Influence of different separating mediums applied on the immediate dentin sealing in the tensile strength of temporary restorations / Influência de diferentes agentes isolantes aplicados sobre o selamento dentinário imediato na resistência à tração de restaurações provisórias

Objective: To evaluate the ability of different separating mediums to prevent adhesion between provisional restorations and hybridized dentin surfaces when used with the Immediate Dentin Sealing technique (IDS). Material and Methods: 120 extracted human teeth ­ 40 premolars and 80 molars ­ were selected to integrate acrylics samples separated into 4 different groups (n=10) according to the separating medium used for IDS protection. Forty samples were made of three teeth mounted in a self-cure acrylic resin block (Jet, Classic, São Paulo, Brazil) arranged side by side, simulating the positioning and proximal contacts present in the dental arch between the second premolar, first molar and second molar. A standard dental preparation for ultra-thin occlusal veneer was performed and complete occlusal dentin exposure was achieved by selective removal of the occlusal enamel with a high-speed conical round burr (Code: 1801.4138 FG, KG Sorensen, Medical Burs Ind. e Com. de Pontas e Brocas Cirúrgicas Ltda, São Paulo, Brazil). Dentin hybridization were performed on the control group and 3 different groups of separating mediums (n=10): PC­commercial provisional separating agent (Pro-V Coat, Bisco, Schaumburg, USA); GG­glycerin gel (K-Y Gel; Johnson & Johnson Industry and Commerce LTDA, São Paulo, Brazil); PJ­petroleum jelly (Rioquímica, São Paulo, Brazil). Provisionalization were manufactured on the prepared teeth. After 2 weeks, the tensile test was performed, and the analysis of the failure pattern was performed by 3D laser confocal microscopy and Scanning Electron Microscopy (SEM). The data were analyzed with the 1-way ANOVA and the Tukey test (α = 0.05). Results: Significantly lower tensile strength values were found for the commercial provisional separating agent (30.39 ± 10.01 N) compared to others (p < 0.05). Conclusion: The commercial provisional separating agent showed greater effectiveness on protecting hybridized dentin against the provisional restorations (AU)

Objetivo: Avaliar a capacidade de diferentes agentes isolantes em prevenir a adesão entre as restaurações provisórias e a superfícies de dentina hibridizadas quando usados com a técnica do Selamento Dentinário Imediato (IDS). Material e Métodos: 120 dentes humanos extraídos - 40 pré-molares e 80 molares - foram selecionados para integrar as amostras de acrílico divididas em 4 grupos diferentes (n = 10) de acordo com o meio de separação usado para proteção IDS. Foram confeccionadas 40 amostras de três dentes montados em um bloco de resina acrílica autopolimerizável (Jet, Classic, São Paulo, Brasil) dispostos lado a lado, simulando o posicionamento e os contatos proximais presentes na arcada dentária entre o segundo pré-molar, primeiro molar e segundo molar. Um preparo dentário padrão para laminado oclusal ultrafino foi realizado e a exposição completa da dentina oclusal foi obtida pela remoção seletiva do esmalte oclusal com uma broca cônica arredondada de alta rotação (Código: 1801.4138 FG, KG Sorensen, Medical Burs Ind. E Com. de Pontas e Brocas Cirúrgicas Ltda, São Paulo, Brasil). A hibridização da dentina foi realizada no grupo controle e em 3 grupos diferentes de agentes isolantes (n = 10): PC - agente de separação provisório comercial (Pro-V Coat, Bisco, Schaumburg, EUA); GG ­ gel de glicerina (K-Y Gel; Johnson & Johnson Industry and Commerce LTDA, São Paulo, Brasil); PJ ­ vaselina (Rioquímica, São Paulo, Brasil). As restaurações provisórias foram fabricadas nos dentes preparados. Após 2 semanas, foi realizado o teste de tração, e a análise do padrão de falha foi realizada por microscopia confocal a laser 3D e Microscopia Eletrônica de Varredura (MEV). Os dados foram analisados com a ANOVA de 1 fator e o teste de Tukey (α = 0,05). Resultados: Valores de resistência à tração significativamente menores foram encontrados para o agente separador provisório comercial (30,39 ± 10,01 N) em comparação com os demais (p < 0,05). Conclusão: O agente separador provisório comercial mostrou maior eficácia para a proteção da dentina hibridizada contra as restaurações provisórias (AU)

