 min), and adhesion was tested with a universal testing machine 15 min after application. The highest initial bond strength was observed with Tetric (5.17 MPa). Closed test procedure (Kruskal-Wallis) showed significant differences between all materials (P < 0.05), except for Compoglass (1.82 MPa) vs. Dyract (2.35 MPa), and BaseLine (0.37 MPa) vs. Photac-Fil (0.42 MPa). The condensable glass ionomer Hi-Dense revealed a mean tensile bond strength of 0.79 MPa. Adhesion of (polyacid-modified) composite resins is superior to the other tested glass ionomer materials, when applied to perfused primary dentin.     

Management of trauma to primary and developing teeth

Traumatic dental injuries to the young child can present both diagnostic and therapeutic challenges. Luxation injuries to the primary dentition are the most common injuries. Yet, they are the most controversial with regard to definitive treatment, prognosis, and sequelae. Damage to the developing teeth subsequent to primary tooth injury is often unavoidable and has permanent effects on the dentition. Diagnostic criteria, treatment options, and outcomes are presented in this article; however, treatment decisions are often based on patient behavior.     

Bond strength of multi-step and simplified-step systems

PURPOSE: To measure and compare the in vitro shear bond strength (SBS) of the following three pairs of multi- and simplified-step dentin bonding systems: OptiBond vs. OptiBond FL, All-Bond 2 vs. One-Step, and Tenure vs. Tenure Quik. MATERIALS AND METHODS: 60 extracted human mandibular molars were sectioned perpendicular to the long axis 1 mm above the CEJ to expose the dentin bonding surface. After being wet-ground to 600 grit with SiC abrasive papers, rinsed and dried, the teeth were individually mounted in phenolic rings with epoxy resin, and randomly assigned into six equal groups of 10 each. The dentin surfaces were treated with the above mentioned dentin bonding systems, and a gelatin cylinder filled with resin composite (Pertac-Hybrid) was directly bonded to each pretreated surface. After 7-day storage in 37 degrees C water followed by thermocycling, the specimens were shear tested to failure on an Instron machine. Data were analyzed by independent t-tests, one-way ANOVA, and Duncan's Multiple Comparison tests at alpha = 0.05. RESULTS: Except for the pair Tenure/Tenure Quik, the differences between the pairs All-Bond 2/One-Step and OptiBond/OptiBond FL were statistically significant with All-Bond 2 and OptiBond FL yielding higher shear bond strength (P < 0.05). Findings of this study indicated that OptiBond FL was the only simplified-step system showing improved bond strength.     

Compomers and glass ionomers: bond strength to dentin and mechanical properties

Twenty-six patients with newly diagnosed ALL (age range 15-49 years, median 32 years) received treatment comprising: cycles 1 and 2: adriamycin 30 mg/m2 days 1-3, vincristine: 2 mg days 1, 8, and 15, with prednisolone 40 mg daily, given until complete remission (CR). L-asparaginase 10000 units/m2, days 1-14, was given only with the first cycle. Cycle 3 consisted of 100 mg/m2 etoposide orally, days 1-5, and 1 gm/m2 bd cytosine arabinoside (ara-C) days 1-5. Cycles 1-3 were then repeated. Intrathecal methotrexate (MTX) 12.5 mg was given on day 1 of each treatment cycle. The first 12 consecutive patients received this chemotherapy alone, the subsequent 14 received, in addition, 3 micrograms/kg GM-CSF subcutaneously, from day 4 of cycles 1,2,4 and 5 (and from day 6 of cycles 3 and 6) until the absolute neutrophil count had reached 0.5 x 10(9)/1. All patients in whom CR was achieved then received prophylactic cranial irradiation. With the exception of those with T-ALL, this was followed by oral maintenance therapy consisting of 6-mercaptopurine, MTX, and cyclophosphamide for 3 years. Patients receiving GM-CSF did not have shorter intercycle times or a lower incidence of documented infections than those who did not receive it. The CR rate was 89% overall-uninfluenced by GM-CSF, but higher than that achieved previously at St Bartholomew's Hospital in an equivalent age-group.     

