Clinical performance and wear resistance of two compomers in posterior occlusal restorations of permanent teeth: six-year follow-up.

This study evaluated the clinical performance and wear resistance of compomer restorations placed in the occlusal cavities of posterior permanent teeth after six years. In 1999, 72 Class I restorations were placed by a single operator in 33 patients. Eighty-two percent of these restorations were located in molars. Each patient received at least two restorations, one with F2000 (3M ESPE) and another with Dyract AP (Dentsply). The finished and polished restorations that were free of any failure were considered the baseline. The restorations were clinically evaluated at baseline and at one-, two- and six-year intervals using modified USPHS criteria for color mismatch, marginal discoloration, surface roughness, marginal adaptation, anatomic form and secondary caries. Polyvinylsiloxane impressions (Express, 3M ESPE) were also taken, and models were obtained for indirect wear assessment (Leinfelder scale) at the same intervals. After six years, 11 patients attended the recall. Twenty-seven compomer restorations (11 with Dyract and 16 with F2000) were reevaluated. Data were submitted to the Friedman's test, ANOVA with repetitive measures, Tukey's test (clinical data), Wilcoxon and Kruskal-Wallis tests and the Spearman's correlation test (wear evaluation), all at a significance level of p < 0.05. When comparing the materials, F2000 and Dyract presented similar clinical performance and occlusal wear at the end of the clinical trial. The two compomers showed a significant increase in wear at the six-year follow-up, and a positive correlation (r2 = 0.65) was detected between wear and evaluation time (p < 0.001). Despite the decrease in restoration quality and the increase in occlusal wear, nearly all restorations were considered acceptable after the six-year evaluation.

Microtensile bond strengths of one-bottle dentin adhesives.

PURPOSE: To investigate the in vitro performance of three one-bottle adhesives by measuring their dentin microtensile strength. MATERIALS AND METHODS: Extracted human molars had the dentin exposed on the occlusal surface. The teeth were randomly assigned to three dentin adhesives: Group 1 - Prime & Bond 2.1; Group 2 - Prime & Bond NT; and Group 3 - Experimental (unfilled NT). All materials were applied as recommended by the manufacturer. A high-density resin composite (Surefil) was packed on the bonding area in five increments. Specimens (sticks) were obtained using a diamond disc and were stored in distilled water for 24 hrs. The microtensile bond strengths were measured with a universal testing machine. RESULTS: Group 1: 54.3+/-15.6 MPa; Group 2: 62.0+/-17.6 MPa; Group 3: 54.6+/-16.8 MPa. Although no statistically significant difference was found between pairs of means, Prime&Bond NT showed a tendency for higher bond strengths.

Microleakage of Class V resin-based composite restorations using five simplified adhesive systems.

PURPOSE: To evaluate microleakage at enamel and dentin margins of Class V resin-based composite (RBC) restorations using five simplified adhesive systems, one self-etching adhesive, three commercial one-bottle adhesives and one experimental one-bottle adhesive. MATERIALS AND METHODS: Class V cavities (3 mm x 2 mm x 2 mm) were prepared in sound human molars with occlusal margins in enamel and gingival margins in dentin/cementum. Etch & Prime 3.0 (Degussa), Single Bond (3M), PQ1 (Ultradent), Prime & Bond NT (Dentsply) and Experimental BEH (Dentsply DeTrey) were applied strictly according to manufacturers instructions. All adhesive systems were applied on etched substrates, except for the self-etching adhesive Etch & Prime 3.0. Cavities were restored with Z100 RBC. After finishing and polishing, teeth were thermo-cycled (x 700, 5-55 degrees C, 60 s dwell time). Specimens were coated with nail varnish, immersed in silver nitrate for 2 hours and sectioned longitudinally with a diamond disc. The extent of leakage was measured and ranked using a 0-4 scale. RESULTS: Statistical analysis using Kruskal-Wallis test revealed significantly higher leakage scores (P < 0.001) for Etch & Prime 3.0 on enamel when compared to all other adhesive systems. Regarding dentin margins none of the systems completely eliminated microleakage. PQ1 had significantly lower scores (P < 0.05) when compared to Etch & Prime 3.0 and Single Bond. No statistically significant difference was observed for the other groups.

Evaluation of micro-tensile, shear and tensile tests determining the bond strength of three adhesive systems.

OBJECTIVES: The aim of this study was to determine bond strength between dentin and three adhesive systems, by means of microtensile, shear and tensile tests. METHODS: Extracted human molars were embedded in acrylic resin and had the dentin exposed on three of their smooth surfaces. On each surface a specimen was prepared to be submitted to either micro-tensile, shear or tensile bond strength testing. For shear and tensile tests, after adhesive application, a cone 3 mm high and diameter of 3 mm in the small surface was built with composite resin. The shear test was performed with a chisel. Tensile testing was made by pulling the resin cone via a metallic clamp. For micro-tensile testing, composite approximately 5 mm high was placed over the entire exposed dentin. Then, using a diamond disk perpendicular to the bonding interface, 'sticks' with 0.25 mm2 rectangular cross-sectional area were obtained and subjected to tensile force. RESULTS: All tests ranked the adhesives in the same order. Mean values obtained by the micro-tensile test were not statistically different. For shear and tensile tests, Single Bond gave higher bond strength than Etch & Prime 3.0 (p < 0.05). Scotchbond Multi-Purpose Plus originated bondings that were statistically similar to both Single Bond and Etch & Prime 3.0. Comparing the three tests, a higher mean (p < 0.05) and a smaller coefficient of variation were found with the micro-tensile test. SIGNIFICANCE: The one-bottle adhesive system obtained higher bond strength values than the self-etching adhesive upon shear and tensile strength tests. Depending on the test applied, differences among materials may not be disclosed.