Análise da interface adesiva entre pinos de fibra de vidro e dentina intrarradicular submetida à técnica alcoólica simplificada / Analysis of the adhesive interface glass fiber posts and intrarradicular dentil submitted to the simplified alcoholic technique

A cimentação de pinos de fibra de vidro à dentina intrarradicular, principalmente no terço apical, continua sendo um desafio na odontologia. O objetivo desse estudo foi avaliar a influência do controle de umidade com etanol na resistência de união de pinos de fibra de vidro em diferentes terços de dentina intrarradicular, 24 horas e 6 meses após o processo de cimentação adesiva. Sessenta e quatro incisivos bovinos extraídos foram submetidos ao tratamento endodôntico e divididos em dois grupos, de acordo com o tipo de controle de umidade (técnica convencional e alcoólica). Cada grupo foi dividido em 4 subgrupos (n=8) de acordo com a cimentação: RXU: Single bond Universal + RelyX Ultimate; PNV: primer de dentes Panavia V5 + Panavia V5; U200: RelyX U200; SET: Set PP. A resistência de união do pushout foi medida em diferentes áreas da interface entre o pino e a superfície radicular, 24 horas e 6 meses após o procedimento de união. Os dados foram submetidos ao teste de Bonferroni (α = 0,05). Os menores valores de resistência de união foram encontrados para o grupo SET, com diferença estatisticamente significante entre os demais grupos para os terços cervical e médio. Os maiores valores de resistência de união foram encontrados para o grupo PNV com diferença estatisticamente significante para os demais grupos nos terços médio e apical em 24 horas. Avaliando os diferentes terços, em geral, os maiores valores de resistência de união foram encontrados para o terço cervical. O grupo PNV apresentou maiores valores de resistência de união para os terços cervical e médio, sem diferença estatisticamente significante entre eles. Quanto ao tipo de controle de umidade, pode-se observar que não há diferença estatisticamente significativa para o grupo PNV às 24 horas, U200 e SET aos 6 meses. Na comparação entre os tempos (24 horas e 6 meses), em geral, os valores de resistência de união diminuíram após o armazenamento. Diferenças significativas com menores valores foram observadas após o tempo de seis meses nos valores de envelhecimento para a resistência de união. Por meio de um microscópio óptico e um aparelho de microscopia eletrônica de varredura o padrão de fratura na interface adesiva foi caracterizado.

Cementation of fiberglass posts to intraradical dentin, especially in the apical third, remains a challenge in dentistry. The study was to evaluate the influence of moisture control with ethanol on the bond strength of fiberglass posts in different thirds of intraradicular dentin, 24 hours and 6 months after the adhesive cementation process. Sixty-four extracted bovine incisors were endodontically protected and divided into two groups, according to the type of moisture control (conventional and alcoholic technique). Each group was divided into 4 subgroups (n=8) according to cementation: RXU: Single bond Universal + RelyX Ultimate; PNV: Panavia V5 tooth primer + Panavia V5; U200: RelyX U200; SET: Set PP. The pushout bond strength was measured in different areas of the interface between the post and the root surface, 24 hours and 6 months after the bonding procedure. The data were confirmed by the Bonferroni test (α = 0.05). The lowest bond strength values were found for the SET group, with a statistically significant difference between the other groups for the cervical and middle thirds. The highest bond strength values were found for the PNV group, with a statistically significant difference for the other groups in the middle and apical thirds at 24 hours. Evaluating the different thirds, in general, the highest bond strength values were found for the cervical third. The PNV group showed higher bond strength values for the cervical and middle thirds, with no statistically significant difference between them. As for the type of humidity control, it can be observed that there is no statistically significant difference for the PNV group at 24 hours, U200 and SET at 6 months. In the comparison between times (24 hours and 6 months), in general, the bond strength values decreased after storage. Minor elevation differences with values were observed after the six-month time in the ageing values for bond strength. Using an optical microscope and a scanning electron microscopy device, the fracture pattern at the adhesive interface was characterized.

