Influence of different tests used to measure the bond strength to dentin of two adhesive systems.

PURPOSE: To investigate the behavior of two bonding systems: self-etching primer Clearfil Liner Bond 2V (CLB) and total-etch Single Bond (SB) when submitted to two bond strength tests: shear bond strength (SBS) and microtensile (MTBS). METHODS: Flat dentin surfaces were obtained at the facial surface of extracted bovine incisors. muTBS started with adhesive application and incremental resin composite insertion. Samples were then sliced into 1 mm slabs parallel to the long axis of the tooth. Half of the specimens from each group were trimmed in order to obtain dumbbell-shaped (D) specimens with a cross-sectional area of 1 mm2, and in the other half of the group, the slabs were cut into beams (B) with a cross section of 1 mm2 area. Specimens were individually fractured on a microtensile apparatus. For SBS, crown segments were embedded in polyester resin and a flat dentin surface was exposed for bonding. After adhesive and restorative procedures were accomplished, the specimens were kept in water for 24 hours prior to bond testing. The tests were performed in a universal testing machine. MPa values were analyzed by Tukey's test (P < 0.05), two-way ANOVA (muTBS) and Student's t-test (SBS). RESULTS: Mean values (SD) on muTBS were: SB/B: 42.6 (15.1), SB/D: 35.4 (6.8), CLB/B: 14.3 (10.3) and CLB/D: 27.0 (7.9). SBS values (SD) were: SB: 17.3 (5.6) and CLB 15.9 (7.2). Beam specimens bonded with CLB presented the lowest results. SBS did not show statistical differences between groups. The results showed that the shear bond test seemed to lack the sensitivity that is required to detect subtle differences between bonding agents or procedures.

Stability of dentin bond strengths using different bonding techniques after 12 months: total-etch, deproteinization and self-etching.

This study evaluated the influence of (1) different dentin treatments and (2) storage time on dentin shear bond strengths. Two hundred and twenty-five bovine incisors were collected, ground to expose a flat dentin surface and randomly divided into three groups according to dentin surface treatment: (1) Total etch + Single Bond; (2) Total etch + collagen depletion with 10% NaOCl + Single Bond and (3) No etch + experimental self-etching adhesive. Composite was applied to the treated surfaces using a 3 x 5 mm cylindrical Teflon matrix and was light-cured. Each group was further stratified in five subgroups according to storage time in water at 37 degrees C: 1 day, 7 days, 30 days, 6 months and 12 months. Shear bond strengths (SBS) were determined and expressed in MPa. Data was analyzed for statistical significance with two-way ANOVA and Tukey's test (p=0.05). No interaction was observed between surface treatment and storage time. Storage time did not significantly affect bond strengths. Statistically significant differences were observed among the different surface treatments. Single Bond applied after total-etch presented higher mean SBS when compared to the other surface treatment methods. Collagen removal negatively influenced SBS, and the experimental self-etching adhesive presented intermediate values.

The effect of sodium hypochlorite on microleakage of composite resin restorations using three adhesive systems.

PURPOSE: The aim of this study was to evaluate the effect of three different adhesive systems on microleakage of Class V restorations after the use of sodium hypochlorite. MATERIALS AND METHODS: One-hundred eighty bovine incisors were selected and randomly divided into 9 groups (n = 20): G1: Single Bond (SB); G2: 10% NaOCl solution (NS) + SB; G3: 10% NaOCl gel (NG) + SB; G4: Prime & Bond NT (PB); G5: NS + PB; G6: NG + PB; G7: Gluma One Bond (GOB); G8: NS + GOB; G9: NG + GOB. Standardized Class V cavities were prepared. All teeth were etched with 37% phosphoric acid for 15 s. In groups 2, 5, and 8, a 10% NaOCl solution was applied for 60 s to the dentin, and in groups 3, 6, and 9, a 10% NaOCl gel was applied to dentin for 60 s. All cavities were restored with composite resin Definite. The specimens were thermocycled for 1000 cycles (5 degrees C to 55 degrees C) and then immersed in 2% buffered solution of methylene blue for 4 h. The specimens were sectioned and analyzed according to a ranking score (0 to 4). Kruskal-Wallis and Mann-Whitney non-parametric tests (p < or = 0.05) were used for statistical analysis. RESULTS: The NaOCl treatment significantly increased microleakage at the dentin margin (p = 0.0129) as shown by the following sums of ranks: G1 = 1008.0a; G4 = 1301.5ab; G3 = 1687.0ab; G7 = 1744.0bc; G2 = 1802.0c; G9 = 1880.0c; G5 = 1889.0c; G8 = 1950.0c; G6 = 1963.0c (different superscripts indicate significant differences). For enamel, there were no statistically significant differences among the groups (p > 0.05). CONCLUSION: Depending on the adhesive system used, the application of NaOCl increased microleakage along dentin margins.

Thermal and mechanical load cycling on microleakage and shear bond strength to dentin.

