ABSTRACT
STATEMENT OF THE PROBLEM: Composite restoration failures may occur because of different factors. In these situations, the repair of a composite restoration has many advantages over replacement such as saving time, lower cost, and lower risk of excessive removal of sound tooth structure and subsequent pulp exposure. PURPOSE: The purpose of this in vitro study was to evaluate the effects of two surface treatments on shear bond strength (SBS) of new composite to old composite. MATERIALS AND METHOD: In this in vitro study, 60 composite discs were fabricated using a plexiglass mold measuring 4 mm in thickness and 7 mm in diameter, and were randomly divided into three groups (n=20). In group 1, the bonding procedure was done with no modification. After roughening of one surface in all remaining samples, chloroform (CHCl3) was applied on the surface of samples in group 2 and phosphoric acid 35% was applied on the surface of the samples in group 3. PermaSeal was then applied in all samples and new composites were bonded to the surface. The samples were stored in distilled water for one week and were then subjected to 500 thermal cycles and shear bond strength between two layers of composite and mode of failures were evaluated. RESULTS: The lowest and the highest SBS values of repair composite to old composite were noted in groups 3 and 1, respectively and this difference was statistically significant (p< 0.05).The difference between groups 1 and 2 was not significantly different (p= 0.197). The mode of failure was mixed in all samples of groups 2 and 3 and cohesive in group 1. CONCLUSION: After grinding, the surface treatment with phosphoric acid did not increase the SBS of new composite to old composite, while chloroform increased the SBS almost to the level of the baseline in control group.
ABSTRACT
STATEMENT OF THE PROBLEM: Self-etch adhesives can activate matrix metalloproteinase (MMP) which hydrolyzes organic matrix of demineralized dentin. Epigallocatechin gallate (EGCG), especially found in green tea, could inhibit the activation of MMP. PURPOSE: The aim of this study was to evaluate the effect of adding Epigallocatechin gallate (EGCG) into two types of adhesives on dentin bond strength. MATERIALS AND METHOD: In this experimental study, 64 extracted third molars were randomly divided into 16 groups. Clearfil SE Bond and Filtek Silorane System with 0 µM, 25µM, 50µM, and 100µM concentration of 95% EGCG were used for bonding. Following the bonding and fabrication of beams (1±0.1 mm(2)) and storage in distilled water, the specimens were subjected to thermal cycles. Microtensile bond strengths of 8 groups were examined after 24 hours and others were tested after 6 months. The fracture modes of specimens were evaluated by stereomicroscope and SEM. Data were analyzed by three-way ANOVA and t-test (α = 0.05). RESULTS: The results of the three- way ANOVA test showed that types of bonding, storage time and interactive effect of EGCG concentration and bonding influenced the bond strength of specimens significantly (p<0.05). The results of the t-test indicated that storage time only had significant effect on bond strength of Clearfil SE Bond with no EGCG (p= 0.017). The most common failure modes in Filtek Silorane System groups and Clearfil SE Bond groups were adhesive and mixed/cohesive, respectively. The results of SEM at different magnifications showed that most fractures have occurred in the hybrid layer. CONCLUSION: Although adding 100 µM volume of EGCG to Clearfil SE Bond can preserve the dentin bond, incorporation of EGCG in the silorane system, especially in high concentrations, decreases the bond strength after 6 months.