Comparative evaluation of microleakage around Class V cavities restored with alkasite restorative material with and without bonding agent and flowable composite resin: An in vitro study

Background: Marginal adaptability of restorative material is one of the prime factors for success of a restoration. Aim: To evaluate microleakage at enamel restoration and dentin restoration interface of Class V cavities restored with new alkasite restorative material Cention-N, with and without using bonding agent and flowable composite resin. Materials and Methods: Thirty Class V tooth preparations were divided into three groups (n = 10): Group-I restored with Cention-N (Ivoclar Vivadent) without adhesive, Group-II was restored with Cention-N after application of eighth-generation bonding agent (3M ESPE, Single Bond Universal Adhesive), and Group-III was restored with flowable composite resin (Tetric-N-Flow, Ivoclar Vivadent). All samples were subjected to 200 thermocycles between temperature baths at 5°C and 55°C. All samples were cut longitudinally through the center of the restorations with the help of isomet diamond saw. The sections were then observed under binocular stereomicroscope at 20×. Two evaluators scored the depth of dye penetration independently at enamel and dentin margins. Statistical Analysis: Kruskal–Wallis nonparametric analysis followed by Dunn's multiple comparison tests were done to evaluate differences among the experimental groups. Mann–Whitney test was used to compare the difference between occlusal and gingival scores within each restoration. Results: Microleakage seen in decreasing order: Cention-N without adhesive >Flowable composite >Cention-N with adhesive. Conclusion: Microleakage at enamel restoration interface was less than microleakage at dentin restoration interface of each group, but the difference was not statistically significant. Least microleakage was seen with Cention-N with adhesive followed by flowable composite. More microleakage was seen with Cention-N without adhesive.

Effect of delayed time, surface treatment, and repair material on shear bond strength of repaired bis-acryl composite resin

PURPOSE: The aim of this study was to evaluate the effect of delayed time, surface treatment, and repair materials on repair of bisacryl composite resin through comparison of shear bond strength and to evaluate the utility of bis-acryl composite resin repair using polymethyl methacrylate resin. MATERIALS AND METHODS: A total of 90 bis-acryl composite resin specimens were fabricated and classified into 9 test groups, each of 10 pieces according to delayed time, surface treatment and repair material. The shear bond strength of each specimen was measured using a universal testing machine immediately after fabrication and analyzed using a statistical analysis program (IBM SPSS statistics 20). After the shear bond strength measurement, the fracture surface of the specimen was observed. RESULTS: The highest shear bond strength (17.54 ± 3.14 MPa) was observed in the experimental group bonded immediately with a light-curing flowable composite resin using a bonding agent. CONCLUSION: When repairing bis-acryl composite resin, it is necessary to consider whether to remake according to the delayed time. For effective repair, it is desirable to consider appropriate materials and surface treatment methods according to the site or purpose of use.

Evaluation of Microtensile Bond Strength of Sealant Depending on the Duration of Etching and the Use of Bonding Agent / 대한소아치과학회지

The aim of this study was to evaluate the effect of etching time and bonding agents on bond strength of sealant applied to the occlusal surface of primary molars.Forty non-carious exfoliated human primary molars were included in the study. The teeth were randomly divided into 4 groups for measurement. For group I, no acid etching treatment was used. For group II, III, and IV, acid etching gels were applied on the occlusal surface for 15, 30, and 60 seconds, respectively. Each group was divided into 2 subgroups; one group was treated with bonding agents on the enamel while the other was not. Microtensile bond strength was evaluated using a universal testing machine.There were no statistically significant differences in bond strength with varying duration of etching among groups. The results revealed that the use of bonding agents prior to application of fissure sealant increased the bond strength(p < 0.05).It could be concluded that etching time greater than 15 seconds does not significantly enhance the bond strength, but the use of bonding agents as an intermediate layer between the primary molar and fissure sealant would be beneficial in increasing the bond strength.

Comparative evaluation of microleakage of newer generation dentin bonding agents: An in vitro study.

Context: Adhesive dentistry has been progressing with rapid pace over the past decade. Composite resin is the most esthetic restorative material currently available for restoring teeth. In spite of it being in use since a decade, still failure cases are seen which are mainly due to polymerization shrinkage and subsequent inadequate adhesion to cavity walls, leading to microleakage. Various generations of dentin bonding agents have been introduced to overcome the shortcoming of composite resin. Aims: To determine the microleakage of the 6th, 7th, and 8th generation dentin bonding agents. Materials and Methods: Forty‑five extracted human premolars were taken for the study. Standardized Class V cavities were prepared on all the teeth. The samples were divided into three groups according to the generation of bonding agent used. Group I was bonded with the 6th generation, Group II with the 7th generation, and Group III with the 8th generation dentin bonding agent. All the Class V preparations were restored with a nano‑ceramic composite restorative (Ceram X). The samples were then thermocycled between 5 and 55 ± 2°C for 100 cycles and immersed in 2% methylene blue for 48 h for evaluation of microleakage under a stereomicroscope. Statistical Analysis Used: The data was statistically analyzed using Kruskal–Wallis nonparametric analysis, and Mann–Whitney U‑test was applied to compare the various groups. Results: The microleakage value was the highest in Group II (7th generation bonding agent) followed by Group I (6th generation bonding agent) and least in Group III (8th generation bonding agent). Conclusions: The 8th generation dentin bonding showed statistically significant results in terms of lesser microleakage as compared to the 6th and 7th generation dentin bonding agents.

