Does the bonding effectiveness of a fiber post/resin composite benefit from mechanical or chemical treatment? Seven methods for saliva-contaminated surfaces.

PURPOSE: This study examined four cleaning methods and three chemical treatments for artificial saliva-contaminated fiber posts in terms of bonding durability to resin composite core materials. METHODS: Non-contaminated fiber posts (Tokuyama FR Post, Tokuyama Dental) and those contaminated (GC Fiber Post, GC) with artificial saliva (Saliveht Aerosol, Teijin Pharma) were used. Washing and drying (WD), alcohol cleaning (AlC), H3PO4 etching (P/WD), alumina blasting (B/D) for decontamination and silanization (Clearfil Ceramic Primer Plus, Kuraray Noritake Dental, Si), resin priming (HC Primer, Shofu, MMA), and bonding resin application (Clearfil Universal Bond Quick, Kuraray Noritake Dental, BR) for chemical treatment were performed. The treated fiber post was planted inside a cylindrical tube and filled with resin composite (DC Core Automix ONE, Kuraray Noritake Dental). The specimen was sectioned, and a push-out test was performed after 24 h, 1 month, and 3 months. The fracture surface was observed using a scanning electron microscope (SEM). RESULTS: Adhesion between the non-contaminated fiber post and resin composite did not improve by silanization and decreased by alumina blasting. SEM observations revealed a fractured glass fiber by alumina blasting. Saliva contamination decreased the bond strength between the fiber post and resin composite; however, recovery was achieved by WD, Alc, P/WD, and B/D. Compared to Si, BR (P = 0.009) was effective in restraining the long-term durability of bonding, whereas MMA (P = 0.99) was not. CONCLUSION: The application of bonding resin after alcohol cleaning is the most convenient and effective clinical procedure for fiber post surface treatment.

Effectiveness of current adhesive systems when bonding to CAD/CAM indirect resin materials: A review of 32 publications.

The purpose of this review was to assess the available literature regarding bonding between current adhesive systems and computer-aided design/computer-aided manufacturing (CAD/CAM) indirect resin materials, to provide clinicians with a comparative overview of the relevant bonding procedures. An electronic search was performed through PubMed based on the keywords CAD/CAM and dental bonding. Additional relevant literature was obtained from the citations in the articles. A total of 313 papers were identified, of which 281 were excluded as being unsuitable, and an additional 3 papers were identified, giving a total of 32 articles that are included in this review. Based on this survey, it is recommended that microretentive surfaces should be generated by either blasting or hydrofluoric acid etching. This initial process should be followed by silanization to ensure chemical adhesion prior to bonding to CAD/CAM indirect resin composite materials (including Lava Ultimet, KATANA AVENCIA block, Gradia Block, Cerasmart, Paradigm, and Block HC) and CAD/CAM polymer-infiltrated ceramics (such as Vita Enamic). The use of materials containing methyl methacrylate (MMA) also appears to improve the bonding of CAD/CAM poly(methyl methacrylate) (PMMA) resin materials (including XHIPC-CAD/CAM, artBloc Temp, and Telio).

Effects of three drying methods of post space dentin bonding used in a direct resin composite core build-up method.

PURPOSE: The purpose of this study was to evaluate drying methods for post space dentin bonding in a direct resin composite core build-up method. METHODS: Experiment 1: Four root canal plastic models, having diameters of 1.0 or 1.8mm and parallel or tapered shapes, were prepared. After drying each post space using three drying methods (air drying, paper-point drying, or ethanol drying, which involves filling the space with 99.5 vol% ethanol followed by air drying), the residual liquid in the models was weighed. Experiment 2: Thirty endodontically treated single-root teeth were dried using the above-described drying methods and filled with dual-cure resin composite. The bonded specimens were sectioned into square beams of approximately 1mm2 for microtensile bond strength (µTBS) testing. Nine teeth were observed through transmission electron microscopy (TEM) and micro computed tomography (µCT). The weight of residual liquid and µTBS were analyzed using Scheffé multiple comparison. RESULTS: Experiment 1: The results of air drying were significantly different from those of paper-point drying (p<0.001) and ethanol drying (p<0.001), and no significant difference was observed between paper-point drying and ethanol drying. Experiment 2: The µTBS significantly decreased in the order of ethanol drying, paper-point drying, and air drying (air drying/ethanol drying: p<0.001, air drying/paper-point drying: p=0.048, ethanol drying/paper-point drying: p=0.032). TEM and µCT observation revealed a sufficient dentin/adhesive interface in the ethanol drying group. CONCLUSIONS: Ethanol drying was found to be more effective for post space dentin bonding, as compared with air drying and paper-point drying.

Adhesion procedure for CAD/CAM resin crown bonding: Reduction of bond strengths due to artificial saliva contamination.

PURPOSE: The present study aimed to elucidate how saliva contamination affects microtensile bond strength of resin cement to CAD/CAM resin blocks and identify a decontamination method that can restore original bond strength. METHODS: The KATANA AVENCIA block (Kuraray Noritake Dental) was sandblasted on the adherend surface (P-Co group). Then, the block was contaminated with artificial saliva (Saliveht Aerosol, Teijin). Air dry (N-Co), sandblasting (Sb) and phosphate acid cleaning (AT) groups were prepared. After silane treatment, PANAVIA V5 (Kuraray Noritake Dental) was built up and microtensile bond strength (µTBS) was measured after immersion in water (n=24 per group). Scanning electron microscopy (SEM) analysis, surface roughness and contact angle measurement of each surface were performed. RESULTS: The P-Co group showed the highest µTBS value, and bond strength was significantly lower in the N-Co group than the other groups (P<0.001). In all groups, decreased bond strength resulted from long-term water storage. In the N-Co group, a contaminated layer was observed on the surface by SEM and the contact angle was significantly smaller than the other groups (P<0.001). In Sb and AT groups, µTBS values that were reduced by artificial saliva contamination significantly increased but did not recover to P-Co group values (P<0.001). SEM showed no morphological difference between P-Co, Sb and AT groups. The Sb group showed increased surface roughness. CONCLUSION: The long-term durability of bonds between CAD/CAM resin blocks and luting agent cement was significantly reduced by artificial saliva contamination. However, sandblasting or phosphoric acid cleaning can recover bonding effectiveness by 75-85%.

Effectiveness of sodium hypochlorite and sulfinic acid sodium salt treatment on dentin-resin bonding: Long-term durability of one-step self-etching adhesive.

This study aimed to evaluate the effect of sulfinic acid sodium salt interposition after acid and sodium hypochlorite treatment (NC treatment) on dentin bonding durability using a mild type one-step self-etching adhesive. Fifteen human third molars were randomly assigned into three experimental groups according to dentin pretreatment before applying the one-step self-etching adhesive: Cont group, without pretreatment; NC group, pretreatment with phosphoric acid and sodium hypochlorite gel; and NC+AC group, additional treatment with sulfinic acid sodium salt followed by the same pretreatment of the NC group. Microtensile bond strength was measured and the pre-treated dentin surface, fracture modes, and bonding interface were observed. The bond strength of the NC+AC group was significantly higher than that of the other groups (p<0.001). The dentin-adhesive interface was degraded after 1 year only in the Cont group. Our results demonstrated NC treatment improves bonding durability and application of sodium sulfinic acid salt after NC treatment improves bonding effectiveness.