Effect of disinfectants on the bond strength of composite to dentin

The article describes ultrasonographic (US), computed tomographic (CT), 99mTc-MIBI and angiographic findings of 16 cases of multiple endocrine neoplasia (MEN) confirmed by operations and pathological examinations. Hyperparathyroidism either was the first manifestation of MEN I or was diagnosed simultaneously with other tumors. Medullary thyroid carcinoma usually developed first or coincided with pheochromocytoma in MEN I. Regular US and CT screening can lead to the detection of new endocrine neoplasia. The authors consider that US and CT are the best imaging methods for MEN.     

In vitro permeability of furcation dentin in permanent teeth

Extracted unerupted permanent third molars with the occlusal half of the crown and apical half of the roots removed were cemented to Plexiglas blocks. Using a positive pressure system in which the movement of fluid across the dental tubules could be measured, the permeability of furcation dentin was measured before and after alteration of the furcation thickness. Subsequently, measurements of reduction in thickness of cementum and dentin were performed. Furcation dentin permeability was found to increase as the cementum and dentin thickness was reduced and the smear layer removed. The permeability values obtained for the furcation dentin were similar to those found in radicular dentin in general, indicating that root dentin has a low permeability and that it has good barrier properties. The data would suggest that any bone resorption seen under the furcation region of permanent molars is more likely to be due to the presence of accessory canals than due to permeation directly through furcation hard tissues.     

Microleakage of new dentin bonding systems using human and bovine teeth

The objective of this study was twofold: to evaluate the microleakage behavior of three dentin bonding systems and to determine if bovine teeth are comparable substrates to human teeth when studying the microleakage of various materials. The materials evaluated were Scotchbond Multi-Purpose Adhesive, Prisma Universal Bond 3, and All-Bond 2. All three bonding systems were used in combination with Prisma APH hybrid composite for comparison of microleakage behavior. Sixty class 5 preparations were cut at the cementoenamel junction for groups containing 30 human and 30 bovine teeth. A 1 mm 45 degree bevel was placed at the enamel margin. Teeth were grouped according to the dentin bonding system used and then restored according to the manufacturer's directions. After restoration, the teeth from each group were stored in distilled water at 37 degrees C for 3 days. The teeth were then thermocycled between 4 degrees C and 58 degrees C for 100 cycles and returned to distilled water at 37 degrees C for an additional 4 days. The teeth were then sealed with nail polish up to 1 mm from the margins of the restoration and placed in 45Ca isotope for 2 hours. The teeth were then sectioned and placed on x-ray film to produce autoradiographs. Microleakage was evaluated for the enamel and dentin margins separately using the following scale: 0 = no leakage, 1 = penetration of isotope to less than 1/2 the distance to the axial wall, 2 = penetration of isotope greater than 1/2 of the distance to the axial wall but short of the axial wall, and 3 = penetration of isotope to the axial wall or beyond. The materials were compared to each other using the Mann-Whitney U and Kruskal-Wallis tests. The gingival margins were compared to the incisal margins for all materials. No statistically significant differences in microleakage were revealed between the incisal and gingival location for human substrates, but there was statistically significant greater gingival microleakage for bovine substrates. All-Bond 2 leaked significantly more than Scotchbond Multi-Purpose for human substrates at the incisal margin. All-Bond 2 had significantly more microleakage than Prisma Universal Bond 3 at both dentin and enamel margins for the bovine substrate. There were no statistically significant differences in microleakage among the bonding systems for the human substrate. No statistically significant differences between the microleakage behavior of human and bovine substrates were found. These results support the use of bovine teeth for in vitro microleakage studies.     

Bond strength of etched-base-metal alloy to enamel using different etching techniques and cements

A comparison of bond strength produced by using three different metal surface treatment were evaluated using three different cements. The surface metal treatment were sandblast, electrochemical etching and chemical etching. The three cements used were ABC, Rely-a-bond and panavia EX cements. The following conclusions were obtained: 1. The tensile bond strength of enamel-resin metal joint with panavia EX resin has the best bond strength when the metal was chemically etched. 2. The debonding strength of the chemically etched joints were superior compared to that obtained with either sandblast or electrochemical etching.     