Chemical compatibility of interim material and bonding agent on shear bond strength

PURPOSE: The purpose of this study is finding proper bonding agents to be used when adding bis-acryl composite provisional materials. MATERIALS AND METHODS: Three bonding agents with different chemical compositions were included in this study. Forty disk shaped specimens of bis-acryl composite provisional material were prepared and divided into 4 groups according to the bonding agents. Control group didn't have bonding agent. Through the Teflon mould with 4.0 mm diameter hole with 4.0 mm thickness the same bis-acryl composite provisional material was added on the disks after the surface of each specimen was treated with designated bonding agent according to the manufacturer's instructions. Shear bond test was performed and the fractured surfaces were inspected with a microscope. One-way analysis of variance was conducted and the result was further analysed with Turkey post hoc test at the significance level of 0.05. RESULTS: The highest strength was acquired from the specimens bonded with chemical cure system and it was statistically significant (P < 0.05). This group showed 100% cohesive failures. The lowest bonding strength was recorded from the specimens used conventional light cure bonding agent, and this group's result was similar with the control group. The group used a light cure bonding agent claiming improved compatibility revealed significantly higher bond strength to the traditional light cure bonding agent group in a statistically significant way (P = 0.043). CONCLUSION: According to the bonding agent used the shear bond strength was significantly affected. Therefore the choice of proper bonding agent is important when hiring a bonding agent to add bis-acryl composite provisional materials.

Erosive cola-based drinks affect the bonding to enamel surface: an in vitro study

Objective: This study aimed to assess the impact of in vitro erosion provoked by different cola-based drinks (Coke types), associated or not with toothbrushing, to bonding to enamel. Material and methods: Forty-six bovine enamel specimens were prepared and randomly assigned into seven groups (N=8): C- Control (neither eroded nor abraded), ERO-RC: 3x/1-minute immersion in Regular Coke (RC), ERO-LC: 3x/1-minute immersion in Light Coke (LC), ERO-ZC: 3x/1-minute immersion in Zero Coke (ZC) and three other eroded groups, subsequently abraded for 1-minute toothbrushing (EROAB-RC, EROAB-LC and EROAB-ZC, respectively). After challenges, they were stored overnight in artificial saliva for a total of 24 hours and restored with Adper Single Bond 2/Filtek Z350. Buildup coronal surfaces were cut in 1 mm2 -specimens and subjected to a microtensile test. Data were statistically analyzed by two-way ANOVA/Bonferroni tests (α=0.05). Failure modes were assessed by optical microscopy (X40). The Interface of the restorations were observed using Confocal Laser Scanning Microscopy (CLSM). Results: All tested cola-based drinks significantly reduced the bond strength, which was also observed in the analyses of interfaces. Toothbrushing did not have any impact on the bond strength. CLSM showed that except for Zero Coke, all eroded specimens resulted in irregular hybrid layer formation. Conclusions: All cola-based drinks reduced the bond strength. Different patterns of hybrid layers were obtained revealing their impact, except for ZC. .

A 12-month clinical evaluation of pit-and-fissure sealants placed with and without etch-and-rinse and self-etch adhesive systems in newly-erupted teeth

