[Influence of smear layer and adhesive resin on the retentive force of amalgam restoration in vitro study].
UNLABELLED: The purposes of this in vitro study were to determine whether removing of smear layer and using of self-cured adhesive can increase retentive strength of amalgam restoration and to understand the adhesive mechanism between amalgam and adhesive. Class I cavities without mechanical retention were prepared in the occlusal surfaces of 45 extracted molars which were randomly divided into 3 groups. Group 1: 10%EDTA(pH 7.4) was applied to cavity walls for 1 minute prior to amalgam condensation. Group 2: 10%EDTA was applied in the same manner as in group 1, then the walls were water-sprayed and dried. Miradapt adhesive was applied, and amalgam must be packed into cavity before the adhesive cures. CONTROL GROUP: no special treatment before amalgam condensation. The tensile strength of the restorations were measured. The adhesive interface of two samples from group 2 were evaluated by SEM and EDS. As a result, removing smear layer had little effect on retentive force of amalgam (P > 0.05), while removing smear layer and applying adhesive improved the retentive strength of amalgam fillings significantly (P < 0.05), and there were micromechanical interlock between amalgam and adhesive according to SEM and EDS observation.