This study evaluated the influence of mechanical and thermal cycling on microleakage at the cervical margins of proximal slot restorations and shear bond strength on flat dentin surfaces. Microleakage Evaluation: One hundred and twenty slot cavity restorations were performed on bovine incisors. The restorations were randomly divided into four groups (n = 30): control (no thermal and mechanical load cycling), thermal cycling (2,000 cycles, 5 degrees C-55 degrees C), mechanical load cycling (50,000-80N) and thermal and load cycling (2,000 5 degrees C-55 degrees C/50,000-80N). The specimens were sealed with acid resistant varnish, leaving a 1-mm window around the cervical margin interface. To detect marginal leakage, a 2% methylene blue buffered solution was used for four hours. The specimens were sectioned longitudinally and qualitatively evaluated by stereomicroscopy (45x) following a ranked score for the dentin cervical margin. The data were analyzed by Kruskal-Wallis test (alpha = 0.05). Shear Bond Strength Evaluation (SBS): Eighty bovine incisors were embedded and polished to obtain a flat standard surface on dentin. The surfaces were restored with Single Bond adhesive system and a resin composite subsequently inserted in a bipartite Teflon matrix. The specimens were randomly divided into the four groups (n = 20) described above for microleakage. Shear bond strengths were measured in a universal testing machine with a crosshead speed of 0.5 mm/minute. The data were analyzed by one way ANOVA test (alpha = 0.05). No statistically significant influence of thermocycling, mechanical load cycling or the combination was observed for both microleakage and shear bond strength.

Influence of load cycling on marginal microleakage with two self-etching and two one-bottle dentin adhesive systems in dentin.

PURPOSE: To evaluate the influence of occlusal load cycling on cervical microleakage of proximal slot restorations located in dentin, using two self-etching and two one-bottle dentin adhesive systems. MATERIALS AND METHODS: 240 proximal slot cavities were prepared in 120 bovine teeth and divided into two groups, one with load cycling and one without. The groups were then subdivided into four subgroups according to the adhesive system used (Experimental EXL 547 Self-etching 3M, Clearfil SE Bond, Single Bond, and Optibond Solo Plus) and restored following the manufacturers' instructions. The teeth were then submitted to mechanical load cycling with a force of 80 N and a frequency of 5 Hz, simultaneously over both restorations of each tooth, for a total of 50,000 cycles per specimen. All specimens were subsequently immersed in a 2% methylene blue solution (pH 7.0), and sectioned to examine the extent of dye penetration under a stereomicroscope (40X). RESULTS: There was no statistically significant difference (p = 0.00002) between the loaded and unloaded teeth. However, a statistically significant difference was observed between the adhesive systems used. The experimental self-etching EXL 547 presented the lowest mean microleakage, but was only statistically significantly different from the Single Bond loaded and unloaded groups and the Clearfil SE Bond unloaded group. CONCLUSION: The application of 50,000 loading cycles did not affect the microleakage of the two self-etching and the two one-bottle adhesive systems evaluated. In vitro mechanical load cycling is an important factor to consider when evaluating the performance of adhesive systems under simulated masticatory conditions.

Evaluation of microleakage in cervical margins of various posterior restorative systems.

PURPOSE: The purpose of this in vitro study was to evaluate the microleakage and dye penetration patterns of various restorative systems in the cervical margins of Class II cavities using the dye penetration technique. MATERIALS AND METHODS: Ninety bovine incisors were selected and part of the crown was sectioned producing a standardized occlusogingival margin of 4 mm. Standardized Class II box cavities were designed on the mesial (MO) and distal (OD) surfaces with the gingival margin in dentin. The cavities were randomly divided into six groups (n = 30): group 1 (control), Etch & Prime 3.0 (Degussa AG) + Definite (Degussa AG); group 2, Prime & Bond NT (Dentsply De Trey) + Definite; group 3, Etch & Prime 3.0 + flowable composite resin Wave (SDI) + Definite; group 4 (control), Prime & Bond NT + TPH Spectrum (Denstply De Trey); group 5, Etch & Prime 3.0 + TPH Spectrum; group 6, Prime & Bond NT + Wave + TPH Spectrum. After they were finished and polished, the specimens were subjected to 1500 thermal cycles in baths of 5 degrees+/-2 degrees C and 55 degrees+/-2 degrees C with 60 seconds of dwell time for each bath. After the thermocycling, the specimens were sealed with acid-resistant varnish, leaving a 1-mm window around the cervical margin interface, and immersed in 2% methylene blue buffered solution for 4 hours. Then the specimens were sectioned longitudinally in half and qualitatively evaluated under stereomicroscopy at 45 times magnification, using ranked scores for the dentin cervical margin (0-4). The dye penetration pattern (adhesive or dentinal) was also evaluated. The data were subjected to a reproducibility kappa test, and the mean of the three examiners' scores was analyzed by the Kruskal-Wallis nonparametric test and a multiple comparison nonparametric test. Fisher's exact test was used to evaluate the dye penetration pattern. RESULTS: The rank sums of the groups were expressed in decreasing order: group 4, 67.23a; group 3, 72.58ab; group 6, 78.43ab; group 5, 93.19bc; group 2, 112.97c; group 1, 113.52c. (Statistically significant differences are expressed by different superscript letters.) The results indicate that none of the systems used in this study was able to impede microleakage, and that the use of a flowable resin decreases the values of leakage only for Definite composite resin. The dye penetration pattern for the groups that used Prime & Bond NT was predominantly dentinal, whereas the pattern for Etch & Prime 3.0 groups was adhesive. CLINICAL SIGNIFICANCE: An ormocer-based resin that was developed to improve the physical properties of composite resin and a self-etching primer adhesive system obtained higher values of microleakage compared with a one-bottle adhesive system and a microhybrid composite resin. The flowable composite resin decreased the values of microleakage only for the ormocer-based resin.