OBJECTIVES: The objective of this one-year clinical study was to investigate the effect of two adhesive systems (Adper Single Bond, a two-step etch-and-rinse and Clearfil SE Bond, a two-step self-etch system) on pit-and-fissure sealant retention in newly-erupted teeth. This study compared the success of the sealants in mesial and distopalatal grooves with and without these two adhesive systems. MATERIAL AND METHODS: In a clinical trial, 35 children aged 6-8 years undergoing sealant placement were recruited. This one-year clinical study scored 70 mesial and 70 distopalatal sealants of newly-erupted permanent maxillary first molar, with a split-mouth design. All children received sealant alone in one permanent maxillary molar tooth. Children were randomized into two groups. One group received Self-etch (Se) bond plus sealant and the other group received Single Bond plus sealant in another permanent maxillary molar tooth. Clinical evaluation at 3, 6 and 12 months was performed and the retention was studied in terms of the success and failure. RESULTS: The success rate of sealant in the distopalatal groove, using SeB at 3, 6 and 12 months was 93.3% (95% CI: 68.0, 99.8), 73.3% (95% CI: 44.9, 92.2) and 66.7% (95% CI: 38.4, 88.2), respectively. It was greater than that of the distopalatal groove in SB group with a success rate of 62.5% (95% CI: 35.4, 84.8), 31.3% (95% CI: 11.8, 58.7) and 31.3% (95% CI: 11.8, 58.7), at the three evaluation periods. The success rate of sealant in the mesial groove using SeB was 86.6% (95% CI: 59.5, 98.3), 53.3% (95% CI: 26.6, 78.7) and 53.3% (95% CI: 26.6, 78.7), while this was 100% (95% CI: 79.4, 100.0), 81.3% (95% CI: 54.4, 96.0) and 81.3% (95% CI: 54.4, 96.0) using SB, at 3, 6 and 12-month evaluation periods. CONCLUSIONS: These results support the use of these two bonding agents in pit-and-fissure sealants under both isolated and contaminated conditions. Further, Se bond seemed to be less sensitive to moisture contamination.

Comparative efficacy of two treatment modalities for dentinal hypersensitivity: A clinical trial.

Background: Dentin hypersensitivity is a recurrent condition causing discomfort and sometimes pain to the patient, which also deters him from maintaining adequate oral hygiene. Home care and office measures are used for treatment of this malady. Aim: To evaluate and compare the efficacy of 2 treatment modalities for dentinal hypersensitivity, iontophoresis with acidulated phosphate gel (APF) gel, and dentin-bonding agent application. Materials and Methods: This split mouth randomized clinical study recruited subjects with a history of hypersensitivity with at least 2 teeth, verified by a light stroke with a dental explorer along the cervical third of the teeth. The patients were subjected to a 1-s air blast and cold water stimuli and their responses were recorded on a verbal rating scale. A total of 30 sites from 15 patients were divided into Group A-1.23% APF gel iontophoresis; and Group B-aqueous solution of hydroxyl-ethyl-methacrylate and glutaraldehyde. The teeth were evaluated immediately after the treatment and at the end of 2 weeks. In case of failure, the tooth was retreated with the same agent as before. Results: The results were statistically analyzed using Kruskal-Wallis analysis of variance and Mann-Whitney U tests. There was no statistically significant difference between the groups at the end of 2 weeks. However, Group A was more effective clinically, with fewer number of failures compared with Group B. Conclusion: Both the agents showed a statistically significant reduction in sensitivity compared with baseline; however, APF gel iontophoresis was more effective in reducing hypersensitivity over a longer time period.

Comparative evaluation of marginal microleakage in amalgam restorations of permanent and primary teeth a stereomicroscopic study.

Microleakage and lack of adhesion to the tooth structure are shortcomings that have limited dental amalgam’s use in certain clinical conditions. Studies have shown that the use of adhesive resins as liners under amalgam will create greater retention than mechanical undercuts. The objective of this study is to evaluate the sealing ability of a dentin bonding agent when used as a liner around dental amalgam restorations of both the permanent and the primary teeth.

An effect of immediate dentin sealing on the shear bond strength of resin cement to porcelain restoration

PURPOSE: The aim of this study was to determine differences in shear bond strength to human dentin using immediate dentin sealing (IDS) technique compared to delayed dentin sealing (DDS). MATERIAL AND METHODS: Forty extracted human molars were divided into 4 groups with 10 teeth each. The control group was light-cured after application of dentin bonding agent (Excite(R) DSC) and cemented with Variolink(R) II resin cement. IDS/SE (immediate dentin sealing, Clearfil(TM) SE Bond) and IDS/SB (immediate dentin sealing, Adapter(TM) Single Bond 2) were light-cured after application of dentin bonding agent (Clearfil(TM) SE Bond and Adapter(TM) Sing Bond 2, respectively), whereas DDS specimens were not treated with any dentin bonding agent. Specimens were cemented with Variolink(R) II resin cement. Dentin bonding agent (Excite(R) DSC) was left unpolymerized until the application of porcelain restoration. Shear strength was measured using a universal testing machine at a speed of 5 mm/min and evaluated of fracture using an optical microscope. RESULTS: The mean shear bond strengths of control group and IDS/SE group were not statistically different from another at 14.86 and 11.18 MPa. Bond strength of IDS/SE group had a significantly higher mean than DDS group (3.14 MPa) (P < .05). There were no significance in the mean shear bond strength between IDS/SB (4.11 MPa) and DDS group. Evaluation of failure patterns indicates that most failures in the control group and IDS/SE groups were mixed, whereas failures in the DDS were interfacial. CONCLUSION: When preparing teeth for indirect ceramic restoration, IDS with Clearfil(TM) SE Bond results in improved shear bond strength compared with DDS.