Bonding of amalgam to composite: tensile strength and morphology study

OBJECTIVES: The present study was based on the premise that it may be possible to produce useful dental restorations by bonding freshly triturated amalgam to a cured composite restoration (Group 1 specimens), or by bonding uncured composite to hardened amalgam (Group 2 specimens). METHODS: To determine the validity of this premise, a phosphonate adhesive resin cement was used to produce simulated, layered dental restorations for each test group. RESULTS: The mean tensile bond strength of 24 hour-old Group 1 specimens (6.74 MPa +/- 1.63 MPa) was almost twice that of 24 hour-old Group 2 specimens. Cohesive failure of the amalgam-substrate layer was a prominent feature of the fracture pattern of Group 1 specimens. On the other hand, rupture of all Group 2 specimens occurred mainly along the adhesive-amalgam interface. Findings from SEM examination of the layers of amalgam, adhesive cement, and resin composite of intact Group 1 specimens suggested that inclusions of adhesive resin cement may be the cause of the persistent cohesive failure of the amalgam layer. SIGNIFICANCE: It may be possible to improve the strength of bonded couples made from freshly triturated amalgam and cured resin composite by minimizing the thickness of the adhesive layer.     

Shear bond strength required to prevent microleakage of the dentin/restoration interface

The purpose of this in vitro study was to determine the relationship between the shear bond strength [SBS] of seven dentin bonding systems to dentin and the quantitative microleakage [ML] of Class V preparations in dentin restored with these systems. The systems evaluated were All-Bond/Bisfil-P [A]; Syntac/Heliomolar [B]; XR-Bond/Herculite [C]; Scotchbond 2/Silux [D]; Denthesive/Charisma [E]; Prisma Universal Bond 2/Prisma AP.H [F]; and Tenure/Perfection [G]. The 115 specimens were removed from the assembly apparatus and stored in saline at 37 degrees C for 24 hours, the SBS determined and expressed in MPa. Fifteen Class V preparations in dentin were restored with each of the bonding systems, thermocycled 500x in 2% methylene blue solution between 50 degrees C and 8 degrees C, and the ML determined by means of a spectrophotometric dye-recovery method. The ML was expressed in microgram dye/restoration. The data were analyzed by ANOVA, Student-Newman-Keuls test, and linear regression analysis. The SBS in MPa were: A:17.2 +/- 3.6; B:15.9 +/- 2.1; C:15.4 +/- 3.7; D:11.6 +/- 2.2; E:10.7 +/- 3.7; F:10.4 +/- 2.5; G:8.2 +/- 3.9. The ML in microgram dye/restoration were: A:2.6 +/- 1.2; B:2.6 +/- 1.0; C:2.2 +/- 1.9; D:3.1 +/- 2.9; E:4.6 +/- 4.2; F:2.6 +/- 2.5; G:4.4 +/- 4.1. SBS = 20.91-2.60 [microgram dye]. The results suggest that a SBS of +/- 21 MPa may reduce ML to near zero.     

Bond strength of permanent soft denture liners bonded to the denture base

The purpose of this study was to characterize denture and soft liner adhesion and to determine the adhesive and/or cohesive strength of different soft tissue liners bonded to the denture base by use of a new technique. Two groups of five permanent soft liners (dry or exposed to water for 6 months) were tested by use of a tensile mode to characterize the failure characteristics of soft liners bonded to denture base resin. The method differed from previous test methods because of the specimen's ability to align axially during the test. The results indicated significant differences in the bonding of liners to the denture base, and light-cure systems exhibited the greatest amount of stress needed for failure. Low bond strength was observed when the adhesion was poor or when the cohesive strength of the soft liner was low and lead to pure adhesive or cohesive failure. When both adhesive and cohesive bonds were strong, failure occurred at high stresses. Combinations of adhesive and cohesive failures (mixed mode) were also observed in intermediate cases.