The effects of dentin bonding agent thickness on stress distribution of composite-tooth interface : Finite element method / 대한치과보존학회지

The aim of this study was to examine that thick dentin bonding agent application or low modulus composite restoration could reduce stresses on dentin bonding agent layer. A mandibular first premolar with abfraction lesion was modeled by finite element method. The lesion was restored by different composite resins with variable dentin bonding agent thickness (50microm, 100microm, 150microm). 170N of occlusal loading was applied buccally or lingually. Von Mises stress on dentin bonding agent layer were measured. When thickness of dentin bonding agent was increased von Mises stresses at dentin bonding agent were decreased in both composites. Lower elastic modulus composite restoration showed decreased von Mises stresses. On root dentin margin more stresses were generated than enamel margin. For occlusal stress relief at dentin boning agent layer to applicate thick dentin bonding agent or to choose low elastic modulus composite is recommended.

Effect of blood contamination and decontamination procedures on marginal adaptation and bond strength of composite restorations / Efeito da contaminação com sangue e de procedimentos de descontaminação na adaptação marginal e na resistência de união de restaurações de resina composta

Purpose: To evaluate the effect of blood contamination and different decontamination procedures on marginal adaptation and bond strength of a two-step total-etch adhesive system to dentin. Methods: A total of 135 bovine incisors had the labial surfaces ground to receive cylindrical cavities, and were randomly divided into a control and 8 experimental groups (n=15) according to contamination and decontamination procedures. Freshly collected human blood was applied onto the cavity either before or after light-curing of the adhesive. Four decontamination protocols were tested (drying with paper, water rinsing, phosphoric acid etching, and 10% NaOCl rinsing). The cavities were restored with Adper Single Bond and Filtek Z250 (3M ESPE). The specimens were subjected to thermal cycling before the dye staining test. The cavity floor was removed and the restorations were subjected to a push-out test. Data were analyzed by two-way ANOVA and Tukey's test (α=0.05). Results: Blood contamination after adhesive light-curing increased marginal gap and yielded lower push-out bond strength values (P<0.01). Conclusion: Water rinsing seems to be a reliable procedure for cavity decontamination. The decontamination procedures tested do not recover marginal sealing and bond strength when blood contamination occurs after light-curing of the adhesive.

Objetivo: Avaliar o efeito da contaminação com sangue e de procedimentos de descontaminação na adaptação marginal e resistência de união de um adesivo convencional de dois passos à dentina. Metodologia: Um total de 135 incisivos bovinos receberam cavidades cilíndricas na superfície vestibular, previamente desgastada. Os dentes foram divididos em grupo controle e 8 grupos experimentais (n=15), com base no momento da contaminação e nos procedimentos de descontaminação. Sangue recém-coletado foi aplicado nas cavidades, antes ou após a fotoativação do adesivo. Quatro procedimentos de descontaminação foram testados: secagem com papel, lavagem com água, condicionamento com ácido fosfórico e lavagem com hipoclorito de sódio a 10%. As cavidades foram restauradas com Adper Single Bond e Filtek Z250 (3M ESPE). Os espécimes foram submetidos à termociclagem antes da marcação com corante. O assoalho das cavidades foi removido e as restaurações foram submetidas ao teste de push-out. Os dados foram analisados por two-way ANOVA e teste de Tukey (α=0,05). Resultados: A contaminação após fotoativação do adesivo gerou fendas marginais maiores e resistência de união menor (P<0,001). Conclusão: A lavagem com água parece ser um método confiável de descontaminação. Os procedimentos testados não recuperam o selamento marginal e a resistência de união quando a contaminação ocorre após fotoativação do adesivo.

The influence of cavity configuration on the microtensile bond strength between composite resin and dentin / 대한치과보존학회지

This study was conducted to evaluate the influence of the C-factor on the bond strength of a 6th generation self-etching system by measuring the microtensile bond strength of four types of restorations classified by different C-factors with an identical depth of dentin. Eighty human molars were divided into four experimental groups, each of which had a C-factor of 0.25, 2, 3 or 4. Each group was then further divided into four subgroups based on the adhesive and composite resin used. The adhesives used for this study were AQ Bond Plus (Sun Medical, Japan) and Xeno III (DENTSPLY, Germany). And composite resins used were Fantasista (Sun Medical, Japan) and Ceram-X mono (DENTSPLY, Germany). The results were then analyzed using one-way ANOVA, a Tukey's test, and a Pearson's correlation test and were as follows. 1. There was no significant difference among C-factor groups with the exception of groups of Xeno III and Ceram-X mono (p < 0.05). 2. There was no significant difference between any of the adhesives and composite resins in groups with C-factor 0.25, 2 and 4. 3. There was no correlation between the change in C-factor and microtensile bond strength in the Fantasista groups. It was concluded that the C-factor of cavities does not have a significant effect on the microtensile bond strength of the restorations when cavities of the same depth of dentin are restored using composite resin in conjunction with the 6th generation self-etching system.

Influence of adhesive application on shear bond strength of the resin cement to indirect resin composite / 대한치과보존학회지

This study analyzed the influence of dental adhesive/primer on the bond strength between indirect resin composite and the resin cement. Seventy disc specimens of indirect resin composite (Tescera Dentin, Bisco) were fabricated. And bonding area of all specimens were sandblasted and silane treated for one minute. The resin cements were used with or without application of adhesive/primer to bonding area of indirect resin restoration: Variolink-II (Ivoclar-Vivadent): Exite DSC, Panavia-F (Kuraray): ED-Primer, RelyX Unicem (3M ESPE): Single-Bond, Duolink (Bisco): One-step, Mulitlink (Ivoclar-Vivadent): Multilinh Primer. Shear bond strength was measured by Instron universal testing machine. Adhesive application improved shear bond strength (p < 0.05). But Variolink II and Panavia-F showed no statistically significant difference according to the adhesive application. With the above results, when resin inlay is luted by resin cement it seems that application of dental adhesive/primer is necessary in order to improve the bond strength.

Shear bond strength of dentin bonding agents cured with a Plasma Arc curing light / 대한치과보존학회지

The objective of this study was to compare dentin shear bond strength (DSBS) of dentin bonding agents (DBAs) cured with a plasma arc (PAC) light curing unit (LCU) and those cured with a light emitting diode (LED) LCU. Optical properties were also analyzed for Elipar freelight 2 (3M ESPE); LED LCU, Apollo 95E (DMT Systems); PAC LCU and VIP Junior (Bisco); Halogen LCU. The DBAs used for DSBS test were Scotchbond Multipurpose (3M ESPE), Singlebond 2 (3M ESPE) and Clearfil SE Bond (Kuraray). After DSBS testing, fractured specimens were analyzed for failure modes with SEM. The total irradiance and irradiance between 450 nm and 490 nm of the LCUs were different. LED LCU showed narrow spectral distribution around its peak at 462 nm whereas PAC and Halogen LCU showed a broad spectrum. There were no significant differences in mean shear bond strength among different LCUs (P > 0.05) but were significant differences among different DBAs (P < 0.001).

Microtensile bond strength of a simplified self-etching adhesive to enamel: influence of multiple coats / Resistência adesiva à microtração ao esmalte de um adesivo auto-condicionante simplificado: influência de múltiplas camadas

This study tested the null hypothesis that the number of applications of a self-etching primer would not influence the microtensile bond strength at the interface resin/enamel. Bovine teeth were flatted to expose the prismatic enamel with wet 600 grit silicon carbide papers. The teeth were divided into two groups: FB 1 coat, Futura Bond (Voco) applied according to the manufacturer's instruction for 30s; and, FB 4 coats, applied four times, 30s each. Then, they were restored with Polofil (Voco) resin composite. After 24h, samples were cut with a diamond low speed saw under water cooling to obtain stick-shaped specimens of approximately 0,5 mm² cross-sectional area. The sticks under went microtensile testing at a speed of 1 mm/min. The bond strength, in MPa, was: FB 1 coat, 33.57 ±8.77 (18); FB 4 coats: 33.57 ±8.77 (18). This values, at t student test, had not showed significant difference (p=0.58). In this study, the number of coats did not interfere at the values of bond strength at the interface resin/enamel.

Este estudo testou a hipótese nula de que o número de camadas de aplicação de um primer autocondicionante pode não influenciar na resistência da interface adesiva resina/esmalte à microtração. Dentes bovinos foram nivelados, para expor os prismas de esmalte, utilizando-se lixa d'água #600. Os dentes foram divididos em dois grupos: FB 1 camada, FuturaBond (Voco) aplicado de acordo com as recomendações do fabricante por 30s; e FB 4 camadas, aplicadas quatro vezes, 30s cada. Foram então restaurados com a resina composta fotopolimerizável Polofil (Voco). Após 24 horas, as amostras foram cortadas com um disco diamantado em baixa rotação sob abundante irrigação, para obter palitos de aproximadamente 0,5 mm² de área. Os palitos foram submetidos à microtração a uma velocidade de 1 mm/min. A resistência adesiva, em MPa, foi: FB 1 camada, 33.57 ±8.77 (18); FB 4 camadas: 33.57 ±8.77 (18). Esses valores, no teste t de student, não apresentaram diferença significativa (p=0.58). Nesse estudo, o número de camadas não interferiu nos valores de resistência de união da interface resina/esmalte.

A study on fractural behavior of dentin-resin interface / 대한치과보존학회지

The fracture toughness test is believed as a clinically relevant method for assessing the fracture resistance of the dentinal restoratives. The objectives of this study were to measure the fracture toughness (K1C) and microtensile bond strength of dentin-resin composite interface and compare their relationship for their use in evaluation of the integrity of the dentin-resin bond. A minimum of six short-rod specimens for fracture toughness test and fifteen specimens for microtensile bond strength test was fabricated for each group of materials used. After all specimens storing for 24 hours in distilled water at 37degrees C, they were tensile-loaded with an EZ tester universal testing machin. Statistical analysis was performed using ANOVA and Tukey's test at the 95% confidence level, Pearson's coefficient was used to verify the correlation between the mean of fracture toughness and microtensile bond strength. FE-SEM was employed on fractured surface to describe the crack propagation. Fracture toughness value of Clearfil SE Bond (SE) was the highest, followed by Adper Single Bond 2 (SB), OptiBond Solo (OB), ONE-STEP PLUS (OS), ScotchBond Multi-purpose (SM) and there was significant difference between SE and other 4 groups (p 0.05). Microtensile bond strength of SE was the highest, followed by SB, OB, SM, OS and OS only showed significant lower value (p < 0.05). There was no correlation between fracture toughness and microtensile bond strength values. FE-SEM examination revealed that dentin bonding agent showed different film thickness and different failure pattern according to the film thickness. From the limited results of this study, it was noted that there was statistically no correlation between K1C and microTBS. We can conclude that for obtaining the reliability of bond strength test of dentin bonding agent, we must pay more attention to the test procedure and its profound scrutiny.

A study on fractural behavior of dentin-resin interface / 대한치과보존학회지

The fracture toughness test is believed as a clinically relevant method for assessing the fracture resistance of the dentinal restoratives. The objectives of this study were to measure the fracture toughness (K1C) and microtensile bond strength of dentin-resin composite interface and compare their relationship for their use in evaluation of the integrity of the dentin-resin bond. A minimum of six short-rod specimens for fracture toughness test and fifteen specimens for microtensile bond strength test was fabricated for each group of materials used. After all specimens storing for 24 hours in distilled water at 37degrees C, they were tensile-loaded with an EZ tester universal testing machin. Statistical analysis was performed using ANOVA and Tukey's test at the 95% confidence level, Pearson's coefficient was used to verify the correlation between the mean of fracture toughness and microtensile bond strength. FE-SEM was employed on fractured surface to describe the crack propagation. Fracture toughness value of Clearfil SE Bond (SE) was the highest, followed by Adper Single Bond 2 (SB), OptiBond Solo (OB), ONE-STEP PLUS (OS), ScotchBond Multi-purpose (SM) and there was significant difference between SE and other 4 groups (p 0.05). Microtensile bond strength of SE was the highest, followed by SB, OB, SM, OS and OS only showed significant lower value (p < 0.05). There was no correlation between fracture toughness and microtensile bond strength values. FE-SEM examination revealed that dentin bonding agent showed different film thickness and different failure pattern according to the film thickness. From the limited results of this study, it was noted that there was statistically no correlation between K1C and microTBS. We can conclude that for obtaining the reliability of bond strength test of dentin bonding agent, we must pay more attention to the test procedure and its profound scrutiny.